Foot Shaoyin 11 - 27 Flashcards
1
Q
KI11 Heng Gu
A
Pubic Bone
2
Q
KI11 Location
A
On the lower abdomen, 5 cun below the umbilicus, at the superior border of the symphysis pubis, 0.5 cun lateral to the midline (RN2)
3
Q
KI11 Needling
A
Perpendicular 0.5 - 1 cun
4
Q
KI11 Precautions
A
Deep insertion could penetrate a full bladder, have the patient empty their bladder before needling
5
Q
KI11 Associations
A
No hats.
Crossing Point of KI and Chong
Luo Harmonizing Point
Doorway to Earth Point
6
Q
KI11 TCM Actions
A
Benefits the lower jiao
7
Q
KI11 Indications
A
KD 11, KD 12, KD 13, KD 14 & KD 15 all intersect the Chong Mai and are useful as local points for abdominal a/or gynecological issues
Benefits lower jiao: Fullness and pain of the lower abdomen, dysuria (painful urination), enuresis (involuntary urination) nocturnal emission, impotence, pain of genitalia, uterine/anal prolapse
8
Q
KI11 TCM Patterns
A
?
9
Q
KI11 Neuroanatomy
A
Superficial Innervation: Ilioinguinal nerve (L1)
Dermatome Segment: S4
10
Q
KI11 Trigger Point
A
Muscle: Rectus abdominus and pyramidalis
Myotome Innervation: Rectus abdominus: Thoraco-abdominal nerves from T12; Pyramidalis: Subcostal nerve from T12
Location Notes: The Great Compendium’s location of 1 cun from the midline would be a better choice for the trigger point as the diagrams show them in the middle of the rectus abdominus muscle
Pain Referral Pattern:
Rectus abdominus: In a band across the back at the level of the the point, above the buttocks and below the PSIS
Pyramidalis: Between symphysis pubis and umbilicus
Indications: Abdominal pain and digestive discomfort
11
Q
KI11 Notes
A
This point is also the origin of the 4th trajectory of the Chong mai relating to structural aspects of the body via the Qiao (Yuen, 2005, The Extraoridinary Vessels).
At the end of a Kidney Luo treatment this point is needled, deqi grasped and removed immediately to normalize the circulation of blood (Cecil-Sterman, 2012, Advanced Acupuncture).
12
Q
KI11 Nearby Points
A
RN2 - On the midline of the lower abdomen on the superior border of the pubic sypmhysis
ST30 - 2 cun lateral to the anterior midline on the lower abdomen, level with the top of the pubic symphysis (RN2)
SP12 - Superior to the lateral end of the inguinal groove, lateral to the pulsating external iliac artery (joins femoral artery), level with symphysis pubis and 3.5 cun lateral to RN2
LV12 - Lateral and inferior to ST30, in the inguinal groove where the femoral artery is palpable, 2.5 cun lateral to the anterior midline
13
Q
KI12 Da He
A
Great Luminence
14
Q
KI12 Location
A
On the lower abdomen, 4 cun below the umbilicus and 1 cun above the pubic symphysis, 0.5 cun lateral to the AML, level with RN3
15
Q
KI12 Needling
A
Perpendicular 0.5 - 1 cun
16
Q
KI12 Caution
A
Deep needling could penetrate a full bladder, have patient empty it before treatment
17
Q
KI12 Associations
A
Meeting of Kidney with Chong Mai
18
Q
KI12 TCM Actions
A
Tonifies the kidney
Binds essence
Regulates Ren and Chong vessels
19
Q
KI12 Indications
A
Tonify kidneys/Benefits Ren and Chong: Nocturnal emission, impotence, morbid leukorrhea, pain in the external genitalia, prolapse of uterus, redness of the eye originating at the inner canthus.
KD 11, KD 12, KD 13, KD 14 & KD 15 all intersect the Chong Mai and are useful as local points for abdominal a/or gynecological issues
20
Q
KI12 Patterns
A
?
