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28.Ermen(TE 21)

【Location】On the face,anterior to the supratragic notch,in the depression posterior the condyloid process of the mandible when open mouth.

【Manipulation Method】Puncture perpendicularly 0.5-1 cun.

【Indications】Deafness,tinnitus,otopyorrhea,toothache.

【Stratified anatomy】(Fig.1-20)

(1)Skin The skin is distributed by aunclotemporal n..

(2)Subcutaneous tissue There are the branches of auriclotemporal n.,branches or tributanes of superficial temporal a. & v..

(3)Upper margin of parotid gland The parotid gland is located in the anteroinferior of auricle,wrapped in the parotid sheath.

【Cautions】There are the superficial temporal a.and v.in the subcutaneous region of the acupoint and the pulsation of superficial temporal a.can be touched in the front position of the tragus.When there is manipulating the needle,the specified methods as follows shall be adopted for keeping away from the superficial temporal a.and needle-inserting in the vessel.Firstly,0.2 cun of the oblique insertion forward along with the tragus into the subcutaneous tissue and the position of needle point under the superficial temporal a.; then ask the patients to open mouths with 0.3-0.6 cun of perpendicular insertion later again.If the depth of needling is much deeper,the needle point can be inserted into the internal carotid a.and v..This can cause bleeding and the consequence is more serious.When there is removing needle,there shall be with half minute’s pressing of cotton ball for avoiding bleeding. qDqHbQpeMZ93GMy1ZJFfncRhWf5c/bb8TfavI8qwDED7zp0DNQxMkPvk5hNAQ/Fh

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