Hand Shaoyin Flashcards
HE1 Jiquan
Summit Spring
HE1 Location
In a depression at the centre of the axilla, on the radial side of the axillary artery
HE1 Needling
Perpendicular insertion in the direction of GB21, 0.5 - 1 cun avoiding the axillary artery
HE1 Caution
Medial insertion toward the chest may puncture the lung. Incorrect insertion may puncture the axillary artery.
HE1 Associations
Entry point from SP21
(Opening of Heart Divergent Channel)
HE1 Indications
Conditions / Symptoms:
Shoulder Pain
Heart Disease/(Heart pain with retching, agitation and fullness)
Agitation with thirst and dry throat
Palpitations
Elbow and Arm - inversion counterflow, pain, cold
Loss of use of limbs
Yellow eyes
Sadness/Anxiety
Adhesive Capsulitis (Frozen Shoulder)
Cardiac/chest Pain
Regulate Qi flow from the torso to the arm and vice versa - cold, numbness, pain in shoulder a/or arm.
Pain in the cardiac region - heart pain, chest pain, shortness of breath, anxiety, palpitations.
Frozen shoulder.
Pain a/or distention of the upper thoracic area.
HE1 TCM Actions
Regulates qi and unbinds the chest
Activates channel and benefits arm
HE1 TCM Patterns
Heart Blood Stagnation
HE1 Neuroanatomy
Superficial Innervation: Medial cutaneous nerve of the arm from T1 - T2
Dermatome Segment: T1
Deeper Structures: Insertion point of subscapular nerve (C5 - C6) into subscapularis muscle
HE1 Trigger Point
Muscle: Subscapularis
Myotome Innervation: Upper and lower subscapular nerve (C5 - C6)
Location Notes: The actual trigger points are located on the anterior surface of the scapula but can only be accessed from this point
Pain Referral Pattern: Across scapula and concentrating on posterior aspect of the deltoid. Also radiating down across the triceps and the dorsal aspect of the wrist
Indications: Musculoskeletal diseases of the shoulder
HE1 Notes
Ling Shu Ch. 71, On Evil Visitors, says that when a depletion evil is in the Liver it flows in the armpits. One theory of the Divergent meridians suggests that they store pathogens at the major joints, depleting our resources to keep them sedated, which would suggest this point is associated with the Liver/Gall Bladder Divergents.
HE1 Nearby Points
SI9 - 1 cun above the posterior end of the axillary fold, posterior and inferior to the shoulder joint, found with the arm adducted
PC1 - 1 cun lateral to the nipple in the 4th ICS
PC2 - 2 cun below the end of the anterior axillary fold between teh two heads of the biceps brachii muscle
LI15 - anterior and inferior to the acromion in a depression found with the arm abducted
TH (SJ)14 - In a depression posterior and inferior to the acromion, found with the arm abducted
HE2 Qingling
Cyan (Green) Spirit
HE2 Location
3 cun proximal to the medial end of the transverse cubital crease, on a line connecting HE1 with HE3, on the ulnar side of the biceps brachii muscle in the medial groove
HE2 Needling
Oblique distal or proximal insertion, 0.5 - 1 cun avoiding the brachial artery
HE2 Caution
Many early classics only discuss moxibustion at this point and the Introduction to Medicine specifically contraindicates needling, probably due to potential to damage the brachial artery
HE2 Associations
No hats.
Trigger point
Luo Harmonzing Point
HE2 Indications
Conditions / Symptoms:
Shoulder Pain
Headache
Arm Pain
Pain of chest, axilla
Eyes yellow
Inability to raise the shoulder and arm, swelling, pain and redness of the shoulder, pain of the axilla, headache with cold shivering, yellow eyes, pain of the lateral costal region, scrofula.
Local point - in many classics needling this point is contraindicated. Moxabustion, however, is applicable.
HE2 TCM Actions
Activates channel and alleviates pain
HE2 TCM Patterns
None
HE2 Neuroanatomy
Superficial Innervation: Medial cutaneous nerve of the arm from T1 - T2
Dermatome Segment: T1
Deeper Structures: Brachial plexus (nerves from C5 - T1)
HE2 Trigger Point
Muscle: Triceps brachii
Myotome Innervation: Radial nerve (C5 - T1) with long head innervated by axillary nerve (C5 - C6)
Pain Referral Pattern: To medial epicondyle and down ulnar side of arm to little and ring fingers
Indications: Pain of posterior shoulder and upper arm
HE2 Notes
Location of the brachial pulse
At the end of a Heart Luo treatment this point is needled, deqi grasped and removed immediately to normalize the circulation of blood (Cecil-Sterman, 2012, Advanced Acupuncture).
