TradtionalChineseMedicineThefirstclinicalcollegeofXinxiangMedicalCollegeDepartmentoftraditionalChinesemedicineZhaijianliAcupuncture23456ElectroacupuncturetherapyappratusAgeneralintroductiontomeridiansandcollateralsTheypertaintothevisceraorgansinteriorlyandlinktheextremitiesandjointsexteriorly.Theyrunandconnecttheupperandloweraspectsofthebody,unifyingallpartsofthebodyintoanorganicwholeandmaintainingtheharmoniousbalanceofallthefunctionsandactivitiesofmanypartsofthebody.7AgeneralintroductiontomeridiansandcollateralsItintegratesphysiology,diagnosistheoriesandtreatmentprinciplesinTradtionalChineseMedicine.Thisisespeciallysointhepraticeofacupunctureinsyndromedifferentiation,pointselection,theneedlingtechniquesofreinforcingandreducing.8MeridiansandCollaterals•generalconception:Themeridiansandcollaterals(jing-luo)arethepathwaysthattransportqiandbloodtonourishthewholebody.9Meridians(jingmai)-channels•Meridiansmeans“gothrough”or“apath”.Theyarethemaintrunks,thickandlarge.Theyrunlongitudinallyandinteriorlywithinthebody.10thetwelveregularmeridianstheeightextrameridiansthetwelvedivergentmeridiansMeridiansthetwelvemuscleregionsthetwelvecutaneousRegionsThethreeyinmeridiansoffootThethreeyinmeridiansofhandThethreeyangmeridiansofhandThethreeyangmeridiansoffootbackCollaterals(luomai)•Collaterals(luomai)means“somethingthatconnects”or“anet”.Theyarethebranchesofthemeridians,thinandsmall.Theyruntransverselyandsuperficially,andcrisscrossandnetthewholebody.1213thefifteencollateralstheminutecollateralsthesuperficialcollateralscollateralsThetwelveregularmeridians•1.thecompositon•2.thenomenclature•3.thecharacteristicsofthedistribution•4.thedirectionofflowandtheconnectingplaces•5.theexterior-interiorrelationship•6.thefunctionofthetwelvemeridians14ThetwelvemeridiansItisbasedonyinandyang,theassociatedzangandfuorgan,andtheirpathwayoneitherthehandorfoot.yangmeridians---Yangming,Shaoyang,Taiyang;yinmeridians---Shaoyin,Jueyin,Taiyin.zangorgans(fivezangpluspericardium)----yin,fuorgans(sixfu)----yang.Themedialaspectisattributedtoyin,Lateralaspectisattributedtoyang.151.Nomenclatureback1.Nomenclature16taiyinJueyinshaoyinhandfootlungperecardiumheartspleenliverkidney1.NomenclatureyangmingshaoyangtaiyanghandfootLargeintestinesanjiaoSmallintestineUrinarybladdergallbladderstomachthetwelveregularmeridiansThethreeyinmeridiansofhandThethreeyangmeridiansofhandThethreeyinmeridiansoffootThethreeyangmeridiansoffootLungmeridianofHand-TaiyinPericardiummeridianofHand-JueyinHeartmeridianofHand-ShaoyinLargeintestinemeridianofHand-YangmingSanjiaomeridianofHand-ShaoyangSmallintestinemeridianofHand-TaiyangStomachmeridianofFoot-YangmingSpleenmeridianofFoot-TaiyinLivermeridianofFoot-JueyinKidneymeridianofFoot-ShaoyinGallbladdermeridianofFoot-ShaoyangBladdermeridianofFoot-TaiyangbackLowerlimbsYinmeridians19HandmeridiansFootmeridiansThemedialaspectUpperlimbs2.DistributioncharacteristicsbackLowerlimbsYangmeridians20HandmeridiansFootmeridiansThelateralaspectUpperlimbs21TaiyinmeridianstheanteriorborderJueyinmeridiansthemiddleborderOnthelowershank小腿(8cuntothemedialmalleolus踝)wherethelivermeridianoffoot-jueyinisontheanteriorandthespleenmeridianoffoot-taiyinisinthemiddle.yangmingmeridiansshaoyangmeridianstaiyangmeridianstheposteriorborderShaoyinmeridiansheadchestabdomenhandfootYinmeridianYangmeridiandirectionofflowandtheconnectingplacesback23directionofflowandtheconnectingplaces•1.thethreeyinmeridiansofhandrunfromthechesttothehand(connectwiththethreeyangmeridiansofhand)•2.thethreeyangmeridiansofhandrunfromthehandtothehead(connectwiththethreeyangmeridiansoffoot)•3.thethreeyangmeridiansoffootrunfromtheheadtothefoot(connectwiththethreeyinmeridiansoffoot)•4.thethreeyinmeridiansoffootrunfromthefoottotheabdomenandchest(connectwiththethreeyinmeridiansofhand)•Theheadistheleaderofalltheyangmeridians24theconnectingplacesofthetwelvemeridians•1.theyinmeridiansconnectwithyangmeridiansinthefourlimbs.•(1)thethreeyinmeridiansofhandmeetthethreeyangmeridiansofhandatthetipsofthefingers;•(2)thethreeyangmeridiansoffootmeetthethreeyinmeridiansoffootatthetipsofthetoes;•2.theyangmeridiansconnectwithyangmeridianssharingthesamenameontheheadandface.(nose,theinnercanthus,theoutercanthus)•3.theyinmeridiansconnectwithyinmeridiansinthechest.(heart,chest,lungregion)25directionofflowandtheconnectingplaces•Thetwelvemeridianslinktooneanotherduetotheconnectionofthemeridiansofthehandandfoot,yinandyang,andinteriorandexteriormeridian,formingacyclicalsystemwithoutend.Itoriginatesfromthemiddlejiao,startsfromthelungandendsintheliveraftercompletingacyclethroughthebody,finallyreturningtothelung.2627theexterior-interiorrelationship•Thetwelvemeridiansformsixpairsofinternally-externallyrelatedmeridians.•Theinternally-externallyrelatedmeridianspromoteandcontroleachotherinphysiologicalsituation,andtransformandaffecteachotherinpathologicalsituation.28backinternally-externally29LunglargeintestinePericardiumsanjiaoheartsmallintestineSpleenstomachLivergallbladderkidneybladderZangFuthefunctionofthetwelvemeridians•1.connectthezan