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Acupuncture Points Comprehensive > Hand Shaoyin > Flashcards

Hand Shaoyin Flashcards

1
Q

HE1 Jiquan

A

Summit Spring

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2
Q

HE1 Location

A

In a depression at the centre of the axilla, on the radial side of the axillary artery

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3
Q

HE1 Needling

A

Perpendicular insertion in the direction of GB21, 0.5 - 1 cun avoiding the axillary artery

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4
Q

HE1 Caution

A

Medial insertion toward the chest may puncture the lung. Incorrect insertion may puncture the axillary artery.

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5
Q

HE1 Associations

A

Entry point from SP21

(Opening of Heart Divergent Channel)

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6
Q

HE1 Indications

A

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.

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7
Q

HE1 TCM Actions

A

Regulates qi and unbinds the chest

Activates channel and benefits arm

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8
Q

HE1 TCM Patterns

A

Heart Blood Stagnation

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9
Q

HE1 Neuroanatomy

A

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

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10
Q

HE1 Trigger Point

A

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

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11
Q

HE1 Notes

A

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.

http://steve-woodley.co.uk/?content=pointsearch&point=He-1

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12
Q

HE1 Nearby Points

A

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

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13
Q

HE2 Qingling

A

Cyan (Green) Spirit

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14
Q

HE2 Location

A

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

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15
Q

HE2 Needling

A

Oblique distal or proximal insertion, 0.5 - 1 cun avoiding the brachial artery

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16
Q

HE2 Caution

A

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

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17
Q

HE2 Associations

A

No hats.

Trigger point

Luo Harmonzing Point

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18
Q

HE2 Indications

A

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.

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19
Q

HE2 TCM Actions

A

Activates channel and alleviates pain

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20
Q

HE2 TCM Patterns

A

None

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21
Q

HE2 Neuroanatomy

A

Superficial Innervation: Medial cutaneous nerve of the arm from T1 - T2
Dermatome Segment: T1
Deeper Structures: Brachial plexus (nerves from C5 - T1)

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22
Q

HE2 Trigger Point

A

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

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23
Q

HE2 Notes

A

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).

http://steve-woodley.co.uk/?content=pointsearch&point=He-2

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24
Q

HE2 Nearby Points

A

LI13 - 3 cun above LI11 on a line drawn between LI11 and LI15

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25
Q

HE3 Shaohai

A

Lesser Sea

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26
Q

HE3 Location

A

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

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27
Q

HE3 Needling

A

Oblique insertion distally or proximally, or directed towards LI11, 0.5 -1.5 cun

Perpendicular 0.5 - 1 cun (ACA)

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28
Q

HE3 Caution

A

Contraindicated to moxibustion

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29
Q

HE3 Associations

A

He Sea

Water Point

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30
Q

HE3 Indications

A

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.

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31
Q

HE3 TCM Actions

A

Calms the spirit, transforms phlegm, and clears heat

Activates channel and alleviates pain

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32
Q

HE3 TCM Patterns

A

Liver Qi Stagnation

?

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33
Q

HE3 Neuroanatomy

A

Superficial Innervation: Medial cutaneous nerve of the forearm from C8 - T1
Dermatome Segment: T1

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34
Q

HE3 Notes

A

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.

http://steve-woodley.co.uk/?content=pointsearch&point=He-3

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35
Q

HE3 Nearby Points

A

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

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36
Q

HE4 Lingdao

A

Spirit Path

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37
Q

HE4 Location

A

On the radial side of the tendon of flexor carpi ulnaris, 1.5 cun proximal to HE7

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38
Q

HE4 Needling

A

Perpendicular 0.3- 0.5 cun, or oblique proximal or distal insertion 0.5 - 1 cun

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39
Q

HE4 Associations

A

Jing River

Metal Point

40
Q

HE4 Indications

A

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)

41
Q

HE4 TCM Actions

A

Calms the spirit (Shen) and benefits the voice

Relaxes muscles and sinews

42
Q

HE4 TCM Patterns

A

Liver Qi Stagnation

?

43
Q

HE4 Neuroanatomy

A

Superficial Innervation: Medial cutaneous nerve of the forearm from C8 - T1
Dermatome Segment: C8, T1
Deeper Structures: Ulnar nerve from C8 - T1

44
Q

HE4 Notes

A

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.

http://steve-woodley.co.uk/?content=pointsearch&point=He-4

45
Q

HE4 Nearby Points

A

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

46
Q

HE5 Tongli

A

Penetrating the Interior (Connecting Li)

47
Q

HE5 Location

A

On the radial side of flexor carpi ulnaris, 1 cun proximal to HE7 (transverse wrist crease)

48
Q

HE5 Needling

A

Perpendicular insertion 0.3 - 0.5 cun or oblique proximal or distal insertion 0.5 - 1 cun