21
Q
KI12 Neuroanatomy
A
Superficial Innervation: Ilioinguinal nerve (L1)
Dermatome Segment: S4
22
Q
KI12 Nearby Points
A
RN3 - 1 cun above the pubic symphysis and 4 cun below the umbilicus on the AML
ST29 - On the lower abdomen, 2 cun lateral to the AML, level wtih RN3 (4 cun below umbilicus and 1 cun above pubic symphysis)
SP13 - On the lower abdomen, 4 cun lateral to the midlien and 0.7 cun above SP12, between RN2 and RN3
23
Q
KI13 Qi Xue
A
Qi Cave
24
Q
KI13 Location
A
On the lower abdomen, 0.5 cun lateral to the AML, level with RN4, 2 cun above the pubic symphysis and 3 cun below the umbilicus
25
KI13 Needling
Perpendicular 0.5 - 1 cun
26
KI13 Caution
Deep insertion may penetrate a full bladder
27
KI13 Associations
Meeting of Kidney with Chong Mai
28
KI13 TCM Actions
Regulates Ren and Chong Mai
Regulates lower jiao
29
KI13 Indications
KD 11, KD 12, KD 13, KD 14 & KD 15 all intersect the Chong Mai and are useful as local points for abdominal a/or gynecological issues
_Regulates Ren and Chong Mai:_ Amenorrhoea, irregular menstruation, uterine bleeding, leucorrhoea, infertility in women.
_Regulates lower jiao:_ Difficult urination, incessant diarrhoea, abdominal pain, running piglet qi,
_Benefits kidney qi:_ lumbar pain, (urination, mensturation)
? redness of the eye originating at the inner canthus.
30
KI13 Patterns
?
31
KI13 Neuroanatomy
_Superficial Innervation_: Iliohypogastric nerve (L1)
_Dermatome Segmen_t: L1
32
KI13 Nearby Points
RN4 - On the AML, 2 cun above the pubic symphysis and 3 cun below the umbilicus
ST28 - Level with RN4, 2 cun lateral to the AML
GB27 - On the lateral side of the lower abdomen, anterior to the ASIS, 3 cun below the level of the umbilicus, level with RN4
33
KI14 Si Man
Four Fullnesses
34
KI14 Location
On the lower abdomen, 2 cun below the umbilicus, 3 cun above the pubic symphysis, 0.5 cun lateral to the AML
35
KI14 Needling
Perpendicular 1 - 1.5 cun
36
KI14 Caution
Deep needling may penetrate the peritoneal cavity
37
KI14 Associations
Meeting of Kidney with Chong Mai
38
KI14 TCM Actions
Regulate Ren and Chong Vessels
Regulate the lower jiao
Regulates qi and moves blood stasis
Regulates water passages and promotes urination
39
KI14 Indications
KD 11, KD 12, KD 13, KD 14 & KD 15 all intersect the Chong Mai and are useful as local points for abdominal a/or gynecological issues
_Regulates qi and moves blood stasis_: postpartum abdominal pain, lower abdominal pain, abdominal distention, shan disorder, pain of kidneys, pain of lateral costal regions
_Regulates water passages_: edema, edema of upper abdomen, diarrhea, water in LI,
_Regulates lower jiao/Ren & Chong Vessels:_ Irregular menstruation, uterine bleeding, malign blood with acute pain, accumulated cold in the uterus, infertility, leucorrhoea, retention of lochia, seminal emission, white and turbid urethral discharge.
cold shivering, pain of both lateral costal regions, redness and pain of the inner canthus.
.
40
KI14 Patterns
Blood Stasis
41
KI14 Neuroanatomy
_Superficial Innervation_: Anterior cutaneous thoracic nerve from T12
_Dermatome Segment_: T12
42
KI14 Trigger Point
_Muscle_: Rectus abdominis dysmenorrhoea points
_Myotome Innervation_: Thoraco-abdominal nerves from T11
_Location Notes:_ These points are closer to the midline
_Pain Referral Pattern_: Local around point
_Indications:_ Dysmenorrhoea
43
KI14 Nearby Points
RN5 - 2 cun below the umbilicus and 3 cun above pubic symphysis on the AML
ST27 - Level with RN5, 2 cun lateral to the midline
SP14 - 1.3 cun below SP15 and 4 cun lateral to the midline on the lateral side of rectus abdominus
44
KI15 Zhong Zhu
Middle Flow
45
KI15 Location
On the lower abdomen, 1 cun below the umbilicus and 4 cun above the pubic symphysis, level with RN7 and 0.5 cun lateral to the AML
46
KI15 Needling
Perpendicular 1 - 1.5 cun
47
KI15 Caution
Peritoneal cavity
48
KI15 Associations
Meeting of Kidney and Chong Mai
49
KI15 TCM Actions
Regulates Ren and Chong Vessels
Regulates lower jiao/intestines
Regulates kidney qi
50
KI15 Indications
_Regulate intestines/lower jiao:_ Constipation, dry stools, diarrhea, dysenteric disorder, sensation of heat in low abdomen
_Regulate Ren and Chong Mai_: irregular menstruation, redness and pain of the inner canthus.
