Journal of Acuherb in Medicine


Auricular Anatomy

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By Dr. Kenneth Wang

Terms

Definitions

Lobule

 

Tragus

 

Supratragic Notch

 

Infratragic Notch

 

Antitragus

 

Antihelix

 

Superior Antihelix Crus

 

Inferior Antihelix Crus

 

Triangular Fossa

 

Scapha

 

Helix

 

Helix Crus

 

Cymba Conchae

 

Cavum Conchae

 

External Auditory Meatus

 

Helix Tragic Notch

 

Helix Tubercle (Darwin’s Tubercle)

 

New Name: Superior/Upper Root of Auricle
Old Name: Middle Stasis, Spinal Cord
Actions: Relieving Pain and Asthma
Indications: Headache,Abdominal pain, Asthma

At upper border of auricular root

New Name: Lower Root of Auricle
Old Name: Spinal Cord
Actions: Relieving Pain & Asthma
Indications: Headache,Abdominal Pain, Asthma

On lower border of juncture between earlobe and cheek

Name: Root of Auricular Vagus Nerve
Actions: Opening orifice and Relieving pain
Indications: Headaches, Nasal obstruction, Ascariasis of bile duct, Etc.

At junction of retroauricle and mastoid, level with helix crus

New Name: Groove of Inferior Helix Crus
Old Name: Groove forLowering Blood Pressure
Actions: Pacifying Liver and Descending reversing qi of the Liver, Relieving skin disease
Indications: Hypertension, Skin diseases

Through backside of superior antihelix crus and inferior antihelix crus, in depression of Y form

Name: Heart
Actions: Clearing and reducing Heart fire, Tranquilizing Heart and easing mind, Relieving pain
Indications: Furuncles, Insomnia, Dream-disturbed sleep, Hypertension, Headache, Etc.

At the upper back of the ear

Name: Spleen
Actions: Building up Spleen and harmonizing Stomach, Producing ying-blood and nourishing muscles
Indications: Abdominal distension, Diarrhea, Indigestion, Etc.

In the middle at the back of the ear

Name: Liver
Actions: Removing Liver qi stagnation and harmonizing Stomach, Nourishing tendons and Activating blood circulation
Indications: Distension and fullness of chest and hypochondriac region, Acute appendicitis, Soreness and aching of the lower back, Etc.

On the back of the ear, at lateral aspect of Spleen

Name: Lung
Actions: Reinforcing Lung and soothing asthma, Clearing heat, Relieving problems of skin and hair
Indications: Asthma, Diseases and symptoms of digestive system, Fever, Etc.

On the back of the ear, at medial aspect of spleen

Name: Kidney
Actions: Nourishing Kidney water, Improving hearing, Strengthening bone, Filling up marrow
Indications: Headache, Dizziness, Vertigo, Irregular menses

At lower part of retroauricle

New Name: Middle Ear
Old Name: Diaphragm
Actions: Descending upward reversive qi of Stomach, Expelling wind and Regulating the functions of the Diaphragm
Indications: Hiccup, Jaundice, Symptoms and diseases of digestive system and skin

Helix Crus

Name: Lower Portion of Rectum
Indications: Constipation, Anus prolapse, External and internal hemorrhoids, Tenesmus

On end of helix, approximate to superior tragic notch

Name: Urethra
Indications: Enuresis, Frequent/ urgent/ painful urination, Retention of urine

On helix at level with lower border of inferior antihelix crus

Name: External Genitalia
Indications: Inflammation of external genital organs, Eczema of the perineum,Impotence

On helix at level with upper border of inferior antihelix crus

New Name: Front (Anterior) Ear Apex
Old Name: Hemorrhoidal Nucleus
Indications: External and internal hemorrhoids (is used to assist diagnosis for hemorrhoids)

Area between ear apex and superior root of auricle

Name: Ear Apex
Actions: Removing heat and wind, Antispasmotism and Analgesia, Pacifying Liver and Clearing vision
Indications: Fever, Hypertension, Inflammation of eyes, Painful diseases

At tip of auricle and superior to helix when folded towards tragus

Name: Liver Yang
Indications: Liver qi stagnation, Liver yang preponderance

On helix at auricular tubercle (if no tubercle, at 10 o’clock on left ear and 2 o’clock on right ear)

Names: Helix 1-6
Actions: Clarifying heat and relieving pain, Pacifying liver and removing wind
Indications: Fever, Tonsillitis, Hypertension

Region from lower border of auricular tubercle to midpoint of lower border of lobule – divide into 5 equal parts.