49
Q

HE5 Associations

A

Luo Connecting Point

Heavenly Star Point

50
Q

HE5 Indications

A

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

51
Q

HE5 TCM Actions

A

Calms the spirit

Regulats heart rhythm

Benefits tongue

Activates channel and alleviates pain

52
Q

HE5 TCM Patterns

A

Heart Blood Stagnation

53
Q

HE5 Neuroanatomy

A

Superficial Innervation: Medial cutaneous nerve of the forearm from C8 - T1
Dermatome Segment: C8, T1
Deeper Structures: Ulnar nerve from C8 - T1

54
Q

HE5 Notes

A

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.

http://steve-woodley.co.uk/?content=pointsearch&point=He-5

55
Q

HE5 Nearby Points

A

LU8 - 1 cun proximal to LU9 on a line connecting LU5 with LU11

56
Q

HE6 Yinxi

A

Yin Cleft

57
Q

HE6 Location

A

0.5 cun proximal to HE7, on the radial side of the tendon of flexor carpi ulnaris, on the HT3 to HT7 line

58
Q

HE6 Needling

A

Perpendicular insertion 0.3 - 0.5 cun or oblique proximal or distal insertion 0.5 - 1 cun

59
Q

HE6 Associations

A

Xi Cleft

60
Q

HE6 Indications

A

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.

61
Q

HE6 TCM Actions

A

Regulates Heart Blood

Calms Spirit (Shen)

Moderates acute conditions

Clears deficiency fire and alleviates night sweating

62
Q

HE6 TCM Patterns

A

Heart Yin Deficiency

Heart Blood Stagnation

63
Q

HE6 Neuroanatomy

A

Superficial Innervation: Ulnar nerve (palmar branch) from C8 - T1
Dermatome Segment: C8, T1
Deeper Structures: Ulnar nerve from C8 - T1

64
Q

HE6 Notes

A

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.

65
Q

HE6 Nearby Points

A

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

66
Q

HE7 Shenmen

A

Spirit Gate

67
Q

HE7 Location

A

At the transverse wrist crease, on the radial side of the tendon of flexor carpi ulnaris, between the ulna and pisiform bones

68
Q

HE7 Needling

A

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

69
Q

HE7 Caution

A

Ulnar artery and nerve lie adjacent to this point

70
Q

HE7 Associations

A

Yuan Source

Shu Stream

Earth Point

Child Point

71
Q

HE7 Indications

A

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

72
Q

HE7 TCM Actions

A

Calms the spirit

Regulates and tonifies the heart blood and qi

73
Q

HE7 TCM Patterns

A

Heart Qi Deficiency

Heart Yang Deficiency

Heart Blood Deficiency

Heart Yin Deficiency

74
Q

HE7 Neuroanatomy

A

Superficial Innervation: Ulnar nerve (palmar branch) from C8 - T1
Dermatome Segment: C8
Deeper Structures: Ulnar nerve from C8 - T1 travelling through ulnar tunnal

75
Q

HE7 Notes

A

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.

http://steve-woodley.co.uk/?content=pointsearch&point=He-7

76
Q

HE7 Nearby Points

A

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

77
Q

HE8 Shaofu

A

Lesser Palace

78
Q

HE8 Location

A

When a loose fist is made, where the tip of the little finger comes to rest, between the 4th and 5th metacarpal bones

79
Q

HE8 Needling

A

Perpendicular insertion 0.3 - 0.5 cun

80
Q

HE8 Associations

A

Ying Spring

Fire Point

Horary

81
Q

HE8 Indications

A

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.

82
Q

HE8 TCM Actions

A

Clears heat from the heart and SI

Calms the spirit

Regulates heart qi

Activates channel and alleviates pain

83
Q

HE8 TCM Patterns

A

Heart Fire

Bladder Damp Heat

84
Q

HE8 Neuroanatomy

A

Superficial Innervation: Ulnar nerve (palmar branch) from C8 - T1
Dermatome Segment: C8

85
Q

HE8 Notes

A

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.

http://steve-woodley.co.uk/?content=pointsearch&point=He-8

86
Q

HE8 Nearby Points

A

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

87
Q

HE9 Shaochong

A

Lesser Rushing

88
Q

HE9 Location

A

0.1 cun posterior to the corner of the nail on the radial side of the little finger

89
Q

HE9 Needling

A

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

90
Q

HE9 Associations

A

Jing Well

Wood Point

Mother/Parent Point

Exit point to SI1

91
Q

HE9 Indications

A

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.

92
Q

HE9 TCM Actions

A

Revives consciousness

Clears heat and benefits tongue, eyes, throat

Regulates heart qi and calms spirit

93
Q

HE9 TCM Patterns

A

Heart Blood Stagnation

94
Q

HE9 Neuroanatomy

A

Superficial Innervation: Ulnar nerve (palmar digital branch) from C8 - T1
Dermatome Segment: C8

95
Q

HE9 Notes

A

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.

96
Q

HE9 Nearby Points

A

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

97
Q
A

Acupuncture Points Comprehensive (24 decks)

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