HE2 Nearby Points
LI13 - 3 cun above LI11 on a line drawn between LI11 and LI15
HE3 Shaohai
Lesser Sea
HE3 Location
With the elbow flexed, midway between the ulnar end of the cubital crease and the medial epicondyle of the humerus.
At the medial end of the transverse cubital crease
HE3 Needling
Oblique insertion distally or proximally, or directed towards LI11, 0.5 -1.5 cun
Perpendicular 0.5 - 1 cun (ACA)
HE3 Caution
Contraindicated to moxibustion
HE3 Associations
He Sea
Water Point
HE3 Indications
Conditions / Symptoms:
Depression
Eye Problems
Excesses in the heart (5 Element acupuncture, this is the controlling point)
Parkinson’s Disease
Forgetfulness
Anxiety
Canker sores (Cold Sores)
Epilepsy (Seizure)
Stroke (CVA)
Good local point to move the Qi and Blood.
Spirit disorders from phlegm a/or heat etiologies - epilepsy, depression, anxiety, nervousness, poor memory, fuzzy thinking.
Water Point - redness of the eyes, mouth ulcerations.
HE3 TCM Actions
Calms the spirit, transforms phlegm, and clears heat
Activates channel and alleviates pain
HE3 TCM Patterns
Liver Qi Stagnation
?
HE3 Neuroanatomy
Superficial Innervation: Medial cutaneous nerve of the forearm from C8 - T1
Dermatome Segment: T1
HE3 Notes
Ling Shu Ch. 71, On Evil Visitors, says that when a depletion evil is in the Lung and Heart it remains in two elbows. Yuen’s theory of the Divergent meridians suggests that they store pathogens at the major joints, depleting our resources while they do, which would make this a potential point for for the Heart/Small Intestine Divergent, although elsewhere in the chapter is says that the Heart is only treated through Shenmen He-7.
HE3 Nearby Points
PC3 - On the transverse cubital crease, on the ulnar side of the biceps brachii tendon
LU5 - On the transverse cubital crease, on the radial side of the biceps brachii tendon
LI11 - Midway between LU5 and the lateral epicondyle of the humerus, at the lateral end of the transverse cubital crease
TH (SJ)10 - 1 cun superior to the olecranon process in a depression with teh elbow flexed
HE4 Lingdao
Spirit Path
HE4 Location
On the radial side of the tendon of flexor carpi ulnaris, 1.5 cun proximal to HE7
HE4 Needling
Perpendicular 0.3- 0.5 cun, or oblique proximal or distal insertion 0.5 - 1 cun
HE4 Associations
Jing River
Metal Point
HE4 Indications
Conditions / Symptoms:
Vocal/Throat Problems
Eye redness, swelling
Stuttering
Insomnia
Chest pain/Cardiac pain - emotional disturbance
Loss of Voice
Emotional problems - anxiety, depression, bipolar (restless Zang)
HE4 TCM Actions
Calms the spirit (Shen) and benefits the voice
Relaxes muscles and sinews
HE4 TCM Patterns
Liver Qi Stagnation
?
HE4 Neuroanatomy
Superficial Innervation: Medial cutaneous nerve of the forearm from C8 - T1
Dermatome Segment: C8, T1
Deeper Structures: Ulnar nerve from C8 - T1
HE4 Notes
Ling Shu Ch. 6 suggests piercing the Jing points of the Yin channels if a disease is in the Yin of the Yang realm (e.g. the sinews and bones). This would mean using this point to treat disorders of the shoulder, elbow and wrist.
HE4 Nearby Points
PC6 - 2 cun proximal to the transverse creast of the wrist between the tendons of palmaris longus and flexor carpi radialis
LU7 - 1.5 cun above the wrist crease, superior to the styloid process of the radius
TH5 - 2 cun above TH4, on a line connecting TH4 with TH10, between the radius and the ulna
HE5 Tongli
Penetrating the Interior (Connecting Li)
HE5 Location
On the radial side of flexor carpi ulnaris, 1 cun proximal to HE7 (transverse wrist crease)
HE5 Needling
Perpendicular insertion 0.3 - 0.5 cun or oblique proximal or distal insertion 0.5 - 1 cun
HE5 Associations
Luo Connecting Point
Heavenly Star Point
HE5 Indications
Conditions / Symptoms:
Palpitations
Loss of Voice
Anxiety/Arhythmias
Stuttering/Speech problems
Menorrhagia (Heavy Menstrual Bleeding)
Incontinence
Depression
Sore Throat
Wrist Pain/Contraction
Arm Pain/Contraction
Spirit disorders and related physical manifestations - although the point is generally not used for emotional disorders involving sleep such as insomnia, HT 7 is used more often for these more “physical” manifestations.
