Hand Taiyang 1-10 Flashcards
SI1 Shào Zé
Lesser Marsh
SI1 Location
0.1 cun posterior to the corner of the nail on the ulnar side of the little finger
SI1 Needling
Perpendicular or oblique insertion directed proximally 0.1-0.2 cun or prick to bleed
SI1 Associations
Jing Well
Metal Point
Entry Point
SI1 Indications
Conditions / Symptoms:
Empirical point for insufficient lactation
Breast disorders of any etiology, insufficient lactation, mastitis, breast abscess, cysts.
Jing Well Point, clear heat from the opposite end of the channel, for eye redness, earache, tinnitus, sore throat, stiff tongue.
Local point for problems of the little finger and the course of the channel - pain and/or weakness of the arm and/or shoulder.
Arm Pain
Breast Distention/Cancer
Cysts/Mastitis
Dizziness/Vertigo
Ear and Eye problems/Tinnitus
Fainting (Loss of Consciousness)
Headache
Insufficient lactation
Throat pain
Stiff tongue
SI1 TCM Actions
Clears heat and benefits sensory orifices
Revives consciousness
Promotes lactation and benefits breasts
SI1 TCM Patterns
Liver Fire
SI1 Neuroanatomy
- Superficial Innervation:* Ulnar nerve (digital branch) from C8 and T1
- Dermatome Segment:* C8
SI1 Nearby Points
TE1 - 0.1 cun posterior to the corner of the nail on the ulnar side of the ring finger
HT9 - 0.1 cun from the corner of the nail on the radial side of the little finger
SI1 Notes
SI 1 is an empirical point for insufficient lactation. 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.
Most commonly used clinically for swelling of the breast, breast abscess, and absence of lactation (often with RN17)
https://www.steve-woodley.co.uk/edit.php?content=pointsearch&point=SI-1
SI2 Qián Gü
Front Valley
SI2 Location
On the ulnar border of the little finger, in a depression just distal to the metacarpo-phalangeal joint
SI2 Needling
Oblique distal insertion 0.2-0.3, or perpendicular oblique insertion toward the palm 0.5 cun
SI2 Associations
Ying Spring
Water Point
SI2 Indications
Conditions / Symptoms:
Coughing blood
Dark urine
EENT Eyes, Ears, Nose Throat
Eye problems - bursting eye pain!
Ear problems - tinnitus, swelling of cheek into ear pain
Hand, Fingers pain and numbness
Headache
Hyperhidrosis/ Sweaty palms
Nose - nosebleed, congestion
Sore throat
Swelling of throat, cheek, neck
Local point for pain, swelling, numbness of the fingers.
As the water point it will remove heat - febrile disease, hot palms, darker urine.
Clear heat from the opposite end of the channel, tinnitus, headache, sore throat, neck, ear and/or eye pain and/or swelling.
SI2 TCM Actions
Clears wind-heat and reduces swelling
Benefits eyes, ears, throat
Activates channel and alleviates pain
SI2 TCM Patterns
Liver Fire
SI2 Neuroanatomy
Superficial Innervation: Ulnar nerve (digital branch) from C8 and T1
Dermatome Segment: C8
SI2 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.
SI2 Nearby Points
TE2 - 0.5 cun proximal to the margin of the web between the 4th and 5th digits in a depression when fist is clenched
EX-UE-9 Baxie - On the dorsum of the hand, at the webs of each finger at the junction of the red and white skin
SI3 Hòu Xī
Back Gully Stream
SI3 Location
On the ulnar border of the hand, in the substantial depression proximal to the head of the fifth metacarpal.
SI3 Needling
Perpendicular 0.5- 2 cun directed towards LI3. Needle with the hand in a loose fist so the metacarpal bones are aligned, especially if needling towards opposite end of the hand.
SI3 Associations
Shu Stream
Wood Point
Mother Point
Confluent of Du Mai (coupled with BL62)
SI3 Indications
Conditions / Symptoms:
Master Point of the GV, effects entire pathway.
