OMT Chapmans Only
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此牌组中的学习卡（27）

  • What are Chapman points?

    Small, tender nodules in the fascia that reflect viscerosomatic dysfunction and have predictable anterior and posterior locations corresponding to specific organs.

    definition chapman

  • Where is the anterior Chapman point for the middle ear?

    Superior clavicular border about one-third from the midline anteriorly.

    headneck middleear

  • Where is the posterior Chapman point for the middle ear?

    C1 posterior lateral pillar posteriorly.

    headneck middleear

  • Where is the anterior Chapman point for the sinuses?

    Inferior clavicular border one-third from the midline anteriorly.

    headneck sinuses

  • Do the sinuses have a posterior Chapman point?

    No, the sinuses have no posterior point.

    headneck sinuses

  • Where are the anterior Chapman points for the thyroid, esophagus, and myocardium?

    Second intercostal space (ICS) anteriorly.

    thorax cardio

  • Where are the posterior Chapman points for the thyroid, esophagus, and myocardium?

    T2–T3 bilaterally posteriorly.

    thorax cardio

  • Where are the bronchial Chapman points anteriorly and posteriorly?

    Anterior: second ICS. Posterior: T2 bilaterally.

    thorax bronchi

  • What are the Chapman points for the upper lung?

    Anterior: third ICS. Posterior: T3 (unilateral).

    lungs thorax

  • What are the Chapman points for the lower lung?

    Anterior: fourth ICS. Posterior: T4 (unilateral).

    lungs thorax

  • Where is the stomach acidity Chapman point?

    Left fifth ICS anteriorly and T5 on the left posteriorly.

    gastro stomach

  • Where is the stomach peristalsis Chapman point?

    Left sixth ICS anteriorly and T6 on the left posteriorly.

    gastro stomach

  • Where are the liver Chapman points anteriorly and posteriorly?

    Anterior: right fifth to sixth ICS. Posterior: T5–T6 on the right.

    gastro liver

  • Where are the gallbladder Chapman points anteriorly and posteriorly?

    Anterior: right sixth ICS. Posterior: T6 on the right.

    gastro gallbladder

  • Where are the pancreas and spleen Chapman points anteriorly and posteriorly?

    Pancreas: right seventh ICS anteriorly and T7 posteriorly. Spleen: left seventh ICS anteriorly and T7 posteriorly.

    gastro pancreas spleen

  • What are the Chapman points for the small intestine?

    Anterior: eighth through tenth ICS bilaterally. Posterior: T8–T10.

    gastro smallintestine

  • Where is the anterior Chapman point for the appendix?

    Tip of the twelfth rib on the right anteriorly.

    lowergastro appendix

  • Where are the posterior Chapman points for the appendix?

    T11–T12 on the right posteriorly.

    lowergastro appendix

  • How are the colon Chapman points represented anteriorly and posteriorly on the right side?

    Anterior: right anterior thigh in upper, middle, lower segments for cecum, ascending colon, right transverse colon. Posterior: triangular area between L2 and L4 transverse processes and the iliac crest.

    lowergastro colon

  • Where are the rectum Chapman points anteriorly and posteriorly?

    Anterior: proximal inner thigh near the lesser trochanter. Posterior: sacrum at S2.

    lowergastro rectum

  • Where are the adrenal Chapman points anteriorly and posteriorly?

    Anterior: one inch lateral and two inches superior to the umbilicus. Posterior: T11–T12.

    genitourinary adrenals

  • Where are the kidney Chapman points anteriorly and posteriorly?

    Anterior: one inch lateral and one inch superior to the umbilicus. Posterior: T12–L1.

    genitourinary kidneys

  • Where is the bladder Chapman point anteriorly and posteriorly?

    Anterior: periumbilical area. Posterior: L2 transverse processes bilaterally.

    genitourinary bladder

  • Where is the urethra Chapman point anteriorly and posteriorly?

    Anterior: pubic symphysis. Posterior: L2 transverse processes.

    genitourinary urethra

  • Where are the ovary and testis Chapman points anteriorly and posteriorly?

    Anterior: superior pubic ramus about 2 cm lateral to the symphysis. Posterior: T9–T11.

    genitourinary gonads

  • Where is the prostate Chapman point anteriorly and posteriorly?

    Anterior: posterior iliotibial band of the outer femur. Posterior: lateral sacral base.

    genitourinary prostate

  • Where is the uterus Chapman point anteriorly and posteriorly?

    Anterior: inferior pubic rami. Posterior: L5 transverse processes bilaterally, medial to the PSIS.

    genitourinary uterus
学习笔记

Overview

  • Chapman points are small, tender fascial nodules that indicate viscerosomatic dysfunction and map predictably to specific organs.
  • They appear in anterior and posterior locations; anterior points are used for palpation and posterior points often correspond to spinal levels.

How to use these notes

  • Palpate anterior points at described rib/intercostal or bony landmarks and compare bilaterally.
  • Confirm with posterior points near the spine, transverse processes or rib pillars.
  • Remember: anterior = clinical screening; posterior = spinal correlation and treatment focus.

