Small Intestine Channel Flashcards
(20 cards)
Describe the pathway of the Small Intestine channel
The pathway of the small intestine channel starts at the ulnar side of the tip of the little finger SI-1 (shao ze):
● It then moves upward through the ulnar side of the palm of the hand to the wrist, where it runs through the styloid process of the ulna.
● From there it ascends along the dorsal surface of the forearm and passes between the olecranon of the ulna and the medial epicondyle of the humerus.
● It runs along the posterolateral surface of the upper arm to the shoulder joint and circles around the scapula region.
● It then reaches the seventh cervical vertebra to con- nect with DU-14 (da zhui), on the superior aspect of the shoulder, and turns forward and downward to the supraclavicular fossa, and there it connects with the heart.
● From there it descends along the esophagus, passes through the diaphragm, reaches the stomach, and finally enters the small intestine, its pertaining organ.
● The branch from the supraclavicular fossa ascends to the neck and further to the cheek. Via the outer can- thus, it enters the ear at SI-19 (ting gong).
● The branch from the cheek runs upward to the infra- orbital region at SI-18 (quan liao) and further to the lateral side of the nose. It then reaches the inner can- thus, where it connects to the urinary bladder channel of foot-tai yang at UB-1 (jing ming).
SI 1: SHAOZE
- Location: CICM
- Location Anatomy book: (AB)
- Point functions: CICM
- Indications and functions: AB
- Needling method & Precautions: AB
Lesser Marsh: Metal Pt, Jing-Well Pt, Entry Pt
1.
Ulnar nail point of the little finger.
2.
LOCATION
This point is located about 0.1 cun proximal to the corner of the nail bed on the ulnar side of the little finger. This is the jing-well point of the small intestine channel.
LOCATION GUIDE
Locate the point on the patient’s little finger, along the ulnar side of the distal phalanx, 0.1 cun proximal to the corner of the nail.
3.
Dispersing actions: Expel Wind-Heat (fevers). Extinguish (internal) Wind and restore consciousness. Clear Heat (channel) and benefit the sensory orifices. Remove obstructions from the Channel. Promote lactation and benefit the breasts.
Tonifying actions: Activate the Channel.
Main uses: For breast abscess and swelling, and disorders of lactation (often with Ren 17). As the
Entry Point.
4.
INDICATIONS
Neurological disorders: Coma and headache Ophthalmic disorders: Eye disease
Ear, nose, and throat (ENT) disorders: Sore throat Gynecological disorders: Lack of breast milk Other disorders: Fever, febrile diseases
FUNCTIONS
Expels wind-heat and facilitates lactation
5.
NEEDLING METHOD
● Puncture perpendicularly or obliquely 0.1–0.2 cun or prick to bleed with a lancet for sore throat treatment.
● Moxibustion 1–2 min.
SI 2: QIANGU
- Location: CICM
- Location Anatomy book: (AB)
- Point functions: CICM
- Indications and functions: AB
- Needling method & Precautions: AB
Front Valley: Water Pt, Ying-Spring Pt
1.
On the ulnar side of the little finger, just distal to the MCP joint, where the base of the proximal phalangeal bone starts to flare out towards the knuckle; and where the skin tone and texture changes.
2.
LOCATION
When a loose fist is made, the point is located on the ulnar side of the little finger, distal to the fifth metacarpopha- langeal joint of the little finger, at the ulnar end of the skin
crease, and at the junction of the red and white skin. This is the ying-spring point of the small intestine channel.
LOCATION GUIDE
Have the patient flex their hand slightly or make a loose fist. Locate the point at the ulnar end of the crease that is distal to the metacarpophalangeal joint of the little finger.
3.
Dispersing actions: Clear Heat. Expel Wind-Heat (fevers). Remove obstructions from the Channel
Tonifying actions: Moisten the Small Intestine Organ or Channel. Benefit and moisten the ears, eyes and throat.
Main use: Clear heat (Channel; Heart; Bladder).
4.
