Hand Yangming Flashcards
1
Q
LI1 Location and Needling
Shangyang - Metal Yang
A
- 0.1 cun from the corner of lines drawn along the radial side and the bottom of the nail on the second digit
- 0.1-0.2 cun proximally or prick to bleed
2
Q
LI1 Point Associations
A
- Jing Well Metal
- Metal Point
3
Q
TCM Actions
A
- Jing Well Point, for heat, pain, stagnation (swelling) at opposite end of the channel
- Benefits throat
- Restores consciousness from windstroke
- Bleed for high fever, coma
4
Q
LI1 TCM Patterns
A
Large Intestine Damp Heat
5
Q
LI1 Conditions Treated
A
Clears heat, reduces swelling, alleviates pain: High fever, hot pain, heat/numbness of fingers, toothache, swelling of jaw and cheek, pain of scapula, tinnitus
Benefits throat: Sore throat, throat constriction
Revives consciousness: coma, loss of consciousness
6
Q
LI1 Nearby Points
A
- LU11 - Corner of radial border of thumbnail
- PC9 - Centre of tip of middle finger
7
Q
LI2 Location/Needling
Erjian - Second Space
A
- On the radial side of the index finger distal to the 2nd metacarpophalangeal joint in a depression at the border of the red and white skin.
- i. Oblique proximal or distal insertino 0.2 to 0.3 cun ii. Perpendicular insertion towards the palm 0.5 cun
8
Q
LI2 Point Associations
A
- Ying Spring
- Water Point
- Sedation Point
9
Q
LI2 Actions/Clinical Uses
A
- Expels wind, clears heat, reduces swelling
- Alleviates pain
- Shown to increase saliva production and to effect the areas of the brain involved in saliva production. Useful for dry mouth (xerostomia).
- Sedation Point and Ying Spring Point, treats excess and clears heat from opposite end of the channel
10
Q
LI2 Nearby Points
A
- Baxie (M-UE-22) - Depressions between metacarpal heads, also between thumb and index metarpals
- Luozhen (M-UE-24) - Dorsum of hand, just proximal to heads of 2nd and 3rd metacarpals
11
Q
LI2 Conditions
A
Clears heat, reduces swelling opposite end of channel: Eye problems (redness and pain), Fever, Facial muscles paralylzed, Gum inflammation, Nosebleed, Sore throat, Toothache, TN
12
Q
LI3 Location/Needling
Sanjian - Third Space
A
- On the radial side of the 2nd digit, proximal to the head of the 2nd metacarpal bone
- Perpendicular 0.5-2.0 cun towards SI3, needle with hand in a loose fist
13
Q
LI3 Associations
A
- Shu Stream
- Wood point
14
Q
LI3 Actions/Clinical Uses
A
- Expels wind and heat esp. opposite end of channel
- Dispells fullness and treats diarrhea.
15
Q
LI3 TCM Patterns
A
Large Intestine Damp Heat
16
Q
LI3 Primary Conditions
A
Clears heat, reduces swelling, alleviates pain esp. opposite end of channel: Dry mouth, Eye pain, Nosebleed, Rhinitis, Sore throat, Tinnitus
Dispells fullness and treats diarrhea: Bloating, Borborygmus, Cold/Damp Diarrhea, Fullness of chest
17
Q
LI3 Nearby Points
A
- Baxie (M-UE-22) - Depressions between metacarpal heads, also between thumb and index metarpals
- Luozhen (M-UE-24) - Dorsum of hand, just proximal to heads of 2nd and 3rd metacarpals
- Yaotongxue (N-UE-19) - On the dorsum of the hand, midway of metacarpals, between both the 2nd and 3rd and the 4th and 5th metacarpals (2 points on each hand).
18
Q
LI4 Location/Needling
Hegu - Union Valley
A
- When thumb and index finger are pressed together this point is located at the highest point of the muscle, close to the middle of the second metacarpal bone on the radial side.
