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Acupuncture Points Comprehensive > Foot Yangming 12-22 > Flashcards

Foot Yangming 12-22 Flashcards

1
Q

ST12 Qupen

A

Empty basin

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2
Q

ST12 Location

A

In the midpoint of the supraclavicular fossa, 4 cun lateral to the anterior midline

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3
Q

ST12 Needling

A

Perpendicular 0.3-0.5

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4
Q

ST12 Precautions

A

Deep or posterior insertion may injure the subclavian vessels or puncture the lung. Contraindicated in pregnancy.

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5
Q

ST12 Associations

A

No hats.

Confluent/Master point of the Lung and Large Intestine Divergent Meridians
One of the “59 piercings” for clearing Heat in Su Wen Ch. 61

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6
Q

ST12 TCM Patterns

A

Stomach Qi Deficiency

Stomach Rebellious Qi

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7
Q

ST12 TCM Actions

A
  • Descends lung qi and clears heat from chest
  • Activates channel and alleviates pain
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8
Q

ST12 Indications

A

Descends Lung qi and clears heat from the chest: Acid reflux, Asthma, Cough, Chills/fever, Sore throat

Activates channel and alleviates pain: Bursitis, Carpal Tunnel, Shoulder pain (especially that radiates to neck), Obstruction of upper limb symptoms, Tennis Elbow

Internal branch of the ST meridian connects here directly from the Stomach, Spleen & Diaphragm - tonify middle warmer.

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9
Q

ST12 Neuroanatomy

A

Superficial Innervation: Supraclavicular nerve from C3 - C4
Dermatome Segment: C3, C4

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10
Q

ST12 Notes

A

An alternate translation of this point name is “Broken Dish” and derives from the semi-circular shape of the whole supraclavicular fossa. It used to refer to the whole area rather than a single point

The “59 piercings” are named in the Su Wen Ch. 61 and mentioned in Su Wen Ch. 32 and Ling Shu Ch. 23 for treating Heat diseases. This point along with Dazhu Bl-11, Zhongfu Lu-1 and Feishu Bl-13 clear Heat from the chest.

Ling Shu Ch. 20, On the Five Evils, advises piercing either this point or Tiantu Ren-22 (depending on how the location “in the middle of the Broken Basin” is interpreted) along with Zhongfu Lu-1, Yunmen Lu-2 and Feishu Bl-13 for pathogens in the Lung.

When used as part of a Divergent Meridian treatment is paired with the He Sea point, or less commonly with the Yuan Source or Luo Connecting point of the channels (Chace, The Merging of Ways).

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11
Q

ST12 Nearby Points

A

CV22 - In a depression just superior to the suprasternal notch

GB21 - At the midpoint of a line connecting GV14 and the acromion at the highest point of the shoulder

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12
Q

ST13 Qihu

A

Qi Door

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13
Q

ST13 Location

A

At the top of the chest, directly below ST12, on the inferior border of the clavicle, 4 cun lateral to the midline (generally on mamillary line)

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14
Q

ST13 Needling

A

Transverse oblique insertion laterally or medially, 0.5 - 0.8 or transverse insertion inferiorly along the channel

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15
Q

ST13 Associations

A

No hats.

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16
Q

ST13 Precautions

A

Deep perpendicularly needling carries substantial risk of puncturing the lung or sublclavian vessels

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17
Q

ST13 TCM Patterns

A

Lung Rebellious Qi

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18
Q

ST13 TCM Actions

A
  • Descends rebellious qi and unbinds chest
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19
Q

ST13 Indications

A

Descends rebellious qi and unbinds the chest: Asthma, Dyspnea (wheezing, distention of chest), Emesis of blood, Hiccups,

Activates channel and alleviates pain - rib pain, inability to turn head, neck pain.

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20
Q

ST13 Neuroanatomy

A

Superficial Innervation: Supraclavicular nerve from C3 - C4
Dermatome Segment: C3, C4

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21
Q

ST13 Trigger Point

A

Muscle: Pectoralis major (clavicular head)
Myotome Innervation: Lateral pectoral nerve (C5 - C7)
Pain Referral Pattern: From point across top of chest inferior to clavicle
Indications: Strain of pectorals ; Cardiac syndromes

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22
Q

ST13 Nearby Points

A

CV21 - On the midline of the manubrium of the sternum, midway between Ren 20 and 22.

KI27 - in a depression on the lower border of the clavicle, 2 cun lateral to the midline

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23
Q

ST14 Kufang

A

Storehouse

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24
Q

ST14 Location

A

4 cun lateral to the anterior midline, in the 1st intercostal space

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25
Q

ST14 Needling

A

Transverse-oblique insertion laterally or medially along the intercostal space 0.5-0.8 cun, or transverse inertion superiorly or inferiorly along the channel

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26
Q

ST14 Caution

A

Deep or perpendicular insertion carries risk of puncturing lung

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27
Q

ST14 Associations

A

No hats.