Pain in the scapula, arm a/or hand combine with local points.
Stiff neck, cervical strain/sprain, pain of the back or neck.
Occipital headaches, combine with local points.
Night sweats, combine with HT 6 (Yin Cleft, Xi Cleft)
Clears heat and excess from the head, ears and eyes, eye redness, inflammation, visual dizziness, earache, tinnitus, sore throat.
Calms the Shen, spirit, anxiety, manic depression, epilepsy
Arm, Neck, Shoulder Pain
Epilepsy
Eye/Ear problems
Headache
Mental Health
Night Sweats
Sore Throat
Whiplash
SI3 TCM Actions
Activates the channel and alleviates pain
Benefits the occiput, neck and back
Calms the spirit and treats epilepsy
Clear wind heat
Clears heat and benefits sensory orifices
Regulates the Du Mai
SI3 TCM Patterns
Heart Blood Stagnation
Phlegm Fire Disturbs the Heart
Cold Phlegm Misting the Heart
Liver Heat Generates Internal Wind
SI3 Neuroanatomy
Superficial Innervation: Ulnar nerve (digital branch) from C8 and T1
Dermatome Segment: C8
SI3 Notes
One of the main distal points for neck and shoulder pain along with ST38 for shoulders and Luozhen for neck.
In five element acupuncture this point is reinforced to tonify Small Intestine deficiencies
Yuen (2005, The Eight Extraordinary Vessels) notes that this point, along with Zulinqi GB-41, is a Shu-Stream point instead of a Luo point like all the other extraordinary vessels because the Du, along with the Dai mai, are concerned with projecting out into the world while the other extraordinary vessels are about taking in from the outside world.
SI 3 is an excellent point for neck and back issues when coupled with UB 62. 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://www.steve-woodley.co.uk/?content=pointsearch&point=SI-3
SI3 Nearby Points
TE3 - Dorsum of the hand, with fist clenched between 4th and 5th metacarpal bones in a depression proximal to the 4th metacarpophalangeal joint
HT8 - When a loose fist is made, this is where the tip of the little finger comes to rest, between the 4th and 5th metacarpal bones
SI4 Wàn Gü
Wrist Bone
SI4 Location
On the ulnar border of the hand, in the depression between the fifth metacarpal bone and the triquetral bone
SI4 Needling
Perpendicular 0.3-0.5 cun
SI4 Associations
Yuan Source Point
SI4 Indications
Conditions / Symptoms:
Jaundice - Empirical Point
Swelling of cheek, jaw, ear, throat
Headache, Hand & Finger Pain
Upper channel heat
Neck Pain
Tinnitus, Taste loss
Clear heat from upper portion of the channel - headaches, tinnitus, swelling and heat of head
Local point for shoulder, arm, hand and wrist problems particularly along the course of the meridian.
Useful point to treat problems with all fingers - contracture, pain, swelling, stiffness.
SI4 TCM Actions
Activates channel and alleviates pain
Clears heat and reduces swelling
Clears damp-heat and treats jaundice
SI4 TCM Patterns
Liver and GB Damp Heat
SI4 Neuroanatomy
Superficial Innervation: Ulnar nerve (palmar branch) from C8 and T1
Dermatome Segment: C8
SI4 Notes
Abductor digiti minimi trigger point lies close to this point, just distal to the head of the fifth metacarpal and on the belly of the muscle (Travell & Simons, 1998, Trigger Point Manual)
Ling Shu Ch. 26, On Miscellaneous Diseases, advises this point is pierced in case of a nosebleed. If it does not end it advises to bleed Weizhong Bl-40.
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.
https://www.steve-woodley.co.uk/?content=pointsearch&point=SI-4
SI4 Nearby Points
Yaotongxue - on the dorsum of the hand, midway between the transverse crease of the wrist and the metacarpophalangeal joints, between the 2nd and 3rd and 4th and 5th metacarpals.
