Lung Zang, Channel and Points

Question 1

Primary channel pathway

Answer 1

Originates in Stomach. Descends to LI. Returns to Stomach. Traverses diaphragm. Penetrates Lung. Ascends to throat. Emerges at LU1. Ascends to LU2 in deltopectoral triangle. Descends along antero-lateral aspect of upper arm to cubital crease at LU5. Descends along antero-lateral aspect of forearm towards styloid process of radius. Follows lateral border of radial artery at LU9. Traverses thenar eminence to terminate at LU11 on radial side of thumbnail.

A branch separates from main channel at LU7 and travels to radial side of tip of index finger, linking to LI channel at LI1.

Question 2

Lung primary channel connects with following zangfu:

Answer 2

Stomach

Large intestine

Lung

Question 3

Primary channel meets with other channels at following points

Answer 3

None

Question 4

Luo connecting channel pathway

Answer 4

Separates from primary at LU7. Follows channel into palm and spreads through thenar eminence. Connects with LI.

Question 5

Divergent channel pathway

Answer 5

Diverges from primary at the axilla. Connects with Lung and disperses in LI.

Branch ascends from Lung emerging at supraclavicular fossa ascends to throat converges with LI channel.

Question 6

Sinew channel

Answer 6

Originates at thumb. Binds to thenar eminence. Follows radial artery and flexor aspect of forearm. Binds at center of elbow. Follows antero-lateral aspect of upper arm and enters chest at axilla. Travels laterally across shoulder. Descends into chest. Spreads over diaphragm and converges with floating ribs.

Question 7

Pathological symptoms of sinew channel

Answer 7

Cramping and pain along course of channel. Accumulation of lumps below right lateral costal region, tension along lateral costal region and spitting of blood, when severe.

Question 8

Lung LI relationship

Answer 8

Primary channel descends to LI fu

Branch of primary channel connects LU7 to LI1

Luo connects with LI channel

Divergent channel descends to LI fu and connects with LI channel at neck

Question 9

Five principal functions

Answer 9

Governing qi and controlling respiration

Controlling disseminating and descending

Regulating water passages

Controlling skin and body hair

Opening into the nose (LU channel does not connect directly with nose but Indirectly via LI channel)

Question 10

LU1 pinyin

Answer 10

Zhongfu

Question 11

LU1 point categories

Answer 11

Front mu of Lung

Meeting point of LU and SP channels

Question 12

LU1 location

Answer 12

Lateral aspect of chest

First intercostal space

6 cun lateral to midline

1 cun inferior to LU2

Question 13

LU1 needling

Answer 13

Transverse oblique

0.5-1 cun

Medially along ICS

Question 14

LU1 actions

Answer 14

Disseminates and descends Lung qi and alleviates cough and wheezing

Transforms phlegm clears heat and regulates the water passages

Descends stomach qi

Question 15

LU1 indications

Answer 15

Cough (turbid phlegm; blood and pus), Wheezing, asthma, fullness of chest, chest pain, breathing with raised shoulders, oppression of chest and difficulty breathing, diminished qi with inability to lie down

Heat in chest, aversion to cold, chills and fever, sweating

Throat bi syndrome, nasal congestion, swelling of face

Difficult ingestion, vomiting, GB heat vomiting, retching, abdominal distension

Skin pain, running piglet qi with lumbar pain, goitre, pain of upper back and shoulder

Question 16

LU1 commentary

Answer 16

Front mu point > acts primarily on Lung zang rather than channel

Clears excess of all kinds from Lung

Indicated when excess Lung patterns are accompanied by Lung channel disorders like nasal obstruction and throat bi syndrome

