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columbar fascia, aponeurotic origin of erec- The present work found that the ana-

tor spinae, multifidus lumborum and the tomical structures in the abdominal region
emerging points of posterior rami of spinal underneath BLs, MPs and SPs were mainly

nerves divided into lateral and medial organs of the gastrointestinal (GI) system with
branches and the entering points of segmen- their associated vessels. In addition to those,
tal of lumbar arteries to supplied multifidus the large vessels such as AbA, IVC and body

lumborum (Figure 17 Table 3). of vertebrae were also found. There were dif-
BSP4 and BSP5 lie in the rostral line of ferent parts of the organs and structures in

LB therefore, the anatomical structures were both Rt. and Lt. side or upper and lower area
similar to the three layers of LB and LS or superficial and deep layers of abdomen.
(Figure 18 Table 3). Therefore, the effectiveness of CTTM treat-

ment in CTTM disease depend on the loca-
Discussion
tion of massage, anatomical structures, and
This is the first investigation of anatomi- force pressure in each region of abdomen.

cal land marks and structures in BLs, MPs The Dan Lom disease is caused by
and SPs of the trunk on both human and ca- chronic constipation or dyspepsia and show-
davers. There are several importance lines ing abdominal distension from flatus and
[1, 11-12]
and points in the trunk that are important in impact feces . Massage treatment of
practical CTTM for therapeutic massage. BLs, MPs and SPs alleviated symptoms in

CTTM is an alternative treatment that has the GI system, increased movement of the
[1-2, 5, 11-
been widely recognized in Thailand intestine especially in the large intestine and
14, 17-20]
to reduce musculoskeletal symptoms also increased of blood and lymph circula-
[1, 11-12]
such as to decrease pain intensity, decrease tion . All of lines and points of this treat-
muscle tension or spasm, increase range of ment corresponded with the effected anatomi-

motion in joint stiffness, increase blood and cal structures in cadavers.
lymph circulation and relaxation. In this study, The Dan Leuat patients suffered from
the surface landmarks for all BLs, MPs and pain during menstruation (dysmenorrhea). It

SPs in the trunk resembled those in CTTM was commonly a menstrual blood clot prob-
[1, 7-8]
text book and known in clinical practice . lem and associated palpated nodule at 1
Knowledge of the anatomical structure fingerbreadth lower border of the umbilical
[1, 11-12]
layers correlated with BLs, MPs and SPs in- point . The pain in normally in the neck,
cluding the force pressure were needed. back, pelvis or lower border of the umbilical