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Acupuncture Points Comprehensive > Hand Yangming > Flashcards

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
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2
Q

LI1 Point Associations

A
  • Jing Well Metal
  • Metal Point
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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
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4
Q

LI1 TCM Patterns

A

Large Intestine Damp Heat

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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

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6
Q

LI1 Nearby Points

A
  • LU11 - Corner of radial border of thumbnail
  • PC9 - Centre of tip of middle finger
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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
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8
Q

LI2 Point Associations

A
  • Ying Spring
  • Water Point
  • Sedation Point
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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
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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
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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

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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
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13
Q

LI3 Associations

A
  • Shu Stream
  • Wood point
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14
Q

LI3 Actions/Clinical Uses

A
  • Expels wind and heat esp. opposite end of channel
  • Dispells fullness and treats diarrhea.
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15
Q

LI3 TCM Patterns

A

Large Intestine Damp Heat

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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

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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).
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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
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19
Q

LI4 Point Associations

A
  • Command Point of Face and Head
  • Heavenly Star Point
  • Yuan Source point
  • Entry Point
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20
Q

LI4 Cautions

A

Pregnancy

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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
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22
Q

LI4 TCM Patterns

A

Lung Wind Invasion - Wind Cold

Lung Wind Invasion - Wind Heat

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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

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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)
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25
Q

LI5 Location and Needling

Yangxi - Yang Stream

A
  • 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
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26
Q

LI5 Cautions

A

Look carefully to locate the cephalic vein which runs through teh anatomical snuffbox

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27
Q

LI5 Clinical Uses/Actions

A
  • Local point for wrist pain.
  • Clears heat and alleviates pain
  • Clears yangming fire
  • Calms the spirit
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28
Q

LI5 Point Associations

A
  • Jing River
  • Fire Point
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29
Q

LI5 Conditions

A

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

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30
Q

Discuss LI4 vs BL60

A

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

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31
Q

LI5 Nearby Points

A
  • 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.
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32
Q

LI6 Location/Needling

Pianli - Veering Passage

A
  • 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
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33
Q

LI6 Point Associations

A
  • Luo Connecting Point
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34
Q

LI6 TCM Actions

A
  • Expels Wind and clears Heat
  • Opens and regulates the water passages
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35
Q

LI6 Conditions

A

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.

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36
Q

LI6 Notes on Luo

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.

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37
Q

LI6 Nearby Points

A

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)

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38
Q

LI7 Location/Needling

Wenliu - Warm Dwelling

A
  • 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
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39
Q

LI7 Point Associations

A
  • Xi Cleft Point
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40
Q

LI7 TCM Actions

A
  • Clears heat and detoxifies poison
  • Moderates acute conditions
  • Regulates and harmonises the intestines and stomach
  • Clears yangming fire and calms the spirit
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41
Q

LI7 Conditions

A

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.

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42
Q

LI7 Nearby Points

A
  • 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
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43
Q

LI7 Notes on Xi Cleft

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-Fun organ. Also, Xi-Cleft points of the Yin meridians have hemostatic functions.

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44
Q

LI8 Xia Lian

A

Lower Ridge or Lower Angle

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45
Q

LI8 Location/Needling

A
  • 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
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46
Q

LI8 TCM Actions

A
  • Harmonizes the small intestine
  • Expels wind and clears heat
  • Clears yangming fire and calms spirit
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47
Q

LI8 Point Associations

A

None

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48
Q

LI8 TCM Patterns

A

Stomach Fire

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49
Q

LI8 Conditions

A

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.

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50
Q

LI8 Nearby Points

A
  • 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.
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51
Q

LI9 Shang Lian

A

Upper Ridge or Upper Angle

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52
Q

LI9 Location/Needling

A
  • 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
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53
Q

LI9 TCM Actions

A
  • Harmonizes the Large Intestine
  • Local point for shoulder, elbow, and arm pain.
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54
Q

LI9 Point Associations

A

No hats

LI9 is a reflection on the upper limb of ST37 (lower he sea point of LI)

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55
Q

LI9 TCM Patterns

A

Large Intestine Damp Heat

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56
Q

LI9 Conditions

A

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.

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57
Q

LI10 Shou San Li

A

Arm Three Miles

58
Q

LI10 Location/Needling

A

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
Q

LI10 Clinical Uses/Actions

A
  • Harmonizes intestines and stomach
  • Regulates qi and blood
  • Activates channel and alleviates pain
60
Q

LI10 Point Associations

A

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
Q

LI10 Indications

A

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
Q

LI10 Trigger Point

A

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
Q

LI11 Qu Chi

A

Pool at the Bend

64
Q

LI11 Location/Needling

A

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
Q

LI11 Nearby Points

A
  • 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
Q

LI11 TCM Actions

A
  • Clears heat
  • Cools the blood, eliminates wind, drains damp and alleviates itching
  • Regulates qi and blood
  • Activates the channel and alleviates pain
67
Q

LI11 Point Associations

A
  • He Sea
  • Earth Point
  • Tonification
  • Ghost Point
68
Q

LI11 TCM Patterns

A

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
Q

LI11 Conditions

A

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
Q

LI11 Trigger Point

A

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
Q

LI12 Zhou Liao

A

Elbow Crease or Elbow Bone Hole

72
Q

LI12 Location/Needling

A

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
Q

LI12 Nearby Points

A
  • SJ10 - With elbow flexed, locate 1 cun proximal to olecranon
  • SJ11 - With elbow flexed, 1 cun proximal to SJ10
74
Q

