Hand Taiyang 1-10 Flashcards

1
Q

SI1 Shào Zé

A

Lesser Marsh

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2
Q

SI1 Location

A

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

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3
Q

SI1 Needling

A

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

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4
Q

SI1 Associations

A

Jing Well

Metal Point

Entry Point

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5
Q

SI1 Indications

A

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

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6
Q

SI1 TCM Actions

A

Clears heat and benefits sensory orifices

Revives consciousness

Promotes lactation and benefits breasts

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7
Q

SI1 TCM Patterns

A

Liver Fire

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8
Q

SI1 Neuroanatomy

A
  • Superficial Innervation:* Ulnar nerve (digital branch) from C8 and T1
  • Dermatome Segment:* C8
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9
Q

SI1 Nearby Points

A

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

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10
Q

SI1 Notes

A

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

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11
Q

SI2 Qián Gü

A

Front Valley

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12
Q

SI2 Location

A

On the ulnar border of the little finger, in a depression just distal to the metacarpo-phalangeal joint

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13
Q

SI2 Needling

A

Oblique distal insertion 0.2-0.3, or perpendicular oblique insertion toward the palm 0.5 cun

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14
Q

SI2 Associations

A

Ying Spring

Water Point

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15
Q

SI2 Indications

A

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.

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16
Q

SI2 TCM Actions

A

Clears wind-heat and reduces swelling

Benefits eyes, ears, throat

Activates channel and alleviates pain

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17
Q

SI2 TCM Patterns

A

Liver Fire

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18
Q

SI2 Neuroanatomy

A

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

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19
Q

SI2 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=SI-2

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20
Q

SI2 Nearby Points

A

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

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21
Q

SI3 Hòu Xī

A

Back Gully Stream

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22
Q

SI3 Location

A

On the ulnar border of the hand, in the substantial depression proximal to the head of the fifth metacarpal.

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23
Q

SI3 Needling

A

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.

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24
Q

SI3 Associations

A

Shu Stream

Wood Point

Mother Point

Confluent of Du Mai (coupled with BL62)

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25
Q

SI3 Indications

A

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

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26
Q

SI3 TCM Actions

A

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

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27
Q

SI3 TCM Patterns

A

Heart Blood Stagnation

Phlegm Fire Disturbs the Heart

Cold Phlegm Misting the Heart

Liver Heat Generates Internal Wind

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28
Q

SI3 Neuroanatomy

A

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

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29
Q

SI3 Notes

A

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

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30
Q

SI3 Nearby Points

A

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

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31
Q

SI4 Wàn Gü

A

Wrist Bone

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32
Q

SI4 Location

A

On the ulnar border of the hand, in the depression between the fifth metacarpal bone and the triquetral bone

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33
Q

SI4 Needling

A

Perpendicular 0.3-0.5 cun

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34
Q

SI4 Associations

A

Yuan Source Point

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35
Q

SI4 Indications

A

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.

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36
Q

SI4 TCM Actions

A

Activates channel and alleviates pain

Clears heat and reduces swelling

Clears damp-heat and treats jaundice

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37
Q

SI4 TCM Patterns

A

Liver and GB Damp Heat

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38
Q

SI4 Neuroanatomy

A

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

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39
Q

SI4 Notes

A

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

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40
Q

SI4 Nearby Points

A

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.

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41
Q

SI5 Yáng Gü

A

Yang Valley

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42
Q

SI5 Location

A

On the ulnar aspect of the wrist, in the depression between the head of the ulna and the triquetral bone

43
Q

SI5 Needling

A

Perpendicular 0.3-0.5 cun

44
Q

SI5 Associations

A

Jing River

Fire Point

Horary

45
Q

SI5 Indications

A

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.

46
Q

SI5 TCM Actions

A

Clears heat and reduces swelling

Calms spirit

Clears meridian

47
Q

SI5 TCM Patterns

A

Heart Fire

48
Q

SI5 Neuroanatomy

A

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

49
Q

SI5 Notes

A

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

50
Q

SI5 Nearby Points

A

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

51
Q

SI6 Yäng Läo

A

Support the Aged

52
Q

SI6 Location

A

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.

53
Q

SI6 Needling

A

Oblique insertion distally or proximally 0.5-1 cun

or

Oblique insertion toward the elbow 0.5 -0.8 cun

54
Q

SI6 Associations

A

Xi Cleft Point

55
Q

SI6 Indications

A

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.

