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J Acupunct Res > Volume 33(2); 2016 > Article
Yang, Sim, and Lee: A Retrospective Study on Needling Depth of Hwangmun (BL51) and Jisil (BL52) with MRI
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Abstract

Objectives:

The aim of this study is to investigate the needling depth of Hwangmun (BL51) and Jisil (BL52) retrospectively using an L-spine MRI.

Methods:

We measured the shortest distance from the skin to transversalis fascia at both sides of Hwangmun and Jisil, and analyzed the difference between male and female using a student t-test, and between the left and right sides with a paired t-test.

Results:

In the case of males, the average depth of left Hwangmun was 48.24 ± 10.16 mm, and that of right was 47.23 ± 9.59 mm; left Jisil was 56.91 ± 9.00 mm and right was 55.74 ± 8.75 mm. In the case of females, the average depth of left Hwangmun was 42.26 ± 9.29 mm, and that of right was 41.63 ± 9.32 mm; left Jisil was 49.21 ± 10.77 mm and right was 48.41 ± 11.38 mm. The depth of male insertion was deeper than that of female in Jisil, but there was no significant difference according to gender in Hwangmun.

Conclusion:

For males, the needling depth of left Hwangmun is 37.21 ~ 68.23 mm and right is 36.91 ~ 70.50 mm while left Jisil is 42.97 ~ 70.84 mm and right is 43.75 ~ 72.00 mm For females the needling depth of left Hwangmun is 26.80 ~ 68.28 mm and right is 25.70 ~ 65.59 mm, while left Jisil is 30.94 ~ 79.06 mm and right is 28.13 ~ 77.27 mm.

Fig. 1
Flow Chart of the L-spine Magnetic Resonance Imaging Selection Process
MRI: magnetic resonance imaging.
acup-33-2-89f1.gif
Fig. 2
Measurement of Length between both Iliopubic Eminences
We chose the iliopubic eminence as a Hoenggol, and measured the distance between both sides of iliopubic eminence converted at a 6.5 chon, as a result got a 1 chon.
acup-33-2-89f2.gif
Fig. 3
Needling Depth Measurement of Hwangmun (BL51)
A and B are the shortest distances from skin to transversalis fascia at the distance of a 3 chon from a median line on L1 level, A is the depth of right Hwangmun and B is that of left Hwangmun.
acup-33-2-89f3.gif
Fig. 4
Needling Depth Measurement of Jisil(BL52)
C and D are the shortest distances from skin to transversalis fascia at the distance of a 3 chon from a median line on L2 level. C is the depth of right Jisil and D is that of left Jisil.
acup-33-2-89f4.gif
Table 1
Population Characteristics
N(%) Age
Male 17(40.5)
Female 25(59.5)

Total 42(100) 56.50 ± 15.03

Value are mean ± standard deviation.

Table 2
Needling Depth Comparison of Male and Female in Hwangmun(BL51)
Left Right

Gender Female Male Female Male
Needing Depth 42.26 ± 9.29 48.24 ± 10.16 41.63 ± 9.32 47.23 ± 9.59
Maximum Needing Depth 68.28 68.23 65.59 70.50
Minimum Needing Depth 26.80 37.21 25.70 36.91

p-value 0.055 0.066

Value are mean±standard deviation.

* p<0.05 by student t-test.

Table 3
Needling Depth Comparison of the Left and Right Side of Hwangmun(BL51) and Jisil(BL52)
Needing Depth p-value
Hwangmun(BL51) Left 44.68 ± 9.98 0.101
Right 43.90 ± 9.72

Jisil(BL52) Left 52.33 ± 10.68 0.143
Right 51.38 ± 10.90

Value are mean ± standard deviation.

* p<0.05 by paired t-test.

Table 3
Needling Depth Comparison of Male and Female in Jisil(BL52)
Left Right

Gender Female Male Female Male
Needing Depth 49.21 ± 10.77 56.91 ± 9.00 48.41 ± 11.38 55.74 ± 8.75
Maximum Needing Depth 79.06 70.84 77.27 72.00
Minimum Needing Depth 30.94 42.97 28.13 43.75

p-value 0.020* 0.031*

Value are mean±standard deviation.

* p<0.05 by student t-test.

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