When exterior pathogenic factors cause acute swelling of face LU1 indicated

Indicated for dual disharmony of Lung and Stomach impairment

Metal controls wood > GB heat

Clear heat from chest: LU1 ST12 UB11 UB12 bilaterally

Question 17

LU2 pinyin

Answer 17

Yunmen

Question 18

LU2 location

Answer 18

I’m hollow of deltopectoral triangle

6 cun from midline

Question 19

LU2 needling

Answer 19

Transverse oblique

0.5-1 cun

** deep perpendicular may cause pneumothorax

Question 20

LU2 actions

Answer 20

Clears Lung heat

Disseminates and descends lung qi

Dispels agitation and fullness

Question 21

LU2 indications

Answer 21

Cough, wheezing, asthma, dyspnoea with inability to lie down, shortness of breath, oppressive and agitated sensation in chest, heat in chest, oppression and pain in chest, upsurging of qi to Ht, sudden pain of heart and abdomen

Pain of lateral costal region and back, pain of back and shoulders, pain of shoulder with inability to raise arm, pain of supraclavicular fossa

Choppy pulse which cannot be felt at cun position, throat bi syndrome, goitre, injury by cold giving rise to persistent heat in limbs

Question 22

LU2 commentary

Answer 22

Important for draining heat from extremities along with

DU2 LI15 UB40

Question 23

LU1 ++ actions and indications

Answer 23

Drain to aid release of old emotions

Build courage

Somnolence, bronchitis, pneumonia, pulmonary tuberculosis, excessive sweating

Restoring one’s sense of oneself. If metal is stuck one rejects everything of quality offered. Receive praise, take pleasure.

Question 24

LU2 ++ actions and indications

Answer 24

Disperses mental fogginess. For one who had difficulty seeing or feeling joy, brightness. One who is preoccupied with that which isn’t going well.

Question 25

LU3 pinyin

Answer 25

Tianfu

Question 26

LU3 point category

Answer 26

Window of sky

Question 27

LU3 location

Answer 27

3 cun inferior to axillary fold At the lateral edge of biceps brachii muscle Divide line between axillary fold and LU5 at cubital crease into thirds

Question 28

LU3 needling

Answer 28

Perpendicular 0.5-1 cun ** moxa can cause counterflow and disordered qi

Question 29

LU3 actions

Answer 29

Clears lung heat and descends lung qi Cools blood and stops bleeding Calms the corporeal soul (po)

Question 30

LU3 indications

Answer 30

Wheezing, dyspnoea, cough, asthma, nosebleed, spitting blood, cough blood, much spittle Somnolence, insomnia, sadness, weeping, disorientation, and forgetfulness Goitre, swelling of throat, pain of antero-lateral aspect of upper arm, dizziness, swelling and distension of body, malaria, purple-white wind blotches (pityriasis versicolor), visual dizziness, short-sightedness

Question 31

LU3 commentary

Answer 31

Indicated for sudden severe thirst, internal rebellion, liver and lung struggle against each other, blood overflows from mouth and nose Branch of liver channel crosses diaphragm and scatters in Lung. If Liver fire rises and scorches Lung it may injure blood vessels and fluids Goitre due to stagnation of qi and phlegm in neck, descends the qi of Lung, benefits sensory orifices > eyes Psycho emotional disorders

Question 32

LU3 ++ actions and indications

Answer 32

Opens communication between head and body Indication for psychological disorders due to Lung emotions Confusion, forgetfulness, disorientation, wailing and ghost talk, lying down with inability to sleep Brings peace, clarity and stability to one who is in darkness, confused. Severe depression, devil possession. One who won’t talk to anyone but self. Person who had a desire to lie down.

