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Points/Channels III > San Jiao Channel > Flashcards

San Jiao Channel Flashcards

1
Q

Pathway of San Jiao Channel

A

Originates from the tip of the ring finger

  • -> Running upward between the 4th and 5th metacarpal bones along the dorsal aspect of the wrist to the lateral aspect of the forearm between the radius and ulna
  • -> Passing through the olecranon and along the lateral aspect of the upper arm, it reaches the shoulder region, where it goes across and passes behind the GB channel.
  • -> Winding over to the supraclavicular fossa, it spreads in the chest to connect with the PC.
  • -> Descends through the diaphragm down to the abdomen, and joints its pertaining organ, the upper, middle and lower jiao
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2
Q

Branch of SJ channel

A

A branch originates from the chest;
–> Running upward, it emerges from the
supraclavicular fossa –> Ascends to the neck, running along the posterior border of the ear, and further to the corner of the anterior hairline.
–> Turns downward to the cheek
–> Terminates in the infraorbital region

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3
Q

Auricular branch of SJ channel

A

Arises from the retroauricular region –> Enters the ear –> Emerges in front of the ear –> Crosses the previous branch at the cheek –> Reaches the outer canthus (SJ 23)  Links with the GB channel

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4
Q

SJ Divergent

A

After deriving from the SJ channel at the vertex, it descends into the supraclavicular fossa –> Crosses the upper jiao, middle jiao and lower jiao –> Finally disperses in the chest

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5
Q

SJ Luo-connecting channel

A

Arises from SJ 5 (Waiguan), 2 cun above the dorsum of the wrist –> Travels up the posterior aspect of the arm and over the shoulder –> Disperses in the chest –> Converging with the PC primary channel

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6
Q

Sinew channel

A

Starts from the extremity of the fourth finger –> knots at dorsum of wrist –> ascends forearm –> knots a olecranon of elbow –> proceeds along lateral aspect of arm, crosses shoulder and neck –> converges w muscle region of SI channel

Branch: splits at angle of mandible, connects w root of tongue

Another branch: proceeds upward in front of the ear to outer canthus —> crosses temple –> connects at corner of forehead

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7
Q

SJ 1 location

A

On the lateral side of the ring finger

about 0.1 cun posterior to the corner of the nail

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8
Q

SJ 2 location

A

Clench the fist.

in the depression proximal to the margin of the web

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9
Q

SJ 3 location

A

Clench the fist.
on the dorsum of the hand
between the 4th and 5th matacarpal bones proximal to the MP joint

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10
Q

SJ 4 location

A

on the transverse crease of the dorsum of the wrist

in the depression lateral to the tendon of m. extensor digitorum communis

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11
Q

SJ 4 needling

A

needling method:
slightly oblique proximal insertion 0.3 - 0.5 cun
2. transverse insertion towards the radial side of the wrist beneath the tendons, 0.5 - 1.0cun

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12
Q

SJ 5 location

A

2 cun above (proximal to) SJ 4 between the radius and ulna

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13
Q

SJ 5 needling

A

needling method:
1. slightly oblique insertion towards the ulnar side or oblique proximal or distal insertion
towards the elbow or wrist respectively, 0.5 - 1.5 cun 2. through and through to PC6
caution; movement of the patient’s arm or hand after needling this point can result in a bent needle

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14
Q

SJ 3 needling

A

perpendicular or oblique directed proximally, 0.5 - 1.0 cun

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15
Q

SJ 2 needling

A

perpendicular insertion 0.3 - 0.5 cun

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16
Q

SJ 1 needling

A
  1. perpendicular or oblique insertion directed proximally 0.1 – 0.2 cun
  2. prick to bleed
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17
Q

SJ 6 location

A

3cunaboveSJ4
between the radius and ulna
on the radial side of m.extensor digtorum

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18
Q

SJ 6 needling

A
  1. slightly oblique insertion towards the ulnar side or oblique proximal or distal insertion
    towards the elbow or wrist respectively, 0.5 - 1.5 cun
  2. through and through to PC5
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19
Q

SJ 7 location

A

3cunaboveSJ4(atthelevelwithSJ6) about one finger-breadth lateral to SJ 6 on the radial side of the ulna

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20
Q

SJ 7 needling

A

same as SJ 5

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21
Q

SJ 8 location

A

4cunaboveSJ4

between the radius and ulna

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22
Q

SJ 8 needling

A

same as SJ5

contra-indicated to needling according to some classic text books

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23
Q

SJ 9 location

A

on the lateral sid of the forearm 5 cun below the olecranon

between the radius and ulna

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24
Q

SJ 9 needling

A

perpendicular or oblique proximal or distal insertion towards the elbow or wrist respectively, 1 – 2 cun