SI5 Yáng Gü
Yang Valley
SI5 Location
On the ulnar aspect of the wrist, in the depression between the head of the ulna and the triquetral bone
SI5 Needling
Perpendicular 0.3-0.5 cun
SI5 Associations
Jing River
Fire Point
Horary
SI5 Indications
Conditions / Symptoms:
Fever, chills absence of sweat
Lockjaw
Anxiety
Manic Depression
Eye problems
Shoulder Pain
Headache, Hand/Finger Pain
Upper channel heat
Neck Pain
Toothache/Tinnitus
Clears heat from the hearts - calms the spirit, manic behavior.
SI5 TCM Actions
Clears heat and reduces swelling
Calms spirit
Clears meridian
SI5 TCM Patterns
Heart Fire
SI5 Neuroanatomy
Superficial Innervation: Ulnar nerve (palmar branch) from C8 and T1
Dermatome Segment: C8
SI5 Notes
Jing-River points are where the qi of the meridian begins to flow more heavily. They are known to treat cough and asthma due to pathogenic cold or heat.
https://www.steve-woodley.co.uk/?content=pointsearch&point=SI-5
SI5 Nearby Points
HT7 - At the wrist crease on the radial side of flexor carpi ulnaris tendon, between the ulna and the pisiform bones
LI5 - In the anatomical snuffbox, on the radial border of the wrist in a depresison formed between extensor pollicis longus and brevis tendons
SI6 Yäng Läo
Support the Aged
SI6 Location
Dorsal to the head of the ulna in the cleft on the radial side of the high point of the styloid process, found with the palm facing the chest.
When the palm of the hand is placed on the chest, this point is located on the dorsal aspect of the head of the ulna, in a cleft level with and to the radial side of the high point of the styloid process of the ulna. It is most easily located by asking the patient to place their arm by their side and their hand prone, and the practitioner placing a finger on the high point of the ulna styloid process. Ask the patient to place their palm on their chest and the point is found in the cleft where the practitioner’s finger will rest.
SI6 Needling
Oblique insertion distally or proximally 0.5-1 cun
or
Oblique insertion toward the elbow 0.5 -0.8 cun
SI6 Associations
Xi Cleft Point
SI6 Indications
Conditions / Symptoms:
Muscle Weakness/Tightness
Acute and Severe Neck, Shoulder, Arm Pain
Lumbar Pain
Tinnitus
Eye/Vision Problems (deficiency dimness, blurring, pain)
Deafness (Hearing Loss)
Useful point for treating elderly patients, deafness, tinnitus, failing vision, upper body/limb stiffness.
Overwork a/or overstrain, fatigue in the extremities.
SI6 TCM Actions
Activates the channel and alleviates pain
Benefits the shoulder and arm
Moderates acute conditions
Benefits eyes (deficiency conditions)
SI6 TCM Patterns
Spleen Blood Deficiency
Spleen Qi Deficiency
Kidney Qi Deficiency ?
SI6 Neuroanatomy
Superficial Innervation: Ulnar nerve from C8 - T1
Dermatome Segment: C8
SI6 Notes
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 X-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-Fu organ. Also, Xi-Cleft points of the Yin meridians have hemostatic functions. https://www.steve-woodley.co.uk/?content=pointsearch&point=SI-6
SI6 Nearby Points
LI5 - On the ulnar aspect of the wrist in a depression between the tendon of extensor pollicis longus and brevis
TH (SJ)4 - On the dorsum of the wrist, at the level of the wrist joint, in the depression between the tendons of extensor digitorum communis and extensor digiti minimi https://www.steve-woodley.co.uk/?content=pointsearch&point=SJ-4
SI7 Zhī Zhèng
Branch of the Upright
SI7 Location
On a line connecting SI5 and SI8, 5 cun above the crease of the wrist
SI7 Needling
Perpendicular or oblique insertion 0.5 - 1 cun
SI7 Associations
Luo Connecting Point
SI7 Indications
Conditions / Symptoms:
Common Cold
Arm Pain
Panic Attacks/Fear
Stiff Neck
Headache, Hand, Fingers Pain
Eye Vision Problems
Anxiety/Fear
Flu, EPF Wind Heat
Warts - says Ling Shu
Local point for pain and/or strength/control issues in the elbow, arm, and fingers. May be helpful for weakness of all the limbs as well.