- i. 0.5-1.0 cun perpendicular ii. oblique insertion directed proximally 1 to 1.5 cun
19
Q
LI4 Point Associations
A
- Command Point of Face and Head
- Heavenly Star Point
- Yuan Source point
- Entry Point
20
Q
LI4 Cautions
A
Pregnancy
21
Q
LI4 Clinical Uses/Actions
A
- Expels wind and releases the exterior
- Strengthens the wei qi and adjusts sweating
- Any problem on the face -
- Headache
- Promote labor or for retained placenta
- Restores the yang
22
Q
LI4 TCM Patterns
A
Lung Wind Invasion - Wind Cold
Lung Wind Invasion - Wind Heat
23
Q
LI4 Conditions
A
Releases the exterior for wind-cold or wind-heat syndromes, esp. wind heat
Strengthens the wei qi and adjusts sweating:, improves immunity, Regulates the sweat glands, for excessive sweating tonify LI 4 then disperse KD 7 and vice versa.
Any problem on the face - sense organs, mouth, teeth, jaw, toothache, allergies, rhinitis, hay fever, acne, eye problems, etc.
Toothache use both LI 4 & ST 44 - LI for the lower jaw & ST for the upper jaw.
Headache, especially frontal a/or sinus (yangming area).
Chronic Pain: known as pain point of the body
Restores yang/Influence the circulation of Qi and Blood - Use the four gates, LI 4 & LV 3 to strongly move the Qi and Blood in the body clearing stagnation and alleviating pain.
Promote labor or for retained placenta
24
Q
LI4 Nearby Points
A
- Yaotongxue (N-UE-19) - On the dorsum of the hand, midway of metacarpals, between both the 2nd and 3rd and the 4th and 5th metacarpals (2 points on each hand)
25
LI5 Location and Needling
Yangxi - Yang Stream
* On the radial side of the wrist between the tendons of extensor pollicis longus and brevis found when the thumb is tilted up
* Perpendicular 0.5-1 cun
26
LI5 Cautions
Look carefully to locate the cephalic vein which runs through teh anatomical snuffbox
27
LI5 Clinical Uses/Actions
* Local point for wrist pain.
* Clears heat and alleviates pain
* Clears yangming fire
* Calms the spirit
28
LI5 Point Associations
* Jing River
* Fire Point
29
LI5 Conditions
_Clears heat and alleviates pain_: Arm motor impairment, Deafness, Eye disorders, Headache, Sore throat
_Clears yangming fire_: Toothache, Tissue diseases, Urticaria
_Benefits the wrist joint_
_Calms the spirit:_ Classically noted with LI 7 for "seeing ghosts," manic depression
30
Discuss LI4 vs BL60
BL-60 more for back and lower body; LI-4 is more for upper body and face; other pain points are BL-60 and LR-3; LR-3 and LI-4 are the "four gates" and for whole body pain and moving the qi in the entire body
31
LI5 Nearby Points
* LU9 - At wrist joint, level with the proximal border of the pisiform bone, between the radial artery and abductor pollicis longus
* SJ4 - On the dorsum of the wrist crease, distal to the styloid process of the ulna, in between the extensor communis and extensor digiti minimi
* SI5 - On the ulnar end of the transverse wrist crease in a depression between the styloid process of the ulna and the triquetral bone.
32
LI6 Location/Needling
Pianli - Veering Passage
* On a line connecting LI5 and LI11, located 3 cun from LI5 on the radial aspect of the forearm, locate with elbow flexed
* 0.5-1.0 cun transverse oblique
33
LI6 Point Associations
* Luo Connecting Point
34
LI6 TCM Actions
* Expels Wind and clears Heat
* Opens and regulates the water passages
35
LI6 Conditions
_Expels wind and clears heat_: The Luo channel travels upward to the face effecting the jaw, teeth and ears, tinnitus, deafness, toothache, nosebleed
_Opens and regulates water passages_: Luo Connecting Point, influences the descending and dispersing function of the Lungs - useful for upperbody Edema a/or facial puffiness.
36
LI6 Notes on Luo
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.
37
LI6 Nearby Points
SJ6 - 3 cun above TH 4 between the radius and ulna on the radial side of the extensor digitorum communis muscle
SJ7 - Level with and one finger width from TH 6 on the radial border of the ulna.
