Hand Jueyin 1-9 Flashcards
PC1 Tian Chi
Heavenly Pool
PC1 Location
1 cun lateral and slightly superior to the nipple in the 4th ICS
PC1 Needling
Transverse-oblique insertion posteriorly along the ICS 0.5 - 1 cun
PC1 Precautions
Pneumothorax with deep needling
PC1 Associations
Window of Sky Point
Entry point from KI22
(Intersection of PC/GB channels)
PC1 TCM Actions
Unbinds the chest, transforms phlegm
Regulates qi and dissipates nodules
Descends rebellion
Benefits breasts
PC1 Indications
Unbinds chest, Transforms phlegm: Cough with copious phlegm, SOB, rattling sound in the chest and throat, fullness of the chest,
Descends rebellion: cough, agitation of the chest and diaphragm, shortness of breath, uprising qi, pain of the lateral costal region.
Regulates qi and dissipates nodules: Swelling and pain of the axilla, scrofula of the neck, breast abscess,
Benefits breasts: breast diseases, insufficient lactation.
Regulates qi, Intersection with GB channel: Headache, blurred vision, inability to raise the four limbs, pain of the arm.
PC1 TCM Patterns
PC1 Neuroanatomy
Superficial Innervation: Lateral cutaneous from T4 or T5
Dermatome Segment: T4, T5
PC1 Nearby Points
SP18 (Tian Xi - Celestial Ravine) 6 cun lateral to the anterior midline in the 4th ICS
ST17 (Ruzhong - Breast Centre) 4 cun lateral to the AML in the 4th ICS (usually over the nipple, reference point only)
KI23 (Shenfeng - Spirit Seal) In the 4th ICS 2 cun lateral to CV17
PC1 Notes
Ling Shu Ch. 52, On the Wei Qi, considers this to be the tip of the hand Jueyin meridian with the root being at Neiguan Pc-6.
PC2 Tian Quan
Heavenly Spring
PC2 Location
On the anterior aspect of the arm, 2 cun distal to the anterior axillary fold, in between the two heads of the biceps brachii muscle
PC2 Needling
Oblique insertion distally or proximally along the line of the channel, 1 - 1.5 cun
PC2 Associations
(Luo Harmonizing Pt - not to be confused with Luo connecting)
PC2 TCM Actions
Unbinds the chest
Invigorates blood
Alleviates pain
PC2 Indications
Unbinds the chest, invigorates blood: palpitations, cough, disorders of the Heart, fullness of the chest and lateral costal region, stone oedema.
Alleviates pain: angina, shoulder pain (pain of chest, back, shoulder, scapula, arm)
Invigorates blood: Aversion to wind and cold, blurred vision
PC2 TCM Patterns
PC2 Neuroanatomy
Superficial Innervation: Lower lateral cutaneous nerve of the arm (C8, T1)
Dermatome Segment: C6, T1 on ventral axial line
PC2 Nearby points
LU3 (Tian Fu - Celestial Storehouse) Window of Sky Pt 3 cun below the axillary fold on the radial side of the biceps brachii tendon
LU4 (Xia Bai - Guarding White) 1 cun below LU3 on the radial side of the biceps brachii muscle, on a line connecting LU3 and LU5
PC2 Notes
Biceps trigger points are located distally and on either side of the pericardium channel in the middle of the heads of the biceps brachii channel (Travell & Simons, 1998, Trigger Point Manual)
At the end of a Percardium Luo treatment this point is needled, deqi grasped and removed immediately to normalize the circulation of blood (Cecil-Sterman, 2012, Advanced Acupuncture).
PC3 Quze
Marsh at the Crook
PC3 Location
On the transverse cubital crease on the ulnar side of the biceps brachii tendon.
PC3 Needling
Perpendicular insertion 0.5 - 1 cun or prick to bleed.
PC3 Caution
Brachial artery and veins lie deeply, just medial to this point
PC3 Associations
He Sea
Water Pt
PC3 TCM Actions
Clears Heat from the qi, nutritive and blood levels
Harmonizes the ST and intestines, stops vomiting
Activates channel and alleviates pain
PC3 Indications
Clears heat from the qi, nutritive and blood levels
Clears Ying Stage Heat - summer-heat stroke, other heat disease.
