auricular acupuncture introduction - the anatomical landmarks of the ears part 1

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AURICULAR ACUPUNCTURE ANATOMY OF THE EARS Shih Hao Ho, LAc Meridian Acupuncture & Herb Clinic www.meridianahc.com AprilNov,1913 201602

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AURICULAR ACUPUNCTUREANATOMY OF THE EARS

Shih Hao Ho, LAcMeridian Acupuncture & Herb Clinic

www.meridianahc.com

AprilNov,1913 201602

• Many important anatomical landmarks

• we will only focus on the areas that contain NADA points

• since there are only 5 NADA points

• easier than full-fledge auricular acupuncture (AA) or ear acupuncture

AprilNov,1913 201602

EAR AURICLE

AprilNov,1913 201602

Superior landmarksHelix

Anti-helixTriangular Fossa

Concha

Inferior structuresTragus

Intertragic NotchAntitragus

KEY ANATOMICAL LANDMARKS

AprilNov,1913 201602

HELIX• the prominent rim of the auricle

• one of the easily landmark to identify

• you can’t miss it

AprilNov,1913 201602

HELIX

AprilNov,1913 201602

ANTI-HELIX• The curved prominence of cartilage

parallel with and in front of the helix on the auricle

AprilNov,1913 201602

ANTI-HELIX• The curved prominence of cartilage

parallel with and in front of the helix on the auricle

AprilNov,1913 201602

ANTI-HELIX

AprilNov,1913 201602

INFERIOR ANTIHELIX CRUS

• crus: any leg-like part or process (latin)

• plural crura

• difficult to see from the side or even front

• best to access it by gently rolling the helix away from the antihelix

Text

AprilNov,1913 201602

INFERIOR ANTIHELIX CRUS

AprilNov,1913 201602

TRIANGULAR FOSSA

• a shallow depression in the anterior part of the top of the ear's auricle

• between the two crura into which the antihelix divides

AprilNov,1913 201602

TRIANGULAR FOSSA

AprilNov,1913 201602

CONCHA• concha: latin for any shell-shaped structure

• plural: conchae

• The deepest depression in the auricle

• leads to the external auditory canal or meatus.

• partly covered by tragus in front and the antitragus behind

AprilNov,1913 201602

CONCHA

AprilNov,1913 201602

CYMBA CONCHA• the upper, smallest, narrowest end of the

concha above the crus helicis

• cymba

• Greek, meaning the hollow of a vessel, a cup, a bowl, a boat

AprilNov,1913 201602

CYMBA CONCHA

AprilNov,1913 201602

ANGLE OF CYMBA CONCHA

• at medial superior angle of cymba conchae

AprilNov,1913 201602

ANGLE OF CYMBA CONCHA

AprilNov,1913 201602

CAVUM CONCHAE• cavum: an anatomical recess or hollow

• cavum conchae: cavity of concha

• the space within the lower, larger portion of the concha below the crus helicis

• forms the vestibule leading into the external acoustic meatus

AprilNov,1913 201602

CAVUM CONCHA

AprilNov,1913 201602

HelixAnti-helix

Triangular FossaScaphoid Fossa

Concha

Inferior structuresTragus

Intertragic NotchAntitragus

KEY ANATOMICAL LANDMARKS

AprilNov,1913 201602

• The small pointed eminence of the auricle, situated in front of the concha, and projecting backward over the meatus

TRAGUS

AprilNov,1913 201602

WHERE IS TRAGUS? HINT, HINT...

AprilNov,1913 201602

ANTITRAGUS?

AprilNov,1913 201602

INTERTRAGIC NOTCH

• The structure that separates the tragus from the antitragus

AprilNov,1913 201602

INTERTRAGIC NOTCH?

AprilNov,1913 201602

Superior landmarksHelix

Anti-helixTriangular Fossa

Concha

Inferior structuresTragus

Intertragic NotchAntitragus

KEY ANATOMICAL LANDMARKS

AprilNov,1913 201602

Can you identify the landmarks?

EVERY EAR IS DIFFERENT

AprilNov,1913 201602

Inferior antihelix crus (sympathetic)Triangular fossa (shen men)Cymba conchae (kidney)

Angle of cymba concha (liver)Cavum conchae (lung)

THE 5 AREAS CONTAINING NADA POINTS

AprilNov,1913 201602