Heat effecting the SI and leading to urinary symptoms - incontinence, enuresis.
Local point for wrist, elbow and/or hand pain - perhaps more so for weakness than simple pain
HE5 TCM Actions
Calms the spirit
Regulats heart rhythm
Benefits tongue
Activates channel and alleviates pain
HE5 TCM Patterns
Heart Blood Stagnation
HE5 Neuroanatomy
Superficial Innervation: Medial cutaneous nerve of the forearm from C8 - T1
Dermatome Segment: C8, T1
Deeper Structures: Ulnar nerve from C8 - T1
HE5 Notes
HT 5 is a very good point to tonify Heart Qi. 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.
HE5 Nearby Points
LU8 - 1 cun proximal to LU9 on a line connecting LU5 with LU11
HE6 Yinxi
Yin Cleft
HE6 Location
0.5 cun proximal to HE7, on the radial side of the tendon of flexor carpi ulnaris, on the HT3 to HT7 line
HE6 Needling
Perpendicular insertion 0.3 - 0.5 cun or oblique proximal or distal insertion 0.5 - 1 cun
HE6 Associations
Xi Cleft
HE6 Indications
Conditions / Symptoms:
Palpitations/Panic Attack
Anxiety
Night Sweats (Sleep Hyperhidrosis)
Inversion Counterflow Qi
Chest Pain
Manic Depression
Epistaxis
Steaming Bone Disorder
Shock/Sudden Loss of Voice
Steaming Bone Disorders, tonify Yin and Blood. Often used with SI 3 for nightsweats.
Acute chest and/or heart pain from Blood stasis. Palpitations, although HT 5 may be better.
Acute emotional disturbances - mania, anxiety, shock, sudden loss of voice.
Counterflow qi - panic attacks, vomiting blood, nosebleeds.
HE6 TCM Actions
Regulates Heart Blood
Calms Spirit (Shen)
Moderates acute conditions
Clears deficiency fire and alleviates night sweating
HE6 TCM Patterns
Heart Yin Deficiency
Heart Blood Stagnation
HE6 Neuroanatomy
Superficial Innervation: Ulnar nerve (palmar branch) from C8 - T1
Dermatome Segment: C8, T1
Deeper Structures: Ulnar nerve from C8 - T1
HE6 Notes
HT 6 is a very good point for Steaming Bone disorders and night sweating. 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 Xi-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.
HE6 Nearby Points
SI6 - Dorsal to the head of the ulna, in a cleft on the radial side of the styloid process, found with the palm facing the chest
HE7 Shenmen
Spirit Gate
HE7 Location
At the transverse wrist crease, on the radial side of the tendon of flexor carpi ulnaris, between the ulna and pisiform bones
HE7 Needling
Perpendicular insertion 0.3 - 0.5 cun, or oblique insertion proximally, medially or distally 0.5 - 0.8 cun, or up to 1.5 cun transverse oblique proximal insertion to connect all points up to Lingdao He-4 for “hypnosis needling
HE7 Caution
Ulnar artery and nerve lie adjacent to this point
HE7 Associations
Yuan Source
Shu Stream
Earth Point
Child Point
HE7 Indications
Conditions / Symptoms:
Emotional Disturbances - manic, depression, restless zang
Memory/Dementia
Panic Attack/Palpitations/Anxiety/Fear
Heat Signs: vomit or spit blood, yellow eyes, dry throat, red face, heat of palms
Angina
Sweat Problems
Insomnia
Shortness of breath with heat in body
HE7 TCM Actions
Calms the spirit
Regulates and tonifies the heart blood and qi
HE7 TCM Patterns
Heart Qi Deficiency
Heart Yang Deficiency
Heart Blood Deficiency
Heart Yin Deficiency
HE7 Neuroanatomy
Superficial Innervation: Ulnar nerve (palmar branch) from C8 - T1
Dermatome Segment: C8
Deeper Structures: Ulnar nerve from C8 - T1 travelling through ulnar tunnal
HE7 Notes
Drain excess in the heart. HT 7 is the point for emotional issues, especially excessive Anxiety and worry. 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. Shu-Stream points are where the qi starts to pour down the meridian. They are known to alleviate heaviness and pain in the joints. On Yin Meridians, Shu-Stream points are identical to the actions of Yuan-Source points.