INDICATIONS
Local disorders: Paralysis or numbness of the fingers, especially the little finger
ENT disorders: Tinnitus and nasal obstruction, headache Other disorders: Fever, reddish urine
FUNCTIONS
Expels wind-heat and clears the ear
5.
NEEDLING METHOD
● Puncture perpendicular obliquely 0.5 cun or oblique distally 0.2–0.3 cun.
● Moxibustion 2–3 min.
SI 3: HOUXI
1. Location: CICM
2. Location Anatomy book: (AB)
3. Point functions: CICM
4. Indications and functions: AB
5. Needling method & Precautions: AB
Back Stream: Wood Pt, Tonification Pt, Shu-Stream Pt, Opening Pt of Du Mai
1.
On the ulnar side of the 5th MC, proximal to the MCP joint. From the knuckle move your finger proximally down the head of the 5th MC, so that you are just proximal and inferior to the 5th MCP joint, at the beginning of the flare of the head of the 5th MC. The point lies here, between the bone and the muscle
that draws out the little finger (abductor digiti minimi), at the junction where the skin tone and texture changes.
2.
LOCATION
When the patient’s fist is slightly clenched, the point is prox- imal to the head of the fifth metacarpal bone, on the ulnar side of the palm, in the depression at the junction of the red and white skin. This is the shu-stream point of the small intestine channel and the confluent point of the du (govern- ing channel).
LOCATION GUIDE
Have the patient flex their hand slightly. Locate the point on the ulnar side of the hand, at the ulnar end of the distal transverse crease of the palm, and at the junction of the red and white skin, where the dorsal and palmar surfaces of the hand meet.
3.
Dispersing actions: Regulate Du Mai and extinguish internal Wind. Expel external Wind. Remove
obstructions from the Channel. Resolve Damp (used to treat Malaria).
Tonifying actions: Tonify Small Intestine. Strengthen and clear the Spirit. Activate the Channel.
Main Use: As the Tonification point to strengthen Fire CF (usually with He 9). Treat the Spirit. As the Opening point of Du Mai (often with Coupled point Bl 62). Clear Wind from the spine and neck (acute stiff neck).
4.
INDICATIONS
Local disorders: Numbness of the fingers Musculoskeletal disorders: Pain of the lateral side of the
chest, neck stiffness, and acute lumbar pain Neurological disorders: Headache, convulsions, tremors,
and night sweating
ENT disorders: Tinnitus, deafness Other disorders: Fever
FUNCTIONS
Expels exterior wind, clears interior wind from the du (gov- erning channel), benefits the joints, and resolves dampness
5.
NEEDLING
● Puncture perpendicularly 0.5–2.0 cun.
● Moxibustion is applicable.
SI 4: WANGU
- Location: CICM
- Location Anatomy book: (AB)
- Point functions: CICM
- Indications and functions: AB
- Needling method & Precautions: AB
Wrist Bone: Yuan-Source Pt
1.
On the ulnar edge of the hand between the 5th MC and the triquetral bone. Feel along the ulnar edge of the 5th MC bone until you drop into the depression between the base of the 5th MC and the triquetral bone.
This depression lies over the hamate bone, which cannot easily be felt. Mark the point close to the end of the 5th MC. If the patient opens out his little finger, this exposes a muscle, (the origin of the abductor digiti minimi) and the point lies here, between the bone and the muscle where the skin tone and texture changes.
This is the yuan-source point of the small intestine channel.
4.
LOCATION
This point is located on the ulnar aspect of the palm, in the depression between the base of the fifth metacarpal bone and the triquetral (triangular) bone, at the junction between the red and white skin. This is the yuan-source point of the small intestine channel.
LOCATION GUIDE
Have the patient make a loose fist. Locate the point on the ulnar side of the palm, between the base of the fifth meta- carpal bone and the triquetral bone, at the junction of the red and white skin. The hamate bone is deep to this point.
3.
Tonifying actions: Tonify Small Intestine. Activate the Channel.