Useful with onset of exterior wind-heat conditions such as colds/flus that start with neck and/or back pain.
Calms the spirit - manic behavior, anxiety, panic attacks, fear.
Neuraesthenia, eye-dizziness.
SI7 TCM Actions
Clears heat and releases exterior
Calms spirit
Activates channel and alleviates pain
Benefits finger joints
SI7 TCM Patterns
Lung Wind Invastion - Wind Heat
Heart Fire
SI7 Neuroanatomy
Superficial Innervation: Medial cutaneous nerve of the forearm (C8 - T1)
Dermatome Segment: T1
SI7 Notes
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.
Ling Shu Ch. 6 suggests piercing the Luo points if a disease is in the Yang of the Yin realm (e.g. the Fu organs) implying this point for disorders of the Small Intestine.
Ling Shu Ch. 10, On Channels, describes the diseases relating to the Luo emanating from this point as:
Repletion: The joints relax and the elbows no longer function
Depletion: Warts grow
(Unschuld, 2016).
SI7 Nearby Points
LI7 - 5 cun above the wrist crease on a line joining LI5 and LI11
TH8 - 4 cun above TH4 between the radius and ulna
PC4 - 5 cun above the wrist crease between the tendons of palmaris longus and flexor carpi radialis
SI8 Xiäo Häi
Small Sea
SI8 Location
In the depression between the tip of the olecranon process of the ulna and the tip of the medial epicondyle of the humerus
SI8 Needling
Oblique distal or proximal insertion 0.5 - 1 cun or perpendicular insertion 0.3-0.5 cun
SI8 Caution
Ulnar nerve lies deep to this point
SI8 Associations
He Sea
Earth Point
Child Point
SI8 Indications
Conditions / Symptoms:
Toothache
Arm/Elbow Pain
Mouth Sores (Ulcers)
Energy Low
Neck Pain
Epilepsy (Seizure)
Submandibular swelling
Sudden loss of voice
Clears heat and swelling from the upper portion of the channel -
Submandibular region swelling or pain, toothache, gums, cheek, neck, scapula, axilla.
Clinically most used to treat neck, shoulder, elbow problems, swelling, trembling, pain, numbness, weakness
Channel issues with excess wind a/or heat.
SI8 TCM Actions
Clears heat and dissipates swelling
Calms the spirit
Activates channel and alleviates pain
SI8 TCM Patterns
Liver Wind
Liver Fire
Lung Wind Invasion - Wind Heat
SI8 Neuroanatomy
Superficial Innervation: Medial cutaneous nerve of the arm (C8 - T1) and ulnar nerve (C8 - T1)
Dermatome Segment: T1
SI8 Notes
He-Sea points are where the qi of the meridian collects and goes deep into the body. He-sea points are known to indicated treat rebellious qi and diarrhea.
In five element acupuncture this point is reduced to drain excess in the Small Intestine
Ling Shu Ch. 6 suggests piercing the He points of the Yang channels if a disease is in the Yang of the Yang realm (e.g. the skin). This would mean using this point, presumably needled at a very superficial level, to treat skin level disorders relating to this channel.
Combining this with the needling techniques described in Chapter 7 we could suggest using either superficial needling here to influence pathogens in the skin, or leopard spot needling (three needles aimed at letting blood from each side) for pathogens in the Blood.
SI8 Nearby Points
LU5 - In the cubital crease in a depression on the radial side of the tendon of biceps brachii
PC3 - On the transverse cubital crease, on the ulnar side of the tendon of biceps brachii
HT3 - With the elbow flexed, at the ulnar end of the cubital crease. Midway between PC3 and the medial epicondyle of the humerus
LI11 - Midway between LU5 and the lateral epicondyle of the humerus, at the lateral end of the transverse cubital crease
TH10 - 1 cun above the olecranon process in a depression with the elbow flexed
SI9 Jiān Zhēn
True Shoulder
SI9 Location
Posterior and inferior to the shoulder joint, 1 cun above the axillary crease when the arm hangs in an adducted position
SI9 Needling
Perpendicular insertion 1-1.5 cun
SI9 Associations
No hats.
