Hand Shaoyang 1-11 Flashcards
TB1 Guan Chong
Passage Hub
TB1 Location
On the dorsal aspect of the 4th digit, at the junction of lines drawn along the the ulnar border and base of the nail, approx. 0.1 cun from the corner of the nail.
TB1 Needling
Perpendicular or oblique insertion directed proximally 0.1 - 0.2 cun or prick to bleed
TB1 Associations
Entry point from PC8
Jing Well
Metal Pt
TB1 TCM Actions
Clears upper jiao heat
Benefits ears and tongue
Activates channel and alleviates pain
TB1 Indications
*Similar properties to TB3 which is used more clinically.
Clears heat from the upper jiao: Sore throat, dryness of mouth, redness of eyes, febrile disease, loss of consciousness, dark complexion, sudden turmoil disorder, vomiting of sour fluid, no pleasure in eating.
Benefits ears and tongue: Deafness, earache, Ear Problems of any etiology such as excess tinnitus, especially those arising from a LV issue such as LV Qi Stagnation or LV Yin Deficiency. Pain at root of tongue, cracked tongue
Activates channel and alleviates pain: Distal point for temporal headaches, shoulder a/or upper back pain, difficulty turning head, pain a/or inflammation in the throat.
TB1 Neuroanatomy
Superficial Innervation: Ulnar nerve (digital branch) from C8 and T1
Dermatome Segment: C7
TB1 Notes
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.
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. 23, On Heat Diseases, recommends using this point in the case of throat-blockage with curled tongue, dry mouth, vexed and painful heart and inside of the arms with an inability to lift the head (Unschuld, 2016), or lift the arm to the level of the head (Wu & Wu, 2010).
Ling Shu Ch. 24, On Counterflow Diseases, advises using this point in cases of deafness, followed by the equivalent point on the feet Zuqiaoyin GB-44. On the basis of the next line it may be advisable to treat the opposite side to the afflicted ear.
TB1 TCM Patterns
TB1 Nearby Points
PC9 - In the centre of the tip of the middle finger. Alt: On the dorsal aspect of the 3rd digit, at the junction of lines drawn along the base of the nail and the radial side of the nail, approx. 0.1 cun from the corner of the nail.
SI1 - On the dorsal aspect of the little finger (5th digit), at the junction of lines drawn along the base and the ulnar side of the nail, approx. 0.1 cun from the corner of the nail.
Shixuan - On the tip of each finger.
TB2 Yemen
Fluid Gate
TB2 Location
Between the little and ring fingers, 0.5 cun proximal to the margin of the web
TB2 Needling
0.3 - 0.5 cun perpendicular
TB2 Associations
Ying Spring
Water Point
TB2 TCM Actions
Disperse upper jiao heat
Benefits ears
Calms the spirt
Activates channel and alleviates pain
TB2 TCM Indications
Clears heat from upper jiao - malaria, sore throat, headache, redness of the eye, dry eyes, swelling and pain of throat, toothache, bleeding gums, fever with absence of sweating
Benefits ears: Deafness, sudden deafness, tinnitus, earache
Calms the spirit: Fright palpitations, raving, mania, epilepsy, shortness of breath.
Activates channel and alleviates pain: Pain of the arm, inability to raise the arm due to pain, redness and swelling of the back of the hand, contraction of the five fingers, weakness of the wrist, neck pain.
TB2 Neuroanatomy
Superficial Innervation: Ulnar nerve from C8 and T1
Dermatome Segment: C7, C8
TB2 Notes
Ling Shu Ch. 52, On the Wei Qi, considers this to be the root of the hand Shaoyang meridian with the tip being at Jiaosun SJ-20 or Sizhukong SJ-23.
Ying-Spring points are where the qi dribbles down the meridian. Ying-Spring points are indicated for heat in the body and changes in the complexion. Ying-Spring points are known to clear heat from the meridian.
TB2 Nearby Points
SI2 - When a loose fist is made, at the ulnar end of the crease, distal to the 5th metacarpophalangeal joint at the junction of the red and white skin.