(both 3 cun from wrist crease as well)
38
LI7 Location/Needling
Wenliu - Warm Dwelling
* 5 cun proximal to LI5 on a line connecting LI5 and LI11, locate on radial side of forearm with elbow bent
* 0.5-1 cun transverse oblique
39
LI7 Point Associations
* Xi Cleft Point
40
LI7 TCM Actions
* Clears heat and detoxifies poison
* Moderates acute conditions
* Regulates and harmonises the intestines and stomach
* Clears yangming fire and calms the spirit
41
LI7 Conditions
_Clears heat and detoxifies poison:_ Carbuncle/Furuncle, Clove sores, Canker sores, Eye redness and swelling, Oral herpes, Mouth/Tongue inflammation, Sore throat, Toothache
_Moderates acute conditions_: Xi Cleft Point useful for pain due to stagnation along the meridian in the shoulders, elbows and wrist. eg. tendinitis
_Regulates and harmonizes intestines and stomach_: Abdominal pain/distention, Swelling of limbs
_Clears yangming fire and calms spirit_: Bipolar, Hallucinations, Classically noted with LI 5 for "seeing ghosts," may be useful in manic conditions.
42
LI7 Nearby Points
* PC4 - 5 cun proximal to P7 on flexor aspect of forearm
* SI 7 - 5 cun proximal to SI5 on ulnar side of forearm between SI5 and SI8
* SJ8 - 4 cun proximal to SJ4 between radius and ulna
43
LI7 Notes on Xi Cleft
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-Fun organ. Also, Xi-Cleft points of the Yin meridians have hemostatic functions.
44
LI8 Xia Lian
Lower Ridge or Lower Angle
45
LI8 Location/Needling
* On radial side of forearm, 4 cun distal to LI11 on a line between LI5 and LI11 (locate with elbow flexed)
* Perpendicular or oblique insertion 0.5-1.5 cun
46
LI8 TCM Actions
* Harmonizes the small intestine
* Expels wind and clears heat
* Clears yangming fire and calms spirit
47
LI8 Point Associations
None
48
LI8 TCM Patterns
Stomach Fire
49
LI8 Conditions
_Harmonizes the small intestine_: Abdominal Pain/Distention, Diarrhea, Hematuria, Urinary disorders
_Calms the spirit, clear Yang Ming fire_ - Headache, Manic Depression, Stroke
SI: LI 8 is a reflection of on upper limb of ST 39 (Lower He Sea point of Small Intestine)
Blood in the urine arising from heat in the SI - use with CV 3 & ST 39.
50
LI8 Nearby Points
* None that are exactly 4 cun distal to elbow but 5 cun
* SJ9 - 7 cun proximal to SJ4, 5 cun distal to the olecranon, between the radius and ulna on the ulnar side of the forearm.
* LU6 - 7 cun proximal to LU9 and 5 cun distal to LU5 on the line joining LU5 and LU9.
51
LI9 Shang Lian
Upper Ridge or Upper Angle
52
LI9 Location/Needling
* On the radial side of the forearm, 3 cun distal to LI11 on a line joining LI5 to LI11
* Perpendicular or oblique, 0.5-1.5
53
LI9 TCM Actions
* Harmonizes the Large Intestine
* Local point for shoulder, elbow, and arm pain.
54
LI9 Point Associations
No hats
LI9 is a reflection on the upper limb of ST37 (lower he sea point of LI)
55
LI9 TCM Patterns
Large Intestine Damp Heat
56
LI9 Conditions
_Harmonizes the LI_, LI qi stagnation - abdominal pain, dark/difficult urination
_Activates the channel and alleviates pain:_ chest pain, dyspnea, headache, pain/numbness of arms, Numbness of the limbs - particularly the upper limbs, stroke recovery.
57
LI10 Shou San Li
Arm Three Miles
58
LI10 Location/Needling
On the radial aspect of the forearm, 2 cun distal to LI11 on a line joining LI5 and LI11. First locate LI9 then LI10 1 cun proximal. Locate with elbow bent and radial side up.
