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Acupuncture Points Comprehensive > Foot Yangming 1-11 > Flashcards

Foot Yangming 1-11 Flashcards

1
Q

ST1 Cheng Qi

A

Container of Tears

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2
Q

ST1 Location

A

With the eyes looking directly forwards, this point is located directly below the pupil between the eyeball and the infraorbital ridge.

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3
Q

ST1 Needling

A

With the patients eyes closed and looking straight up, use a finger to move the eyeball upwards and insert the needle, at first slightly inferiorly, then perpedicularly, between the eyeball and the inferior wall of the orbit, 0.5 - 1 cun.

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4
Q

ST1 Precautions

A

Needle should be inserted slowly without lifting, thrusting or rotating. Immediately on withdrawal, press firmly with a cotton but for about a minute to prevent haematoma. According to several classical texts this point is contradindicated to moxibustion

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5
Q

ST1 Associations

A

Entry Point

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6
Q

ST1 TCM Actions

A

Benefits eyes and stops lacrimation

Eliminates wind and clears heat

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7
Q

ST1 Indications

A

Benefits eyes and stops lacrimation: Eye problems - itching, lacrimation from wind, pain, redness, swelling, vision problems

Eliminates wind and clears heat: Deafness, Deviation of mouth and eye, Tinnitus

Any eye issue, although ST 2 is a good alternative and arguably safer to needle.

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8
Q

ST1 Neuroanatomy (fun)

A

Superficial Innervation: CN V1 ophthalamic branch of trigeminal
Dermatome Segment: CN V1 ophthalamic branch of trigeminal

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9
Q

ST1 TCM Patterns

A

Liver Wind

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10
Q

ST1 Nearby Points

A

UB1 -In a depression, .1 cun above the inner canthus of the eye

UB2 - On the medial end of the eyebrow, directly above the inner canthus of the eye (on the supraorbital notch).

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11
Q

ST2 Sibai

A

Four Whites

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12
Q

ST2 Location

A

With the eyes looking straight ahead this point is located directly below the pupil in a depression at the infraorbital foramen

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13
Q

ST2 Needling

A

Perpendicular insertion 0.2 - 0.4 cun Transverse insertion to join with such points and Quanliao S.I.-18, Yingxiang L.I.-20, etc. Oblique insertion supero-laterally, along the infraorbital foramen 0.3 - 0.5 cun

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14
Q

ST2 Precautions

A

Contraindicated to moxa

i. deep insertion along foramen may injure eyeball
ii. manipulation by lifting and thrusting is contraindicated due to risk of damaging the infraorbital nerve which emerges from the foramen

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15
Q

ST2 Point Associations

A

None

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16
Q

ST2 TCM Actions

A
  1. Eliminates wind, clears heat, benefits eyes
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17
Q

ST2 Indications

A

Expels wind, clear heat, benefits eyes: Eye redness, pain and itching of the eye, facial paralysis/pain, lacrimation, twitching of eye lids

Good alternative to ST 1 and safer to needle for those not properly trained.

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18
Q

ST Neuroanatomy (fun)

A

Superficial Innervation: Infraorbital nerve, from maxillary branch of trigeminal nerve (V2)
Dermatome Segment: CN V2 maxillary branch of trigeminal

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19
Q

ST2 TCM Patterns

A

Liver and Gallbladder Damp Heat

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20
Q

ST2 Nearby Points

A

SI18 - Directly below outer canthus of the eye in a depression on the lower border of the zygoma.

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21
Q

ST3 Ju Liao

A

Great Crevice

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22
Q

ST3 Location

A

With the eyes looking directly forwards, this point is located directly below the pupil, level with the lower border of the ala nasi, on the lateral side of the naso-labial groove.

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23
Q

ST3 Needling

A

Perpendicular insertion 0.3 - 0.4 cun, or transverse insertion to join with such points as Dicang ST-4, Quanliao S.I.-18, etc

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24
Q

ST3 Associations

A

No hats.

Intersection Point of the ST, LI & Yangqiao Meridians

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25
Q

ST3 TCM Patterns

A

Liver Wind

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26
Q

ST3 TCM Actions

A
  1. Eliminates wind
  2. Relieves swelling and pain
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27
Q

ST3 Indications

A

Dispels wind, relieves swelling and pain: Local point - Twitching eyelids, pain a/or swelling of the cheek, trigeminal neuralgia, toothache. Deviation from Bell’s palsy, facial paralysis, stroke

Swelling of the knee (Deadman text).