LI2 - On the radial border of the index finger, in a depression just distal to the metacarpophalangeal joint
EX-UE-9 Baxie - 6/8 lie in the depressions between the metacarpal heads, proximal to the web margins. The remaining two lie equidistant between the thumb and index metacarpals, proximal to the web margins.
EX-UE-8 Luozhen (fell off pillow) - On the dorsum of the hand, in the depression just proximal to the heads of the second and third metacarpophalangeal joints
TB2 TCM Patterns
?
TB3 Zhongzhu
Central Islet
TB3 Location
On the dorsum of the hand, in a depression just proximal to the 4th metacarpophalangeal joint, between the 4th and 5th metacarpal bones. Locate with the hand resting in a loose fist.
TB3 Needling
Perpendicular or oblique insertion directed proximally
0.5 - 1 cun
TB3 Associations
Shu Stream
Wood Point (Parent)
(Trigger Pt)
TB3 TCM Actions
Clears Heat
Benefits the ears
Clears the head and eyes
Activates the channel and alleviates pain
TB3 Indications
Benefits ears: Ear Problems of any etiology such as excess tinnitus, especially those arising from a LV issue such as LV Qi Stagnation or LV Yin Deficiency.
*Great distal point for temporal headaches, shoulder a/or upper back pain, pain a/or inflammation in the throat.
Clears head and eyes: one-sided headache, pain of the temples, dizziness, redness and pain of the eyes, superficial visual obstruction, eye diseases with GB37
Clears heat: Itching of the body and face, red face, red face with absence of sweating, chills and fever, aversion to wind and cold, throat painful obstruction
Activates channel and alleviates pain: Inability to flex and extend the fingers, redness, swelling and pain of the elbow and upper arm extending into the shoulder, numbness of the four limbs, pain of the spine at the level of the Heart.
TB3 Neuroanatomy
Superficial Innervation: Ulnar nerve from C8 and T1
Dermatome Segment: C7, C8
TB3 Trigger Point
Trigger Point Associations:
Muscle: Fourth dorsal interosseous
Myotome Innervation: Deep branch of the ulnar nerve (C8–T1)
Location Notes: Together with ulnar Yaotongxue. Trigger points for the other interossei may be found anywhere between the metacarpals
Pain Referral Pattern: To side of affected finger
Indications: Arthritic pain in the fingers ; Heberden’s nodes
TB3 TCM Patterns
?
TB3 Notes
Shu-Stream points are where the qi starts to pour down the meridian. They are known to alleviate heaviness and pain in the joint
TB3 Nearby Points
SI3 - On the ulnar border of the hand, in the substantial depression proximal to the head of the 5th metacarpal
EX-UE-9 Baxie - 6/8 lie in the depressions between the metacarpal heads, proximal to the web margins. The remaining two lie equidistant between the thumb and index metacarpals, proximal to the web margins.
EX-UE-8 Luozhen (fell off pillow) - On the dorsum of the hand, in the depression just proximal to the heads of the second and third metacarpophalangeal joints
TB4 Yangchi
Yang Pool
TB4 Location
On the transverse crease of the dorsum of the wrist, in the depression on the ulnar side of the tendon of extensor digitorum communis, between that and extensor digiti minimi
TB4 Needling
Slightly oblique proximal insertion 0.3 - 0.5 cun or transverse insertion toward the radial side of the wrist beneath the tendons 0.5 - 1.0 cun
TB4 Associations
Yuan source pt
TB4 TCM Actions
Relaxes sinews and alleviates pain
Clears heat
TB4 Indications
Relaxes sinews and alleviates pain: Dorsal wrist issues such as strains, sprains or subluxations.
Clears heat: Febrile disease with absence of sweating, wasting & thirsting disorder, regulates water metabolism, diabetes, alleviates dry mouth a/or thirst
Moxa to tonify the Yang of the body
TB4 TCM Patterns
?