56
Q

SI6 TCM Actions

A

Activates the channel and alleviates pain

Benefits the shoulder and arm

Moderates acute conditions

Benefits eyes (deficiency conditions)

57
Q

SI6 TCM Patterns

A

Spleen Blood Deficiency

Spleen Qi Deficiency

Kidney Qi Deficiency ?

58
Q

SI6 Neuroanatomy

A

Superficial Innervation: Ulnar nerve from C8 - T1
Dermatome Segment: C8

59
Q

SI6 Notes

A

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

60
Q

SI6 Nearby Points

A

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

61
Q

SI7 Zhī Zhèng

A

Branch of the Upright

62
Q

SI7 Location

A

On a line connecting SI5 and SI8, 5 cun above the crease of the wrist

63
Q

SI7 Needling

A

Perpendicular or oblique insertion 0.5 - 1 cun

64
Q

SI7 Associations

A

Luo Connecting Point

65
Q

SI7 Indications

A

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.

66
Q

SI7 TCM Actions

A

Clears heat and releases exterior

Calms spirit

Activates channel and alleviates pain

Benefits finger joints

67
Q

SI7 TCM Patterns

A

Lung Wind Invastion - Wind Heat

Heart Fire

68
Q

SI7 Neuroanatomy

A

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

69
Q

SI7 Notes

A

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).

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

70
Q

SI7 Nearby Points

A

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

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

71
Q

SI8 Xiäo Häi

A

Small Sea

72
Q

SI8 Location

A

In the depression between the tip of the olecranon process of the ulna and the tip of the medial epicondyle of the humerus

73
Q

SI8 Needling

A

Oblique distal or proximal insertion 0.5 - 1 cun or perpendicular insertion 0.3-0.5 cun

74
Q

SI8 Caution

A

Ulnar nerve lies deep to this point

75
Q

SI8 Associations

A

He Sea

Earth Point

Child Point

76
Q

SI8 Indications

A

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.

77
Q

SI8 TCM Actions

A

Clears heat and dissipates swelling

Calms the spirit

Activates channel and alleviates pain

78
Q

SI8 TCM Patterns

A

Liver Wind

Liver Fire

Lung Wind Invasion - Wind Heat

79
Q

SI8 Neuroanatomy

A

Superficial Innervation: Medial cutaneous nerve of the arm (C8 - T1) and ulnar nerve (C8 - T1)
Dermatome Segment: T1

80
Q

SI8 Notes

A

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.

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

81
Q

SI8 Nearby Points

A

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

82
Q

SI9 Jiān Zhēn

A

True Shoulder

83
Q

SI9 Location

A

Posterior and inferior to the shoulder joint, 1 cun above the axillary crease when the arm hangs in an adducted position

84
Q

SI9 Needling

A

Perpendicular insertion 1-1.5 cun

85
Q

SI9 Associations

A

No hats.

Luo Harmonizing point

Trigger point

86
Q

SI9 Indications

A

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

87
Q

SI9 TCM Actions

A

Expels wind and benefits shoulder

Activates channel and alleviates pain

88
Q

SI9 TCM Patterns

A

Lung Wind Invasion - Wind Heat

89
Q

SI9 Neuroanatomy

A

Superficial Innervation: Axillary nerve from C5 - C6
Dermatome Segment: T2

90
Q

SI9 Trigger Point

A

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

91
Q

SI9 Notes

A

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).

http://steve-woodley.co.uk/?content=pointsearch&point=SI-9

92
Q

SI9 Nearby Points

A

HT1 - In the centre of the axilla, on the radial side of the axillary artery

Jianqian - Midway between LI15 and the anterior axillary crease

93
Q

SI10 Nāo Shū

A

Upper Arm Shu

94
Q

SI10 Location

A

With the arm adducted, directly above the axillary crease (SI9) in a depression inferior to the scapular spine

95
Q

SI10 Needling

A

Perpendicular 1-1.5 cun

96
Q

SI10 Associations

A

No hats?

Intersection Point of SI, Yang Wei and Yan Qiao Meridians

Opening point of SI Divergent Channel

Trigger Point

97
Q

SI10 Indications

A

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.

98
Q

SI10 TCM Actions

A

Benefits the shoulder

Activates the channel and alleviates pain

99
Q

SI10 TCM Patterns

A

Lung Wind Invasion Wind-Heat & Wind Cold

100
Q

SI10 Neuroanatomy

A

Superficial Innervation: Suprascapular nerve, from posterior division of the superior trunk of the brachial plexus (C5 - C6)
Dermatome Segment: C4

101
Q

SI10 Trigger Point

A

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

102
Q

SI10 Notes

A

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

103
Q

SI10 Nearby Points

A

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

104
Q
A