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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
ST14 Needling
Transverse-oblique insertion laterally or medially along the intercostal space 0.5-0.8 cun, or transverse inertion superiorly or inferiorly along the channel
26
ST14 Caution
Deep or perpendicular insertion carries risk of puncturing lung
27
ST14 Associations
No hats.
28
ST14 TCM Patterns
Lung Qi Deficiency Lung Rebellious Qi
29
ST14 TCM Actions
* Descends rebellious qi and unbinds chest
30
ST14 Indications
_Descends rebellious qi and unbinds chest:_ Cough - pus and blood, Distension and fullness of the chest and lateral costal region
31
ST14 Neuroanatomy
_Superficial Innervation:_ Cutaneous branches of thoracic nerves from T2 _Dermatome Segment:_ T2
32
ST14 Nearby Points
CV20 - On the midline level with the 1st intercostal space KD26 - In the 1st ICS 2 cun lateral to CV20
33
ST15 Wuyi
Roomscreen
34
ST15 Location
4 cun lateral to the midline (CV19) in the second intercostal space
35
ST15 Needling
Transverse-oblique insertion laterally or medially along the intercostal space 0.5 - 0.8 cun, or transverse insertion superiorly or inferiorly along the channel
36
ST15 Caution
Deep or perpendicular insertion carries substantial risk of puncturing the lung
37
ST15 Associations
No hats.
38
ST15 TCM Patterns
Liver Qi Stagnation Lung Qi Deficiency
39
ST15 TCM Actions
* Descends rebellious qi and unbinds the chest * Benefits the breasts * Alleviates pain and itching of the skin
40
ST15 Indications
_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
41
ST15 Neuroanatomy
_Superficial Innervation:_ Thoracic cutaneous nerves from T3 in the skin and and lateral pectoral nerve from C5 - C7 in the muscle _Dermatome Segment:_ T3
42
ST15 Trigger Point
_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
43
ST15 Notes
One of the 18 tender spots used in the diagnosis of fibromyalgia
44
ST15 Nearby Points
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
45
ST16 Yingchuang
Breast Window
46
ST16 Location
4 cun lateral to the AML (CV18), in the 3rd ICS, on the mamillary line
47
ST16 Needling
Transverse-oblique insertion laterally or medially along the intercostal space 0.5 - 0.8 cun, or transverse insertion superiorly or inferiorly along the channel
48
ST16 Caution
Deep or perpendicular insertion carries a substantial risk of puncturing the lung
49
ST16 Associations
No hats.
50
ST16 TCM Patterns
Liver Qi Stagnation
51
ST16 TCM Actions
1. Alleviates cough and wheezing 2. Benefits breasts
52
ST16 Indications
_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
ST16 Neuroanatomy
_Superficial Innervation:_ Cutaneous branches of thoracic nerves from T4 _Dermatome Segment:_ T4
54
ST16 Notes
Acupressure point in Thai massage
55
ST16 Nearby Points
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
ST17 Rhuzong
Breast Centre
57
ST17 Location
At the centre of the nipple, 4 cun lateral to AML in the 4th ICS
58
ST17 Needling
Reference point only, do not needle
59
ST17 Caution
Contraindicated to both needling and moxibustion
60
ST17 Associations
None
61
ST17 TCM Patterns
None
62
ST17 Indications
None, reference point only
63
ST17 Neuroanatomy
_Superficial Innervation:_ Cutaneous branches of thoracic nerves from T5 _Dermatome Segment:_ T5
64
ST17 Nearby Points
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
ST18 Rugen
Root of breast
66
ST18 Location
4 cun lateral to the AML in the 5th ICS
67
ST18 Needling
Transverse-oblique insertion laterally or medially along the ICS 0.5 - 1.0 cun or transverse insertion superiorly or inferiorly along the channel
68
ST18 Caution
Deep or perpendicular needling carries a substantial risk of puncturing the lung
69
ST18 Associations
Great Stomach Luo
70
ST18 TCM Patterns
Liver Qi Stagnation
71
ST18 TCM Actions
* Benefits breast and reduces swelling * Unbinds the chest and alleviates coughing and wheezing
