Hand Taiyang 11-19 Flashcards

Question

SI13 Needling

Answer 1

Perpendicular 0.3-0.5 cun, or oblique 0.5-1 cun

Answer 2

Too medial insertion, or deep medial oblique insertion may puncture the lung

Answer 3

No hats. Trigger Point

Answer 4

_Conditions / Symptoms:_ ## Footnote Shoulder Pain Local point for shoulder and/or scapular region pain, weakness and/or stiffness. Useful for chronic shoulder problems.

Answer 5

Benefist the shoulder and scapula

Answer 6

_Superficial Innervation:_ Suprascapular nerve from C5 - C6 _Dermatome Segment_: T1

Answer 7

_Muscle_: Serratus posterior _Myotome Innervation_: 2nd through 5th intercostal nerves _Location Notes:_ This point is located beneath the scapula and accessible only when the scapula is abducted. When needling Travell & Simons (1998) suggest putting fingers on the underlying rib to fix its location and needling at a tangent to the skin, keeping the needle directed towards the rib at all times. Melzack (1977) correlates this point to the infraspinatus trigger point but his diagrams clearly point beneath the scapular spine making Tianzhong SI-11 a better alternative. _Pain Referral Pattern_: To the entire scapula and through to the anterior chest wall. Also down the posterior aspect of the arm, the dorsal aspect of the forearm and to the little finger _Indications:_ Deep ache at rest exacerbated by lifting objects with outstretched hands, but unaffected by unloaded movements

Answer 8

UB12 - 1.5 cun lateral to GV line, level with T2 UB41 - 3 cun lateral to GV line, level with T2 TH15 - Midway between GB21 and SI13 on the superior angle of the scapula

Answer 9

Outer Shoulder Shu

Answer 10

3 cun lateral to the lower border of T1 (GV 13)

Answer 11

Oblique medial insertion 0.5-1 cun (0.5-0.8)

Answer 12

Perpendicular insertion carries risk of pneumothorax

Answer 13

No hats. Trigger Point

Answer 14

_Conditions / Symptoms:_ ## Footnote Pleurisy Occipital Neuralgia Neck Pain (rigidity, hard to turn) Shoulder Pain (cold sensation (Pons in brainstem close to neck, this is mainly for neck issues)

Answer 15

Activates channel and alleviates pain Expels wind and cold, benefits shoulder and neck

Answer 16

_Superficial Innervation:_ Dorsal scapular from ventral ramus of C5 _Dermatome Segment:_ C6

Answer 17

_Muscle:_ Middle trapezius and middle levator scapulae (deep) _Myotome Innervation:_ Trapezius: Motor - accessory nerve (CN XI), Sensation - dorsal rami of C2 - C3; _Levator scapulae_: Cervical nerve (C3 - C4) and dorsal scapular nerve (C5) _Location Notes:_ A second levator scapulae trigger point may be located directly above this point, between Jianjing GB-21 and bailao _Pain Referral Pattern:_ *Middle trapezius:* to midline around spine at levels of neck and scapula *Levator scapulae:* directly superior to this point to the posterior neck and medial portion of the trapezius with some spillover to the medial border of the scapula and the posterior lateral joint of the scapula (around Naoshu SI-10) _Indications:_ Myalgia in shoulder region ; Shoulder and neck pain

Answer 18

GV13 - Lower border of T1 TH15 - Midway between GB21 and SI13 on the superior angle of the scapula GB21 - Directly above the nipple at the midpoint of a line connecting GV14 and the acromion at the highest point of the shoulder

Answer 19

MIddle Shoulder Shu

Answer 20

2 cun lateral to the lower border of C7

Answer 21

Oblique medial insertion towards the spine 0.5-1 cun (0.5-0.8 in thin)

Answer 22

Risk of pneumothorax on deep needling

Answer 23

_Conditions / Symptoms:_ ## Footnote Shoulder Pain Cough (coughing blood) hemoptysis Asthma Neck Pain

Answer 24

Activates channel and alleviates pain Descends lung qi

Answer 25

_Superficial Innervation:_ Dorsal rami of spinal nerves C3 - C5 _Dermatome Segment:_ C5

Answer 26

GV14 - Lower border of spinous process of C7 GB21 - Midway between GV14 and acromion TH15 - Midway between GB21 and SI13 (spoon of superior angle of scapula)

Answer 27

Heavenly Window

Answer 28

On the posterior border of the sternocleidomastoid muscle level with the laryngeal prominence, posterior to LI18 [http://www.steve-woodley.co.uk/?content=pointsearch&point=SI-16](http://www.steve-woodley.co.uk/?content=pointsearch&point=SI-16)