Name: Finger
Indications: Pain and dysfunction at corresponding area of body.

At top of scapha

New Name: Interior (Internal) Tubercle
Old Name: Urticaria, Allergic Point
Actions: Expelling wind and Stopping itching

Midpoint between wrist and finger

Name: Wrist
Indications: Pain and dysfunction at corresponding area of body.

Midway between elbow and finger

Name: Elbow
Indications: Pain and dysfunction at corresponding area of body.

Midway between finger and clavicle

Name: Shoulder
Indications: Pain and dysfunction at corresponding area of body.

Midway between elbow and clavicle

Name: Clavicle
Indications: Pain at corresponding area, Peripheral arthritis of the shoulder, Takayashu’s Disease (pulseless disease)

On scapha at level with helix tragic notch

Name: Toe
Indications: Pain and dysfunction at corresponding area of body.

Superior and lateral angle of superior antihelix crus (possibly under helix)

Name: Heel
Indications: Heel pain

Superior and medial angle of superior antihelix crus (possibly under helix)

Name: Ankle
Indications: Ankle sprain, Pain and dysfunction at corresponding area of body.

Midway between heel and knee

Name: Knee
Indications: Pain and dysfunction at corresponding area of body (such as sprain and arthritis of the knee joint)

Middle portion of superior antihelix crus

Name: Hip
Indications: Pain and dysfunction at corresponding area of body.

At inferior 1/3 of superior antihelix crus

Name: Buttocks
Indications: Pain at corresponding area of body.

At lateral 1/3 of inferior antihelix crus

New Name: Ischium
Old Name: Sciatic Nerve
Indications: Sciatica

At medial 2/3 of the inferior antihelix crus

New Name: End of Inferior Antihelix Crus
Old Name: Sympathetic Nerve
Actions: Antispasmodic & Analgesia; Nourishing Yin & Supporting Yang
Indications: Pain of internal organs, Palpitations, Spontaneous sweating, Night sweating, Functional disorders of autonomous nerve system

At terminal of inferior antihelix crus (under helix)

Name: Cervical Vertebrae
Actions: Strengthening spine & Nourishing Marrow
Indications: Pain at corresponding part of the spine

Lower 1/3 of antihelix

Name: Thoracic Vertebrae
Actions: Strengthening spine & Nourishing Marrow
Indications: Pain at corresponding part of the spine

Middle 1/3 of antihelix

Name: Lumbosacral Vertebrae
Actions: Strengthening spine & Nourishing Marrow
Indications: Pain at corresponding part of the spine

Upper 1/3 of antihelix

Name: Neck
Indications: Strained neck, Wry neck, Pain or dysfunction of neck

On border of cavum conchae of cervical vertebrae

Name: Chest
Indications: Pain and stuffiness of chest, or pain at corresponding area of body

On border of cymba conchae of thoracic

Name: Abdomen
Indications: Abdominal or Gynecological Diseases, Lumbago

On border of cymba conchae of lumbosacral vertebrae

Name: Shenmen
Actions: Sedation, Easing mind, Relieving pain, Clearing heat

At bifurcating point between superior and inferior antihelix crus, and at the lateral 1/3 of triangular fossa

New Name: Triangular Depression
Old Name: Tiankui, Uterus, Seminal Palace
Actions: Supporting yang and nourishing essence, Regulating menstruation and harmonizing blood
Indications: Gynecological diseases and symptoms, Impotence, Prostatitis, Etc.

In the triangular fossa and close to the midpoint of helix

New Name: Superior Triangle
Old Name: Lowering Blood Pressure
Actions: Pacifying Liver and removing wind
Indications: Hypertension

At the superior-medial angle of triangular fossa

New Name: Superior Tragus
Old Name: Ear
Actions: Nourishing Kidney-Water, Subduing Liver Yang
Indications: Ear diseases, Dizziness, Vertigo

On the supratragic notch close to helix

New Name: Nose
Old Name: External Nose
Actions: Removing obstructions from the meridians in the nose region
Indications: Brandy nose or nose furuncles, Nasal obstruction, and other nose problems

In the center of the medial aspect of tragus

New Name: Supratragic Apex (Upper Apex of Tragus)
Old Name: Tragic Apex
Actions: Reducing heat and relieving pain

At the tip of upper protuberance on border of tragus

New Name: Infratragic Apex (Lower Apex of Tragus)
Old Name: Adrenal
Actions: Reducing heat and relieving pain, Anti-spasmotism and Expelling wind