TB4 Notes
Clinically, Yuan-Source points are of great significance in treating diseases of the internal organs. Yuan-Source points are the sites where the Yuan (Primary) qi of the Zang-Fu organs passes and stays. Puncturing the Yuan-Source points stimulates the vital energy of the regular meridians, regulates the functional activities of the internal organs, reinforces antipathogenic factors and eliminates pathogenic factors. This method of treating diseases deals principally with the root causes. The Yuan (source) point from the affected meridian is often combined with the Luo (Connecting) point of the internally-externally related meridians in use.
Moxa at this point moves yuan qi through the spine, opening the entire Triple Heater mechanism to remove blocks in the channels that prevent back shu and source points points working (Yuen, 2005, The Extraordinary Vessels). Also see Zusanli St-36 and Quchi LI-11 for a similar application when the channels stop working from exhaustion.
When combined with Waiguan SJ-5 and Yingu Kid-10 this point relates to the Sixth Level of Manifestation of the Soul or the Ajna chakra concerned with the Will to Create endless possibilities. This point pools the Yang, Yingu Kid-10 pools the Yin and Waiguan SJ-5 emanates the resulting mixture outwards via the Yang wei mai and the San jiao as an irrigation system.
This stage also relates to the formation of the spiritual embryo and attainment of immortality in meditation practice (Yuen, 2005, 3 Spirits & 7 Souls)
TB4 Nearby Points
SI4 - On the ulnar border of the hand, in a depression between the base of the fifth metacarpal and the triquetral bone
SI5 - On the ulnar border of the hand, in a depression between the head of the ulna and the triquetral bone
EX-UE-7 Yaotongxue - Two points on the dorsum of the hand between the 2nd and 3rd and 4th and 5th metacarpal bone, in the depressions just distal to the bases of the metacarpals
TB5 Waiguan
Outer Pass
TB5 Location
On the extensor aspect of the forearm, 2 cun proximal to SJ4 (transverse crease of wrist), in the depression between the radius and ulna, on the radial side of the extensor digitorum communis tendons
TB5 Needling
Slightly oblique insertion toward the ulnar side or oblique proximal insertion proximal or distal 0.5 - 1.5 cun or through-needled to PC6
TB5 Caution
Movement of the patient’s arm or hand after needling can result in a bent needle
TB5 Associations
Luo Connecting
Confluent of Yang Wei Mai coupled with GB41 (Dai Mai)
TB5 TCM Actions
- Activates channel and alleviates pain
- Benefits the head and ears
- Clears heat
- Expels wind and releases exterior
- Open Yang Wei Mai
TB5 Indications
Expels wind and releases exterior: Beginning exterior conditions, tonify for wind-cold, cold-damp & sedate for wind-heat, fever.
Benefits head: Headache from exterior wind as well as migraines and headaches in any area especially with stiffness or pain in the posterior and lateral aspects of the neck.
Activates channel and alleviates pain: Upper limb disorders including the elbow, forearm, wrist and hand.
Clears heat from head: Bitter taste. Blurred vision. Tinnitus. Deafness. Pruritus, redness, swelling and pain in the ear. Otitis. Redness, pain and swelling of the eyes. Stiffness of the tongue. Chapped lips. Nosebleed. Unilateral headache.
Expels wind, clears heat: Shaoyang stage diseases - alternating fever and chills, etc.