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28
Q

ST14 TCM Patterns

A

Lung Qi Deficiency

Lung Rebellious Qi

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29
Q

ST14 TCM Actions

A
  • Descends rebellious qi and unbinds chest
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30
Q

ST14 Indications

A

Descends rebellious qi and unbinds chest: Cough - pus and blood, Distension and fullness of the chest and lateral costal region

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31
Q

ST14 Neuroanatomy

A

Superficial Innervation: Cutaneous branches of thoracic nerves from T2
Dermatome Segment: T2

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32
Q

ST14 Nearby Points

A

CV20 - On the midline level with the 1st intercostal space

KD26 - In the 1st ICS 2 cun lateral to CV20

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33
Q

ST15 Wuyi

A

Roomscreen

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34
Q

ST15 Location

A

4 cun lateral to the midline (CV19) in the second intercostal space

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35
Q

ST15 Needling

A

Transverse-oblique insertion laterally or medially along the intercostal space 0.5 - 0.8 cun, or transverse insertion superiorly or inferiorly along the channel

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36
Q

ST15 Caution

A

Deep or perpendicular insertion carries substantial risk of puncturing the lung

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37
Q

ST15 Associations

A

No hats.

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38
Q

ST15 TCM Patterns

A

Liver Qi Stagnation

Lung Qi Deficiency

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39
Q

ST15 TCM Actions

A
  • Descends rebellious qi and unbinds the chest
  • Benefits the breasts
  • Alleviates pain and itching of the skin
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40
Q

ST15 Indications

A

Descends rebellious qi and unbinds the chest: Asthma, chest oppression, coughing (pus and blood), fullness a/or pain in the chest, SOB

Benefits breasts: Breast pain, distention, mastitis, abscess

Alleviates pain of body and itching if skin: General pain, heaviness and/or itching of the whole body, Muscular Dystrophy

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41
Q

ST15 Neuroanatomy

A

Superficial Innervation: Thoracic cutaneous nerves from T3 in the skin and and lateral pectoral nerve from C5 - C7 in the muscle
Dermatome Segment: T3

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42
Q

ST15 Trigger Point

A

Muscle: Pectoralis major (sternal head) and pectoralis minor

Myotome Innervation: Medial pectoral nerve (C8 - T1)

Location Notes: Pectoralis major is directly under the point while pectoralis minor would be located laterally

Pain Referral Pattern: Across the chest and radiating down the medial aspect of the arm, especially around the elbow

Indications: Sternoclavicular arthritis

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43
Q

ST15 Notes

A

One of the 18 tender spots used in the diagnosis of fibromyalgia

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44
Q

ST15 Nearby Points

A

CV19 - On the anterior midline, level with the 2nd ICS

KI25 - 2 cun lateral to CV19, in the 2nd ICS

SP20 - 6 cun lateral to the anterior midline in the 2nd ICS

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45
Q

ST16 Yingchuang

A

Breast Window

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46
Q

ST16 Location

A

4 cun lateral to the AML (CV18), in the 3rd ICS, on the mamillary line

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47
Q

ST16 Needling

A

Transverse-oblique insertion laterally or medially along the intercostal space 0.5 - 0.8 cun, or transverse insertion superiorly or inferiorly along the channel

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48
Q

ST16 Caution

A

Deep or perpendicular insertion carries a substantial risk of puncturing the lung

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49
Q

ST16 Associations

A

No hats.

50
Q

ST16 TCM Patterns

A

Liver Qi Stagnation

51
Q

ST16 TCM Actions

A
  1. Alleviates cough and wheezing
  2. Benefits breasts
52
Q

ST16 Indications

A

Alleviates cough and wheezing: Asthma, Cough, Fever/chills, swelling of lips (allergies? with LV3), lung problems (fullness of chest, tightness),

Benefits breasts: Breast pain, abscess, mastitis.

Borborygmus and watery diarrhoea.