HE7 Nearby Points
PC7 - In the middle of the transverse wrist crease between the tendons of palmaris longus and flexor carpi radialis
LU9 - At the wrist crease on the radial side of the radial artery
SI4 - On the ulnar side of the palm in a depression between the base of the fifth metacarpal joint and the hamate bone
SI5 - On the ulnar end of the transverse wrist crease in a depression between the styloid process of the ulna and the triquetral bone
TH4 - On the transverse crease of the dorsum of the wrist in a depression on the ulnar side of the extensor digitorum communis tendon
HE8 Shaofu
Lesser Palace
HE8 Location
When a loose fist is made, where the tip of the little finger comes to rest, between the 4th and 5th metacarpal bones
HE8 Needling
Perpendicular insertion 0.3 - 0.5 cun
HE8 Associations
Ying Spring
Fire Point
Horary
HE8 Indications
Conditions / Symptoms:
Genital Pain, Swelling
Arm pain, channel issues
Incontinence
Urinary Tract Infection (UTI)/Uterine Bleeding
Sweaty Palms (Hyperhidrosis)
Stiff tongue
Palpitations (HT Qi Xu)
Emotional Issues (PC8 may be better)
Excessive sighing, energy lacking
Canker Sores (Cold Sores)
HT Fire/heat to LJ
HT Fire affecting the SI affecting the UB, heat descending to the lower jiao - incontinence, difficult urination, fungal infections, genital itching.
Channel issues, sore throat, tongue stiffness, pain along the ulnar aspect of the arms.
Heart Qi Deficiency - palpitations, fear, hot palms
HT Fire effecting the mouth - ulcers, canker sores, etc. - although PC 7 or PC 8 may be a better choice.
Local point for arm pain, elbow pain, and/or pain in the pinky finger.
HE8 TCM Actions
Clears heat from the heart and SI
Calms the spirit
Regulates heart qi
Activates channel and alleviates pain
HE8 TCM Patterns
Heart Fire
Bladder Damp Heat
HE8 Neuroanatomy
Superficial Innervation: Ulnar nerve (palmar branch) from C8 - T1
Dermatome Segment: C8
HE8 Notes
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.
HE8 Nearby Points
PC8 - At the centre of the palm, where the tip of the middle finger comes to rest when a loose fist is made, between the 2nd and 3rd metacarpal bones closer to the radial side of the 3rd
Yaotongxue - On the dorsum of the hand, midway between the transverse wrist crease and the metacarpalphalangeal joint, between both the 2nd and 3rd and the 4th and 5th metacarpals (2 points on each hand).
TH3 (SJ3) - With fist clenched, on the dorsum of the hand between teh 4th and 5th metacarpal bones in a depression proximal to the 4th metacarpophalangeal joint
HE9 Shaochong
Lesser Rushing
HE9 Location
0.1 cun posterior to the corner of the nail on the radial side of the little finger
HE9 Needling
Perpendicular or oblique insertion directed proximally 0.1 - 0.2 cun or prick to bleed
HE9 Associations
Jing Well
Wood Point
Mother/Parent Point
Exit point to SI1
HE9 Indications
Conditions / Symptoms:
Loss of Consciousness
Eye, Tongue, Throat Problems
Emotional disturbance - Bipolar, Anxiety, Panic attack
Canker Sores (Cold Sores)
Heart Disease
Epilepsy (Seizure)
Stroke (CVA)
Jing Well Point - clear heat a/or obstruction from the opposite end of the channel, eye pain a/or redness, mouth ulcerations, sores, painful swollen tongue
Jing well Point - urgent conditions of the Heart and spirit. Can be bled or needled for emotional disturbances - strong restlessness, anxiety, panic attacks, manic depression, epilepsy, etc.
Restore consciousness, urgent conditions of heart - heart attack, stroke, Emergency heart attack point - strong stimulation.
Fullness below the heart - stagnation, pain a/or distention in the HT area.
HE9 TCM Actions
Revives consciousness
Clears heat and benefits tongue, eyes, throat
Regulates heart qi and calms spirit
HE9 TCM Patterns
Heart Blood Stagnation
HE9 Neuroanatomy
Superficial Innervation: Ulnar nerve (palmar digital branch) from C8 - T1
Dermatome Segment: C8
HE9 Notes
In five element acupuncture this point is reinforced to tonify Heart deficiencies.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.
HE9 Nearby Points
SI1 - 0.1 cun posterior to the corner of the ulnar side of the little finger
TH1 - 0.1 cun posterior to the corner of the nail on the ulnar side of the ring finger