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25
Q

SJ 10 location

A

Flex the elbow

in the depression about 1 cun superior to the olecranon

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26
Q

SJ 10 needling

A

needling method: perpendicular insertion 0.5 - 1.0 cun

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27
Q

SJ 11 location

A

1 cun above SJ 10

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28
Q

SJ 11 needling

A

Same as SJ 10: perpendicular insertion 0.5 - 1.0 cun

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29
Q

SJ 12 location

A

on the line joining the olecranon and SJ 14 midway between SJ 11 and SJ 13

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30
Q

SJ 12 needling

A

perpendicular or oblique insertion 1 - 2 cun

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31
Q

SJ 13 location

A

on the line joining SJ 14 and the olecranon on the posterior border of m.dltoideus

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32
Q

SJ 13 needling

A

same as SJ 12: perpendicular or oblique insertion 1 - 2 cun

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33
Q

SJ 14 location

A

Abduct the arm.

posterior and inferior to the acromion in the depression about 1 cun posterior to LI 15

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34
Q

SJ 14 needling

A
  1. with the arm abducted, perpendicular insertion directed towards the center of
    axilla,1-1.5 cun
  2. transverse-oblique insertion directed towards the elbow, 1,5 - 2 cun
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35
Q

SJ 15 location

A

midway between GB 21 and SI 13 on the superior angle of the scapula

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36
Q

SJ 15 needling

A

oblique insertion directed according to the clinical manifestation, 0.5 – 1 cun

caution; perpendicular insertion, especially in thin patients, carries substantial risk of inducing a pneumothorax

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37
Q

SJ 16 location

A

posterior and inferior to the mastoid process

on the posterior border of m. sternocleidomastoids almost level with SI 17

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38
Q

SJ 16 needling

A

perpendicular insertion, 0.5 – 1 cun

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39
Q

SJ 17 location

A

posterior to the lobule of the ear

in the depression between the mandible and mastoid process

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40
Q

SJ 17 needling

A

perpendicular insertion, directed towards the opposite ear, 0.5 – 1.0 cun

caution; if the needle is directed too anteriorly or posteriorly, pain will ensure and may cause discomfort on opening and closing the mouth for some while after treatment

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41
Q

SJ 18 location

A

in the center of the mastoid process at the junction of the middle and lower third of the curve formed by: SJ 17 and SJ 20

42
Q

SJ 18 needling

A
  1. subcutaneous insertion along the course of the channel, 0.3 – 0.5 cun
  2. prick to bleed
43
Q

SJ 19 location

A

posterior to the ear

at the junction of the upper and middle third of the curve formed by : SJ 17 and SJ 20f behind the helix

44
Q

SJ 19 needling

A

same as SJ18:

  1. subcutaneous insertion along the course of the channel, 0.3 – 0.5 cun
  2. prick to bleed

note; according to several classical texts, this point is contraindicated to bleeding

45
Q

SJ 20 location

A

directly above the ear apex within the hairline

46
Q

SJ 20 needling

A

transverse insertion, 0.5 – 1.0 cun may be needled in any direction

47
Q

SJ 21 location

A

In the depression anterior to the supratragic notch slightly superior to the condyloid process of the mandible
Locate the point with the mouth open

48
Q

SJ 21 needling

A

inferior oblique insertion, slightly posteriorly, 0.5- 1.0 cun

49
Q

SJ 22 location

A

anterior and superior to SJ 21
at the level with the root of the auricle
on the posterior border of the hairline of the temple where the superficial temporal artery passes

50
Q

SJ 22 needling

A

transverse insertion, 0.3 – 0.5 cun

51
Q

SJ 23 location

A

in the depression at the lateral end of the eyebrow

52
Q

SJ 23 needling

A

transverse insertion, medially along the eyebrow or posteriorly, 0.5 – 1.0 cun

53
Q

Crossing point(s) of GB/SI/LI

A

GB/SI: SJ 22, SJ 20 (Deadman)

GB/LI: SJ 20 (Shang Hai)

54
Q

Crossing point of GB

A

SJ 17

55
Q

Window of the Sky point

A

SJ 16

56
Q

Crossing point of Yang Wei / GB

A

SJ 15

57
Q

Crossing point of Yang Wei

A

SJ 13

58
Q

He-sea point (earth)

A

SJ 10

59
Q

Xi-cleft point

A

SJ 7

60
Q

Jing-river point (fire)

A

SJ 6

61
Q

Luo-connecting point

A

SJ 5

62
Q

Confluent point of Yang Wei

A

SJ 5

63
Q

Source point

A

SJ 4

64
Q

Shu-stream point (wood)

A

SJ 3

65
Q

Ying-spring point (water)

A

SJ 2

66
Q

Jing-well point (metal)

A

SJ 1

67
Q

Front-mu point of SJ

A

Ren 5

68
Q

Back-shu point of SJ

A

UB 22

69
Q

Lower he-sea point of SJ

A

UB 39

70
Q

SJ organ Fx

A
  1. Govern the various forms of qi
  2. Serves as the passage for the flow of yuan qi and body fluid
  3. Takes a part of digestion, absorption, distribution and excretion of food and water
71
Q