Chronic angina - palpitations, anxiety, panic attacks, sensation of “pounding” heart particularly in the upper abdominal area.
Harmonizes the ST/intestines and stops vomiting: Gastrointestinal disorders, “sudden turmoil disease” - vomiting and diarrhea.
Activates channel and alleviates pain: Tremors of the hand a/or arm, Parkinson’s disease - localized pain in the elbow and arm.
PC3 TCM Patterns
PC3 Neuroanatomy
Superficial Innervation: Border of lateral and medial cutaneous nerves of the forearm (C5 - C6 and C8 - T1)
Dermatome Segment: C6, T1 on ventral axial line
Deeper Structures: Median nerve from C5 - T1
PC3 Nearby Points
LU5 - On the tranverse cubital crease immediately lateral (radial) to the biceps brachii tendon
HT3 - With the elbow flexed, halfway between the ulnar side of the biceps brachii tendon (PC3) on the cubital crease and the medial epicondyle of the humerus (at the medial end of the transverse cubital crease when the elbow is fully flexed)
PC4 Ximen
Xi Cleft Gate
PC4 Location
On the flexor aspect of the forearm, 5 cun proximal to PC7 on a line connecting PC7 and PC3, between the tendons of palmaris longus and flexor carpi radialis
PC4 Needling
Perpendicular insertion 0.5 - 1 cun or oblique proximal insertion 0.5 - 1.5 cun
PC4 Associations
Xi Cleft Pt
PC4 TCM Actions
Cools blood and stops bleeding
Invigorates blood and dispels stasis
Moderates acute conditions
Calms the spirit
PC4 Indications
Cools blood and stops bleeding: Acute heat in the Blood, coughing or vomiting of Blood (hematemesis, hemoptysis), bleeding hemorrhoids, nosebleed
Invigorates blood and dispels stasis: Chronic hemorrhoid, furuncle
Moderates acute conditions: Cardiac pain (angina), acute palpitations, epilepsy
Calms the Spirit: Spirit disorders typically due to Blood stasis, yin spirit problems, depression, fear of people, grief, agitation, insomnia
PC4 TCM Patterns
PC4 Neuroanatomy
Superficial Innervation: Border of lateral and medial cutaneous nerves of the forearm (C5 - C6 and C8 - T1)
Dermatome Segment: C6, T1 on ventral axial line
Deeper Structures: Median nerve from C5 - T1
PC4 Nearby Points
LI7 - 5 cun proximal to LI5 on the line connecting LI5 with LI11 (same level as PC4 and both Xi Cleft Pts)
PC4 Notes
A Xi-Cleft point is the site where the Qi of the meridian is deeply converged. Qi and blood are stored deeply at these particular points. If there appear abnormal reactions at X-Cleft points, it shows that the pathogens have entered the deeper parts of Zang-Fu organs. Thus, they are used for acute, painful symptoms, inflammation, protracted diseases of its pertaining meridian and Zang-Fun organ. Also, Xi-Cleft points of the Yin meridians have hemostatic functions.
PC5 Jianshi
Intermediate Messenger
PC5 Location
On the flexor aspect of the forearm, 3 cun proximal to P7 Daling, on the line connecting P7 and P3, between the tendons of palmaris longus and flexor carpi radialis
PC5 Needling
Perpendicular insertion 0.5 - 1 cun or oblique proximal insertion 0.5 - 1.5 cun
PC5 Associations
Jing River
Metal Pt
PC5 TCM Actions
Transforms phlegm
Calms the spirit
Descends rebellious qi and regulates ST
Regulates menstruation
PC5 Indications
Transforms phlegm: Phlegm issues affecting the chest, heart, lungs a/or throat. Wheezing with phlegm that you can feel and hear, combine with CV 22.
