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perficial to deep layers as follows; jejunum,

SMA and it branches, inferior mesenteric
gangion and plexus, bifurcation of AbA, me-

dian sacral artery (MSA) and the anterior sur-
face of vertebral bodies L3-L4 level, respec-
tively (Figure 14 and Table 3). This was con-

firmed by pressing on this point in volun-
teers, which resulted in the dorsalis pedis

arterial pulse.

The signaling points

In the volunteers, ASP3 and ASP4 pal-
pated at the umbilical region. ASP3 in ca-
davers showed superficial to deep structures

as follows. - transverse colon, middle colic
Figure 18 Deeper dissection of the back showing the
vessels, SMV, IVC and vertebral bodies L1-
location of BSP4 and BSP5 (both sides)
corresponding to the posterior rami of spi-
L2 level (Figure 15). In ASP4 the structures
nal nerves emerged though the rotator
nd
thoracis. C2, 2 cervical spinous process; were ordered identically as ASP3: transverse
th st
C7, 7 cervical spinous process; T1, 1
colon, middle colic vessels, IMA (Figure 16),
thoracic spinous process.
inferior mesenteric ganglion, AbA and verte-
superficial to deep were ileocecal part, cae- bral bodies L1-L2 level (Table 3). This was
cum, ascending colon, iliohypogastric and confirmed by pressing on ASP4 in volunteers,

ilioinguinal nerves, between the lateral border which decreased in the dorsalis pedis arte-
of psoas major and quadratus lumborum rial pulse.
muscles, respectively. In ASP2 the layers were In the volunteers, the back SPs (BSP)

similar to ASP1, except this point was palpated at the area lateral to spinous pro-
jejunum, descending colon, the inferior cess 1 fingerbreadth on both sides from cau-
mesenteric vessels distributed to supply this dal to rostral position; BSP1-3 and BSP4-5

area (Figure 13 and Table 3). correspond to spinous process L5-L3 level and
In volunteers, after applied the force on spinous process T1-C7 level, respectively.

Poed Pratu Lom (ASP5; ‡ªî¥ª√–μŸ≈¡) point cor- In cadaver BSP1 to BSP3 showed super-
responded to the structures ordered from su- ficial to deep structures as follows. - thora-