53
Q

ST16 Neuroanatomy

A

Superficial Innervation: Cutaneous branches of thoracic nerves from T4

Dermatome Segment: T4

54
Q

ST16 Notes

A

Acupressure point in Thai massage

55
Q

ST16 Nearby Points

A

CV18 - On the AML, level with the 3rd ICS

KI25 - 2 cun lateral to the midline in the 3rd ICS

SP19 - 6 cun lateral to the midline in the 3rd ICS

56
Q

ST17 Rhuzong

A

Breast Centre

57
Q

ST17 Location

A

At the centre of the nipple, 4 cun lateral to AML in the 4th ICS

58
Q

ST17 Needling

A

Reference point only, do not needle

59
Q

ST17 Caution

A

Contraindicated to both needling and moxibustion

60
Q

ST17 Associations

A

None

61
Q

ST17 TCM Patterns

A

None

62
Q

ST17 Indications

A

None, reference point only

63
Q

ST17 Neuroanatomy

A

Superficial Innervation: Cutaneous branches of thoracic nerves from T5
Dermatome Segment: T5

64
Q

ST17 Nearby Points

A

PC1 - 1 cun lateral to the nipple in the 4th ICS

KD23 - 2 cun lateral to the AML (RN17) in the 4th ICS

RN17 - Level with the 4th ICS in between the nipples

SP18 - 6 cun lateral to the AML (RN17) in the 4th ICS

65
Q

ST18 Rugen

A

Root of breast

66
Q

ST18 Location

A

4 cun lateral to the AML in the 5th ICS

67
Q

ST18 Needling

A

Transverse-oblique insertion laterally or medially along the ICS 0.5 - 1.0 cun or transverse insertion superiorly or inferiorly along the channel

68
Q

ST18 Caution

A

Deep or perpendicular needling carries a substantial risk of puncturing the lung

69
Q

ST18 Associations

A

Great Stomach Luo

70
Q

ST18 TCM Patterns

A

Liver Qi Stagnation

71
Q

ST18 TCM Actions

A
  • Benefits breast and reduces swelling
  • Unbinds the chest and alleviates coughing and wheezing
72
Q

ST18 Indications

A

Benefits breasts and reduces swelling: Any issue with breast, Distention, Lactation problems, Mastitis, Difficult labour

Unbinds chest, alleviates cough: Cough, Tightness/oppression of chest

73
Q

ST18 Neuroanatomy

A

Superficial Innervation: Cutaneous branches of thoracic nerves from T6
Dermatome Segment: T6

74
Q

ST18 Notes

A

Location of the apical pulse (unilateral and maybe just outside the mid-clavicular line)

75
Q

ST18 Nearby Points

A

CV16 - level with the 5th ICS, where the right and left ribs meet the lower border of the sternum and xiphoid process

KD22 - In the 5th ICS, 2 cun lateral to CV16

GB22 - on the mid-axillary line when the arm is raised, below the axilla in the 5th ICS (directly below HT1)

GB23 - 1 cun anterior to GB 22, level with the nipple in the 5h ICS

76
Q

ST19 Burong

A

Not Contained

77
Q

ST19 Location

A

2 cun lateral to AML, level with CV14 (6 cun superior to umbilicus)

78
Q

ST19 Needling

A

Perpendicular 0.5-0.8

79
Q

ST19 Caution

A

Deep insertion may injure the heart on the left or liver on the right if either of these is enlarged

80
Q

ST19 Associations

A

None

81
Q

ST19 TCM Patterns

A

Stomach Rebellious Qi

Liver and Gallbladder Damp Heat

82
Q

ST19 TCM Actions

A
  • Harmonizes the middle jiao and lowers rebellion
  • Descends qi and alleviates cough and wheezing
83
Q

ST19 Indications

A

Harmonizes the middle jiao and lowers rebellion: Abdominal pain/distention, Acid reflux disease, Cholelithiasis (gallstones), Gastritis, Poor appetite, Vomiting

Descends qi, alleviates cough and wheezing: Cough, dyspnoea, Dry mouth, Heart pain (Peripheral vascular disease)

(Chaga root good for ulcers, gastritis, soothing blood vessels, neuropathy, normalize BP and cholesterol)

Activates channel, alleviates pain: Pain of the chest, back, shoulder and costal region

84
Q

ST19 Neuroanatomy

A

Superficial Innervation: Cutaneous branches of thoracic nerves from T7
Dermatome Segment: T7

85
Q

ST19 Notes

A

Its location on the Stomach channel midway between Ren-14 and Liv-14, front Mu of the Heart and Liver, combined with its name, “Not Contained” gives the suggestion of this point being used primarily when emotional issues cause Heat from the Heart or Liver to overflow into the Stomach and intestines causing symptoms like epigastric pain, reflux, dry mouth and distention.

86
Q

ST19 Nearby Points

A

CV14 - 6 cun above CV8 (umbilicus)

KD21 - 0.5 cun lateral to CV14, 6 cun above umbilicus

LV14 - on the mamillary line, 4 cun lateral to the AML (CV14), 6 cun above the umbilicus

87
Q

ST20 Chenman

A

Supporting Fullness

88
Q

ST20 Location

A

2 cun lateral to the AML, level with CV13, 5 cun above the umbilicus

89
Q

ST20 Needling

A

Perpendicular 0.5 - 1 cun

90
Q

ST20 Caution

A

In thin subjects deep needling may puncture the peritoneal cavity. Deep needling at right ST20 may puncture enlarged liver.