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28
Q

ST3 Neuroanatomy (fun)

A

Superficial Innervation: Infraorbital nerve, from maxillary branch of trigeminal nerve (V2)
Dermatome Segment: CN V2 maxillary branch of trigeminal

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29
Q

ST3 Trigger Point

A

The trigger point location for zygomaticus major would lie slightly inferior to this point, between Juliao St-3 and Dicang St-4 (Travell & Simons, 1998, Trigger Point Manual)

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30
Q

ST3 Nearby Points

A

SI18 - Directly below the outer canthus of the eye in a depression on the lower border of the zygoma.

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31
Q

ST4 Dicang

A

Earth Granary

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32
Q

ST4 Location

A

0.4 cun lateral to the corner of the mouth

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33
Q

ST4 Needling

A

Oblique or subcutaneous insertion 0.5 - 0.8 cun. Transverse insertion to join with such points as Jiache ST-6, Yingxiang L.I.-20, Chengqiang Ren-24, etc

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34
Q

ST4 Associations

A

No hats.

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35
Q

ST4 TCM Patterns

A

Liver Wind

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36
Q

ST4 TCM Actions

A
  1. Eliminates wind from the face
  2. Activates the channel and alleviates pain
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37
Q

ST4 Indications

A

Eliminates wind from the face: Facial pain - Bell’s palsy, deviation of mouth from stroke, eye twitching, not closing, facial paralysis, trigeminal neuralgia, TMD

Activates channel and alleviates pain: May be helpful for atrophy and/or movement issues within the legs.

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38
Q

ST4 Neuroanatomy

A
  • Superficial Innervation: Depending on direction of needling: mental (inferior) or buchal (lateral) branches of mandibular nerve, or infraorbital (superior) branch of maxillary nerve
  • Dermatome Segment: CN V3 mandibular branch of trigeminal
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39
Q

ST4 Trigger Point

A

The trigger point location for zygomaticus major would lie slightly superior to this point, between Juliao St-3 and Dicang St-4

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40
Q

ST4 Nearby Points

A

LI19 - Directly below the lateral margin of the nostril, level with DU26

RN24 - centre of the mentolabial groove directly below the lip

DU26 - at the junction of the upper and middle third of the philtrum

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41
Q

ST5 Daying

A

Great Welcome

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42
Q

ST5 Location

A

Anterior to the angle of the mandible, on the anterior border of the masseter in a groove-like depression when jaw is clenched

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43
Q

ST5 Needling

A

Oblique insertion 0.3-0.5 cun

Transverse insertion to join with ST4, ST6 etc,

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44
Q

ST5 Precautions

A

Vigorous manipulation contraindicated to avoid damagin the facial artery and vein

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45
Q

ST5 Associations

A

No hats.

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46
Q

ST5 TCM Patterns

A

Liver Wind

47
Q

ST5 TCM Actions

A

Eliminates wind and reduces swelling

48
Q

ST5 Indications

A

Eliminates wind and reduces swelling: Chills/fever with aversion to cold, Eye problems - pain and inability to close, Facial Pain - swelling of cheek/jaw, Toothache, Stiff tongue leading to speech problems

49
Q

ST5 Neuroanatomy

A
  • Superficial Innervation: Mental nerve, branch of mandibular from trigeminal nerve (CNV3)
  • Dermatome Segment: Mandibular branch of trigerminal nerve (CN V3)
50
Q

ST5 Trigger Point

A

Muscle: Masseter

  • Myotome Innervation: Mandibular branch of trigerminal nerve (CN V3)
  • Pain Referral Pattern: To lower jaw and molars and possibly to eyebrow
  • Indications: Facial myalgia ; Toothache ; Headache ; Tempero-mandibular joint pain
51
Q

ST5 Nearby Points

A

SI17 - Posterior to the angle of the mandible in a depression on the anterior border of the SCM

SI16 - On the lateral side of the neck, posterior to the SCM and level with the hyoid cartilage

Yiming - 1 cun posterior to SJ17

52
Q

ST6 Jiache

53
Q

ST6 Location

A

One fingerwidth anterior and superior to the angle of the mandible at the belly of the masseter muscle with teeth clenched

54
Q

ST6 Needling

A

0.5 cun perpendicular

Transverse insertion to join with ST4, 5, 7 etc

Transverse insertion toward upper or lower jaw for toothache

55
Q

ST6 Associations

A

Ghost Point

56
Q

ST6 TCM Patterns

A

Liver Wind

57
Q

ST6 TCM Actions

A
  • Eliminates wind, benefits the jaw and teeth
  • Activates the channel and alleviates pain
58
Q

ST6 TCM Indications

A

Eliminates wind, benefits the jaw and teeth: Bell’s Palsy, TMD and facial pain, Toothache, Stroke, Stiffness and pain of neck, Vocal problems - loss of voice

