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
HE3 Shaohai
Lesser Sea
26
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
27
HE3 Needling
Oblique insertion distally or proximally, or directed towards LI11, 0.5 -1.5 cun Perpendicular 0.5 - 1 cun (ACA)
28
HE3 Caution
Contraindicated to moxibustion
29
HE3 Associations
He Sea Water Point
30
HE3 Indications
_Conditions / Symptoms:_ ## Footnote 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.
31
HE3 TCM Actions
Calms the spirit, transforms phlegm, and clears heat Activates channel and alleviates pain
32
HE3 TCM Patterns
Liver Qi Stagnation ?
33
HE3 Neuroanatomy
_Superficial Innervation:_ Medial cutaneous nerve of the forearm from C8 - T1 _Dermatome Segment_: T1
34
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. [http://steve-woodley.co.uk/?content=pointsearch&point=He-3](http://steve-woodley.co.uk/?content=pointsearch&point=He-3)
35
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
36
HE4 Lingdao
Spirit Path
37
HE4 Location
On the radial side of the tendon of flexor carpi ulnaris, 1.5 cun proximal to HE7
38
HE4 Needling
Perpendicular 0.3- 0.5 cun, or oblique proximal or distal insertion 0.5 - 1 cun
39
HE4 Associations
Jing River Metal Point
40
HE4 Indications
_Conditions / Symptoms:_ ## Footnote 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
HE4 TCM Actions
Calms the spirit (Shen) and benefits the voice Relaxes muscles and sinews
42
HE4 TCM Patterns
Liver Qi Stagnation ?
43
HE4 Neuroanatomy
_Superficial Innervation_: Medial cutaneous nerve of the forearm from C8 - T1 _Dermatome Segment:_ C8, T1 _Deeper Structures:_ Ulnar nerve from C8 - T1
44
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. [http://steve-woodley.co.uk/?content=pointsearch&point=He-4](http://steve-woodley.co.uk/?content=pointsearch&point=He-4)
45
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
46
HE5 Tongli
Penetrating the Interior (Connecting Li)
47
HE5 Location
On the radial side of flexor carpi ulnaris, 1 cun proximal to HE7 (transverse wrist crease)
48
HE5 Needling
Perpendicular insertion 0.3 - 0.5 cun or oblique proximal or distal insertion 0.5 - 1 cun
49
HE5 Associations
Luo Connecting Point Heavenly Star Point
50
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
51
HE5 TCM Actions
Calms the spirit Regulats heart rhythm Benefits tongue Activates channel and alleviates pain
52
HE5 TCM Patterns
Heart Blood Stagnation
53
HE5 Neuroanatomy
_Superficial Innervation_: Medial cutaneous nerve of the forearm from C8 - T1 _Dermatome Segment:_ C8, T1 _Deeper Structures_: Ulnar nerve from C8 - T1
54
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. [http://steve-woodley.co.uk/?content=pointsearch&point=He-5](http://steve-woodley.co.uk/?content=pointsearch&point=He-5)
55
HE5 Nearby Points
LU8 - 1 cun proximal to LU9 on a line connecting LU5 with LU11
56
HE6 Yinxi
Yin Cleft
57
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
58
HE6 Needling
Perpendicular insertion 0.3 - 0.5 cun or oblique proximal or distal insertion 0.5 - 1 cun
59
HE6 Associations
Xi Cleft
60
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.
61
HE6 TCM Actions
Regulates Heart Blood Calms Spirit (Shen) Moderates acute conditions Clears deficiency fire and alleviates night sweating
62
HE6 TCM Patterns
Heart Yin Deficiency Heart Blood Stagnation
63
HE6 Neuroanatomy
_Superficial Innervation_: Ulnar nerve (palmar branch) from C8 - T1 Dermatome Segment: C8, T1 _Deeper Structures_: Ulnar nerve from C8 - T1
64
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.
65
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
66
HE7 Shenmen
Spirit Gate
67
HE7 Location
At the transverse wrist crease, on the radial side of the tendon of flexor carpi ulnaris, between the ulna and pisiform bones
68
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
69
HE7 Caution
Ulnar artery and nerve lie adjacent to this point
70
HE7 Associations
Yuan Source Shu Stream Earth Point Child Point
71
HE7 Indications
Conditions / Symptoms: ## Footnote 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
HE7 TCM Actions
Calms the spirit Regulates and tonifies the heart blood and qi
73
HE7 TCM Patterns
Heart Qi Deficiency Heart Yang Deficiency Heart Blood Deficiency Heart Yin Deficiency
74
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
75
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. [http://steve-woodley.co.uk/?content=pointsearch&point=He-7](http://steve-woodley.co.uk/?content=pointsearch&point=He-7)
76
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
77
HE8 Shaofu
Lesser Palace
78
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
79
HE8 Needling
Perpendicular insertion 0.3 - 0.5 cun
80
HE8 Associations
Ying Spring Fire Point Horary
81
HE8 Indications
Conditions / Symptoms: ## Footnote 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
HE8 TCM Actions
Clears heat from the heart and SI Calms the spirit Regulates heart qi Activates channel and alleviates pain
83
HE8 TCM Patterns
Heart Fire Bladder Damp Heat
84
HE8 Neuroanatomy
_Superficial Innervation:_ Ulnar nerve (palmar branch) from C8 - T1 _Dermatome Segment:_ C8
85
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. [http://steve-woodley.co.uk/?content=pointsearch&point=He-8](http://steve-woodley.co.uk/?content=pointsearch&point=He-8)
86
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
87
HE9 Shaochong
Lesser Rushing
88
HE9 Location
0.1 cun posterior to the corner of the nail on the radial side of the little finger
89
HE9 Needling
Perpendicular or oblique insertion directed proximally 0.1 - 0.2 cun or prick to bleed
90
HE9 Associations
Jing Well Wood Point Mother/Parent Point Exit point to SI1
91
HE9 Indications
_Conditions / Symptoms:_ ## Footnote 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
HE9 TCM Actions
Revives consciousness Clears heat and benefits tongue, eyes, throat Regulates heart qi and calms spirit
93
HE9 TCM Patterns
Heart Blood Stagnation
94
HE9 Neuroanatomy
_Superficial Innervation_: Ulnar nerve (palmar digital branch) from C8 - T1 _Dermatome Segment_: C8
95
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.
96
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
97