Answer 29

Perpendicular insertion 0.5-0.8 cun

Answer 30

_Conditions / Symptoms:_ ## Footnote Goiter Alzheimers Uritcaria Neck pain Thyroiditis Multiple Sclerosis (MS) Anxiety, bipolar, hallucinations Parkinson's Disease Loss of voice/hoarseness Ear - tinnitus Sore Throat Shoulder Pain - radiating to neck

Answer 31

Window of Sky

Answer 32

Both SI 16 & SI 17 are Window of the Sky Points and are useful for throat distention, swelling, goiters, lumps in neck a/or throat, voice issues. Tong Ren/Tam Healing System: Used to effect the circulation within the vertebral artery and the occipital artery. Useful for occipital headache, alzheimer's, brain tumors, dyslexia, MS, and many brain issues related to circulation. Often used with Tian Dong as a starting point.

Answer 33

Benefits the ears, throat, voice Regulates qi and calms spirit Activates channel, alleviates pain and clears heat

Answer 34

_Superficial Innervation:_ Transverse cervical nerve (C2 - C3) _Dermatome Segment:_ C3

Answer 35

_Muscle:_ Cleidomastoid _Myotome Innervation:_ Motor functions supplied by ipsilateral accessory nerve (CN XI); Sensation provided by dorsal rami of C2 - C3 _Location Notes:_ Trigger point location would be on the belly of the cleidomastoid _Pain Referral Pattern:_ To the ear and behind the ear and to the forehead above the eye. _Indications:_ Frontal headaches and dizziness

Answer 36

LI18 - Level with the tip of the Adam's apple, between the sternal and clavicular heads of the SCM Yi MIng - 1 cun posterior to TH17 Tian Dong -Center point between GV 14 and CV 22, below SI 16, behind LI 17 at the corner of the neck and shoulder, angling 45 degrees downward towards C7. ST9 - Level with the tip of the laryngeal promincence on the anterior border of the SCM (where the pulse of the common carotid artery is felt)

Answer 37

Heavenly Appearance (Celestial Countenance)

Answer 38

In the depression between the angle of the mandible and the anterior border of the SCM

Answer 39

Directed toward the root of the tongue, anterior to the carotid vessels, 0.5-1 cun

Answer 40

Carotid artery

Answer 41

Window of Heaven | (Trigger Point)

Answer 42

_Conditions / Symptoms:_ ## Footnote Headache Obstruction of throat/Goiter/Thyroiditis TMJ Hypertension (High BP) Ear - tinnitis, hard of hearing Asthma Dizziness Sore Throat/Cough Both SI 16 & SI 17 are Window of the Sky Points and are useful for throat distention, swelling, goiters, lumps in neck a/or throat. Chest oppression, wheezing, cough, asthma. Ear issues - tinnitus, deafness. Tong Ren/Tam Healing System: Used to effect the circulation to the brain, and the facial nerves. Useful for facial issues such as TMJ, gum problems, etc. Also used with headaches, hearing issues, dizziness and/or high blood pressure.

Answer 43

Benefits the neck and throat and disperses swelling Descends rebellious qi Benefits the ears

Answer 44

_Superficial Innervation:_ Transverse cervical nerve (C2 - C3) _Dermatome Segment:_ C3

Answer 45

_Muscle:_ Medial pterygoid and posterior diagastric _Myotome Innervation:_ Mandibular branch of trigerminal nerve (CN V3) _Pain Referral Pattern:_ *Medial pterygoid* (pressure upwards to jaw): To condyloid process and posterior of mandible *Posterior diagastric* (into muscles of neck): To mastoid process and occipital region _Indications:_ Pain in jaw, sore throat and difficulty swallowing, lump in the throat

Answer 46

Ling Shu Ch. 75, On Piercing to Regulate True and Evil Qi, recommends this point as part of the "Shaking Off Dust" treatment for when Yang Qi rebels upwards to fill the chest making the patient agitated, breathing with his shoulders, averse to dust or smoke, panting noisily and sitting forward. The throat seems closed. The piercing must not exceed 1 Cun in depth.