_Regulate kidney qi_: Pain of the lumbar spine and abdomen, rushing sensation up and down the lumbar spine.
51
KI15 Patterns
?
52
KI15 Neuroanatomy
_Superficial Innervation:_ Anterior cutaneous thoracic nerve from T11
_Dermatome Segment_: T11
53
KI15 Nearby Points
RN7 - 1 cun below umbilicus, 4 cun above pubic symphysis on the AML
SP14 - 1.3 cun below SP15 and 4 cun lateral to the midline
ST26 - 2 cun lateral to RN7
54
KI16 Huang Shu
Vitals Shu
55
KI16 Location
0.5 cun lateral to the AML at the level of the umbilicu (RN8)
56
KI16 Needling
Perpendicular 1 - 1.5 cun
57
KI16 Caution
Peritoneal cavity
58
KI16 Associations
Meeting of Kidney with Chong Mai
59
KI16 TCM Actions
Regulates Ren and Chong Vessels
Regulate and warm the intestines
Harmonize Stomach
Regulates qi and alleviates pain
60
KI16 Indications
_Regulate and warm intestines:_ Cold a/or Dry effecting the lower abdomen a/or intestines - constipation, abdominal pain, five types of Lin, shan disorder, borborygmus
_Harmonize stomach_: abdominal pain, epigastric pain, constpiation, vomiting
_Regulate Chong and Ren vessels_: redness and pain of the eye originating at the inner canthus.
61
KI16 Neuroanatomy
_Superficial Innervation:_ Anterior cutaneous thoracic nerve from T10
_Dermatome Segment_: T10
62
KI16 Trigger Point
_Muscle_: Iliopsoas
_Myotome Innervation_: Femoral nerve (L2 - L3)
_Location Notes_: Palpation point only. Psoas muscle connects to the spine around this point on the posterior of the body
_Pain Referral Pattern_: Down the lower back and to the anterior of the thigh
_Indications_: Low back pain
63
KI16 Notes
Ling Shu Ch. 52, On Wei Qi, suggest this point along with Tianshu St-25 and Pishu Bl-20 to release evil Qi in the abdomen. It advises to press the point for a time until there is a reaction and then pierce with the fine needle and apply a draining technique. Conditions treated are headache, dizziness and falling to the ground, abdominal pain, fullness, distension and accumulation. If it is painful and the pain moves it can be cured easily; if is is a painless fixed accumulation it is difficult.
Classical texts such as the Nei Jing and Ling Shu which considered the Dai mai as simple a circle around the waist would include this a point on the Dai mai along with others level to Shenque Ren-8 and Mingmen Du-4 instead of the traditional points (Yuen, 2005, The Eight Extraordinary Vessels).
64
KI16 Nearby Points
RN8 - On the anterior midline level with the umbilicus
ST25 - 2 cun lateral to AML at level of the umbilicus
SP15 - 4 cun lateral to the AML at level of umbilicus
GB26 - Directly below LV13 at the crossing point of a vertical line through the free end of the 11th floating rib and a horizontal line through the umbilicus (level with RN8)
65
KI17 Shang Qu
Shang Bend
Metal Note
Commercial Music
66
KI17 Location
On the upper abdomen, 2 cun above the umbilicus, 0.5 cun lateral to the midline (RN10)
67
KI17 Needling
Perpendicular 1 - 1.5 cun
68
KI17 Caution
Peritoneal cavity
69
KI17 Associations
Meeting of KI with Chong Mai
70
KI17 TCM Actions
Dispels accumulation and alleviates pain
71
KI17 Indications
Colon pain and functional issues, abdominal (ji ju) masses with periodic cutting pain, intestinal pain with lack of appetite, inner canthus redness and pain
Vomiting diarrhoea, constipation.
72
KI17 Neuroanatomy
_Superficial Innervation_: Anterior cutaneous thoracic nerve from T9
_Dermatome Segment_: T9
73
KD17 Patterns
?
