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Hand Shaoyang 1-11 Flashcards

1
Q

TB1 Guan Chong

A

Passage Hub

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2
Q

TB1 Location

A

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.

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3
Q

TB1 Needling

A

Perpendicular or oblique insertion directed proximally 0.1 - 0.2 cun or prick to bleed

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4
Q

TB1 Associations

A

Entry point from PC8

Jing Well

Metal Pt

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5
Q

TB1 TCM Actions

A

Clears upper jiao heat

Benefits ears and tongue

Activates channel and alleviates pain

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6
Q

TB1 Indications

A

*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.

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7
Q

TB1 Neuroanatomy

A

Superficial Innervation: Ulnar nerve (digital branch) from C8 and T1
Dermatome Segment: C7

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8
Q

TB1 Notes

A

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.

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9
Q

TB1 TCM Patterns

A
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10
Q

TB1 Nearby Points

A

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.

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11
Q

TB2 Yemen

A

Fluid Gate

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12
Q

TB2 Location

A

Between the little and ring fingers, 0.5 cun proximal to the margin of the web

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13
Q

TB2 Needling

A

0.3 - 0.5 cun perpendicular

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14
Q

TB2 Associations

A

Ying Spring

Water Point

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15
Q

TB2 TCM Actions

A

Disperse upper jiao heat

Benefits ears

Calms the spirt

Activates channel and alleviates pain

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16
Q

TB2 TCM Indications

A

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.

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17
Q

TB2 Neuroanatomy

A

Superficial Innervation: Ulnar nerve from C8 and T1

Dermatome Segment: C7, C8

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18
Q

TB2 Notes

A

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.

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19
Q

TB2 Nearby Points

A

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

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20
Q

TB2 TCM Patterns

A

?

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21
Q

TB3 Zhongzhu

A

Central Islet

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22
Q

TB3 Location

A

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.

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23
Q

TB3 Needling

A

Perpendicular or oblique insertion directed proximally

0.5 - 1 cun

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24
Q

TB3 Associations

A

Shu Stream

Wood Point (Parent)

(Trigger Pt)