Answer 47

[http://steve-woodley.co.uk/?content=pointsearch&point=SI-17](http://steve-woodley.co.uk/?content=pointsearch&point=SI-17) TH16 - Directly below the mastoid process, level with the mandibular angle and on the posterior border of the SCM (in line with SI17 and GV15) ST5 - Anterior to the angle of the mandible on the anterior border of the masseter muscle in a groove-like depression (facial artery groove) with cheeks bulged (jaw clenched) GB12 - in a depression inferior and posterior to the mastoid process

Answer 48

Cheek Bone Crevice

Answer 49

Directly below the outer canthus of the eye, in a depression at the lower border of the zygomatic bone

Answer 50

Perpendicular 0.3-0.5 Oblique or SubQ 0.5-1 cun Transverse to ST4, ST6, ST7, LI20 No Moxa

Answer 51

Contraindicated to moxibustion

Answer 52

No hats? Meeting point for all Leg Yang Sinew meridians Crossing Point of SI and SJ meridians

Answer 53

_Conditions / Symptoms:_ ## Footnote Bells Palsy Eye deviation, eyelid twitching Abscess of lip Trigeminal Neuralgia/Toothache Inability to chew Facial Pain/Twitching Yellow sclera

Answer 54

Eliminates wind and alleviates pain Clears heat and reduces swelling

Answer 55

Lung Wind Invasion - Wind Heat Lung Wind Invasion - Wind Cold ?

Answer 56

_Superficial Innervation_: Infraorbital nerve, from maxillary branch of trigeminal nerve (V2) _Dermatome Segment_: CN V2 maxillary branch of trigeminal

Answer 57

Although this seems an odd point for pain of the back and legs indicated by it being the confluence of the Yang leg sinews, it could be due to strain or pain in the sinews producing a grimace and tension at this point which will become an ahshi over time. In Tung acupuncture the point Ma Jin Shui Horse Gold Water, is located at this point with another Ma Kuai Shui, Horse Fast Water, located 0.4 cun below it. They are indicated for pain originating in the kidney, bladder, lower back and legs, including stones and UTIs, nephritis and frequent urination. They also have indications for sinusitis and chest pain. (Chu, 2015).

Answer 58

[http://steve-woodley.co.uk/?content=pointsearch&point=SI-18](http://steve-woodley.co.uk/?content=pointsearch&point=SI-18) LI20 - In the nasolabial groove, level with the midpoint of the lateral border of the ala nasi ST3 - Directly below the pupil, level with the lower border of the ala nasi Bitong - At the highest point of the nasolabial groove

Answer 59

Hearing Palace

Answer 60

Anterior to the tragus and posterior to the condyloid of the mandible in a depression formed when the mouth is opened

Answer 61

Needle with mouth open. Perpendicular 0.5-1 cun. The patient can close their mouth after needling.

Answer 62

Exit Point to BL1 | (Intersection point of SI, TH, GB)

Answer 63

_Conditions / Symptoms:_ ## Footnote Manic Depression Abdominal/Heart/Chest Fullness Tinnitus Ear Problems any kind Laryngitis Otitis/Otorrhea Temporomandibular Joint Disorder (TMJ) Toothache Epilepsy (Seizure) (Matelotte is a fish stew with wine. Ear bones (ossicles) were formed from bones in the jaws of reptiles. Reptile jaws homologous to fish gills.) Ear problems of any etiology, inflammation, deafness, tinnitus, hearing loss. TMJ, toothache. Calms the spirit - manic behavior, epilepsy, sensation of pressure below the heart.

Answer 64

Benefits the ears (Empirical ear point) Calms the spirit

Answer 65

Shen Disturbance Phlegm Misting Heart

Answer 66

_Superficial Innervation_: Auriculo-temporal nerve from posterior division of mandibular branch of trigeminal nerve (CN V3) _Dermatome Segment_: CN V3 mandibular branch of trigeminal

Answer 67

Ling Shu Ch. 5 places this point, described as the "centre of the ear", as the end of of Shaoyang with Qiao Yin GB-44 as the root. In cases of where the joints become weak and the patient sways the whole channel is to be examined for surplus and deficiency and the pathology removed. Ting gui GB-2 might seem a more obvious location, being at the other end of the foot Shaoyang meridian but both arm and leg Shaoyang meridians meet at this location. Ling Shu Ch. 52, On the Wei Qi, considers this to be the tip of the foot Shaoyang meridian with the root being at Zuqiaoyin GB-44.

Answer 68

[http://steve-woodley.co.uk/?content=pointsearch&point=SI-19](http://steve-woodley.co.uk/?content=pointsearch&point=SI-19) TH21 - Anterior to the supratragic notch and behind the posterior border of the condyloid process of the mandible with mouth open GB2 - Anterior to the intratragic notch at the posterior border of the condyloid process of the mandible with the mouth open ST7 - On the face, anterior to the ear, in a depression between the zygomatic arch and the mandibular notch, with mouth closed TH17 - Posterior to the lobule of the ear, in between the mandible and the mastoid process GB3 - In a depression directly above ST7 on the upper border of the zygomatic arch, in front of the ear