74
KI17 Nearby Points
RN10 - 2 cun above the umbilicus on the AML
ST23 - 2 cun above the umbilicus, 2 cun lateral to the AML (RN10)
LV13 - On the lateral side of the abdomen, below the free end of the 11th floating rib
GB25 - On the lateral side of the abdomen, below the free end of the 12th floating rib
75
KI18 Shi Guan
Stone Pass
76
KI18 Location
On the abdomen, 3 cun above the umbilicus, 0.5 cun lateral to the midline
77
KI18 Needling
Perpendicular 1 - 1.5 cun
78
KI18 Caution
Peritoneal cavity
79
KI18 Associations
Meeting of KI with Chong Mai
80
KI18 TCM Actions
Regulates lower jiao and alleviates pain
Regulates qi and moves blood stasis
Harmonizes the stomach
81
KI18 Indications
_Regulates lower jiao and relieves pain_: local point for abdominal and intestinal issues, constipation
_Harmonizes stomach:_ Pain, hiccups, vomiting
_Regulates qi and moves blood stasis_: Fertility issues involving stagnation in the lower warmer.
82
KI18 Neuroanatomy
_Superficial Innervation_: Anterior cutaneous thoracic nerve from T9
_Dermatome Segment_: T9
83
KI18 TCM Patterns
?
84
KI18 Nearby Points
RN11 - 3 cun above umbilicus on the AML
ST22 - 3 cun above the umbilicus, 2 cun lateral to the AML
SP16 - 3 cun above umbilicus, 4 cun lateral to anterior midline, directly above SP15
85
KI19 Yin Du
Yin Metropolis
86
KI19 Location
On the upper abdomen, 4 cun above the umbilicus, 0.5 cun lateral to the midline
87
KI19 Needling
Perpendicular 0.5 - 1 cun
88
KI19 Caution
Peritoneal cavity
89
KI19 Associations
Meeting of KI with Chong Mai
90
KI19 TCM Actions
Regulates qi and harmonizes stomach
Lowers rebellion, alleviates cough and wheezing
91
KI19 Indications
_Harmonizes stomach:_ vomiting, reflux, nausea, bloating, abdominal pain, constipation
_Regulates qi_: Fertility issues, primarily by moving blood stagnation in the lower warmer.
_Lowers rebellion_: Epigastric pain, counterflow qi, vomiting, nausea, fullness and agitation below the Heart
_Alleviates cough and wheezing_: Cough, distension of the chest
92
KI19 Neuroanatomy
_Superficial Innervation:_ Anterior cutaneous thoracic nerve from T8
_Dermatome Segment_: T8
93
KI19 TCM Patterns
Stomach Rebellious Qi
94
KI19 Nearby Points
RN12 - 4 cun above the umbilicus on the midline
ST21 - 4 cun above the umbilicus and 2 cun lateral to the midline
95
KI20 Fu Tong Gu
Through the Valley
96
KI20 Location
On the upper abdomen, 5 cun above the umbilicus and 3 cun below the infrasternal angle, 0.5 cun from the midline
97
KI20 Needling
Perpendicular 0.5 - 1 cun
98
KI20 Caution
Peritoneal cavity
99
KI20 Associations
Crossing point of KI and Chong
100
KI20 TCM Actions
Harmonize the lower jiao
Unbinds the chest and transforms phlegm
101
KI20 Indications
_Harmonize the lower jiao_: Vomiting, undigested food in the stool, abdominal distension, diarrhoea.
_Unbinds the chest:_ Fullness of the chest, pain of the lateral costal region, Heart pain, coughing and dyspnoea
T_nsforms phlegm:_ Mania, epilepsy, palpitations, mouth/tongue deviation/swelling
102
KI20 Neuroanatomy
_Superficial Innervation:_ Anterior cutaneous thoracic nerve from T8
_Dermatome Segment_: T8
103
KI20 Notes
In five element acupuncture indicated for feeling full of fear, feeling trapped, feelings of negativity, someone facing death, suicide and/or loneliness.
