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