Perpendicular or oblique, 0.5-1.5
59
LI10 Clinical Uses/Actions
* Harmonizes intestines and stomach
* Regulates qi and blood
* Activates channel and alleviates pain
60
LI10 Point Associations
None
LI 10 is a reflection on the upper arm of the Lower He Sea point of the Stomach, ST36 on the lower leg
61
LI10 Indications
_Regulates qi and blood:_ Facial Edema, Jaw disorder, Skin disorders,
_Activates meridian and alleviates pain:_ Arm pain/paralysis, Jaw disorders, Shoulder pain, Toothache
_Harmonizes the intestines and stomach:_ Abdominal Pain, Diarrhea, Gastric ulcer, Gastrointestinal Disorders, Indigestion, Vomiting
Less dispersive & more tonifying than other LI points.
62
LI10 Trigger Point
_Muscle_: Brachioradialis
_Myotome Innervation_: Radial nerve (C5 - T1)
_Pain Referral Pattern_: To lateral elbow and dorsal aspect of base of thumb
_Indications_: Pain in lateral elbow, wrist and hand
63
LI11 Qu Chi
Pool at the Bend
64
LI11 Location/Needling
At the elbow, midway between LU5 and the lateral epicondyle of the humerus. At the lateral end of the transverse cubital crease. Locate with elbow flexed.
Perpendicular 1.0-1.5 cun
65
LI11 Nearby Points
* LU5 - At the cubital crease on the radial side of the biceps brachii tendon
* SI8 - Between the olecranon process of the ulna and the medial epicondyle of the humerus, found with the elbow flexed.
66
LI11 TCM Actions
* Clears heat
* Cools the blood, eliminates wind, drains damp and alleviates itching
* Regulates qi and blood
* Activates the channel and alleviates pain
67
LI11 Point Associations
* He Sea
* Earth Point
* Tonification
* Ghost Point
68
LI11 TCM Patterns
TCM Patterns:
1. Liver and Gallbladder Damp Heat
2. Large Intestine Damp Heat
3. Stomach Fire
4. Stomach Rebellious Qi
5. Summer Heat
6. Spleen Damp Heat Invasion (sedate)
69
LI11 Conditions
_Regulates Qi and Blood_
_Clears heat, cools the blood:_
Stomach Excess issues, abdominal distention/pain, burning diarrhea, Summer heat
Hot flashes a/or menstrual issues with heat in the Blood. Expels summer heat with UB 40 & SP 10, for heat stroke add SI 3.
High BP Reduction of high fevers, patients with the 4 bigs (big fever, thirst, sweat, pulse), combine with LI 1, LI 2 or LI 4.
Hypertension from excess Yang (w/ ST36)
_Eliminates wind, drains damp and alleviates itching_
Elbow and upper limb disorders, pain and inflammation, atrophy, tremors - expels wind dampness from the channel.
Damp Heat skin diseases, red, itchy, oozing & inflamed (hives, herpes zoster, acne, measles), may be used with UB 40 for any skin disease esp. involving redness.
One of thirteen ghost points for mania and epilepsy
_Activates channel and alleviates pain_: Paralysis; hemiplegia; arthritic pain in the upper limb
_Conditions / Symptoms:_
Damp heat. Diarrhea burning
ANY skin disease with UB40
Menorrhagia (Heavy Menstrual Bleeding)/ Memory/Manic
Parkinson's Disease
Itching and pain of whole body
Sweat Problems, ST Excess, Shingles
Hot Flashes, Heat Stroke, High fever
70
LI11 Trigger Point
_Muscle_: Supinators
_Myotome Innervation_: Posterior interosseous nerve, a continuation of the deep branch of the radial nerve (C7 - C8)
_Location Notes_: Extensor carpi radialis longus trigger point lies very close to this point, slightly distal and lateral, just off the brachioradialis muscle, and the aconeus trigger point should lie slightly distal and posterior still
_Pain Referral Pattern_: Lateral aspect of the elbow and dorsal aspect of the hand over the adductor pollicis and first interosseous muscles (L.I.-4)
Indications: Extensor tendonitis of the forearm ; Tennis elbow pain
71
LI12 Zhou Liao
Elbow Crease or Elbow Bone Hole
72
LI12 Location/Needling
When the elbow is flexed this point is 1 cun proximal and 1 cun lateral to LI11. Can be found above the lateral epicondyle of the humerus.