Opens Yang Wei Mai: Luo connecting point of the TH connects to the PC, TH 5 & PC 6 as master points of the Yang Wei and Yin Wei respectively can effect the balance of yin and yang in the body. If right pulse is stronger than the left (more Qi than Blood) disperse TH 5 & tonify PC 6 and vice versa
Febrile disease, headache, redness, swelling and pain of the eye
Tinnitus, deafness
Pain in the hypochondrium, spasm and pain of the upper extremities
TB5 TCM Patterns
TB5 Neuroanatomy
Superficial Innervation: Posterior cutaneous nerve of the forearm from C5 - C8
Dermatome Segment: C6, C7
TB5 Nearby Points
PC6 Neiguan - 2 cun above the wrist crease in a depression between palmaris longus and and flexor carpi radialis
TB6 Zhigou
Branch Ditch
TB6 Location
3 cun above the wrist crease, in a depression between the radius and ulna, on the radial side of extensor digitorum communis, on a line joining TB4 and tip of olecranon
TB6 Needling
Slightly oblique insertion toward the ulnar side or oblique proximal or distal insertion 0.5-1.5 cun
TB6 Caution
Movement of the patient’s hand or arm after needling this point can result in a bent needle
TB6 Associations
Jing River
Fire point
Horary of TB
TB6 TCM Actions
- Activates channel and alleviates pain
- Benefits the voice and chest
- Clears heat in the three jiao
- Moves stool
- Regulates qi
TCM Indications
Activates channel and alleviates pain: Bi syndrome in channel. Pain in armpit, shoulder, hand. Pain on the side of back, abdomen and chest.
Benefits voice and chest: Sudden loss of voice. Tightness in chest.
Clears heat from three jiao: Redness and warmth in face. Fever. Red eyes and swollen throat. Rashes. Wind heat. Acne. Furuncle.
Moves stool: Constipation.
Regulates qi: Numbness of hand
TB6 TCM Patterns
TB6 Neuroanatomy
Superficial Innervation: Posterior cutaneous nerve of the forearm from C5 - C8
Dermatome Segment: C6, C7
TB6 Nearby Points
LI6 Pianli (Slanting Passage) - 3 cun above wrist crease on a line joining LI5 and LI11
PC5 Jianshi (Intermediary) - 3 cun above the wrist crease (flexor aspect) in between the tendons of palmaris longus and flexor carpi radialis
TB7 Huizong
Ancestral Meeting
or
Convergence and Gathering
TB7 Location
3 cun proximal to TB4, level with and on the ulnar side of TB6, in a depression between the ulna and extensor digitorum communis
Level with and one finger width to the ulnar side of TB6 on the radial border of the ulna
TB7 Needling
Slightly oblique insertion toward ulnar side or oblique proximal or distal insertion 0.5-1.5 cun
TB7 Associations
Xi Cleft Point
TB7 TCM Actions
- Benefits ears
- Clears San jiao channel
TB7 Indications
Benefits ears: Deafness, tinnitus
Clears SJ channel: Pain in fingers, arm, elbow, shoulder, ears including pain of the skin
TB7 TCM Patterns
TB7 Neuroanatomy
Superficial Innervation: Posterior cutaneous nerve of the forearm from C5 - C8
Dermatome Segment: C7, C8
TB7 Nearby Points
LI6 Pianli (Separating Pathway) - 3 cun proximal to LI5 on a line connecting LI5 and LI11
PC5 Jianshi (Intermediary) - 3 cun proximal to the wrist crease
TB8 Sanyangluo
Three Yang Connection
TB8 Location
4 cun proximal to TB4 (wrist crease) between the radius and ulna
TB8 Needling
Slightly oblique insertion toward the ulnar side or proximal or distal oblique insertion 0.5-1.5 cun
NOTE: According to Steve Woodley: Systematic Classic of Acupuncture and Moxibustion and The Illustrated Classic of Acupuncture Points on the Bronze Man this point is contraindicated to needling.
TB8 Associations
None
TB8 TCM Actions
- Activates channel and alleviates pain
- Clears Sanjiao channel
TB8 Indications
Activates channel and alleviates pain: Pain along channel
Clears San jiao channel: Aphasia. Loss of hearing. Loss of voice (acute or chronic). Combine with HT 5 & CV 23.