104
KI20 TCM Patterns
Phlegm Misting Heart
105
KI20 Nearby Points
RN13 - 5 cun above the umbilicus, 3 cun below the infrasternal angle on the AML
ST20 - 5 cun above the umbilicus, 2 cun lateral to the AML
GB24 - directly below the nipple in the 7th ICS, 4 cun lateral to the AML
106
KI21 You Men
Hidden Gate (Dark Gate)
107
KI21 Location
On the upper abdomen, 6 cun above the umbilicus and 2 cun below the infrastsernal angle, 0.5 cun lateral to the AML (RN14)
108
KI21 Needling
Perpendicular 0.5 - 1 cun
109
KI21 Caution
Liver on the right side and peritoneum on the left
110
KI21 Associations
Meeting of KI with Chong Mai
| (Trigger Point)
111
KI21 TCM Actions
Fortifies the spleen, harmonizes stomach and lowers rebellion
Spreads liver qi, benefits chest, breast, alleviates pain
112
KI21 Indications
_Fortifies spleen, harmonizes stomach and lowers rebellion:_ Abdominal pain,vomiting, morning sickness, nausea and counterflow qi, acid reflux, difficult ingestion, fullness and agitation below the Heart, diarrhea, blood in the stool
_Spreads liver qi, benefits chest and breasts:_ Liver stagnation affecting the breasts - insufficient lactation, breast distention, chest pain, cough, coughing blood, heart pain,
113
KI21 Neuroanatomy
_Superficial Innervation:_ Anterior cutaneous thoracic nerve from T7
_Dermatome Segment:_ T7
114
KI21 Trigger Point
_Muscle:_ Rectus abdominus
_Myotome Innervation:_ Thoraco-abdominal nerves from T7
_Location Notes:_ The Great Compendium's location of 1.5 cun from the midline would probably be a better choice for this trigger point as the diagram shows it in the middle of the rectus abdominus muscle, near the costal margin
_Pain Referral Pattern_: In a band across the back at the level of the the point, from around T8 to T10
_Indications:_ Abdominal pain and digestive discomfort
115
KI21 Notes
n five element acupuncture indicated when everything appears as "dark" or negative.
------------------------------------------
Jeffrey Yuen translates Youmen as "Gate to the Mysterious" as it is the final point along the Kidney channel before the Chong Mai moves into the Heart and diffuses Qi into the chest (Yuen, 2005, The Eight Extraordinary Vessels, p.49). The next points along the Kidney channel, when located at 0.5 cun from the midline, he calls the front Shu with similar ability to influence the Zangfu as the back points although only the Yin organs re represented.
116
KI21 TCM Patterns
Stomach Rebellious Qi
Stomach Food Stagnation
Liver Qi Stagnation
117
KI21 Nearby Points
RN14 - 6 cun above the umbilicus, 2 cun below infrasternal angle on the AML
LV14 - Directly below the nipple (4 cun lateral to the midline) in teh 6th ICS
ST19 - 6 cun above the umbilicus, 2 cun lateral to the midline
118
KI22 Bu Lang
Walking Corridor (Walking on the Verandah)
119
KI22 Location
In the 5th ICS, 2 cun lateral to the midline (level with RN16)
120
KI22 Needling
Transverse-oblique directed laterally along the ICS, 0.5 - 1 cun
121
KI22 Caution
Deep perpendicular or oblique needling may puncture the lung or liver
122
KI22 Associations
Exit point to PC1
(Spirit point?)
(Front Shu pt for KI along the upper Chong Mai trajectory)
123
KI22 TCM Actions
Unbinds chest
Lowers rebellious lung and stomach qi
124
KI22 Indications
_Unbinds Chest, Descends rebellious lung qi:_ Cough, asthma, dyspnoea, wheezing, diminished qi, fullness and pain of the chest and ribs, breast abscess, nasal congestion.
_Descends rebellious stomach qi_: Vomiting, no pleasure in eating.
125
KI22 Neuroanatomy
_Superficial Innervation:_ Anterior cutaneous thoracic nerve from T6
_Dermatome Segment_: T6
126
KI22 Notes
One of the twelve shu points of the chest along with Shenfang Kid-23, Linxu Kid-24, Shencang Kid-25, Yuzhong Kid-26 and Shufu Kid-27 for wheezing, dyspnoea and coughing due to 'fullness above and deficiency below' due to weak kidney qi not grasping lung qi (Deadman et al, 2001).
----------------------------------------
Yuen (2005, The Extraordinary Vessels) believes these points, when related to the front Shu points of the Chong mai are located at 0.5 cun from the midline.