Perpendicular 0.5-1 cun
73
LI12 Nearby Points
* SJ10 - With elbow flexed, locate 1 cun proximal to olecranon
* SJ11 - With elbow flexed, 1 cun proximal to SJ10
74
LI12 TCM Actions
* Local point for elbow and upper arm pain, tennis elbow
* Activates channel and alleviates pain
75
LI12 Point Associatons
None
76
LI12 Conditions
Activates channel and alleviates pain: Contracture/pain of shoulders, arms and elbows, numbness of upper arms, somnolence, tendinitis, tennis elbow
77
LI13 Shou Wu Li
Arm Five Miles
78
LI13 Location/Needling
Lateral side of upper arm, 3 cun proximal to LI11 on a line joining LI11 to LI15. In a depression between lateral border of biceps brachii and humerus.
Perpendicular 1-1.5
79
LI13 TCM Actions
* Local point for pain in the elbow and upper arm.
* Activate channel and alleviate pain
* Regulate qi, drain damp and transform phlegm
* Alleviates cough
80
LI13 Point Associations
None
81
LI13 Conditions
_Activates channel, alleviates pain:_ Aching, numbness and spasm of the elbow and arm
_Transforms phlegm, drains damp, regulates qi, alleviates coughing:_ Cough, difficulty breathing, diminished qi, somnolence, vomiting of blood
82
LI 14 Bi Nao
Upper Arm
83
LI14 Location/Needling
On the radial side of the upper arm, on a line 3/5ths the distance along a line drawn from LI11 to LI15, at the insertion of the deltoid muscle.
Oblique insertion 1-1.5 cun
84
LI14 TCM Actions
Activates channel and alleviates pain
Regulates qi and dissipates phlegm nodules
Benefits the eyes
85
LI14 Point Associations
None
86
LI14 Conditions
_Activates channel and alleviates pain_: Arm Pain • Arm Paralysis • Back Pain • Shoulder Pain
_Regulates qi and dissipates phlegm nodules:_ Chills • Chills And Fever • Skin Disorders Parkinson's
_Benefits eyes_: Eye disorders, redness, swelling, pain
87
LI14 Nearby Points
* SJ13 - Posterior border of the deltoid muscle, 3 cun below SJ14
* LU3 - 3 cun below the axillary fold on the radial side of the biceps brachii tendon
88
LI14 Notes
Ling Shu Ch. 52, On the Wei Qi, considers this to be the root of the hand Yangming meridian with the tip being at Touwei St-8. Both of these are based on an unclear description and debated. The attribution of this point is based on Beinao being a mispronunciation of this point but other commentators describe it as an alternative name for Shangyang LI-1.
89
LI15 Jian Yu
Shoulder Bone
90
LI15 Location/Needling
When the arm is raised perpendicularly this point can be found in a depression anterior and inferior to the acromion.
With the arm abducted, perpendicular insertion directed towards the centre of the axilla, 1 - 1.5 cun, or transverse-oblique insertion directed distally towards the elbow, 1.5 - 2 cun
91
LI15 TCM Actions
1. Alleviates pain and benefits the shoulder joint
2. Eliminates wind and regulates qi and blood
3. Regulates qi and dissipates phlegm nodules
92
LI15 Point Associations
No hats.
Classifications:
* Opening point of the Large Intestine Divergent channel (Cecil-Sterman, 2012, Advanced Acupuncture)
* One of the "59 piercings" for clearing Heat in Su Wen Ch. 61
* The "59 piercings" are named in the Su Wen Ch. 61 and mentioned in Su Wen Ch. 32 and Ling Shu Ch. 23 for treating Heat diseases. This point along with Yunmen Lu-2, Weizhong Bl-40 and Yaoshu Du-2 clear Heat from the four limbs.
93
LI15 Indications
_Alleviates pain and benefits the shoulder_: diseases involving the lateral border of the upper limbs, anterior part of the shoulder and neck, rotator cuff injuries, adhesive capsulitis, frozen shoulder, any ROM issues.
_Eliminates wind and regulates qi and blood_: Wind-heat urticaria, injury by cold with heat that does not dissipate
_Regulates qi and dissipates phlegm nodules:_ hypertension, thyroid issues,
94
LI15 Nearby Points
* SJ14 - On shoulder, posterior to LI 15, in a depression inferior and posterior to the acromion when arm is abducted.