Dispersing actions: Remove obstructions from the Channel. Eliminate Damp-Heat (febrile diseases, jaundice).
Main Uses: As the Source point to strengthen Fire CF (usually with He 7). Channel problems.
4.
INDICATIONS
Local disorders: Pain of the hand, wrist, and forearm Musculoskeletal disorders: Hypochondriac region pain,
headache, neck pain
Digestive disorders: Vomiting, cholecystitis, and jaundice Neurological disorders: Pediatric convulsions
ENT disorders: Tinnitus
Other disorders: Febrile diseases
FUNCTIONS
Clears obstructions from the channel and resolves damp heat
5.
NEEDLING METHOD
● Puncture perpendicularly 0.3–0.5 cun.
● Moxibustion 2–3 min.
SI 5: YANGGU
- Location: CICM
- Location Anatomy book: (AB)
- Point functions: CICM
- Indications and functions: AB
- Needling method & Precautions: AB
Yang Valley: Fire Pt, Horary Pt, Jing-River Pt
1.
The point lies at the ulnar side of the flexure of the wrist. It is in the gap between the triquetral bone and the head of the ulna, where the skin tone and texture changes.
2.
This point is located on the ulnar side of the wrist, in the depression between the styloid process of the ulna and the triquetral (triangular) bone. This is the jing-river point of the small intestine channel.
LOCATION GUIDE
Locate the point on the ulnar aspect of the patient’s wrist, in the depression between the triquetral bone and the ulnar styloid process, just proximal to the ulnar end of the trans- verse wrist crease.
3.
Tonifying actions: Tonify Small Intestine. Strengthen and clear the Spirit. Activate the Channel.
Dispersing actions: Clear Heat (and thus calm the Spirit). Eliminate Damp-Heat (swellings in neck).
Remove obstructions from the Channel.
Main Use: As the Horary point to treat Fire CF (usually with He 8). Treat the Spirit. Clear Heat
(Heart; Channel.) Channel problems.
4.
INDICATIONS
Local disorders: Pain of the hand, wrist, and forearm
ENT disorders: Tinnitus, swelling of the neck and subman-
dibular region
Neurological disorders: Pediatric coma and grand mal seizure Other disorders: Fever
FUNCTIONS
Removes obstructions from the channel, expels wind-heat, and clears the mind
5.
NEEDLING METHOD
● Puncture perpendicularly 0.3–0.5 cun.
● Moxibustion 3–5 min.
SI 6: YANGLAO
- Location: CICM
- Location Anatomy book: (AB)
- Point functions: CICM
- Indications and functions: AB
- Needling method & Precautions: AB
Nourishing the Old: Xi-Cleft Pt
1.
The point lies proximal to the head
of the ulna. Locate and needle this point with patient’s elbow flexed and his palm turned towards his chest.
Fold the patient’s arm across his chest, with his palm facing towards his feet. Place your finger on the proximal slope of the highest point of the head of the ulna. Keeping your finger in place, rotate the patient’s hand so that the palm faces his chest. Your finger will now be on the point, in a cleft between bone and tendon, just proximal to the head of the ulna. (The tendon is of the extensor digiti minimi manus muscle, which extends the little finger.)
2.
LOCATION
With the palm facing the chest, this point is located in the depression on the radial side of the distal head of the ulna, on the dorsal surface of the forearm. This is the xi-cleft point of the small intestine channel.
LOCATION GUIDE
Have the patient flex their elbow with their palm facing their chest. Locate the point on the dorsal surface of the forearm in the depression radial to the styloid process of the ulna, approximately 1 cun proximal to the dorsal wrist crease.
3.
Dispersing actions: Remove obstructions from the Channel. Relax tendons.
Tonifying actions: Benefits the eyes (in deficiency conditions of He/SI).
(Name suggests a particular use for these problems if long-standing or associated with old age.)
4.
