Regional Anatomy:
Skin-subcutaneous tissue-masseter muscle.
There are the branches of the auricular nerve and the marginal mandibular branches of the facial nerve in this area.
Location:
1. Sit upright or lie prostrate on one's side; one finger-breadth anterior to and 0.4 cun directly above the angle of mandible. 2. With teeth clenched, at the prominence of m. masseter ,
with teeth relaxed, when it is nipped by a finger, there are a pitting and a sensation of soreness and distension.
Function:
Expelling wind and activating the collaterals, and clearing relieving lockjaw.
Indications:
facial paralysis, toothache, swelling of the cheek and face, mumps, trismus.
Prescription:
Combined use with XiaguanST7 (Xiaguan (ST7) [3]) for treatment of mandibular arthritis ; with SibaiST2 (Sibai (ST2) [4]) and XiaguanST7 (ST7) for treatment of trigeminal neuralgia; with BaihuiGV20 (Baihui (GV20) [5]), ChengjiangCV24 (Chengjiang (CV24) [6]) and HeguLI4 (Hegu (LI4) Yuan-Source Point [7]) for treatment of luxation of temporomandibular joint; with TianrongSI17 (Tianrong (SI17) [8]), XiaguanST7 (ST7), TaiyangEXHN5 (EX-HN5) and HeguLI4 (LI4) for treatment of toothache; with HeguLI4 (LI4), DayingST5 (Daying (ST5) [9]), YifengTE17 (Yifeng (TE17) [10]) and FengchiGB20 (Fengchi (GB20) [11]) for treatment of parotitis.
Methods:
Insert the needle perpendicularly 0.3-0.5 cun deep, or subcutaneously with the tip of the needle directed towards DicangST4 (Dicang (ST4) [12]). needling response: local sensation of distension and soreness; moxibustion: using 3-5 moxa-cones, or mild moxibustion for 15 min.
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