[논문]수태음폐경 노선에 대한 고찰: 천부·협백을 중심으로

송석모

doi:10.14406/acu.2022.024

수태음폐경 노선에 대한 고찰: 천부·협백을 중심으로
Discussion on the Route of Lung Meridian: Focus on LU3 and LU4 원문보기

Korean journal of acupuncture, v.39 no.4, 2022년, pp.172 - 183

송석모 (우석대학교 한의과대학 경혈학교실)

Abstract ▼ AI-Helper

Objectives : An error was found in the recent standard by the World Health Organization (WHO) on the locations of the Upper arm Route of Lung Meridian (URLM) and its acupoints LU3 and LU4. This possible incorrect information is being taught throughout Korean medicine colleges nationwide, which follow WHO standards. Therefore, an investigation is required to sort out this discrepancy based on the evidence in historical documents. Methods : The location of WHO's URLM and LU3 and LU4 were compared with corresponding information in the classical literature. The anatomical structure mentioned in these classical documents was examined. Finally, an assessment was conducted on whether this structure is reflected in the WHO standards. Results : Classical literature prior to the early 20th century records the locations of the Lung Meridian and LU3 and LU4 of the upper arm to be in the artery on the medial aspect. This artery corresponds to the brachial artery. The location established by the WHO is on the anterolateral side of the upper arm, where no large arteries exist that can be found by haptic search or angiographically. The anterolateral side of the upper arm belongs to the Yang aspect, which does not coincide with the Yin aspect of Lung Meridian. Conclusions : The WHO's URLM and LU3-4 standards do not agree with the classical literature. The correct route must coincide with the brachial artery passing through the medial side of the humerus. The actual location of LU3-4 is on the medial aspect of the arm, just medial to the border of the biceps brachii muscle, on the brachial artery, 3-4 B-cun inferior to the anterior axillary fold.

주제어

표/그림 (9)

표 Table 1. Location of Lung Meridian of the upper arm recorded in classical literature
표 Table 2. Hand (Arm) Taiyin Meridian of LingshuㆍJingmai and two Maijiujing
그림 Fig. 1. Nei/Wai directions of the arm in Lingshu. If d1 is farther than d2, then L1 is on the "wai (outside)" of the arm and L2 is on the "nei (inside)" of the arm. The "nei" is a face easily visible at a cyclopean point of view, while the "wai" is not. CP, cyclopean point; Lx, location x; dx, distance perceived from CP to Lx.
그림 Fig. 2. Schematic drawing of the location of the arterial pulse of the arm. The black lines and dots indicate the pulse locations haptically felt in the hand, lower arm, upper arm, and axilla. These locations correspond exactly to the arteries passing through the site. These routes coincide with the description of hand yin meridians of unearthed Mawangdui medical texts. SPA, superficial palmar arch; CPD, common palmar digital arteries; SPR, superficial palmar branch of radial artery; DPU, deep palmar branch of ulnar artery; FCR, flexor carpi radialis tendon; PL, palmaris longus tendon; RA, radial artery; UA, ulnar artery; BA, brachial artery; TA, lateral thoracic artery. This redrawing is based on Song SM (2022)14). The Chinese word was added by the author.
표 Table 3. LU3 location recorded in classical literature
그림 Fig. 3. Typical arrangement of profunda brachii artery. Profunda brachii artery and its branches mainly pass through the humerus posteriorly. It divides into two terminal branches, the middle collateral and radial collateral arteries. The lateral/long head of the triceps brachii muscle is cut and reflected laterally/medially. BA, brachial artery; RN, radial nerve; MCA, middle collateral artery; RCA, radial collateral artery; LaHT, lateral head of the triceps brachii muscle; LoHT, long head of the triceps brachii muscle; DM, deltoid muscle; MeHT, medial head of the triceps brachii muscle; RN, radial nerve. White arrowheads: branches to the triceps brachii muscle. This drawing is based on Przybycień W et al. (2022)²⁸⁾.
그림 Fig. 4. Angiographical drawing of brachial artery and main branches. The dotted circle indicates the presumed location of LU3-4. There are no large arteries to be haptically felt in this region. The artery that appears to have penetrated into the circle is the Medial Collateral Artery. It passes through the humerus posteriorly. This drawing is based on the angiogram of the arm from Uflecker R (2006)²⁵⁾.
그림 Fig. 5. Rectified location of LU3-4. The WHO standard misposition of LU3 (pLU3) and LU4 (pLU4) is at the lateral margin of the long head of biceps brachii. The rectified position of LU3 (cLU3) and LU4 (cLU4) are located on the brachial artery medial to the biceps brachii.
그림 Fig. 6. Lung Meridian route in upper extremity. Lung Meridian of the upper extremity (except for the hand) is composed of the continuation of axillary, brachial and radial arteries.

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