INDICATIONS
Local disorders: Forearm, elbow, and shoulder pain Neurological disorders: Occipital headache and tremor Ophthalmic disorders: Redness of the eyes and blurring of
vision
Circulatory disorders: Spastic hemiplegia
FUNCTIONS
Relaxes the sinews, brightens the eyes, and benefits the joints
5.
NEEDLING METHOD
● Puncture perpendicularly or obliquely 0.3–0.5 or trans- verse obliquely (distally or proximally) 0.5–1.0 cun.
● Moxibustion is applicable
SI 7: ZHIZHENG
- Location: CICM
- Location Anatomy book: (AB)
- Point functions: CICM
- Indications and functions: AB
- Needling method & Precautions: AB
Branch to the Heart: Luo-Junction Pt
2.
LOCATION
This point is located on the ulnar side of the posterior sur- face of the forearm, 5 cun proximal to the dorsal crease of the wrist on the line connecting SI-5 (yang gu) and SI-8 (xiao hai). This is the luo connecting point of the small intestine channel.
LOCATION GUIDE
Have the patient flex their elbow with their palm facing downward. Locate the point on the ulnar aspect of the fore- arm between the medial border of the ulnar bone and the flexor carpi ulnaris muscle, 5 cun proximal to the dorsal wrist crease, on the line connecting SI-5 (yang gu) and SI-8 (xiao hai). The distance from the wrist crease to the cubital crease is 12 cun.
3.
Dispersing actions: Expel Wind and Heat. Release the Exterior and stimulate sweating. Remove
obstructions from the Channel.
Tonifying actions: Strengthen and calm the Spirit.
Main Uses: As the Junction point to strengthen the relationship with Heart (often with He 5). Treat
Fire CF by promoting SI Function of separating pure from impure. Treat the Spirit.
4.
INDICATIONS
Local disorders: Paralysis of the ulnar nerve, elbow pain, and forearm pain
Neurological disorders: Mental disorders, headache Other disorders: Fever, neck stiffness
FUNCTIONS
Clears obstructions from the channel and calms the mind
5.
NEEDLING METHOD
● Puncture perpendicularly 0.5–1.0 cun.
● Moxibustion 3–5 min.
SI 8: XIAOHAI
- Location: CICM
- Location Anatomy book: (AB)
- Point functions: CICM
- Indications and functions: AB
- Needling method & Precautions: AB
Small Sea: Earth Pt, Sedation Pt, He-Sea Pt
1.
Locate this point with the patient’s elbow flexed at a right angle, and in the position for playing the violin. The point lies in the hollow midway between the tip of the olecranon and the tip of the medial epicondyle of the the humerus. To needle this point lean the patient’s arm up against your front, or rest the arm on the pillow above the patient’s head, taking care to keep the flexure of the arm at a right angle.
2.
LOCATION
This point is located on the posteromedial aspect of the elbow in the depression between the olecranon process of the ulna and the medial epicondyle of the humerus, when the elbow is flexed. This is the he-sea point of the small intestine channel.
LOCATION GUIDE
Have the patient flex their elbow slightly and lift their arm. Locate the point in the groove between the olecranon process of the ulna and the tip of the medial epicondyle of the humerus.
3.
Dispersing actions: Remove obstructions from the Channel. Resolve Damp-Heat. Relax Tendons.
Main Use: As a local point for the elbow. (NB not considered very effective as He-Sea point to
treat SI Organ. Consider St 39, the lower He-Sea point, instead.)
4.
INDICATIONS
Local disorders: Neck stiffness, pain of the elbow joint, and shoulder pain
Neurological disorders: Epilepsy, headache Other disorders: Fever
FUNCTIONS
Clears obstructions from the channel
5.
NEEDLING METHOD
● Puncture perpendicularly 0.3–0.5 cun or puncture obliquely, distally, or proximally 0.5–1.0 cun.
● Moxibustion 1–3 min.
SI 9: JIANZHEN
- Location: CICM
- Location Anatomy book: (AB)
- Point functions: CICM
- Indications and functions: AB
- Needling method & Precautions: AB
Upright Shoulder
1.