Question 33

Lu4 pinyin

Answer 33

Xiabai

Question 34

LU4 location

Answer 34

4 cun inferior to axillary fold In depression between lateral aspect of biceps brachii muscle and shaft of humerus

Question 35

LU4 needling

Answer 35

Perpendicular 0.5-1 cun

Question 36

LU4 actions

Answer 36

Descends Lung qi Regulates qi and blood in chest

Question 37

LU4 indications

Answer 37

Cough, dyspnea, asthma, shortness of breath, Heart pain, palpitations, agitation and fullness, retching Pain in medial aspect of arm, pityriasis versicolor

Question 38

LU4 ++ actions and indications

Answer 38

Cardiac pain, shortness of breath

Question 39

LU5 pinyin

Answer 39

Chize

Question 40

LU5 point categories

Answer 40

He sea Water point of metal channel Sedation

Question 41

LU5 location

Answer 41

On cubital crease In depression at radial side of tendon of biceps brachii

Question 42

LU5 needling

Answer 42

Perpendicular 0.5-1 cun

Question 43

LU5 actions

Answer 43

Clears heat from lung and descends rebellious qi Regulates water passages Activates channel Relaxes sinews and alleviates pain

Question 44

LU5 indications

Answer 44

Cough, cough with phlegm, asthma, wheezing, dyspnea, shortness of breath, agitation and fullness of chest Tidal fever, taxation fever, shivering, malaria, dry mouth and tongue, throat bi syndrome, tendency to sneeze Spitting, coughing, vomiting blood, nosebleed Swelling of four limbs, enuresis, frequent urination Vomiting, diarrhea, abdominal distention Pain of lateral costal region, heart pain, agitation of heart, sobbing with grief, acute and chronic childhood fright wind, epilepsy, clonic spasm Coldness in shoulder, pain in upper arm and shoulder, inability to raise arm to head, wandering bi syndrome of elbow and upper arm, restricted movement of elbow, elbow pain, difficulty in opening and extending the hand, five types of lumbar pain, crane’s knee swelling and pain

Question 45

LU5 commentary

Answer 45

Principal action is to clear all forms of heat from Lung and to descend lung qi Deficiency heat in lung is due to depletion of lung and kidney yin or damage to lung yin by repeated chronic attacks of excess heat Has important effect on upper limb especially that characterized by pain and restricted motion Indicated to relax contraction of sinews of whole body Cross-connected to knee

Question 46

LU5 ++ actions and indications

Answer 46

Sedation point Transforms phlegm Regulates water passages Yellow, green, brown mucus

Question 47

LU6 pinyin

Answer 47

Kong zui

Question 48

LU6 point categories

Answer 48

Xi cleft

Question 49

LU6 Location

Answer 49

5 cun inferior to LU5 Divide line between LU5 and LU9 at wrist crease in half and find 1 cun superior to this point

Question 50

LU6 needling

Answer 50

Perpendicular 0.5-1 cun

Question 51

LU6 actions

Answer 51

Disseminates and descends lung qi Clears heat and moistens lung Clear heat and stops bleeding Moderates acute conditions

Question 52

LU6 indications

Answer 52

Cough, wheezing, asthma, chest pain, swelling and pain of throat, loss of voice, febrile disease with absence of sweating Cough, spit, vomit blood and hiccup Severe pain of elbow and upper arm, inability to raise arm above head, difficulty in flexing and extending fingers, epigastric pain, hemorrhoid, headache, clonic spasm

Question 53

LU6 commentary

Answer 53

Xi cleft points are where qi and blood gather and plunge more deeply > indicated for acute conditions and pain. Xi cleft of yin channels additionally treat disorders of blood. Particularly indicated for exterior attack by wind heat or wind dryness which lodge in skin and obstruct pores > febrile disease w/o sweating. Or penetrate lung zang and channel giving rise to acute cough and wheezing, swelling and pain of throat, loss of voice. Indicated for bleeding of lung due to wind dryness, wind heat, phlegm heat, liver lung disharmony, or yin deficiency

Question 54

LU7 pinyin

Answer 54

Lieque

Question 55

LU7 point categories

Answer 55

Luo connecting Exit point Confluent point of Ren channel Command point of head and neck Heavenly star point

Question 56

LU7 location

Answer 56

On radial aspect of forearm 1.5 cun proximal to LI5 In cleft between tendons of brachioradialis and abductor pollicis longus

