Foot Yangming 1-11 Flashcards
ST1 Cheng Qi
Container of Tears
ST1 Location
With the eyes looking directly forwards, this point is located directly below the pupil between the eyeball and the infraorbital ridge.
ST1 Needling
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.
ST1 Precautions
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
ST1 Associations
Entry Point
ST1 TCM Actions
Benefits eyes and stops lacrimation
Eliminates wind and clears heat
ST1 Indications
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.
ST1 Neuroanatomy (fun)
Superficial Innervation: CN V1 ophthalamic branch of trigeminal
Dermatome Segment: CN V1 ophthalamic branch of trigeminal
ST1 TCM Patterns
Liver Wind
ST1 Nearby Points
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).
ST2 Sibai
Four Whites
ST2 Location
With the eyes looking straight ahead this point is located directly below the pupil in a depression at the infraorbital foramen
ST2 Needling
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
ST2 Precautions
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
ST2 Point Associations
None
ST2 TCM Actions
- Eliminates wind, clears heat, benefits eyes
ST2 Indications
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.
ST Neuroanatomy (fun)
Superficial Innervation: Infraorbital nerve, from maxillary branch of trigeminal nerve (V2)
Dermatome Segment: CN V2 maxillary branch of trigeminal
ST2 TCM Patterns
Liver and Gallbladder Damp Heat
ST2 Nearby Points
SI18 - Directly below outer canthus of the eye in a depression on the lower border of the zygoma.
ST3 Ju Liao
Great Crevice
ST3 Location
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.
ST3 Needling
Perpendicular insertion 0.3 - 0.4 cun, or transverse insertion to join with such points as Dicang ST-4, Quanliao S.I.-18, etc
ST3 Associations
No hats.
Intersection Point of the ST, LI & Yangqiao Meridians
ST3 TCM Patterns
Liver Wind
ST3 TCM Actions
- Eliminates wind
- Relieves swelling and pain
ST3 Indications
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).
ST3 Neuroanatomy (fun)
Superficial Innervation: Infraorbital nerve, from maxillary branch of trigeminal nerve (V2)
Dermatome Segment: CN V2 maxillary branch of trigeminal
ST3 Trigger Point
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)
ST3 Nearby Points
SI18 - Directly below the outer canthus of the eye in a depression on the lower border of the zygoma.
ST4 Dicang
Earth Granary
ST4 Location
0.4 cun lateral to the corner of the mouth
ST4 Needling
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
ST4 Associations
No hats.
ST4 TCM Patterns
Liver Wind
ST4 TCM Actions
- Eliminates wind from the face
- Activates the channel and alleviates pain
ST4 Indications
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.
ST4 Neuroanatomy
- 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
ST4 Trigger Point
The trigger point location for zygomaticus major would lie slightly superior to this point, between Juliao St-3 and Dicang St-4
ST4 Nearby Points
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
ST5 Daying
Great Welcome
ST5 Location
Anterior to the angle of the mandible, on the anterior border of the masseter in a groove-like depression when jaw is clenched
ST5 Needling
Oblique insertion 0.3-0.5 cun
Transverse insertion to join with ST4, ST6 etc,
ST5 Precautions
Vigorous manipulation contraindicated to avoid damagin the facial artery and vein
ST5 Associations
No hats.