* SI10 - With the arm abducted, directly above SI 9 in a depression inferior to the scapular spine.
* HT1 - In the center of the axilla on the radial side of the axillary artery.
95
LI16 Ju Gu
Great Bone
96
LI16 Location
In the upper aspect of the shoulder between the acromial extremity of the clavicle and the spine of the scapula.
97
LI16 Needling
Perpendicular or Oblique 0.5-1.0
98
LI16 Precautions
Deep medial insertion carries a risk of causing a pneumothorax, particularly in thin patients
99
LI16 Actions
1. Activates the channel, alleviates pain and benefits the shoulder joint
2. Regulates qi and blood and dissipates phlegm nodules
100
LI16 Indications
_Activates channel, alleviates pain, benefits shoulder:_ Adjunctive point with LI 15 for shoulder issues, particularly chronic issues related to blood stasis
_Regulates qi and blood, dissipates phlegm nodules_: Resolve Blood stagnation in the chest & lungs, vomiting a/or coughing of Blood. Fright, epilepsy
101
LI16 TCM Patterns
Blood Stagnation
Heart Blood Stagnation
102
LI16 Nearby Points
* SI12 - Directly above SI 11 in the center of the suprascapular fossa, found in a depression when the arm is lifted.
* SJ15 - Midway between GB 21 and SI 13 on the superior angle of the scapula.
103
LI17 Tian Ding
Celestial Tripod
104
LI17 Location
On the lateral side of the neck, 1 cun below LI 18 on the posterior border of the SCM.
105
LI17 Needling
Perpendicular insertion 0.3 - 0.5 cun or oblique insertion 0.5 - 0.8 cun
106
LI17 Point Classifications
Trigger Point of Scalenus medius
Spinal nerves C4-C6 myotome innervation
107
LI17 Precautions
Deeper needling may puncture the carotid artery or jugular vein
108
LI17 Actions
Benefits the voice and throat
109
LI17 Indications
_Benefits voice and throat:_ Disorders of the mouth, teeth, nose and throat
_Activates channel and alleviates pain_: diseases involving the lateral border of the upper limbs, anterior part of the shoulder and neck
Tong Ren/Tam Healing System: Used to affect the circulation within the carotid artery. The left side is used more for physical complaints and the right side more for psychological issues due to the internal connections of the common carotid. Useful for alzheimer's, brain tumors, dyslexia, MS, and many brain issues related to circulation as well as the full range of psychological issues.
Conditions / Symptoms:
1. Plum Pit Qi/Parkinson's
2. Loss of voice
3. Alzheimer's
4. Sore Throat
5. Multiple Sclerosis (MS)
6. Artery and circulation
110
LI17 TCM Patterns
Liver Qi Stagnation
111
LI17 Nearby Points
* KI27 - In the depression on the lower border of the clavicle, 2 cun lateral to the midline.
* RN22 - On the midline, in the centre of the suprasternal fossa 0.5 cun superior to the suprasternal notch.
112
LI17 Trigger Point
_Muscle_: Scalenus medius
_Myotome Innervation_: Spinal nerves C4 - C6
_Pain Referral Pattern:_ To zones of the chest, along the medial aspect of the scapula, and all down the lateral aspect of the upper arm and radial side of the forearm to the dorsal aspect of the hand
_Indications_: Pain in neck, shoulder and upper arm
113
LI18 Fu Tu
Support the Prominence
114
LI18 Location
On the lateral side of the neck, level with the tip of the laryngeal prominence, between teh sternal and clavicular heads of the SCM.