At tip of lower tubercle on border of tragus

Name: Pharynx-Larynx (Throat)
Actions: Clarifying obstructions of the pharynx and larynx
Indications: Acute and chronic pharyngitis and Chronic laryngitis and tonsillitis

Upper half of medial (internal) aspect of tragus

Name: Internal Nose
Actions: Removing obstructions of the nose
Indications: Allergic rhinitis and other nose diseases

Lower half of medial (internal) aspect of tragus

New Name: Antitragic Apex
Old Name: Soothing Asthma or Parotid
Actions: Strengthening the Lung and Stopping Asthma, Clearing up Heat and Toxins and Expelling Wind
Indications: Asthma, Bronchitis, Parotitis, Itching Skin

At the tip of antitragus

New Name: Central Rim/ Middle Border
Old Name: Brain
Actions: Replenishing Brain and Easing Mind
Indications: Oligophrenia (incomplete development of intelligence), Enuresis, Etc.

Midpoint between antitragic apex and helix tragic notch

New Name: Occiput
Old Name: Taiyang
Actions: Sedation and Analgesia, Easing Mind and Removing Wind
Indications: Dizziness, Headache, Insomnia, Etc.

At posterior superior corner of lateral aspect of antitragus

New Name: Temple
Old Name: Shaoyang
Actions: Sedation and Analgesia
Indications: Shaoyang headache

On antitragus between forehead and occiput

New Name: Forehead
Old Name: Yangming
Actions: Sedation and Analgesia
Indications: Yangming headache

At anterior inferior corner of lateral aspect of antitragus

New Name: Brain
Old Name: Subcortex
Actions: Reinforcing marrow and replenishing brain, Relieving pain and easing mind
Indications: Oligophrenia, Insomnia, Dream-disturbed sleep, Tinnitus due to Kidney deficiency

On the inner aspect of the antitragus

Name: Mouth
Actions: Clearing up Heart Fire, Removing Pathogenic Wind
Indications: Facial paralysis, Stomatitis, Etc.

Close to posterior and superior border of orifice of external auditory meatus

Name: Esophagus
Actions: Regulating function of diaphragm, Harmonizing Stomach
Indications: Dysphagia, Esophagitis, Etc.

At medial 2/3 of interior aspect of helix crus

Name: Cardiac Orifice
Indications: Hiatal hernia, Esophageal reflux, Appendicitis, Diarrhea

At lateral 1/3 of interior aspect of helix crus (on line connecting shenmen with antitragic apex)

Name: Stomach
Actions: Harmonizing Stomach and Replenishing Spleen, Reinforcing Middle Jiao and Easing Mind
Indications: Insomnia, Gastritis, Gastroduodenal ulcer and other diseases and symptoms of the gastric region

At area where helix crus terminates

Name: Duodenum
Actions: Warming Middle Jiao and Harmonizing Stomach
Indications: Duodenal Ulcer, Pylorospasm, Etc.

At lateral 1/3 of superior aspect of helix crus

Name: Small Intestine
Actions: Reinforcing Spleen and Harmonizing Middle Jiao, Nourishing Heart and Producing Blood
Indications: Indigestion, Palpitations, Etc.

At middle 1/3 of superior aspect of helix crus (on line connecting shenmen with antitragic apex)

Name: Appendix
Actions: Clearing up damp heat from lower jiao
Indications: Appendicitis, Diarrhea, Etc.

Between small intestine and large intestine

Name: Large Intestine
Actions: Clearing up lower jiao, Replenishing Lung Qi
Indications: Diarrhea, Constipation

At medial 1/3 of superior aspect of helix crus (continues under helix)

Name: Liver
Actions: Clearing up Liver and Brightening Vision, Promoting Smooth Circulation of Qi and Blood to Relax Muscles and Tendons
Indications: Liver qi stagnation, Eye diseases and Disorders of lateral-lower abdomen

At posterior (lateral) aspect of Stomach and duodenum (in cymba conchae)

Name: Gallbladder/ Pancreas 
Actions: Replenishing Gallbladder and building up Stomach, Removing Liver qi stagnation and Liver wind
Indications: Diseases and symptoms of bile duct, Pancreasitis, Migraine, Etc.