This point lies on the posterior inferior margin of the deltoid muscle. Highlight this muscle by asking the patient to lift his arm out from his side against your resistance. Then keeping your finger on the posterior inferior border, allow the arm to relax before marking the point.
Very roughly, with the patient’s arms hanging loosely at his sides, the point is found 1 cun directly above the inferior end of the crease that is formed at the back of the armpit (posterior axillary crease). Run your finger up by about 1 cun from the inferior end of the crease until you are pressing up onto the posterior and inferior margin of the deltoid muscle.
2.
LOCATION
With the arm adducted, the point is located 1 cun above the posterior end of the axillary fold, posterior and inferior to the shoulder joint.
LOCATION GUIDE
Have the patient adduct their arm. Locate the point on the posterior aspect of the shoulder, 1 cun superior to the pos- terior end of the axillary fold, posterior and inferior to the deltoid muscle.
3.
Dispersing actions: Remove obstructions from the Channel. Benefit the Shoulder.
Tonifying actions: Activate the Channel. Benefit the Shoulder.
4.
INDICATIONS
Local disorders: Shoulder pain and difficulty in raising the arms
ENT disorders: Tinnitus and deafness
FUNCTIONS
Clears painful obstructions from the channel
5.
NEEDLING METHOD
● Puncture perpendicularly 0.5–1.5 cun.
● Moxibustion 1–3 min.
SI 10: NAOSHU
- Location: CICM
- Location Anatomy book: (AB)
- Point functions: CICM
- Indications and functions: AB
- Needling method & Precautions: AB
Upper Arm Shu Point
1.
Feel up from SI 9, until you arrive just below the lower border of the scapular spine. Holding your finger here, ask the patient to abduct and adduct their arm and check that you are in the deepest part of the hollow that is found at the latteral end of the scapular spine.
SI 10 is a key landmark of the shoulder joint. This point is in a group of three that are roughly equidistant from one another, and encircle the extremity of the shoulder joint, forming a little epaulette. SI 10 - TB 14 - Li 15. Of the three, SI 10 is often the easiest to feel and by locating this point first will help you to identify the horizontal level of TB 14 and Li 15.
2.
LOCATION
With the arm adducted, this point is directly above SI-9 (jian zhen), in the depression inferior to the lateral aspect of the scapular spine.
LOCATION GUIDE
Have the patient sit and adduct their arm. Locate the point on the shoulder girdle, superior to the posterior end of the axillary fold, in the depression inferior to the lower border of the spine of the scapula, directly above SI-9 (jian zhen).
3.
Dispersing actions: Remove obstructions from the Channel. Benefit the Shoulder.
Tonifying actions: Activate the Channel. Benefit the Shoulder.
4.
INDICATIONS
Local disorders: Shoulder pain, swelling of the shoulder, weakness of the arm and shoulder
Circulatory disorders: Hemiplegia FUNCTIONS
Clears painful obstructions from the channel and benefits the shoulder
C1 Spine of scapula C2
Acromion SI-12
SI-10
SI-9 SI-11
Scapula
5.
NEEDLING METHOD
● Puncture perpendicularly 0.5–1.5 cun.
● Moxibustion 3–5 min.
SI 11: TIANZONG
- Location: CICM
- Location Anatomy book: (AB)
- Point functions: CICM
- Indications and functions: AB
- Needling method & Precautions: AB
Heavenly Ancestor
1.
This point lies in the centre of the large dish shaped hollow (the infra- scapula fossa), of the shoulder blade and is found directly below the widest part of the scapular spine. The point lies 1 cun below the lower edge of the widest part of the scapular spine. To locate the lower border, with your patient’s arm relaxed, from SI 10 place your finger and thumb on either side of the scapular spine and edge along the spine medially until you reach the widest part, roughly in the middle of the shoulder blade. Drop down approximately 1 cun and feel for the point.