----------------------------------------
In five element acupuncture indicated for lacking a sense of protection or safety in the world, cannot walk freely.
127
KI22 Nearby Points
RN 16 - Level with the 5th ICS, at the point where the xiphoid process meets the infrasternal angle (where right and left ribs meet on the lower border of the sternum)
ST18 - 4 cun lateral to the AML in the 5th ICS
SP21 - On the lateral side of the chest on the midaxillary line in the 6th ICS (or 6 cun below the axilla, midway between axilla and free end of the 11th rib
SP17 - 6 cun lateral to the AML, in the fifth ICS
GB22 - On the midaxillary line, when the arm is raised, below the axilla in the 5th ICS
GB23 - 1 cun anterior to GB22 in the 5th ICS, level with the nipple
128
KI23 Shen Feng
Spirit Seal
129
KI23 Location
In the 4th ICS, 2 cun lateral to the AML, level with RN17
130
KI23 Needling
Transverse-oblique insertion directed laterally along the ICS, 0.5 - 1 cun
131
KI23 Caution
Pneumothorax
132
KI23 Associations
(Spirit Point?)
(Trigger Point)
(Front mu point for SP on upper Chong Mai trajectory)
133
KI23 TCM Actions
Unbinds the chest
Lowers rebellious lung and stomach qi
Benefits the breasts
134
KI23 Indications
_Unbinds chest:_ Fullness of the chest, asthma, chest painful obstruction, breast abscess
_Lowers rebellious lung qi_: Cough, wheezing
_Lowers stomach rebellious qi_: Vomiting, no pleasure in eating.
135
KI23 TCM Patterns
Lung Rebellious Qi
Stomach Rebellious Qi
136
KI23 Neuroanatomy
_Superficial Innervation_: Anterior cutaneous thoracic nerve from T5
_Dermatome Segment:_ T5
_Deeper Structures:_ Neuromuscular junction of medial pectoral nerve with the pectoral muscle ( C8 - T1)
137
KI23 Trigger Point
_Muscle:_ Pectoralis major (sternal head)
_Myotome Innervation:_ Medial pectoral nerve (C7 - T1)
_Pain Referral Pattern_: Local to point and across chest
_Indications:_ Strain of pectoralis muscle ; Cardiac syndromes
138
KI23 Notes
One of the twelve shu points of the chest along with Bulang Kid-22, Linxu Kid-24, Shencang Kid-25, Yuzhong Kid-26 and Shufu Kid-27 for wheezing, dyspnoea and coughing due to 'fullness above and deficiency below' due to weak kidney qi not grasping lung qi (Deadman et al, 2001).
----------------------------------------
In five element acupuncture indicated for a lack of connection with ones own spirit or identity/self, low spirit.
139
KI23 Nearby Points
CV17 - level with the 4th ICS, midway between the nipples
SP18 - 6 cun lateral to the AML at the level of the 4th ICS
ST17 - Reference point only. 4 cun lateral to the midline at the level of the 4th ICS, over the nipples
PC1 - 1 cun lateral to the nipple in the 4th ICS
140
KI24 Ling Xu
Spirit Ruin
141
KI24 Location
2 cun lateral to the AML, level with the 3rd ICS (CV18)
142
KD24 Needling
Transverse-oblique insertion, directed laterally along the ICS 0.5 - 0.8 cun
143
KD24 Caution
Pneumothorax
144
KD24 Associations
No hats.
Spirit Point?
Front Shu point for Liver on upper Chong Mai trajectory
145
KD24 TCM Actions
Unbinds the chest
Descends rebellious LU and ST qi
Benefits breasts
146
KD24 Indications
_Unbinds chest:_ Cough, asthma, wheezing, distension and pain of the chest and hypochondriac region
_Descends rebelliuos LU and ST qi:_ cough, palpitations, abdominal bloating, panic attacks arising from digestive issues, vomiting, agitation and fullness, inability to eat and drink, no pleasure in eating,
_Benefits the breast:_ Breast abscess, mastitis
Liver Front Shu point: moves qi stagnation in chest, distention and pain of chest and hypochondriac region
147
KD24 Neuroanatomy
_Superficial Innervation:_ Anterior cutaneous thoracic nerve from T4
_Dermatome Segment:_ T4
_Deeper Structures_: Neuromuscular junction of medial pectoral nerve with the pectoral muscle ( C8 - T1)
148
KD24 Trigger Point
_Muscle:_ Pectoralis major (sternal head)
_Myotome Innervation_: Medial pectoral nerve (C7 - T1)
_Pain Referral Pattern:_ Local to point and across chest
_Indications_: Cardiac syndromes
149
KD24 Notes
One of the twelve shu points of the chest along with Bulang Kid-22, Shenfeng Kid-23, Shencang Kid-25, Yuzhong Kid-26 and Shufu Kid-27 for wheezing, dyspnoea and coughing due to 'fullness above and deficiency below' due to weak kidney qi not grasping lung qi (Deadman et al, 2001).