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25
TB3 TCM Actions
Clears Heat Benefits the ears Clears the head and eyes Activates the channel and alleviates pain
26
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.
27
TB3 Neuroanatomy
_Superficial Innervation_: Ulnar nerve from C8 and T1 _Dermatome Segment_: C7, C8
28
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
29
TB3 TCM Patterns
?
30
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
31
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
32
TB4 Yangchi
Yang Pool
33
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
34
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
35
TB4 Associations
Yuan source pt
36
TB4 TCM Actions
Relaxes sinews and alleviates pain Clears heat
37
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
38
TB4 TCM Patterns
?
39
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)
40
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
41
TB5 Waiguan
Outer Pass
42
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
43
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
44
TB5 Caution
Movement of the patient's arm or hand after needling can result in a bent needle
45
TB5 Associations
Luo Connecting Confluent of Yang Wei Mai coupled with GB41 (Dai Mai)
46
TB5 TCM Actions
1. Activates channel and alleviates pain 2. Benefits the head and ears 3. Clears heat 4. Expels wind and releases exterior 5. Open Yang Wei Mai
47
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
48
TB5 TCM Patterns
49
TB5 Neuroanatomy
_Superficial Innervation:_ Posterior cutaneous nerve of the forearm from C5 - C8 _Dermatome Segment_: C6, C7
50
TB5 Nearby Points
PC6 Neiguan - 2 cun above the wrist crease in a depression between palmaris longus and and flexor carpi radialis
51
TB6 Zhigou
Branch Ditch
52
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
53
TB6 Needling
Slightly oblique insertion toward the ulnar side or oblique proximal or distal insertion 0.5-1.5 cun
54
TB6 Caution
Movement of the patient's hand or arm after needling this point can result in a bent needle
55
TB6 Associations
Jing River Fire point Horary of TB
56
TB6 TCM Actions
1. Activates channel and alleviates pain 2. Benefits the voice and chest 3. Clears heat in the three jiao 4. Moves stool 5. Regulates qi
57
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
58
TB6 TCM Patterns
59
TB6 Neuroanatomy
_Superficial Innervation_: Posterior cutaneous nerve of the forearm from C5 - C8 _Dermatome Segment_: C6, C7
60
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
61
TB7 Huizong
Ancestral Meeting or Convergence and Gathering
62
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
63
TB7 Needling
Slightly oblique insertion toward ulnar side or oblique proximal or distal insertion 0.5-1.5 cun
64
TB7 Associations
Xi Cleft Point
65
TB7 TCM Actions
1. Benefits ears 2. Clears San jiao channel
66
TB7 Indications
_Benefits ears_: Deafness, tinnitus _Clears SJ channel:_ Pain in fingers, arm, elbow, shoulder, ears including pain of the skin
67
TB7 TCM Patterns
68
TB7 Neuroanatomy
_Superficial Innervation_: Posterior cutaneous nerve of the forearm from C5 - C8 _Dermatome Segment_: C7, C8
69
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
70
TB8 Sanyangluo
Three Yang Connection
71
TB8 Location
4 cun proximal to TB4 (wrist crease) between the radius and ulna
72
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.
73
TB8 Associations
None
74
TB8 TCM Actions
1. Activates channel and alleviates pain 2. Clears Sanjiao channel
75
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.
76
TB8 TCM Patterns
77
TB8 Neuroanatomy
_Superficial Innervation_: Posterior cutaneous nerve of the forearm from C5 - C8 _Dermatome Segment_: C6, C7
78
TB8 Nearby Points
None level with this horizontal circumference of the arm (4 cun proximal to wrist crease)
79
TB9 Sidu
Four Rivers
80
TB9 Location
7 cun proximal to TB4 (5 cun distal to olecranon) between the radius and ulna on the ulnar side of the forearm
81
TB9 Needling
Perpendicular; Oblique proximal or distal; 1 - 2 cun
82
TB9 Associations
None
83
TB9 TCM Actions
1. Benefits throat and ears
84
TB9 Indications
_Benefits throat and ears:_ Loss of hearing. Loss of voice. Sore throat. Sore ears.
85
TB9 TCM Patterns
86
TB9 Neuroanatomy
_Superficial Innervation:_ Posterior cutaneous nerve of the forearm (C5 - C8) _Dermatome Segment:_ C6, C7 _Deeper Structures_: Radial nerve (C6 - C8)
87
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
88
TB9 Nearby Points
LU6 Kongzui (Biggest Hole) - 7 cun above the wrist crease
89
TB10 Tianjing
Celestial Well
90
TB10 Location
1 cun proximal (superior) to the olecranon process in a depression when the elbow is flexed
91
TB10 Needling
Perpendicular 0.5-1 cun
92
TB10 Associations
He Sea Earth Point Child of Sanjiao Channel (Sedation)
93
TB10 TCM Actions
1. Activates channel and alleviates pain 2. Calms spirit 3. Clears heat from Sanjiao channel 4. Regulates qi and descends rebellion 5. Transforms phlegm and dissipates nodules
94
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.
95
TB10 TCM Patterns
96
TB10 Neuroanatomy
_Superficial Innervation:_ Medial cutaneous nerve of the arm (C8 - T1) _Dermatome Segment_: C5
97
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.
98
TB11 Qinglengyuan
Clear Cold Abyss
99
TB11 Location
1 cun above TB10 (2 cun above tip of olecranon) with the elbow flexed
100
TB11 Needling
Perpendicular insertion 0.5-1 cun
101
TB11 Associations
None
102
TB11 TCM Actions
1. Activate channel and alleviate pain 2. Clear damp heat
103
TB11 Indications
1. Activate channel and alleviate pain: Arm pain. Eye pain. Headache. 2. Clear damp heat: Jaundice.
104
TB11 TCM Patterns
105
TB11 Neuroanatomy
_Superficial Innervation:_ Medial cutaneous nerve of the arm (C8 - T1) _Dermatome Segment_: C6
106
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
107
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
108

Acupuncture Points Comprehensive (24 decks)

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