Calms spirit: Cardiac pain, palpitation, manic psychosis, insomnia, heat disorders affecting the heart, red tongue tip
Descends rebellious qi and regulates ST: Vomiting, gastric pain, distal point for enlarged thyroid
Regulates menstruation: irregular menstruation, dysmenorrhea, leucorrhea
PC5 Neuroanatomy
Superficial Innervation: Border of lateral and medial cutaneous nerves of forearm (C5 - C6 and C8 - T1)
Dermatome Segment: C6, T1 on ventral axial line
Deeper Structures: Median nerve from C5 - T1
PC5 Notes
PC 5 is one of the more important points to treat Phlegm misting the Heart. Jing-River points are where the qi of the meridian begins to flow more heavily. They are known to treat cough and asthma due to pathogenic cold or heat.
Ling Shu Ch. 44, On the Qi Moving in Accordance with the Norms, indicates that the Jing-River points should be pierced in late summer or when the disease affects the voice. The seasonal aspect should not be interpreted literally as it describes the voice and musical notes as “controlled by late summer”. It also describes the morning, afternoon, evening and night cycle of the day to be like the four seasons of the year although late summer is not included in this comparison but presumably has some correlate (maybe late afternoon).
PC5 Nearby Points
LI6 - 3 cun proximal to LI5 on a line joining LI5 to LI11
PC6 Neiguan
Inner Pass (Inner Gate)
PC6 Location
2 cun proximal to PC7 at the transverse crease of the wrist, on a line joining PC7 and PC3, between the tendons of palmaris longus and flexor carpi radialis
PC6 Needling
Perpendicular insertion 0.5 - 1 cun or through-needled to SJ5 (Cecil in clinic!!)
Oblique proximal insertion 0.5 -1.5 cun for diseases of the chest or oblique distal insertion 0.5 - 1.5 cun for numbness of the fingers
PC6 Associations
Luo Connecting
Command Point of Head, Chest and Epigastrium
Command Pt of Yin Wei Mai (coupled with SP4 of Chong)
PC6 Caution
The median nerve lies directly under this point and needling commonly elicits a tingling sensation. This is an acceptable manifestation of deqi but once elicited further manipulation is inappropriate and may result in damage.
PC6 TCM Actions
- Calms the spirit and regulates heart
- Clears heat
- Harmonizes stomach
- Alleviates nausea and vomiting
- Opens Yin Wei Mai
- Unbinds the chest and regulates qi
PC6 Indications
Calms the spirit: Insomnia a/or other spirit disorders of an excess or deficient nature, mania, nervousness, stress, poor memory, depression
Regulates Heart qi: Similar to PC 3 but more for Chronic Heart symptoms from Qi stagnation.
Unbinds the chest: Opens and relaxes the chest, chest tightness, asthma, cardiac pain (angina), palpitations.
Alleviates nausea and vomiting: Nausea, seasickness, motion sickness, vomiting, epigastric pain, hiccup
Clears heat: Febrile disease, fever with absence of sweating, headache, jaundice, yellow eyes, red eyes, red face with hot skin, malaria, cracked and bleeding tongue
Opens Yin Wei Mai: dizziness, post-partum dizziness, irregular menstruation, painful urinary dysfunction.
Activates channel and alleviates pain: Carpal Tunnel Syndrome, spasm and pain of the upper extremities
PC6 Neuroanatomy
Superficial Innervation: Border of lateral and medial cutaneous nerves of the forearm (C5 - C6 and C8 - T1)
Dermatome Segment: C6, T1 on ventral axial line
Deeper Structures: Median nerve from C5 - T1
PC6 Notes
PC 6 is an extremely popular and useful point. It is very helpful in treating insomnia and calming the Shen. It also is the point to use for nausea and vomiting. Furthermore, it can be used for any condition related to the chest. Luo-Connecting points of one meridian can communicate with two meridians. They treat diseases of the collaterals and can be used to treat chronic diseases, especially chronic diseases of the Zang-Fu organs. Clinically, Luo-Connecting points are often combined with Yuan-Source points in the treatment of diseases.