----------------------------------------
Yuen (2005, The Extraordinary Vessels) believes these points, when related to the front Shu points of the Chong mai are located at 0.5 cun from the midline.
----------------------------------------
In five element acupuncture indicated for depleted spirit, depression, deep loss of sense of self.
150
KD24 Patterns
ST Rebellious Qi
LU Rebellious Qi
151
KD24 Nearby Points
CV18 - On the AML, level with the 3rd ICS
SP19 - 6 cun lateral to the AML, level with the 3rd ICS
ST16 - 4 cun lateral to the AML, level with the 3rd ICS
152
KD25 Shen Cang
Spirit Storehouse
153
KD25 Location
2 cun lateral to the AML, level with the 2nd ICS (RN19)
154
KD25 Needling
Transverse-oblique insertion directed along the ICS, 0.5-0.8 cun
155
KD25 Caution
Caution heart and lungs
156
KD25 Associations
No hats.
Spirit point
Front Shu pt. for the heart on upper Chong Mai trajectory
157
KD25 TCM Actions
Unbinds the chest
Descends rebellious LU and ST qi
Benefits the breasts
158
KD25 Indications
_Unbinds the chest_: Cough, asthma, wheezing, dyspnoea, pain and oppression of the chest, fullness and distension of the chest and hypochondriac region
_Descends rebellious LU and ST qi:_ Vomiting, agitation and fullness, fullness of the chest with no desire to eat, vomiting, reflux, digstive issues
_Benefits breasts_ (not as useful as KD23/24)
159
KD25 Patterns
LU Rebellious Qi
ST Rebellious Qi
160
KD25 Neuroanatomy
_Superficial Innervation_: Anterior cutaneous thoracic nerve from T3
_Dermatome Segment:_ T3
161
KD25 Notes
One of the twelve shu points of the chest along with Bulang Kid-22, Shenfeng Kid-23, Linxu Kid-24, Yuzhong Kid-26 and Shufu Kid-27 for wheezing, dyspnoea and coughing due to 'fullness above and deficiency below' due to weak kidney qi not grasping lung qi (Deadman et al, 2001).
----------------------------------------
Yuen (2005, The Extraordinary Vessels) believes these points, when related to the front Shu points of the Chong mai are located at 0.5 cun from the midline.
----------------------------------------
In five element acupuncture indicated for when spirit requires nourishment.
162
KD25 Nearby Points
CV19 - Level with the 2nd ICS, on AML
SP20 - 6 cun lateral to the AML, level with the 2nd ICS
ST15 - 4 cun lateral to the AML, level wit hthe 2nd ICS
LU1 - 6 cun lateral to the AML, level with the 1st ICS
163
KD26 Yu Zhong
Lively Center
Comfortable Chest
164
KD26 Location
In the 1st ICS, 2 cun lateral to the AML (CV20)
165
KD26 Needling
Transverse-oblique insertion directed laterally along the ICS, 0.5-0.8 cun
166
KD26 Caution
Pneumothorax
167
KD26 Associations
No hats.
Spirit point
Front Shu point for the Lungs on the upper Chong mai trajectory
168
KD26 TCM Actions
Unbinds the chest and benefits breasts
Transforms phlegm
Lowers rebellious LU and ST qi
169
KD26 Indications
_Unbinds chest:_ Cough, asthma, wheezing, dyspnoea, coughing blood, palpitations, fullness and distension of the chest and lateral costal region.
_Transforms phlegm:_ Accumulation of phlegm, dypsnea and cough with inability to eat, drooling with much spittle, pityriasis versicolor (scaly patches on chest and back)
_Descends Rebellious LU and ST qi:_ nausea, vomiting, reflux, cough, palpitations, dyspnea and cough with inability to eat
Benefits breasts: Breast abscess
Steaming Bone Disorder (Yin Xu)?