Question 57

LU7 needling

Answer 57

Pinch skin Transverse proximally or distally 0.5-1 cun ** avoid cephalic vein

Question 58

LU7 actions

Answer 58

Releases exterior and expels wind Promotes descending function of lung Pacifies wind and phlegm Benefits head and nape Opens and regulates Ren channel Regulates water passages Activates channel and alleviates pain

Question 59

LU7 indications

Answer 59

Chills and fever, nasal congestion and discharge, nasal polyps, flaring of nostrils, throat bi syndrome, cough and with phlegm, wheezing, asthma, dyspnea, diminished qi and shortness of breath, heat of chest and back, shivering and cold of chest and back, sweating, sudden swelling of limbs, thirst, inversion counterflow of limbs Headache and stiffness of neck and nape, one sided headache, lockjaw, hemiplegia, deviation of mouth and eye, toothache, epilepsy, childhood fright-epilepsy, loss of consciousness, vomiting foamy watery saliva, wind bi syndrome, hypertension Retention of lochia, dead fetus, postpartum inability to speak, blood in urine, hot and painful urination, difficult urination, pain of penis, genitals, seminal emission Poor memory, palpitations, propensity to laughter, frequent yawning and stretching, tension of chest and back, fullness of lateral costal region, breast abscess Weakness and pain of wrist and hand, Pain of thumb, shoulder, heat in palms, malaria

Question 60

LU7 commentary

Answer 60

Has ability to clear heaviness and oppression of chest Closely related to LI channel Important for wind disorders Taiyin communicates directly with exterior via respiration Most exterior acting of lung channel points and principal to release exterior, promote function of lungs in dispersing and descending, and regulating water passages String wind expelling capabilities Headaches opens and regulates flow of qi in Ren channel Treats psychoemotional disorders Thumb and index finger pain. Needle towards hand and transmit sensation to diseased area

Question 61

LU8 pinyin

Answer 61

Jingqu

Question 62

LU8 point categories

Answer 62

Jing river Horary point > Metal point of metal channel

Question 63

LU8 location

Answer 63

1 cun proximal to LU9 at wrist crease Lateral to radial artery At base of styloid process

Question 64

LU8 needling

Answer 64

Oblique proximal Perpendicular 0.3-0.5 cun ** avoid radial artery, no moxa

Question 65

LU8 actions

Answer 65

Descends lung qi and alleviates cough and wheezing

Question 66

LU8 indications

Answer 66

Cough, asthma, wheezing, dyspnoea, distention and pain of chest and upper back, sore throat, throat bi syndrome, febrile disease with absence of sweating, febrile disease with breathlessness, heat in palms Heart pain with vomiting, wrist pain, malaria, excessive yawning, pain in soles of feet

Question 67

LU8 commentary

Answer 67

Jing river of lung > indicated for excess cough, dyspnoea, and wheezing with fullness and pain in chest and upper back. Febrile disease with absence of sweating Infrequently used clinically

Question 68

LU9 pinyin

Answer 68

Taiyuan

Question 69

LU9 point categories

Answer 69

Shu stream Yuan source Hui meeting of vessels Earth point of metal channel Tonification

Question 70

LU9 location

Answer 70

At wrist crease Lateral to radial artery In depression between radial artery and tendon of abductor pollicis longus

Question 71

LU9 needling

Answer 71

Perpendicular 0.3-0.5 cun **avoid radial artery

Question 72

LU9 actions

Answer 72

Tonifies lung and transforms phlegm Promotes the descending function of lung Regulates and harmonizes the one hundred vessels Activates channel and alleviates pain

Question 73

LU9 indications

Answer 73

Cough and with watery phlegm, asthma, Wheezing, dyspnoea, shortness of breath, excessive yawning, heat in palms, dry throat, oppression and agitation of chest with difficult breathing and inability to lie down Spitting, coughing, vomiting blood, agitation with heart pain accompanied by choppy pulse, manic raving, pulseless syndrome Rebellion of stomach qi, belching, superficial visual obstruction, redness and pain of eyes, cold shivering, cold inversion, toothache, head wind, swelling of face Weakness or pain of wrist, pain of shoulder and back, pain of supraclavicular fossa, pain in inner aspect of arm, breast pain