115
LI18 Needling
Perpendicular insertion 0.3 - 0.5 cun or oblique insertion 0.5 - 0.8 cun
116
LI18 Precautions
Deeper needling mayb puncture the carotid artery or jugular vein
117
LI18 TCM Actions
* Benefits the nose and throat
* Alleviates cough and wheezing
118
LI18 Point Associations
Window of Heaven
119
LI18 Indications
_Benefits the nose and throat:_ Window of Sky Point for sudden loss of voice, swelling and pain of throat, loss of voice,
_Alleviates cough and wheezing:_ Cough, cough w/ spittle, wheezing, asthma, hypotension
High blood pressure, for which Window of the Sky Points are sometimes indicated, may also be useful for low blood pressure, palpitations
120
LI18 TCM Patterns
Liver Qi Stagnation
121
Trigger Point Muscle
Muscle: Sternomastoid
1. Myotome Innervation: Motor functions supplied by ipsilateral accessory nerve (CN XI); Sensation provided by dorsal rami of C2 - C3
2. Location Notes: The trigger point location should be on the belly of the sternomastoid
3. Pain Referral Pattern: To back of head and from top of cheek to temple, to the forehead above the eyebrow and into the inner canthus of the eye. Some spillover onto cheek, top of head and front of throat
4. Indications: Torticollis ; Myalgia of neck muscles ; Head and facial pains
122
LI18 Point Notes
Ling Shu Ch. 21, On Cold and Heat Diseases, recommends using this point and bleeding from the under the tongue (probably Jinjin/Yuye) in cases of sudden loss of voice and stiffness of the throat and tongue muscles.
123
LI18 Nearby Points
ST9 - Level with the tip of the Adam's Apple on the anterior border of the sternocleidomastoideus muscle (where the pulse of the common cartoid artery is felt).
SJ16 - Directly below mastoid process, level with the mandibular angle and on the posterior border of the SCM muscle (in line with SI 17 and GV 15 or SI17 and BL10).
Fun note: SI17, LI18 and BL10 are all Window of Heaven Points!
124
LI19 Kouheliao
Mouth Grain Crevice
125
LI19 Location
Below the margin of the nostril, 0.5 cun lateral to Renzhong DU-26
126
LI19 Needling
Oblique insertion 0.3 - 0.5 cun
127
LI19 Precautions
Contraindicated to moxa in some texts.
128
LI19 Point Associations
No hats.
Intersecting point of LI and ST channels
129
LI19 TCM Patterns
Lung Wind Invasion - Wind Cold
Lung Wind Invasion - Wind Heat
130
LI19 TCM Actions
Eliminates wind and opens nasal passages
131
LI19 Indications
_Expels wind and opens nasal passages_: Disorders of the nose, mouth, teeth, throat (eg. Apnea, Epistaxis, Sinusitis)
_Activates channel and alleviates pain_: diseases of lateral border of the upper limbs, anterior part of the shoulder and neck
132
LI19 Neuroanatomy (fun)
_Superficial Innervation:_ Branches of the infraorbital nerve, from maxillary branch of trigeminal (CN V2)
_Dermatome Segment_: CN V2 maxillary branch of trigeminal
133
LI19 Nearby Points
GV25 - tip of the nose
GV26 - at the junction of the upper and middle third of the philtrum
GV27 - junction of the upper lip and philtrum
EX-HN-8 Bitong - highest point of nasolabial groove
134
LI20 Neuroanatomy (fun)
_Superficial Innervation_: Branches of infraorbital nerve, from maxillary branch of trigeminal nerve (V2) going to nose
_Dermatome Segment_: CN V2 maxillary branch of trigeminal
135
LI20 Ying Xiang
Welcome Fragrance
136
LI20 Location
In the nasolabial groove at the midpoint of the lateral border of the ala nasi
137
LI120 Needling
Transverse insertion medio-superiorly 0.3 - 0.5 cun or join to Bitong (M-HN-14) at the highest point of the naso-labial groove
138
LI20 Precautions
According to some texts this point is contraindicated to moxibustion (says Deadman so remember)
139
LI20 Point Associations
Exit point to ST1
Meeting of LI with Stomach, Stomach Divergent and Spleen Divergent
140
LI20 TCM Actions
1. Opens nasal passages
2. Expels wind and clears heat
141
LI20 Indications
_Opens nasal passages:_ Allergies, Polyps, Profuse discharge, Rhinitis, Sinusitis
_Expesl wind and clears heat:_ Allergies and itching of face, Common cold, Heat and redness of eyes, Roundworms in bile duct
Often combined with LI 19 and other local points.
142
LI20 Nearby Points
ST3 - Level with the lower border of the ala nasi, directly below the pupil when patient is staring straight ahead, in a depression underneath the bone
## Footnote
LI19
Bitong