59
Q

ST6 Neuroanatomy

A

Superficial Innervation: Mandibular branch of trigeminal nerve (CN V3)
Dermatome Segment: CN V3 mandibular branch of trigeminal

60
Q

ST6 Trigger Point

A

Muscle: Masseter
Myotome Innervation: Mandibular branch of trigerminal nerve (CN V3)
Pain Referral Pattern: To lower jaw and molars and possibly to eyebrow
Indications: Facial myalgia ; Toothache ; Headache ; Tempero-mandibular joint pain

61
Q

ST6 Nearby Points

A

GB12 - In a depression posterior and inferior to the mastoid process

SI17 - Posterior to the angle of the mandible in a depression on the anterior border of the SCM

SI16 - On the lateral side of the neck, posterior to the SCM and level with the hyoid cartilage

Yiming - 1 cun posterior to SJ17

62
Q

ST7 Xiaguan

A

Below the joint

63
Q

ST7 Location

A

At the lower border of the zygomatic arch, in a depression anterior to the condyloid process of the mandible

64
Q

ST7 Needling

A

Perpendicular insertion slightly inferior 0.5-1 cun

Transverse insertion to join with SI18, SI19, ST6

65
Q

ST7 Associations

66
Q

ST7 TCM Patterns

A

Liver Wind

67
Q

ST7 TCM Actions

A
  • Benefits ears, teeth and jaw
  • Alleviates pain and activates channel
68
Q

ST7 Indications

A

Benefits ears, teeth and jaw: Deafness, Ear problems, Facial pain and swelling, Infection of ear (Otitis media), Lower jaw tooth pain, Tinnitus, TMD

69
Q

ST7 Neuroanatomy

A

Superficial Innervation: mandibular branch of trigeminal nerve (CN V3)
Dermatome Segment: CN V3 mandibular branch of trigeminal

70
Q

ST7 Trigger Point

A

Muscle: Masseter and lateral pterygoid
Myotome Innervation: Mandibular branch of trigerminal nerve (CN V3)
Location Notes: Lateral pterygoid trigger points would be located slightly anterior and anterior and posterior to the classical location.
Pain Referral Pattern: Masseter: Angle of jaw, temple and ear, and if located slightly inferior to upper molars and cheek. Teeth, jaw and occiput
Lateral pterygoid: Cheek and condyloid process.
Indications: Facial myalgia ; Toothache ; Headache ; Tempero-mandibular joint pain

71
Q

ST7 Nearby Points

A

GB3 - In a depression directly above ST 7 on the upper border of the zygomatic arch, in front of the ear.

SJ21 - Anterior to the supratragic notch and behind the posterior border of the condyloid process of the mandible with the mouth open.

SI19 - Anterior to the tragus and posterior to the condyloid process of the mandible, in a depression formed when the mouth is opened.

GB2 - Anterior to the intertragic notch at the posterior border of the condyloid process of the mandible (located with the mouth open).

72
Q

ST8 Touwei

A

Head Corner

73
Q

ST8 Location

A

At the corner of the foreheard, 4.5 cun lateral to DU24 and 0.5 cun into the hairline

74
Q

ST8 Needling

A

Transverse insertion 0.5-1 cun

75
Q

ST8 Precautions

A

In many classical texts, contraindicated to moxibustion

76
Q

ST8 Associations

A

Meeting point for all Arm Yang Sinew Meridians

77
Q

ST8 TCM Patterns

A

Liver Wind

Liver Yang Rising

Spleen Damp-Cold Invasion (sedate or even method, ST8 resolve dampness from head)

78
Q

ST8 TCM Actions

A
  • Eliminates wind and alleviates pain
  • Benefits the eyes
79
Q

ST8 Indications

A

Eliminates wind and alleviates pain: Chills/fever, Dizziness, Headache (splitting, esp. frontal), Migraines (with eye pain, nausea, vomiting), Hair loss (pattern baldness),

Benefits the eyes: Eye problems - itching, excessive lacrimation. Vision Problems - dimness of vision

80
Q

ST8 Neuroanatomy

A

Superficial Innervation: CN V3 mandibular branch of trigeminal
Dermatome Segment: CN V3 mandibular branch of trigeminal

81
Q

ST8 Nearby Points

A

GB15 - On the head, directly above the pupil, .5 cun above the anterior hairline at the midpoint of a line connecting GV 24 to ST 8 (directly above GB 14).

GB8 - Superior to the apex of the auricle, 1.5 cun within the hairline (1/2 ear length from the apex).

UB4 - 1.5 cun lateral to GV 24, or .5 cun inside the AHL at the junction of the medial 1/3 and lateral 2/3’s distance between GV 24 & ST 8.