170
KD26 Patterns
Lung Dampness - Phlegm Heat
Lung Dampness - Phlegm Cold
Lung Rebellious Qi
Stomach Rebellious Qi
171
KD26 Neuroanatomy
_Superficial Innervation_: Anterior cutaneous thoracic nerve from T2
_Dermatome Segment:_ T2
172
KD26 Notes
One of the twelve shu points of the chest along with Bulang Kid-22, Shenfeng Kid-23, Linxu Kid-24, Shencang Kid-25 and Shufu Kid-27 for wheezing, dyspnoea and coughing due to 'fullness above and deficiency below' due to weak kidney qi not grasping lung qi (Deadman et al, 2001).
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Yuen (2005, The Extraordinary Vessels) believes these points, when related to the front Shu points of the Chong mai are located at 0.5 cun from the midline.
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In five element acupuncture indicated for a lack of sense of beauty or grace, self respect.
173
KD26 Nearby Points
CV20 - Level with the 1st ICS on the AML
ST14 - 4 cun lateral to the midline, level with the 1st ICS (CV20)
LU1 - 6 cun lateral to the midline, level with the 1st ICS
LU2 - 6 cun lateral to the midline, below the clavicle, in a depression medial to the coracoid process (middle of the triangle)
174
KD27 Shu Fu
Shu Mansion
175
KD27 Location
In a depression on the lower border of the clavicle, 2 cun lateral to the midline
176
KD27 Needling
Transverse-oblique insertion directed laterally along the lower border of the clavicle, 0.5-0.8 cun
177
KD27 Caution
Pneumothorax
178
KD27 Associations
No hats
Spirit Point
Front Shu pt. governing all the Shu points of the upper Chong Mai trajectory
179
KD27 TCM Actions
Unbinds chest
Transforms phlegm
Harmonizes Stomach
Descends Rebellious qi
Tonify KD Qi
180
KD27 Indications
_Unbinds chest:_ Cough, wheezing, dyspnea, fullness and tightness of chest and hypochondriac region
_Transforms phlegm:_ Cough, chronic cough with vomiting of phlegm, wheezing, dyspnoea, chest pain, oppression of the chest with chronic dyspnoea.
_Descends LU and ST qi_: Cough, dyspnea, palpitations, abdominal distension, nausea, vomiting, inability to eat and drink.
_Tonify KD Qi_- fatique, lowered immunity, adrenal exhaustion, steaming bone disorder in women
Local point for neck a/or jaw issues - pain, tension
181
KD27 Patterns
KD Qi Deficiency
LU Rebellious Qi
ST Rebellious Qi
182
KD27 Neuroanatomy
_Superficial Innervation_: Anterior cutaneous thoracic nerve from T2
_Dermatome Segment_: T2
183
KD27 Trigger Point
_Muscle_: Subclavius
_Myotome Innervation:_ Nerve to subclavius (C5 - C6)
_Pain Referral Pattern_: Across top of chest and down bicep, radial aspect of forearm and hand to thumb and first two fingers
Indications: Vascular thoracic outlet syndrome (pain in hands, arms, across shoulder and neck)
184
KD27 Notes
One of the twelve shu points of the chest along with Bulang Kid-22, Shenfeng Kid-23, Linxu Kid-24, Shencang Kid-25 and Yuzhong Kid-26 for wheezing, dyspnoea and coughing due to 'fullness above and deficiency below' due to weak kidney qi not grasping lung qi (Deadman et al, 2001).
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Yuen (2005, The Extraordinary Vessels) believes these points, when related to the front Shu points of the Chong mai are located at 5 fen (0.5 cun) from the midline.
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In five element acupuncture indicated for depleted spirit, helps to tonify the spirit of a person.
185
KD27 Nearby Points
CV21 - Between CV20 and CV22 (at the notch on the superior aspect of the suprasternal fossa)
ST13 - 4 cun lateral to teh midline at the lower border of the clavicle
ST12 - 4 cun lateral to the midline at the superior border of the clavicle (midpoint of the supraclavicular fossa)
ST11 - At the superior border of the clavicle between the sternal and clavicular heads of the SCM
