Large intestine simplified Flashcards
Where is Li1?
Dorsal aspect of index finger, radial border of the nail and base of the nail, 0,1 cun from the corner of the nail
What are the indications for Li1?
Throat painful obstruction, tootache of the lower jaw, pain of the lower cheek, swelling of the submandibular region, dry mouth, deafness, tinnitus
Pain of the shoulder and back that radiates to the supraclavicular fossa, numbness and heat of the fingers
How to needle Li1?
Perpendicular or oblique directed proximally 0,1-0,2 cun, or prick to bleed
Where is Li2?
Radial border of index finger, in a depression just distal to the MCP joint (easier to find if fingers are flexed and relaxed)
How to needle Li2?
- Oblique proximal or distal insertion 0,2-0,3 cun
What are the indications of Li2?
• Tootache, pain and swelling of the lower cheek, deviation of the mouth and eye, nosebleed, throat painful obstruction, dry mouth, cloudy vision, eye diseases, yellow eyes
Febrile disease, cold shivering
Propensity to fright, somnolence
Pain and stiffness of the shoulders and back, cold and pain at the point of Li15
Where is Li3?
Radial side of index finger, in the substantial depression proximal to the head of the second metacarpal bone
How to needle Li3?
Perpendicular 0,5-2 cun, directed towards Si-3, needle with hand in a loose fist position
What are the indications of Li3?
Throat painful (and non painful) obstruction, tootache of the lower jaw, acute eye pain, dry scorched lips and mouth, nosebleed, tinnitus, chills and fever
Acute stiff neck, redness and swelling of the dorsum of the hand, difficulty flexing and extending the fingers
Where is Li4?
On the dorsum of the hand, between the 1st and 2nd metacarpal bones, at the midpoint of the 2nd metacarpal bone and close to its radial border
How to needle Li4?
- Perpendicular 0,5-1 cun
Indications for Li4?
Headache, one-sided headache, headache of the whole head, hypertension
Redness, swelling and pain of the eyes, dimness of vision, superficial visual obstruction
Nosebleed, nasal congestion and discharge, rhinitis, sneezing
Swelling of the face, deviation of the face and mouth, lockjaw, deafness, tinnitus
Painful obstruction and atrophy disorder of the four limbs, hemiplegia, pain of the sinews and bones, pain of the arm, contraction of the fingers, pain of the lumbar spine
Where is Li5?
Radial side of wrist, in the centre of the hollow formed by the tendons of extensor pollicis longus and brevis (anatomical snuffbox)
How to needle Li5?
Perpendicular 0,5-1 cun
What are the indications for Li5?
Rhinitis, nosebleed, tinnitus, deafness, ear pain, redness, swelling and pain of the eyes, superficial visual obstruction, lacrimation, toothache, headache, chronic headache, frontal headache
Weakness and pain of the wrist, contraction of the five fingers, heat in the palms, difficulty in raising the elbow
Where is Li6?
3 cun proximal to Li5
How to needle Li6?
Transverse-oblique 0,5-1 cun
What are the indications of Li6?
Tinnitus, deafness, tootache, redness and pain of the eyes, dimness of vision, blurred vision, deviation of the mouth, swelling of the cheek
Difficult urination, oedema, obstruction of the diaprhagm
Pain of the wrist, elbow and upper arm
Where is Li7?
5 cun proximal to Li5 Divide the distance between Li5 and Li11 in half, and move 1 cun distal to find Li7
How to needle Li7?
Transverse-oblique 0,5-1 cun
What are the indications of Li7?
Headache, deviation of the face and mouth, redness, swelling and pain of the face, pain of the teeth and mouth, tongue thrusting, throat painful obstruction with loss of voice
Borbygmus with abdominal pain, abdominal distention, sudden swelling of the four limbs
Pain and difficulty in raising the shoulders and arm
Where is Li8?
On the radial side of forearm 4 cun distal to Li11
How to needle Li8?
Perpendicular or oblique 0,5-1,5 cun
What are the indications of Li8?
Abdominal pain, lower abdominal distention, fullness and pain of the abdomen and lateral costal region, blood in the stool, dark urine
Headache, dizziness, pain of the eye, dry lips with drooling, dyspnoea
Hemiplegia, pain of the elbow and arm
Where is Li9?
Radial side of forearm, 3cun distal to Li11
How to needle Li9?
Perpendicular or oblique, 0,5-1,5 cun
Indications Li9?
Borborygmus, abdominal pain, difficult and dark urination
Chest pain, dyspnoea, headache
Pain or numbness of the shoulder, elbow and arm, numbness of the limbs
Where is Li10?
Radial side forearm, 2cun distal to Li11
How to needle Li10?
Perpendicular or oblique 0,5-1,5 cun
Indications Li10?