PC6 Nearby Points
SJ5 - On the extensor aspect of the forearm, 2 cun proximal to SJ4, in the depression between the radius and the ulna, on the radial side of the extensor digitorum communis tendon
HT4 - 1.5 cun proximal to HT7 on a line joining HT7 to HT3
LU7 - 1.5 cun proximal to LI5, in a cleft between the tendons of brachioradialis and abductor pollicis longus
LI6 - 3 cun proximal to LI5 on a line joining LI5 to LI11
PC7 Daling
Great Mound
PC7 Location
On the transverse crease of the wrist, between the tendons of palmaris longus and flexor carpii radialis, level with HT9
PC7 Needling
Perpendicular inseriton 0.3-0.5 cun or oblique distal insertion along the carpal tunnel 0.5 - 1 cun for carpal tunnel syndrome
PC7 Associations
Shu Stream
Earth Pt (Child)
Yuan Source Pt
Ghost Pt
PC7 TCM Actions
Clears heat from the heart and calms the spirit
Harmonizes the stomach and intestines
Clears the nutritive level and cools blood
Unbinds the chest
PC7 Indications
Clears heat from the heart: Clears heat that is affecting the Heart of a deficient or excess nature, combine with HT7 for sweat issues (too much or too little), hot flashes
Calms spirit: Emotional issues, manic psychosis
Clears the nutritive level and cools blood: Clears Ying and Blood heat, fever deep in the body that is drying up fluids.
Unbinds the chest: Cardiac pain, palpitation, pain in the chest and hypochondrium
Harmonizes ST and intestines: Gastric pain, vomiting
Main treatment point of Spleen Sho pattern (with SP 3) - in Japanese style Five Phase treatment protocol.
Pain of the heel
Carpal Tunnel Syndrome, combine with PC 5, PC 6 & SP 9.
PC7 Neuroanatomy
Superficial Innervation: Median nerve from C6 - C8
Dermatome Segment: C6, C7
Deeper Structures: Carpal tunnel where median nerve from C5 - T1 passes into hand
PC7 Notes
Tinel’s sign: light percussion over the median nerve along the channel near this point will elicit a tingling or pins and needles feeling in the thumb, index and middle finger in cases of carpal tunnel syndrome.
Phalen’s manoeuver: holding the wrists in complete and forced flexion (pushing the dorsal surfaces of the wrist together) for 30 - 60 seconds can induce burning, tingling or numb sensations in cases of carpal tunnel syndrome.
PC7 Nearby Points
HT9 - At the wrist joint, on the radial side of flexor carpi ulnaris, in a depression just proximal to the pisiform bone
LU9 - At the wrist joint, in the depression between the radial artery and tendon of abductor pollicis longus
PC8 Laogong
or Guicu
Palace of Toil
(Ghost Cave)
PC8 Location
Between the second and third metacarpal bones, proximal to the metacarpophalangeal joint, in a depression at the radial side of the third metacarpal bone
PC8 Needling
Perpendicular insertion 0.5 cun
PC8 Associations
Ying Spring
Fire Point (Horary)
Ghost Pt (Third Trinity)
Exit Pt to SJ1
PC8 TCM Actions
Clears heat from the heart and calms spirit
Clears heat from the PC and revives consciousness
Clears heat from the MJ and harmonizes the ST
Clears the nutritive level and cools blood
PC8 Indications
Clears heat from the heart and calms spirit: cardiac pain (angina), restless zang, mental health, manic, depressive, ceaseless laughter
Clears heat from the PC and revives consciousness: coma, windstroke, hypertension, excess heat conditions, more cooling than PC 7 which can be used for heat from an excess or deficient issue.
Clears heat from the MJ and harmonizes ST: Heat in the mouth, mouth or tongue ulcers, halitosis, difficult ingestion, hypogastric masses, cold sores from Heart or Stomach Fire, vomiting
Clears nutritive level and cools blood: Cools Ying and Blood stage heat, fevers with damage to the yin, cools the Blood, blood in the stool or urine, nosebleeds.
Tremor of hand, eczema or tinea (fungal infection) of the hand, heat in palm of hands
Tong Ren/Tam Healing System: Important point for qi gong healing, can increase internal energy by placing PC 8 on GV 20.