91
Q

ST20 Associations

A

None

92
Q

ST20 TCM Patterns

A

ST Rebellious Qi

LV/GB Damp Heat

93
Q

ST20 TCM Actions

A
  • Harmonizes the middle jiao
  • Descends rebellion of lung and stomach
94
Q

ST20 Indications

A

Harmonizes middle jiao: Abdominal Pain, Difficult ingestion, Diarrhea, Epigastric pain, Gastritis, Poor appetite

Descends rebellion of lung and stomach: Cough, Dyspnea, Hiccup, Vomiting

95
Q

ST20 Neuroanatomy

A

Superficial Innervation: Cutaneous branches of thoracic nerves from T7
Dermatome Segment: T7

96
Q

ST20 Notes

A

Empty for now

97
Q

ST20 Nearby Points

A

CV13 - 5 cun above CV8 on AML

KD20 - 0.5 cun lateral to CV13

98
Q

ST21 Liangman

A

Beam Gate

99
Q

ST21 Location

A

On the abdomen, 2 cun lateral to the AML, 4 cun above the umbilicus, level with RN12

100
Q

ST21 Needling

A

Perpendicular insertion 1 - 1.5 cun

101
Q

ST21 Caution

A

Deep needling may penetrate the peritoneal cavity. Deep needling at right ST21 may penetrate an enlarged liver.

102
Q

ST21 Associations

A

None

103
Q

ST21 TCM Patterns

A
  1. Stomach Qi Deficiency
  2. Stomach Blood Stagnation
  3. Food Accumulation in Stomach
  4. Stomach Fire (Phlegm Fire)
  5. Cold Invasion of Stomach
  6. Spleen Qi Deficiency
  7. Spleen Qi Sinking
104
Q

ST21 TCM Actions

A
  • Regulates qi and alleviates pain
  • Harmonizes the middle jiao and transforms stagnation
  • Raises the qi and stops diarrhea
105
Q

ST21 Indications

A

Tonifies middle jiao, transforms stagnation, assist RN12: Abdominal pain/bloating, Accumulation of food/palpable masses, Epigastric pain, Poor appetite, Vomiting

Raises Qi and stops Diarrhea: Slippery diarrhea

Regulates qi and alleviates pain: Qi accumulation lateral costal, below chest, Abdominal Pain/Distention

106
Q

ST21 Neuroanatomy

A

Superficial Innervation: Cutaneous branches of thoracic nerves from T8
Dermatome Segment: T8

107
Q

ST21 Notes

A

None for now

108
Q

ST21 Nearby Points

A

CV12 - Midway between CV8 and CV16, 4 cun above umbilicus

KD19 - 4 cun above CV8, 0.5 cun lateral to AML (CV12)

109
Q

ST22 Guanmen

A

Pass Gate

110
Q

ST22 Location

A

On the abdomen, 2 cun lateral to CV11, 3 cun above the umbilicus

111
Q

ST22 Needling

A

Perpendicular 1-1.5 cun

112
Q

ST22 Caution

A

Deep needling may penetrate peritoneal cavity

113
Q

ST22 Associations

A

None

114
Q

ST22 TCM Patterns

A

Large Intestine Damp Heat

Spleen and Stomach Damp Heat

115
Q

ST22 TCM Actions

A
  • Regulates qi and alleviates pain
  • Regulates intestines and benefits urination
116
Q

ST22 Indications

A

Regulates intestines and benefits urination: Abdominal Pain/Distention, ,Borborygmus, Constipation, Diarrhea, Edema, Enuresis (bedwetting), Poor appetite, Periumbilical pain

Regulates qi and alleviates pain: Qi moving in abdomen, Qi accumulation

117
Q

ST22 Neuranatomy

A

Superficial Innervation: Cutaneous branches of thoracic nerves from T8
Dermatome Segment: T8

118
Q

ST22 Notes

A

Useful for bedwetting with HT 7 and UB 40 or LU 1 and HT 7 (deadman text).

119
Q

ST22 Nearby Points

A

CV11 - 3 cun above CV8 on the AML

KD18 - 0.5 cun lateral to CV11, 3 cun above CV8

SP16 - 4 cun lateral to CV11, 2 cun lateral to ST22, 3 cun superior to SP15

120
Q
A
121
Q
A

Acupuncture Points Comprehensive (24 decks)

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