Luo Harmonizing point
Trigger point
SI9 Indications
Conditions / Symptoms:
Deafness (Hearing Loss)
EPF - Wind Heat
Shoulder Pain
Parkinson’s Disease (PD)
Arm Pain
Tinnitus
Common Cold
Headache
Local point for shoulder and arm pain and/or movement/control issues. Motor control issues of the hand.
Wind-heat invasion - chills and fever from the common cold
SI9 TCM Actions
Expels wind and benefits shoulder
Activates channel and alleviates pain
SI9 TCM Patterns
Lung Wind Invasion - Wind Heat
SI9 Neuroanatomy
Superficial Innervation: Axillary nerve from C5 - C6
Dermatome Segment: T2
SI9 Trigger Point
Muscle: Teres major
Myotome Innervation: Lower subscapular nerve (C6 - C7)
Location Notes: Melzack (1977) correlates this point to the teres minor trigger point but it is far better suited to Naoshu SI-10
Pain Referral Pattern: To shoulder and down dorsal aspect of forearm
Indications: Shoulder pain
SI9 Notes
At the end of a Small Intestine Luo treatment this point is needled, deqi grasped and removed immediately to normalize the circulation of blood (Cecil-Sterman, 2012, Advanced Acupuncture).
SI9 Nearby Points
HT1 - In the centre of the axilla, on the radial side of the axillary artery
Jianqian - Midway between LI15 and the anterior axillary crease
SI10 Nāo Shū
Upper Arm Shu
SI10 Location
With the arm adducted, directly above the axillary crease (SI9) in a depression inferior to the scapular spine
SI10 Needling
Perpendicular 1-1.5 cun
SI10 Associations
No hats?
Intersection Point of SI, Yang Wei and Yan Qiao Meridians
Opening point of SI Divergent Channel
Trigger Point
SI10 Indications
Conditions / Symptoms
Flu
Arm Pain
Common cold
Shoulder Pain
Local point for shoulder and upper arm pain, swelling and/or weakness.
Wind-heat, wind-cold - chills and fever.
SI10 TCM Actions
Benefits the shoulder
Activates the channel and alleviates pain
SI10 TCM Patterns
Lung Wind Invasion Wind-Heat & Wind Cold
SI10 Neuroanatomy
Superficial Innervation: Suprascapular nerve, from posterior division of the superior trunk of the brachial plexus (C5 - C6)
Dermatome Segment: C4
SI10 Trigger Point
Muscle: Teres minor or supraspinatus (attachment to glenohumeral joint)
Myotome Innervation: Teres minor: Axillary nerve (C5 - C6); supraspinatus: suprascapular nerve (C5 - C6)
Location Notes: Teres minor trigger point may be slightly medial and inferior to classical location
Pain Referral Pattern: Local to point around shoulder
Indications: Shoulder pain, if supraspinatus especially when abducting the arm ; Cardiac syndromes
SI10 Notes
Jeffrey Yuen (2005, The Eight Extraordinary Vessels) suggests using this point and Juliao GB-29 to ground a person in the present as they are the meeting of Yang wei mai and Yang qiao mai.
He also recommends cupping on these two points combined with needling Ah shi points as part of a Qiao mai treatment for unilateral chronic Bi as Qiao deals with suffering and Wei deal with issues over time.
https://www.steve-woodley.co.uk/?content=pointsearch&point=SI-10
SI10 Nearby Points
Jianqian - Midway between LI15 and the anterior axillary crease
LI15 - Anterior and inferior to the acromion in a depression formed when the arm is abducted
TH14 - Posterior and inferior to the acromion in a depression formed when the arm is abducted