PC8 Neuroanatomy
Superficial Innervation: Median nerve branches to fingers from C6 - C8 and ulnar nerve (communicating to median branch) from C8 - T1
Dermatome Segment: C7
PC8 Notes
Ling Shu Ch. 6 suggests piercing the Ying points (and Shu points according to Unschuld, 2016, but not according to Wu & Wu, 201) of the Yin channels if a disease is in the Yin of the Yin realm (e.g. the Zang organs) suggesting this point (and Daling Pc-7) in diseases of the Heart. The Heart had no channel in Ling Shu, if disease had reached that far death was considered immanent.
Ling Shu Ch. 9, On Ends and Beginnings, advises that in the case of Heat associated with receding Yin Qi the Yang conduit should be pierced once and the Yin conduits twice. Based on other recommendation to use the He-Sea of the Yang conduits (Ch. 19) and the Yuan-Source with the Ying-Spring points (Chs. 6, 19 and 24) to clear Heat from the Zangfu, that would suggest this point, Daling Pc-7 and Tianjing SJ-10 as a protocol to clear Heat in the Pericardium/San Jiao. Next it advises that in Cold associated with receding Yang Qi the Yang should be pierced twice and the Yin once but no such obvious protocol is evident for this situation. Another interpretation that would match with common practice today, based on the idea of odd numbers being Yang/moving/clearing while even numbers are Yin/tonifying/reinforcing, is that the points on the channel to be cleared are pierced on one side only while those on the channel to be tonified are pierced bilaterally.
PC8 Nearby Pts
H8 - On the palm, in the depression between the 4th and 5th metacarpal bones, where the tip of the little finger rests when a fist is made
LU10 - On the thenar eminence, in a depression between the midpoint of the first metacarpal bone and the thenar muscles
PC9 Zhong Chong
Middle Rushing
or
Central Hub
PC9 Location
In the centre of the tip of the middle finger. Alternatively this point is sometimes located on the radial side of the middle finger, at the intersection of lines drawn along the radial border and base of the nail, approx. 0.1 cun from the corner of the nail
PC9 Needling
Perpendicular or oblique insertion 0.1 - 0.2 cun or prick to bleed
PC9 Associations
Jing River
Wood Pt (Parent)
PC9 TCM Actions
Clears heat from the PC and revives consciousness
Clears heat from the heart
Benefits tongue
Clear summer heat
PC9 Indications
Clears heat from the Heart: Jing Well Point for clearing heat in the Heart, cardiac pain, irritability
Benefits tongue: Stiff tongue, speech disorders, especially those arising after a stroke.
Revives consciousness: Restoring consciousness, coma
Clears summer heat: heat stroke
PC9 Neuroanatomy
Superficial Innervation: Median nerve branches to fingers from C6 - C8
Dermatome Segment: C7
PC9 Notes
Jing-Well points are where the qi bubbles up. Jing-Well points are indicated to revive consciousness. Jing-Well points are known to treat fullness below the Heart and clear Heat.
One of the Shixuan points which are usually pricked to bleed for acute conditions such as loss of consciousness.
In five element acupuncture this point is reinforced to tonify Heart deficiencies.
Ling Shu Ch. 19, on the Four Seasonal Qi, advises opening the Jing-Well and Ying-Spring openings in winter, piercing deeply and retaining the needle for a while.
Ling Shu Ch. 24, On Counterflow Diseases, advises using this point on the opposite side for sounds in the ears. It then advises using the equivalent points on the feet.
PC9 Nearby Points
LI1 - On the dorsal aspect of the 2nd digit, at the intersection of lines drawn along the base and the radial side of the nail, approx. 0.1 cun from the corner of the nail bed
SJ1 - On the dorsal aspect of the 4th digit, at the intersection of lines drawn along the base and the ulnar side of the nail, approx. 0.1 cun from the corner of the nail bed
PC9 TCM Patterns
PC5 TCM Patterns
PC6 TCM Patterns
PC7 TCM Patterns
PC8 TCM Patterns