Question 74

LU9 commentary

Answer 74

Most important point on Lung channel to tonify lung qi or yin > deficient pattern, tonify mother (earth point of metal channel) Weak lung qi will not move fluids leading to profuse watery phlegm; if lung yin is deficient, heat condensed fluids producing dry scanty phlegm with dryness in throat Hui meeting point > harmonizes relationship between qi and blood Harmonizes stomach, indicated for stomach rebellious qi and stomach channel heat symptoms

Question 75

LU10 pinyin

Answer 75

Yuji

Question 76

LU9 ++ actions and indications

Answer 76

Promote longevity using gold needle, emergency point for no pulse, toothache, eye pain For depths of loneliness > use with care and by request clarifies and unmasks pulses esp when out of alignment with patient Removes debris esp after drug abuse Clears radiation poisoning

Question 77

LU10 location

Answer 77

On thenar eminence At midpoint of first metacarpal bone Between shaft of bone and thenar muscles

Question 78

LU10 needling

Answer 78

Perpendicular 0.5-1 cun

Question 79

LU10 actions

Answer 79

Benefits throat Clears lung heat Descends rebellious qi Harmonizes stomach and heart

Question 80

LU10 indications

Answer 80

Throat bi syndrome, sore throat, dry throat, loss of voice Cough with absence of sweating, cough leading to hypogastric or sacral pain, cough w hiccup, shortness of breath with heat bi syndrome, chest bi syndrome w inability to catch breath Deficiency heat, heat in body, aversion to cold, attack of wind and cold after alcohol consumption leading to chills and fever Cough, spit, vomit blood, blood in urine Agitation of heart, sadness and fear, anger and mania, sadness and anger with counterflow qi, heart bi syndrome w fear and fright Yellow tongue coating, breast abscess, toothache, lacrimation, visual dizziness, genital damp itching, impotence with abdominal distention, headache, malaria, tetany (muscle spasms) Abdominal pain, with inability to eat or drink, sudden turmoil disorder, esophageal construction due to middle Joao deficiency, vomiting, childhood nutritional impairment Heat and pain of palm and thumb, contraction of the elbow w distention and fullness of arm

Question 81

LU10 commentary

Answer 81

Ying spring > effective for clearing heat from lung zang and channel For excess heat with predominance of heat > LU10; for excess heat with predominance of phlegm > LU5 LU1 Extent of sweating indicated severity of heat Clears heat which transmits to stomach channel giving rise to toothache, lacrimation or breast abscess Counters dual rebellion of lung and stomach qi manifesting as cough w hiccup Treats various disorders of stomach fu

Question 82

LU11 pinyin

Answer 82

Shaoshang

Question 83

LU11 point categories

Answer 83

Jing well Sun si Miao ghost point Wood point of metal channel

Question 84

LU11 needling

Answer 84

Perpendicular Oblique Directed proximally 0.1-0.2 cun Prick to bleed

Question 85

LU11 actions

Answer 85

Revives consciousness Clears heat and benefits the throat

Question 86

LU11 indications

Answer 86

Loss of consciousness from wind stroke, cold inversion, hot inversion Sore throat, throat bi syndrome, childhood throat moth, mumps, nosebleed, lotus flower tongue, dry lips w desire to drink, febrile disease w cold shivering Agitation of heart w cough and dyspnoea, fullness of heart w sweating, fullness below heart, mania, childhood fright wind, malaria, vomiting Pain and contraction of wrist, thumb pain, heat in palms, bi syndrome of upper arm, pain of front of ear

Question 87

LU11 commentary

Answer 87

Jing well > revive collapse Tonsillitis Important for sore throat of any kind Used more for extreme conditions due only to excess Used when grief and anger experienced together (wood in metal)