手象针是在足象针的基础上发展起来的,两者在穴位分布规律和定位上大同小异。如“足伏象”穴区与“手伏象”穴区相似，“胫倒象”与“桡倒象”相似，“腓倒象”又与“尺倒象”相似。但手足的“脏”、“象”穴区之头部定位稍有区别:足象针“胫倒象”头部位置是在足舟状骨与第1楔状骨近侧1/2面之上，而手象针“桡倒象”的头部，则是位于腕背面晓骨茎突之上。足象针“腓倒象”穴区的头部，位于骰骨之上，手象针“尺倒象”穴区之头部，则是在腕背面尺骨茎突之上。
The projection of the body acupuncture on the hand was developed based on the foundation established by the projection of the body acupunoture on the foot. The system of functions and point distribution are quite similar to each other. For example, the projection of the body acupuncture on the foot and hand are similar; the projection on the radial side of the hand is similar to the projection on the tibia. Therefore, the projection on the ulna is similar to the projection on the fibula. However, the projection of the inner organs are different in such that the position of the head on the inverted tibial projection is over the navicular and the proximal 1/2 of the medial cuneform; whereas the position of the head on the inverted radial projection, it is located on the dorsal part of the wrist, over the radial styloid process. The head of the inverted fibular projection is located at the cuboid; where as the inverted ulnar projection, the head is located on the dorsal side of the wrist, over the ulnar styloid process.
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