SI-M of Hand Tai Yang

Question 1

conditions

Answer 1

conditions of head, neck, ear, eye and throat, febrile diseases, mental disorders and areas meridian supplies

Question 2

signs and symptoms

Answer 2

yellow sclera, deafness, congested sore throat, pain in latero-posterior aspect of shoulder and arm, swelling of cheek

Question 3

pathway

Answer 3

• originates ulnar side of small finger
• travels b/t red-white skin to wrist, goes around styloid process of ulnar and continues along forearm to elbow
• passes medial epicondyle and olecranon before continuing up to posterior axillary crease (SI9)
• zig-zags across scapula then meets Du-M at GV14 then to supra-clavicular fossa
• external branch runs up neck and divides into 2.
  1. up medial corner to jaw then outer canthus then to front of ear (SI19)
  2. connects to ST18 below zygomatic bone before internally connecting with BL1
• terminates at BL1

Question 4

luo connecting meridian

Answer 4

longitudinal - runs along arm to medial epicondyle of humerus, ascends to shoulder at LI15. then connects with ST12 before entering chest and connecting with HT+SI
transverse - SI luo pt SI7 connects to HT yuan pt HT7

Question 5

divergent meridian

Answer 5

starts from Naoshu (SI10) and descends axilla to GB22 then to HT and meets SI
confluence BL1

Question 6

muscle region

Answer 6

starts at tip of small finger, knots at dorsum of wrist and at medial condyle and axilla
a branch runs behind axilla and curves around scapula before emerging with BL-M at neck then knotting behind the ear
another branch separates behind auricle to enter ear and emerges with straight branch which descends, then crosses the face and knots behind mandible
3rd branch starts at mandible, goes around teeth and infront of ear to connect with outer canthus and knots at angle of forehead

Question 7

Shaoze (SI1) - lesser marsh

Answer 7

ulnar side of little finger, 0.1 cun posterior to corner nail
Jing-well pt

F: clear HT fire, activate lactation, dispel pathogenic heat, resuscitate the spirit
I: tinnitus, cataracts, nebula, headache, thirst, alternating chills+fever with sweating, mastitis, insufficient lactation, swollen breasts

Question 8

Houxi (SI3) - back ravine

Answer 8

loose fist, ulnar side proximal to MCP joint in junction of red-white skin
Shu-stream pt, master pt of DU-M, couple point of Yang Qiao

F: calm the mind, dispel wind+heat, free Du-M, defend body surface, benefits joints+alleviates pain
I: Yu syndrome, redness+congestion of eyes, ulcerative canthus, vertigo, deafness, congested sore throat, malaria, occipital+ parietal headache, pain in head, neck back, lower back, fingers, elbow, arm

Question 9

Wangu (SI4) - wrist bone

Answer 9

above SI3 b/t base of 5th MCP bone and triquetral bone, on junction of red-white skin
Yuan pt

F: clear pathogenic heat, remove stag of damp heat
I: rigidity+ pain in head+neck, tinnitus, jaundice, febrile disease, malaria, spasm of fingers, pain in wrist, diabetes

Question 10

Yanggu (SI5) - yang valley

Answer 10

ulnar end of transverse crease on dorsal aspect in depression b/t styloid+triquetrium
Jing-River pt

F: clear heat, calm mind, settle spasms+convulsions
I: headache, toothache, blurred vision, congested eyes, tinnitus, deafness, yu syndrome, delirium, mania, fright, stiff tongue

Question 11

Yanglao (SI6) - nursing the age

Answer 11

palm facing chest, located in bony cleft on radial side of styloid process of ulnar
Xi-cleft pt

F: brighten eyes, FF qi+xue, clear damp heat
I: weak, blurred vision, impaired vision, aching/pain of tip shoulder+back+elbow+arm+lower back pain+ foot

Question 12

Zhizheng (SI7) - Branch to correct

Answer 12

on line joining SI8 and SI8, 5 cun above SI5
Luo pt

F: clear pathogenic heat, calm the mind, alleviate pain
I: headache, blurred vision, vertigo, diabetes, excessive thirst, epilepsy, mania, susceptibility to fear, pain in neck+elbow+arm

Question 13

Xiaohai (SI8) - small sea

Answer 13

elbow flexed, in depression b/t olecranon of ulnar ad medial epicondyle
He-Sea pt

F: clear heat in Taiyang-M, dispel wind, calm the mind
I: pain in elbow+arm, carbuncles, headache, vertigo, epilepsy

Question 14

Naoshu (SI10) - upper arm point

Answer 14

directly above posterior end of axillary fold, in depression inferior to scapular spine
crosing pt of hand+foot Tai Yang, Yang wei, Yang qiao

F: FF qi+xue, softens tendons, removes stagnation
I: pain in shoulder+arm+scrofula

Question 15

Tianzhong (SI11) - celestial gathering

Answer 15

centre of infrascapular fossa

F: disperse Qi stag in chest+hypo, remove pain from Taiyang-M, benefit breasts
I: pain in upper back+scapular region, asthmatic breathing, headache, mastitis

Question 16

Quanliao (SI18) - cheek bone foramen

Answer 16

below outer canthus in depression in lower border of zygomatic bone
crossing poitn hand Shaoyang, hand Taiyang - contraindicated in pregnant women

F: relieve pain+spasm
I: deviation of mouth+eye, yellow sclera, tics of eyelids, congested eyes, toothache

Question 17

Tinggong (SI19) - auditory palace

Answer 17

anterior to tragus, posterior to condyle of mandible
crossing pt of hand+foot Shaoyang, hand Taiyang

F: improve hearing+visual functions, releive pain, FF qi+xue