Pain and immobility of the arm and shoulder, paralysis of the arm, numbness of the arm, atrophy disorder, hemiplegia, contraction and inflexibility of the elbow, lumbar pain with inability to lie down
Abdominal pain, vomiting and diarrhoea, periodic sensation of cold in the intestines • Tootache with swelling of the cheek, deviation of the mouth, loss of voice
Where is Li11?
Elbow, lateral end of transverse cubital crease
How to needle Li11?
Perpendicular 1-1,5 cun
Indications of Li11?
Fever
Throat painful obstruction, loss of voice, tootache, redness and pain of eyes, pain in front of ear
manic disorders, poor memory, dizziness, hypertension, goitre
Symptoms of skin
Distention and pain of abdomen, vomiting and diarrhoea
Numbness of upper arm, hemiplegia, clonic spasm, contraction, immobility and pain of elbow and shoulder, weakness of elbow, redness and swelling of arm, atrophy disorder of the lower limbs, pain and swelling of the ankle
Where is Li12?
When elbow is flexed, directly above the lateral epicondyle, just anterior to the lateral supracondylar ridge
How to needle Li12?
Perpendicular 0,5-1 cun
Indications Li12?
Contraction, numbness and immobility of upper arm
Pain and stiffness of the elbow
Where is Li13?
• Lateral side of upper arm 3 cun proximal to Li11 • Depression between lateral border of biceps brachii and humerus • 1/3 from li11 towards axillary fold
Indications Li13?
Pain, numbness or contraction of the elbow and upper arm, inability to raise the arm, shoulder pain
Cough, difficulty breathing, vomiting blood
Desire to sleep, diminished qi, inability to move the four limbs, blurred vision, fear and fright
Where is Li14?
• Lateral side of upper arm, in visible depression formed between insertion of deltoid and brachialis • 3/5 of the way from Li11 to Li15
How to needle Li14?
Oblique 1-1,5 cun
Indications Li14?
Pain, numbness and painful obstruction of the upper arm and shoulder, wasting and weakness of the upper arm, inability to raise the arm, contraction and sitffness of the neck
Chest pain
Redness, swelling and pain of the eyes
Where is Li15?
In the depression which lies anterior and inferior to the acromion at the origin of deltoideus
How to needle Li15?
• With arm abducted, perpendicular directed towards axilla 1-1,5 cun • Transverseoblique directed towards elbow 1,5-2 cun
Indications of Li15?
Shoulder pain, weakness of the shoulder, heat sensation in the shoulder, redness and swelling in the shoulder, inability to raise the arm, hemiplegia, heat in the four limbs, inability to turn the head, painful obstruction of the fingers
Hypertension
Where is Li16?
In the depression medial to acromion and between lateral extremity of clavicula and spina scapula
How to needle Li16?
Perpendicular or oblique 0,5cun to 1 cun RISK! Deep medial insertion carries risk of causing pneumothorax, particularly in thin patients
Indications Li16?
Pain of the shoulder and back, blood stasis in the shoulder, difficulty in moving or raising the arm, pain of the upper arm
Fright epilepsy
What are the pathological symptoms of the Large Intestine sinew channel?
• Cramping and pain along the course of the channel • Inability to raise the shoulder • Inability to turn the neck to the left or the right
Which channels gather and collect at the ear?
Large Intestine, Stomach, Small Intestine, Gall Bladder, Sanjiao
Where is Li17?
Lateral side of neck, posterior border of scm 1 cun inferior to Li18
How to needle Li17?
• Perpendicular 0,3-0,5 cun RISK! Deeper nedling may puncture carotoid artery or jugular vein
Indications of Li17?
Sudden loss of voice, throat painful obstruction, difficulty breathing, difficult ingestion
Where is Li18?
Lateral side of neck, level with tip of the laryngeal prominence, between sternal and clavicular heads of scm
How to needle Li18?
• Perpendicular 0,3-0,5 cun RISK! Deeper needling may puncture carotoid artery or jugular vein
Indications of Li18?
Swelling and pain of the throat, sudden loss of voice, difficulty in swallowing
Cough, coughing with much spittle, wheezing, asthma, hypotension
Where is Li19?
Below the lateral margin of nostril
How to needle Li19?
Oblique insertion 0,3-0,5 cun
Indications of Li19?
Nasal congestion and discharge, loss of sense of smell, nasal sores, nasal polyps, rhinitis with nosebleed
Lockjaw, deviation of the mouth, loss of consciousness
What is the most important point to treat for disorders of the face and sense organs?
Li4
Where is Li20?
At naso-labial groove, level of the midpoint of the lateral border of ala nasi
How to needle Li20?
• Transverse mediosuperally 0,3-0,5 cun at the highest point of the naso-labial groove
Indications of Li20?
Nasal congestion, nasal congestion and discharge, rhinitis, profuse nasal discharge, loss of sense of smell, nasal polyps, nasal sores, sneezing, nosebleed
Deviation of the mouth, swelling and itching of the face, pain and swelling of the lip, heat and redness of the eyes, dyspnoea