72
ST18 Indications
_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
ST18 Neuroanatomy
_Superficial Innervation:_ Cutaneous branches of thoracic nerves from T6 _Dermatome Segment:_ T6
74
ST18 Notes
Location of the apical pulse (unilateral and maybe just outside the mid-clavicular line)
75
ST18 Nearby Points
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
ST19 Burong
Not Contained
77
ST19 Location
2 cun lateral to AML, level with CV14 (6 cun superior to umbilicus)
78
ST19 Needling
Perpendicular 0.5-0.8
79
ST19 Caution
Deep insertion may injure the heart on the left or liver on the right if either of these is enlarged
80
ST19 Associations
None
81
ST19 TCM Patterns
Stomach Rebellious Qi Liver and Gallbladder Damp Heat
82
ST19 TCM Actions
* Harmonizes the middle jiao and lowers rebellion * Descends qi and alleviates cough and wheezing
83
ST19 Indications
_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
ST19 Neuroanatomy
_Superficial Innervation:_ Cutaneous branches of thoracic nerves from T7 _Dermatome Segment:_ T7
85
ST19 Notes
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
ST19 Nearby Points
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
ST20 Chenman
Supporting Fullness
88
ST20 Location
2 cun lateral to the AML, level with CV13, 5 cun above the umbilicus
89
ST20 Needling
Perpendicular 0.5 - 1 cun
90
ST20 Caution
In thin subjects deep needling may puncture the peritoneal cavity. Deep needling at right ST20 may puncture enlarged liver.
91
ST20 Associations
None
92
ST20 TCM Patterns
ST Rebellious Qi LV/GB Damp Heat
93
ST20 TCM Actions
* Harmonizes the middle jiao * Descends rebellion of lung and stomach
94
ST20 Indications
_Harmonizes middle jiao:_ Abdominal Pain, Difficult ingestion, Diarrhea, Epigastric pain, Gastritis, Poor appetite _Descends rebellion of lung and stomach_: Cough, Dyspnea, Hiccup, Vomiting
95
ST20 Neuroanatomy
_Superficial Innervation:_ Cutaneous branches of thoracic nerves from T7 _Dermatome Segment:_ T7
96
ST20 Notes
Empty for now
97
ST20 Nearby Points
CV13 - 5 cun above CV8 on AML KD20 - 0.5 cun lateral to CV13
98
ST21 Liangman
Beam Gate
99
ST21 Location
On the abdomen, 2 cun lateral to the AML, 4 cun above the umbilicus, level with RN12
100
ST21 Needling
Perpendicular insertion 1 - 1.5 cun
101
ST21 Caution
Deep needling may penetrate the peritoneal cavity. Deep needling at right ST21 may penetrate an enlarged liver.
102
ST21 Associations
None
103
ST21 TCM Patterns
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
ST21 TCM Actions
* Regulates qi and alleviates pain * Harmonizes the middle jiao and transforms stagnation * Raises the qi and stops diarrhea
105
ST21 Indications
_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
ST21 Neuroanatomy
_Superficial Innervation:_ Cutaneous branches of thoracic nerves from T8 _Dermatome Segment:_ T8
107
ST21 Notes
None for now
108
ST21 Nearby Points
CV12 - Midway between CV8 and CV16, 4 cun above umbilicus KD19 - 4 cun above CV8, 0.5 cun lateral to AML (CV12)
109
ST22 Guanmen
Pass Gate
110
ST22 Location
On the abdomen, 2 cun lateral to CV11, 3 cun above the umbilicus
111
ST22 Needling
Perpendicular 1-1.5 cun
112
ST22 Caution
Deep needling may penetrate peritoneal cavity
113
ST22 Associations
None
114
ST22 TCM Patterns
Large Intestine Damp Heat Spleen and Stomach Damp Heat
115
ST22 TCM Actions
* Regulates qi and alleviates pain * Regulates intestines and benefits urination
116
ST22 Indications
_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
ST22 Neuranatomy
_Superficial Innervation_: Cutaneous branches of thoracic nerves from T8 _Dermatome Segment_: T8
118
ST22 Notes
Useful for bedwetting with HT 7 and UB 40 or LU 1 and HT 7 (deadman text).
119
ST22 Nearby Points
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
121

Acupuncture Points Comprehensive (24 decks)

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