SJ channel Fx

A
  1. Clears heat.
    1) Reduces fever Febrile diseases
    - Wei and Qi level
    - Shao yang level
    2) Clears heat from the neck, throat and tongue
    3) Clears heat from the eyes - especially W-H and LV/GB heat
  2. Soothing the HT and clams the sprit
  3. Benefits the ears - especially excess patterns (LV yang rising etc.)
  4. Treats headache - temporal headache
72
Q

SJ 1 Fx

A
  1. Expels wind
  2. Benefits ear and tongue
  3. Invigorates blood
73
Q

SJ 2 Fx

A
  1. Clears upper jiao heat
  2. Calms the spirit
  3. Resolves obstruction from the channel
74
Q

SJ 3 Fx

A
  1. Clears heat
  2. Removes obstruction from channel
  3. Regulates the Qi and lifts the mind –> for LV qi stag
75
Q

SJ 4 Fx

A
  1. Clears heat
  2. Benefits original Qi –> used in chronic dz to tonify and promote homeostasis
  3. Regulates ST (combine w ST 42 for fatigue)
  4. Promote fluid transformation
  5. Tonifies Chong and Ren channels
  6. Relaxes sinews and removes obstructions
76
Q

SJ 5 Fx

A
  1. Releases exterior, expels wind-heat and opens the Yang Wei channel –> good for headaches and releasing exterior & wind-heat
  2. clears heat: head and ears, LV yang rising, middle and lower jiao
  3. removes obstruction from channel and activates channel and alleviates pain
77
Q

SJ 6 Fx

A

Most important pt on SJ channel for moving qi and learning heat in SJ!

Famous pt for the treatment of constipation.

  1. Regulates the Qi: qi stag in chest/lateral costal region; qi stag in lower jiao
  2. clears heat in three jiao
  3. benefits the voice
  4. removes obstruction from channel: local pain
78
Q

SJ 7 Fx

A
  1. removes obstruction from channel and stops pain: for acute pain around ears, temples, eyebrows
79
Q

SJ 8 Fx

A

Meeting point of the three yang channels of the arm

  1. Clears heat and SJ channel
  2. Removes obstruction from the channel: esp. effective when area of pain involves more than one channel on yang surface of arm and shoulders
80
Q

SJ 9 Fx

A
  1. Benefits the throat and ears
81
Q

SJ 10 Fx

A

Important point to treat phlegm

  1. resolves dampness and phlegm, and dispels “masses”: visible and invisible phlegm
  2. dispels stagnation: LV qi stag, rebellious qi
  3. invigorates the qi and relieves pain
  4. clears heat from SJ channel
  5. regulates Wei qi and yang qi and expels wind
82
Q

SJ 11 Fx

A
  1. Activates channel and dispels wind-damp

2. clears damp-heat

83
Q

SJ 12 Fx

A
  1. Activates channel and alleviates pain
84
Q

SJ 13 Fx

A
  1. Regulates qi and transforms phlegm
85
Q

SJ 14 Fx

A
  1. Dispels wind-damp, alleviates pain and benefits the shoulder joint: important local point for pain on shoulder going, esp. posterior aspect
86
Q

SJ 15 Fx

A

Important local point for pain in shoulder

  1. Dispel wind-damp, activate channel and alleviate pain
  2. Unbind chest and regulate qi
87
Q

SJ 16 Fx

A
  1. Window of the sky point: Benefits head and sense organs, regulates and descends qi, problems of neck
  2. Activates channel and alleviates pain
88
Q

SJ 17 Fx

A
  1. Expels wind: exterior and interior wind from face
  2. Clears heat and benefits the ears: major local point for ear problems
  3. ACAP
89
Q

SJ 18 Fx

A
  1. Benefits ears

2. Calms fright and pacifies wind

90
Q

SJ 19 Fx

A
  1. Benefits ears and head
  2. Clears head
  3. Calms fright and relieves tetany –> essential pt for tx of tetany
91
Q

SJ 20 Fx

A
  1. Clears heat: ears, teeth, bumps, lips, eyes
92
Q

SJ 21 Fx

A
  1. Clears and benefits the ears, teeth, gums and lips
93
Q

SJ 22 Fx

A
  1. Expels wind and alleviates pain
94
Q

SJ 23 Fx

A
  1. Expels wind and stops pain: facial paralysis, headache, aversions to wind and cold…
  2. Brightens eyes
95
Q

Name of SJ 2

A

Ye Men (gate of fluids)

96
Q

Name of SJ 4

A

Yang Chi (Yang pond)

97
Q

Name of SJ 5

A

Wai Guan (outer gate)

98
Q

Name of SJ 8

A

San Yang Luo (connecting of three Yang)

99
Q

Name of SJ 17

A

Yi Feng (wind screen)

100
Q

Name of SJ 21

A

Er Men (ear door)

Points/Channels III (3 decks)

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