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Acupuncture Points Comprehensive > Hand Taiyang 11-19 > Flashcards

Hand Taiyang 11-19 Flashcards

1
Q

SI11 Tian Zhong

A

Heavenly Gathering

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2
Q

SI11 Location

A

On the scapula in a tender depression, 1/3 the distance from the midpoint of the inferior border of the scapular spine and the inferior angle of the scapula

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3
Q

SI11 Needling

A

Perpendicular or oblique insertion 0.5-1.5 cun

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4
Q

SI11 Associations

A

No hats.

Trigger Point

Homeostatic Point 8

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5
Q

SI11 Indications

A

Conditions / Symptoms:

Mastitis, Insufficient Lactation

Asthma

Shoulder Pain

TMJ/Facial Pain

Anxiety

Breast Cancer/Distention

Arm Pain

Breast problems, mastitis, insufficient lactation, breast pain.

Emotional issues, anxiety that presents with asthma, expands and relaxes the chest, asthma generally.

Local point for channel pain within the shoulder, scapula region, elbow, arm, face and jaw.

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6
Q

SI11 TCM Actions

A

Activates the channel and alleviates pain

Moves qi and unbinds the chest and lateral costal region

Benefits breasts

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7
Q

SI11 TCM Patterns

A

Lung Qi Deficiency

Liver Qi Stagnation

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8
Q

SI11 Neuroanatomy

A

Superficial Innervation: Suprascapular nerve, from posterior division of the superior trunk of the brachial plexus (C5 - C6)
Dermatome Segment: T2

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9
Q

SI11 Trigger Point

A

Muscle: Infraspinatus and lower trapezius
Myotome Innervation: Infraspinatus: suprascapular nerve (C5 - C6); trapezius: motor - accessory nerve (CN XI), sensory - cervical spinal nerves from C3 and C4
Location Notes: There are three other trigger points near here that may become sensitized on the infraspinatus muscle. One lies superior, one superior and slightly lateral and one slightly medial
Pain Referral Pattern:
Infraspinatus: To shoulder with some spillover down radial side of arm and maybe to neck below occiput, or to medial side of scapula if located slightly medially
Lower trapezius: To medial border of scapula
Indications: Shoulder and arm pain, especially with inability to reach arm behind ; Cardiac syndromes

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10
Q

SI11 Nearby Points

A

UB14 - 1.5 cun lateral to GV line level with T4

UB43 - 3 cun lateral to the GV line, level with T4

Huatuojaiji - T4

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11
Q

SI12 Bing Feng

A

Grasping the Wind

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12
Q

SI12 Location

A

In the centre of the suprascapular fossa, directly above SI11, in a depression formed when the arm is raised

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13
Q

SI12 Needling

A

Perpendicular or oblique medial insertion toward the spine 0.5-1 cun

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14
Q

SI12 Caution

A

Deep needling carries risk of pneumothorax

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15
Q

SI12 Associations

A

No hats.

Meeting Point of SI, LI, GB and TH Meridians

Trigger Point

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16
Q

SI12 Indications

A

Conditions / Symptoms:

Muscle Weakness

Arm Pain

Shoulder Pain

Local point for shoulder, scapula and/or arm pain, numbness, weakness along the course of the channel.

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17
Q

SI12 TCM Actions

A

Expels wind and benefits shoulder and scapula

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18
Q

SI12 TCM Patterns

A

N/A

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19
Q

SI12 Neuroanatomy

A

Superficial Innervation: Suprascapular nerve from C5 - C6
Dermatome Segment: C4

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20
Q

SI12 Trigger Point

A

Muscle: Supraspinatus
Myotome Innervation: Suprascapular nerve (C5 - C6)
Pain Referral Pattern: To lateral aspects of shoulder and elbow, with spillover across top of shoulder and all down lateral and radial aspects of the arm
Indications: Pain of shoulder, especially on abduction of arm

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21
Q

SI12 Notes

A

One of the 18 tender spots used in the diagnosis of fibromyalgia

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22
Q

SI12 Nearby Points

A

UB12 - 1.5 cun lateral to the GV line, level with T2

UB41 - 3 cun lateral to the GV line, level with T2, on the spinal border of the scapula

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23
Q

SI13 Qu Yuan

A

Crooked Wall

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24
Q

SI13 Location

A

On the medial extremity of the suprascapular fossa, midway between SI10 and the spinous process of T2

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25
Q

SI13 Needling

A

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

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26
Q

SI13 Caution

A

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

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27
Q

SI13 Associations

A

No hats.

Trigger Point

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28
Q

SI13 Indications

A

Conditions / Symptoms:

Shoulder Pain

Local point for shoulder and/or scapular region pain, weakness and/or stiffness. Useful for chronic shoulder problems.

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29
Q

SI13 TCM Actions

A

Benefist the shoulder and scapula

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30
Q

SI13 TCM Patterns

A

N/A

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31
Q

SI13 Neuroanatomy

A

Superficial Innervation: Suprascapular nerve from C5 - C6
Dermatome Segment: T1

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32
Q

SI13 Trigger Point

A

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

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33
Q

SI13 Nearby Points

A

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

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34
Q

SI14 Jian Wai Shu

A

Outer Shoulder Shu

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35
Q

SI14 Location

A

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

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36
Q

SI14 Needling

A

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

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37
Q

SI14 Caution

A

Perpendicular insertion carries risk of pneumothorax

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38
Q

SI14 Associations

A

No hats.