TB8 TCM Patterns
TB8 Neuroanatomy
Superficial Innervation: Posterior cutaneous nerve of the forearm from C5 - C8
Dermatome Segment: C6, C7
TB8 Nearby Points
None level with this horizontal circumference of the arm (4 cun proximal to wrist crease)
TB9 Sidu
Four Rivers
TB9 Location
7 cun proximal to TB4 (5 cun distal to olecranon) between the radius and ulna on the ulnar side of the forearm
TB9 Needling
Perpendicular; Oblique proximal or distal; 1 - 2 cun
TB9 Associations
None
TB9 TCM Actions
- Benefits throat and ears
TB9 Indications
Benefits throat and ears: Loss of hearing. Loss of voice. Sore throat. Sore ears.
TB9 TCM Patterns
TB9 Neuroanatomy
Superficial Innervation: Posterior cutaneous nerve of the forearm (C5 - C8)
Dermatome Segment: C6, C7
Deeper Structures: Radial nerve (C6 - C8)
TB9 Trigger Point
Muscle: Extensor carpi radialis brevis
Myotome Innervation: Deep branch of radial nerve (C5 - T1)
Location Notes: A similar point on the ulnar side of the bone relates to extensor carpi ulnaris
Pain Referral Pattern: Along radial aspect of the forearm to the dorsal aspect of the hand and lateral aspect of the elbow
Indications: Extensor tendonitis of the forearm ; Tennis elbow pain
TB9 Nearby Points
LU6 Kongzui (Biggest Hole) - 7 cun above the wrist crease
TB10 Tianjing
Celestial Well
TB10 Location
1 cun proximal (superior) to the olecranon process in a depression when the elbow is flexed
TB10 Needling
Perpendicular 0.5-1 cun
TB10 Associations
He Sea
Earth Point
Child of Sanjiao Channel (Sedation)
TB10 TCM Actions
- Activates channel and alleviates pain
- Calms spirit
- Clears heat from Sanjiao channel
- Regulates qi and descends rebellion
- Transforms phlegm and dissipates nodules
TB10 Indications
Activates channel and alleviates pain: Elbow pain. Tendonitis. Pain in chest, back and side. One sided headache, migraines (TB5 for any headache)
Calms spirit: Manic behaviour. Sadness. Fear. Palpitation. Depression. Mood swings.
Clears heat from Sanjiao channel: Sore throat. Redness and pain of eyes.
Regulates qi and descends rebellion One sided headache
Transforms phlegm and dissipates nodules: Coughing up mucus. Epilepsy. Lymph swellings. Thyroid disorders. Tonsillitis.
TB10 TCM Patterns
TB10 Neuroanatomy
Superficial Innervation: Medial cutaneous nerve of the arm (C8 - T1)
Dermatome Segment: C5
TB10 Nearby Points
LI12 Zhouliao (Elbow Bone Hole) - When the elbow is flexed this point is located one cun proximal and one cun lateral to LI11
SI8 Xiaohai (SI Sea) - Between the olecranon process of the ulna and the medial epicondyle of the humerus, found when the elbow is flexed.
TB11 Qinglengyuan
Clear Cold Abyss
TB11 Location
1 cun above TB10 (2 cun above tip of olecranon) with the elbow flexed
TB11 Needling
Perpendicular insertion 0.5-1 cun
TB11 Associations
None
TB11 TCM Actions
- Activate channel and alleviate pain
- Clear damp heat
TB11 Indications
- Activate channel and alleviate pain: Arm pain. Eye pain. Headache.
- Clear damp heat: Jaundice.
TB11 TCM Patterns
TB11 Neuroanatomy
Superficial Innervation: Medial cutaneous nerve of the arm (C8 - T1)
Dermatome Segment: C6
TB11 Trigger Point
Muscle: Triceps brachii attachment point
Myotome Innervation: Radial nerve (C5 - T1) with long head innervated by axillary nerve (C5 - C6)
Pain Referral Pattern: To elbow
Indications: Pain in posterior shoulder and upper arm
TB11 Nearby Points
No points on the same horizontal circumference (2 cun above olecranon)
LI13 Shouwuli (Arm Five Mile) - 3 cun above LI11 (elbow crease)
HE2 Qingling (Cyan Spirit) - 3 cun above the antecubital crease on the edge of the biceps brachii