LI12 TCM Actions

A
  • Local point for elbow and upper arm pain, tennis elbow
  • Activates channel and alleviates pain
75
Q

LI12 Point Associatons

A

None

76
Q

LI12 Conditions

A

Activates channel and alleviates pain: Contracture/pain of shoulders, arms and elbows, numbness of upper arms, somnolence, tendinitis, tennis elbow

77
Q

LI13 Shou Wu Li

A

Arm Five Miles

78
Q

LI13 Location/Needling

A

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
Q

LI13 TCM Actions

A
  • 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
Q

LI13 Point Associations

A

None

81
Q

LI13 Conditions

A

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
Q

LI 14 Bi Nao

A

Upper Arm

83
Q

LI14 Location/Needling

A

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
Q

LI14 TCM Actions

A

Activates channel and alleviates pain

Regulates qi and dissipates phlegm nodules

Benefits the eyes

85
Q

LI14 Point Associations

A

None

86
Q

LI14 Conditions

A

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
Q

LI14 Nearby Points

A
  • 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
Q

LI14 Notes

A

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
Q

LI15 Jian Yu

A

Shoulder Bone

90
Q

LI15 Location/Needling

A

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
Q

LI15 TCM Actions

A
  1. Alleviates pain and benefits the shoulder joint
  2. Eliminates wind and regulates qi and blood
  3. Regulates qi and dissipates phlegm nodules
92
Q

LI15 Point Associations

A

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
Q

LI15 Indications

A

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
Q

LI15 Nearby Points

A
  • 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
Q

LI16 Ju Gu

A

Great Bone

96
Q

LI16 Location

A

In the upper aspect of the shoulder between the acromial extremity of the clavicle and the spine of the scapula.

97
Q

LI16 Needling

A

Perpendicular or Oblique 0.5-1.0

98
Q

LI16 Precautions

A

Deep medial insertion carries a risk of causing a pneumothorax, particularly in thin patients

99
Q

LI16 Actions

A
  1. Activates the channel, alleviates pain and benefits the shoulder joint
  2. Regulates qi and blood and dissipates phlegm nodules
100
Q

LI16 Indications

A

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
Q

LI16 TCM Patterns

A

Blood Stagnation

Heart Blood Stagnation

102
Q

LI16 Nearby Points

A
  • 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
Q

LI17 Tian Ding

A

Celestial Tripod

104
Q

LI17 Location

A

On the lateral side of the neck, 1 cun below LI 18 on the posterior border of the SCM.

105
Q

LI17 Needling

A

Perpendicular insertion 0.3 - 0.5 cun or oblique insertion 0.5 - 0.8 cun

106
Q

LI17 Point Classifications

A

Trigger Point of Scalenus medius

Spinal nerves C4-C6 myotome innervation

107
Q

LI17 Precautions

A

Deeper needling may puncture the carotid artery or jugular vein

108
Q

LI17 Actions

A

Benefits the voice and throat

109
Q

LI17 Indications

A

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
Q

LI17 TCM Patterns

A

Liver Qi Stagnation

111
Q

LI17 Nearby Points

A
  • 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
Q

LI17 Trigger Point

A

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
Q

LI18 Fu Tu

A

Support the Prominence

114
Q

LI18 Location

A

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
Q

LI18 Needling

A

Perpendicular insertion 0.3 - 0.5 cun or oblique insertion 0.5 - 0.8 cun

116
Q

LI18 Precautions

A

Deeper needling mayb puncture the carotid artery or jugular vein

117
Q

LI18 TCM Actions

A
  • Benefits the nose and throat
  • Alleviates cough and wheezing
118
Q

LI18 Point Associations

A

Window of Heaven

119
Q

LI18 Indications

A

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
Q

LI18 TCM Patterns

A

Liver Qi Stagnation

121
Q

Trigger Point Muscle

A

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
Q

LI18 Point Notes

A

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
Q

LI18 Nearby Points

A

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
Q

LI19 Kouheliao

A

Mouth Grain Crevice

125
Q

LI19 Location

A

Below the margin of the nostril, 0.5 cun lateral to Renzhong DU-26

126
Q

LI19 Needling

A

Oblique insertion 0.3 - 0.5 cun

127
Q

LI19 Precautions

A

Contraindicated to moxa in some texts.

128
Q

LI19 Point Associations

A

No hats.

Intersecting point of LI and ST channels

129
Q

LI19 TCM Patterns

A

Lung Wind Invasion - Wind Cold

Lung Wind Invasion - Wind Heat

130
Q

LI19 TCM Actions

A

Eliminates wind and opens nasal passages

131
Q

LI19 Indications

A

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
Q

LI19 Neuroanatomy (fun)

A

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

133
Q

LI19 Nearby Points

A

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
Q

LI20 Neuroanatomy (fun)

A

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
Q

LI20 Ying Xiang

A

Welcome Fragrance

136
Q

LI20 Location

A

In the nasolabial groove at the midpoint of the lateral border of the ala nasi

137
Q

LI120 Needling

A

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
Q

LI20 Precautions

A

According to some texts this point is contraindicated to moxibustion (says Deadman so remember)

139
Q

LI20 Point Associations

A

Exit point to ST1

Meeting of LI with Stomach, Stomach Divergent and Spleen Divergent

140
Q

LI20 TCM Actions

A
  1. Opens nasal passages
  2. Expels wind and clears heat
141
Q

LI20 Indications

A

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
Q

LI20 Nearby Points

A

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

LI19

Bitong

Acupuncture Points Comprehensive (24 decks)

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