Head & neck

  • Middle ear: anterior at superior clavicular border about \(1/3\) from midline; posterior at lateral pillar of \(C1\).
  • Sinuses: anterior at inferior clavicular border about \(1/3\) from midline; no posterior point.

Thorax — Heart, Lungs, Bronchial tree

  • Thyroid / Esophagus / Myocardium: anterior at \(2^{nd}\) intercostal space (ICS); posterior at \(T2\)–\(T3\) bilaterally.
  • Bronchi: anterior at \(2^{nd}\) ICS; posterior at \(T2\) (bilateral).
  • Upper lung: anterior at \(3^{rd}\) ICS; posterior at \(T3\) (unilateral correspondence).
  • Lower lung: anterior at \(4^{th}\) ICS; posterior at \(T4\) (unilateral).

Upper gastrointestinal (stomach, liver, spleen, pancreas, small bowel)

  • Stomach acidity: anterior at left \(5^{th}\) ICS; posterior at left \(T5\).
  • Stomach peristalsis: anterior at left \(6^{th}\) ICS; posterior at left \(T6\).
  • Liver: anterior at right \(5^{th\)–\(6^{th}}\) ICS; posterior at right \(T5\)–\(T6\).
  • Gallbladder: anterior at right \(6^{th}\) ICS; posterior at right \(T6\).
  • Pancreas: anterior at right \(7^{th}\) ICS; posterior at \(T7\).
  • Spleen: anterior at left \(7^{th}\) ICS; posterior at \(T7\) (left).
  • Small intestine: anterior at \(8^{th}\)–\(10^{th}\) ICS bilaterally; posterior at \(T8\)–\(T10\).

Lower gastrointestinal

  • Appendix: anterior at tip of right \(12^{th}\) rib; posterior at right \(T11\)–\(T12\).
  • Cecum / Ascending colon / Right transverse (right half): anterior along right anterior thigh in upper, middle, lower segments respectively.
  • Posterior points form a triangular area between \(L2\) and \(L4\) transverse processes and the iliac crest (right side).
  • Left transverse (left half) / Descending colon: mirror the right-side pattern on the left anterior thigh; same posterior triangular region on left.
  • Rectum: anterior at proximal inner thigh near the lesser trochanter; posterior at sacrum at \(S2\).

Genitourinary & endocrine

  • Adrenals: anterior \(1\) inch lateral and \(2\) inches superior to the umbilicus; posterior at \(T11\)–\(T12\).
  • Kidneys: anterior \(1\) inch lateral and \(1\) inch superior to the umbilicus; posterior at \(T12\)–\(L1\).
  • Bladder: anterior periumbilical area; posterior at \(L2\) transverse processes bilaterally.
  • Urethra: anterior at pubic symphysis; posterior at \(L2\).
  • Ovaries / Testes: anterior at superior pubic ramus about \(2\) cm lateral to symphysis; posterior at \(T9\)–\(T11\).
  • Prostate: anterior along posterior iliotibial band of outer femur; posterior at lateral sacral base.
  • Uterus: anterior at inferior pubic rami; posterior at \(L5\) transverse processes bilaterally (medial to PSIS).

Patterns & clinical tips

  • Most visceral Chapman points are paired (bilateral) except a few anterior-only points (e.g., sinuses).
  • Anterior points often lie on intercostal spaces or pelvic bony landmarks; posterior points cluster near thoracic vertebrae or sacrum.
  • Use tenderness and reproducibility to identify clinically relevant points; compare symmetric sites.
  • Treating posterior points (rib/TP work, soft tissue, MFR) often reduces anterior tenderness.

Quick palpation cheatsheet (by anterior landmark)

  • Superior clavicle ~ \(1/3\) from midline: middle ear.
  • Inferior clavicle ~ \(1/3\) from midline: sinuses.
  • \(2^{nd}\) ICS: thyroid/esophagus/myocardium/bronchi.
  • \(3^{rd}\) ICS and \(T3\): upper lung.
  • \(4^{th}\) ICS and \(T4\): lower lung.
  • Left \(5^{th}\) and \(6^{th}\) ICS: stomach acidity and peristalsis.
  • Right \(5^{th}\)–\(6^{th}\) ICS: liver; right \(6^{th}\) ICS: gallbladder.
  • \(7^{th}\) ICS: pancreas (right) and spleen (left).
  • \(8^{th}\)–\(10^{th}\) ICS: small intestine.
  • Right \(12^{th}\) rib tip: appendix.
  • Anterior thigh segments: colon mapping (right and left mirror).
  • Periumbilical and near-umbilicus offsets: adrenals, kidneys, bladder.

Practical exam & study advice

  • Memorize common ICS-vertebral level pairs (e.g., \(2^{nd}\) ICS → \(T2\)–\(T3\), stomach \(5^{th}\)–\(6^{th}\) → \(T5\)–\(T6\)).
  • Learn anterior landmarks first (easy to palpate), then confirm with posterior spinal levels.
  • Practice bilateral comparison and graded pressure to distinguish true Chapman points from local muscular tender spots.

References for practice (recommended)

  • Use this map clinically as a screening and treatment guide, not a definitive diagnostic test.
  • Combine Chapman point findings with history, organ-specific exam, and appropriate investigations.