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25.Daying(ST 5)

【Location】On the face,1.3 cun anteroinferior to the mandibular angle,anterior to the masseter m..

【Manipulation Method】Avoid the facial a.,puncture perpendicularly 0.3-0.5cun,or puncture subcutaneously toward Jiache(ST 6)0.5-1 cun.

【Indications】Toothache,swelling in the cheek,lockjaw,deviated mouth.

【Stratified anatomy】(Fig.1-18)

(1)Skin The skin is distributed by great auricular and buccal n..

(2)Subcutaneous tissue There are branches of great auricular and buccal n.,marginal mandibular of facial n.and platysma.

(3)Depressor anguli oris The depressor anguli oris is located in the deep surface of superficial fascia under the corner of the mouth.

(4)Facial a. & v. The facial a.is the branch of external carotid a.,and the facial v.is the tributary of internal jugular v..

The deep surface of the acupoint is mandible.

Fig.1-18 Transverse section of Daying(ST 5)(right side)

【Cautions】There are the facial a.and v.on the deep surface of the acupoint.The pulsation of facial a.can be touched in the front margin of masseter muscle.When there is the needling,the practitioner shall press the facial a.by left thumb and put the nail of left thumb over the front margin of masseter muscle,then insert the needle by right hand along with the nail margin of left thumb to avoid needling the artery which causes bleeding.As the fixed position and low mobility of the facial a.in the front margin of masseter muscle against the inferior margin of mandible up to the facial region,it shall be kept away from the artery when there is the perpendicular insertion.If the practitioner manipulates the oblique insertion to the direction of Jiache(ST 6),generally the facial a.cannot be needle-inserted easily. ESrkATuktgOGwl8aHkH92iqg3K4mEqtFRCxcuVdOhwQldUAwQsH7ZKE2esWV6wmP

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