Between Liver and Kidney

Name: Ureter
Indications: Stone and Colic pain of Ureter

Between Kidney and Bladder

Name: Bladder
Actions: Replenishing Lower Jiao and Reinforcing Lower Sap
Indications: Lower back pain, Sciatica, Cystitis, Enuresis, Retention of urine

On the lower border of inferior antihelix crus, directly above Large Intestine

Name: Angle of Cymba Conchae
Actions: Clarifying Lower Jiao, Removing obstruction from the urethra
Indications: Prostatitis

At medial superior angle of cymba conchae

New Name: Middle of Cymba Conchae
Old Name: Periphery Umbilicus
Actions: Regulating Middle Jiao and Harmonizing Spleen
Indications: Low fever, Abdominal distention, Ascariasis of bile duct, Impaired hearing, Parotitis, Etc.

In the center of cymba conchae

Name: Heart
Actions: Tranquilizing Heart and easing mind, Regulating ying-blood, Relieving pain and itching
Indications: Insomnia, Palpitations, Hysteria, Night sweating, Angina pectoris, Etc.

In the central depression of cavum conchae

Name: Lung
Actions: Promoting Smooth Circulating of Qi and Blood, Diuresis, Reinforcing Deficiency and Clearing Heat, Nourishing Skin and Hair
Indications: Cough and Asthma, Skin diseases, Hoarseness of voice, Commonly used for acupuncture anesthesia

Around Heart

Name: Trachea
Actions: Stopping cough and Dispelling phlegm
Indications: Cough and Asthma

In the area of Lung, between Mouth and Heart

Name: Spleen
Actions: Digesting food, Producing ying-blood, Nourishing muscles, Building up Spleen qi
Indications: Abdominal distention, Diarrhea, Chronic indigestion, Stamotitis, Functional uterine bleeding, Etc.

Inferior to Liver, at lateral and superior aspect of cavum conchae

Name: San Jiao/ Triple Energizer
Actions: Removing obstruction from the Water Passages, Clearing up Heat, Stopping Itching

Superior to intertragus

New Name: Intertragus
Old Name: Endocrine
Actions: Removing Liver Qi Stagnation, Regulating Menses and Activating Blood Circulation, Expelling Pathogenic Wind, Reinforcing Lower Jiao
Indications: Skin diseases, Impotence, Irregular menses, Climateric syndrome, Dysfunction of endocrine, Etc.

At the base of cavum conchae in the intertragic notch

New Name: Frontal (anterior) Tragic Notch
Old Name: Eye 1, Vision 1
Actions: Clearing up Liver and Brightening vision
Indications: Glaucoma, Pseudomyopia and other eye diseases

On medial and inferior side of intertragic notch

New Name: Lower (inferior) Tragic Notch
Old Name: Elevating Blood Pressure
Actions: Reinforcing Qi and Elevating Yang
Indications: Hypotension

On inferior aspect of intertragic notch

New Name: Back (posterior) Tragic Notch
Old Name: Eye 2, Vision 2
Actions: Clearing up Liver Fire and Brightening Vision
Indications: Ametropia (nearsighted, farsighted, astigmatism resulting from faulty refractive ability of eye), External Eye Inflammation, Etc.

On lateral and inferior aspect of intertragic notch

Name: Cheek
Actions: Removing Obstruction from the meridians on Facial Region
Indications: Facial paralysis and other Facial problems

On the ear lobe, at posterior (lateral) and superior aspect of eye

Name: Face
Actions: Removing Obstruction from the meridians on Facial Region
Indications: Facial paralysis and other Facial problems

On the ear lobe, at anterior (medial) and inferior aspect of jaw

Name: Tongue
Actions: Clearing up Heart Fire
Indications: Glossitis

In the center of the 2nd section of lobule

Name: Jaw
Indications: Toothache, Submandibular Arthritis, Etc.

In the center of the 3rd (lateral) section of lobule

New Name: Anterior Earlobe
Old Name: Neuresthenic Point
Actions: Communicating Water (KD) with Fire (HT), Tranquilizing Heart and Easing Mind
Indications: Toothache, Neuresthenia (condition of fatigue, anxiety, headache, neuralgia & depression), Major point for depression

In the 4th (medial) section of lobule

Name: Eye
Actions: Brightening Vision
Indications: Acute conjunctivitis, Electric opthalmia, Myopia and other eye diseases

In the 5th section of lobule

Name: Internal Ear
Actions: Relieving Vertigo and Improving Hearting
Indications: Tinnitus, Impaired hearing, Auditory Vertigo, Etc.

In the 6th (lateral) section of lobule

Name: Tonsil
Actions: Relieving Throat Problems
Indications: Acute tonsillitis

In the 8th section of lobule

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