Trigger Point

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39
Q

SI14 Indications

A

Conditions / Symptoms:

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)

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40
Q

SI14 TCM Actions

A

Activates channel and alleviates pain

Expels wind and cold, benefits shoulder and neck

41
Q

SI14 TCM Patterns

A

N/A

42
Q

SI14 Neuroanatomy

A

Superficial Innervation: Dorsal scapular from ventral ramus of C5
Dermatome Segment: C6

43
Q

SI14 Trigger Point

A

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

44
Q

SI14 Nearby Points

A

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

45
Q

SI15 Jian Zhong Shu

A

MIddle Shoulder Shu

46
Q

SI15 Location

A

2 cun lateral to the lower border of C7

47
Q

SI15 Needling

A

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

48
Q

SI15 Caution

A

Risk of pneumothorax on deep needling

49
Q

SI15 Associations

A

No hats.

50
Q

SI15 Indications

A

Conditions / Symptoms:

Shoulder Pain

Cough (coughing blood) hemoptysis

Asthma

Neck Pain

51
Q

SI15 TCM Actions

A

Activates channel and alleviates pain

Descends lung qi

52
Q

SI15 TCM Patterns

A

N/A

53
Q

SI15 Neuroanatomy

A

Superficial Innervation: Dorsal rami of spinal nerves C3 - C5
Dermatome Segment: C5

54
Q

SI15 Nearby Points

A

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)

55
Q

SI16 Tian Chuang

A

Heavenly Window

56
Q

SI16 Location

A

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

57
Q

SI16 Needling

A

Perpendicular insertion 0.5-0.8 cun

58
Q

SI16 Indications

A

Conditions / Symptoms:

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

59
Q

SI16 Associations

A

Window of Sky

60
Q

SI16 Notes

A

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.

61
Q

SI16 TCM Actions

A

Benefits the ears, throat, voice

Regulates qi and calms spirit

Activates channel, alleviates pain and clears heat

62
Q

SI16 TCM Patterns

A

N/A

63
Q

SI16 Neuroanatomy

A

Superficial Innervation: Transverse cervical nerve (C2 - C3)
Dermatome Segment: C3

64
Q

SI16 Trigger Point

A

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

65
Q

SI16 Nearby Points

A

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)

66
Q

SI17 Tian Rong

A

Heavenly Appearance (Celestial Countenance)

67
Q

SI17 Location

A

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

68
Q

SI17 Needling

A

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

69
Q

SI17 Caution

A

Carotid artery

70
Q

SI17 Associations

A

Window of Heaven

(Trigger Point)

71
Q

SI17 Indications

A

Conditions / Symptoms:

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.

72
Q

SI17 TCM Actions

A

Benefits the neck and throat and disperses swelling

Descends rebellious qi

Benefits the ears

73
Q

SI17 TCM Patterns

A

N/A ?

74
Q

SI17 Neuroanatomy

A

Superficial Innervation: Transverse cervical nerve (C2 - C3)
Dermatome Segment: C3

75
Q

SI17 Trigger Point

A

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

76
Q

SI17 Notes

A

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.

77
Q

SI17 Nearby Points

A

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

78
Q

SI18 Quan Liao

A

Cheek Bone Crevice

79
Q

SI18 Location

A

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

80
Q

SI18 Needling

A

Perpendicular 0.3-0.5

Oblique or SubQ 0.5-1 cun

Transverse to ST4, ST6, ST7, LI20

No Moxa

81
Q

SI18 Caution

A

Contraindicated to moxibustion

82
Q

SI18 Associations

A

No hats?

Meeting point for all Leg Yang Sinew meridians

Crossing Point of SI and SJ meridians

83
Q

SI18 Indications

A

Conditions / Symptoms:

Bells Palsy

Eye deviation, eyelid twitching

Abscess of lip

Trigeminal Neuralgia/Toothache

Inability to chew

Facial Pain/Twitching

Yellow sclera

84
Q

SI18 TCM Actions

A

Eliminates wind and alleviates pain

Clears heat and reduces swelling

85
Q

SI18 TCM Patterns

A

Lung Wind Invasion - Wind Heat

Lung Wind Invasion - Wind Cold

?

86
Q

SI18 Neuroanatomy

A

Superficial Innervation: Infraorbital nerve, from maxillary branch of trigeminal nerve (V2)
Dermatome Segment: CN V2 maxillary branch of trigeminal

87
Q

SI18 Notes

A

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).

88
Q

SI18 Nearby Points

A

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

89
Q

SI19 Ting Gong

A

Hearing Palace

90
Q

SI19 Location

A

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

91
Q

SI19 Needling

A

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

92
Q

SI19 Associations

A

Exit Point to BL1

(Intersection point of SI, TH, GB)

93
Q

SI19 Indications

A

Conditions / Symptoms:

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.

94
Q

SI19 TCM Actions

A

Benefits the ears (Empirical ear point)

Calms the spirit

95
Q

SI19 TCM Patterns

A

Shen Disturbance

Phlegm Misting Heart

96
Q

SI19 Neuroanatomy

A

Superficial Innervation: Auriculo-temporal nerve from posterior division of mandibular branch of trigeminal nerve (CN V3)
Dermatome Segment: CN V3 mandibular branch of trigeminal

97
Q

SI19 Notes

A

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.

98
Q

SI19 Nearby Points

A

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

Acupuncture Points Comprehensive (24 decks)

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