82
Q

ST9 Renying

A

Man’s Prognosis (Man’s Welcome)

83
Q

ST9 Location

A

Level with the tip of and 1.5 cun lateral to the laryngeal prominence, in the depression between the anterior border of the SCM and the lateral border of the thyroid cartilage

84
Q

ST9 Needling

A

Perpendicular insertion 0.5 - 1 cun

85
Q

ST9 Precautions

A

Care should be taken not to puncture the carotid artery which must be felt and held laterally during needling. According to several classical texts, this point is contraindicated to moxibustion

NO MOXA

86
Q

ST9 Associations

A

Window of Heaven

Sea of Qi

87
Q

ST9 TCM Actions

A
  • Regulates qi and blood and lowers rebellion
  • Benefits the throat and neck
  • Alleviates pain
88
Q

ST9 Indications

A

Regulates qi and blood and lowers rebellion: Asthma (fullness, SOB), Counterflow qi (eg. cough, hiccups, vomiting), Hypertension (High Blood Pressure)

Benefits neck and throat: Sore Throat - swelling and pain, difficult swallowing (plum pit qi)

Alleviates pain: Acute lumbar sprain

Window of the Sky Point - restores Qi flow between the body and the head - useful with headache, chest tightness, asthma

Caution: No Moxa

89
Q

ST9 TCM Patterns

A

Stomach Rebellious Qi

Liver Qi Stagnation

90
Q

ST9 Neuroanatomy

A

Superficial Innervation: Transverse cervical nerve (C2 - C3)
Dermatome Segment: C2, C3

91
Q

ST9 Nearby Points

A

LI18 - Level with the tip of the Adam’s Apple between the sternal and clavicular heads of the SCM.

SI16 - On the lateral side of the neck, posterior to the SCM and LI 18, level with the Adam’s apple.

92
Q

ST10 Shuitu

A

Water Prominence

93
Q

ST10 Location

A

On the neck, at the anterior border of the SCM, midway between ST9 and ST11

94
Q

ST10 Needling

A

Perpendicular-oblique insertion 0.5 - 1 cun directed medially to avoid carotid artery

95
Q

ST10 Precautions

A

Palpate and hold carotid artery lateral to point while needling

96
Q

ST10 Associations

97
Q

ST10 TCM Patterns

A

Stomach Rebellious Qi

98
Q

ST TCM Actions

A
  • Benefits throat and neck
  • Descends lung qi
99
Q

ST10 Indications

A

Benefits neck and throat: Sore throat, Thyroid issues

Descends Lung qi: SOB, Whooping cough

Activates channel and alleviates pain: Swelling and pain of shoulder

Tam System:

Hyperlipidemia (High cholesterol)

Constipation

100
Q

ST10 Nearby Points

A

LI17 - On the lateral side of the neck, 1 cun below LI 18 on the posterior border of the SCM.

101
Q

ST10 Neuroanatomy

A

Superficial Innervation: Transverse cervical nerve (C2 - C3)
Dermatome Segment: C2, C3

102
Q

ST10 Trigger Point

A

Muscle: Sternomastoid

Myotome Innervation: Motor functions supplied by ipsilateral accessory nerve (CN XI); Sensation provided by dorsal rami of C2 - C3

Location Notes: The exact trigger point location should be on the belly of the sternomastoid

Pain Referral Pattern: To back of head and from top of cheek to temple, to the forehead above the eyebrow and into the inner canthus of the eye. Some spillover onto cheek, top of head and front of throat

Indications: Torticollis ; Myalgia of neck muscles ; Head and facial pains

103
Q

ST11 Qishe

104
Q

ST11 Location

A

At the superior border of the clavicle between the sternal and clavicular heads of the sternocleidomastoideus muscle.

105
Q

ST11 Needling

A

Perpendicular insertion 0.3-0.5 cun

106
Q

ST11 Precaution

A

Deep insertion may puncture lung.

107
Q

ST11 Associations

108
Q

ST11 TCM Patterns

A

Stomach Rebellious Qi

109
Q

ST11 TCM Actions

A
  • Benefits the throat and neck and descends qi
110
Q

ST11 Indications

A

Benefits throat and neck: Dyspnea, Difficulty swallowing, Neck pain (inability to turn), Sore throat

Descends qi: Acid Reflux Disease (GERD), Hiccups - Counterflow Qi, Hypertension (not sure if this is part of descending qi)

111
Q

ST11 Neuranatomy

A

Superficial Innervation: Transverse cervical nerve (C2 - C3)
Dermatome Segment: C2, C3

112
Q

ST11 Nearby Points

A

RN22 - in a notch superior to the suprasternal notch

Acupuncture Points Comprehensive (24 decks)

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