The point lies roughly midway between the medial and lateral borders of the scapula, at about 1/3 of the distance from the inferior edge of the scapular spine to the bottom tip (the inferior angle) of the scapula. It is in the centre of the large dish- shaped hollow (the infra-scapular fossa) of the shoulder blade. The point is roughly on a level with the tip of the 4th thoracic vertebra. SI 11 is at the apex of an isosceles triangle with SI 9 and SI 10 or on a level with the halfway point on a line from SI 9 to SI 10.
2.
LOCATION
This point can be found level with the spinous process of the fourth thoracic vertebra, in the depression at the center of the infraspinatus fossa. This point can also be found in a depression at the junction of the superior one-third and inferior two-thirds of the distance between the midpoint of the inferior border of the scapular spine and the inferior angle of the scapula.
LOCATION GUIDE
Have the patient sit or lie in the prone position. Locate the point on the scapular region, approximately 1 cun below the midpoint of the lower border of the spine of scapula.
3.
Dispersing actions: Remove obstructions from the Channel. Benefit the Shoulder. Move Qi - opens the chest and lateral costal region. Facilitate Lactation. Redirect rebellious Qi (cough).
Tonifying actions: Strengthen the Spirit. Activate the Channel. Benefit the shoulder.
Main Use: Strengthen the Spirit (Fire CF).
4.
INDICATIONS
Local disorders: Pain in the upper arm, elbow, shoulder, and lateral side of the chest
Respiratory disorders: Asthma and cough
Gynecological disorders: Insufficient production of breast
milk, pain, and swelling of the breast
FUNCTIONS
Clears painful obstructions from the channel and facilitates lactation
5.
NEEDLING METHOD
● Puncture perpendicularly or obliquely 0.5–1.5 cun. ● Moxibustion 3–5 min.
SI 12: BINGFENG
- Location: CICM
- Location Anatomy book: (AB)
- Point functions: CICM
- Indications and functions: AB
- Needling method & Precautions: AB
Grasping the Wind
1.
This point lies directly above SI 11, above the upper border of the scapular spine. Find the middle and widest part of the scapular spine as described for SI 11. Feel for the point in the groove that lies above the spine. SI 12 forms a parallelogram with SI 9, SI 10 and SI 11.
2.
LOCATION
This point can be found in the center of the supraspinatus fossa, directly above SI-11 (tian zong), in the depression found when the arm is raised.
LOCATION GUIDE
Have the patient sit or lie in the prone position. Locate the point in the scapular region, in the center of the supraspi- natus fossa, approximately 1 cun above the midpoint of the upper border of the spine of the scapula.
3.
Dispersing actions: Remove obstructions from the Channel. Benefit the shoulder. Dispel Wind-
Cold and Wind-Heat.
Tonifying actions: Activate the Channel. Benefit the Shoulder.
4.
INDICATIONS
Local disorders: Shoulder pain and paralysis of the upper arm
FUNCTIONS
Clears obstructions from the channel
5.
NEEDLING METHOD
● Puncture perpendicularly or obliquely 0.5–1.0 cun.
● Moxibustion 3–5 min.
PRECAUTIONS
Deep perpendicular or vertical insertion carries a substantial risk of inducing a pneumothorax, especially in thin patients.
SI 13: QUYUAN
- Location: CICM
- Location Anatomy book: (AB)
- Point functions: CICM
- Indications and functions: AB
- Needling method & Precautions: AB
Crooked Wall
1.
The point lies at the medial end of the supra-scapular fossa, above the upper border of the scapular spine, and about 1 cun lateral to the medial edge of the shoulder blade.
The point is in the depression above the medial end of the scapular spine where it meets the medial edge of the shoulder blade. It is roughly midway between SI 10 and the midline of the spine.
2.
LOCATION
This point is located on the medial end of the supraspinatus fossa, about midway between SI-10 (nao shu) and the spi- nous process of the second thoracic vertebra.
LOCATION GUIDE
Have the patient sit or lie in the prone position. Locate the point in the scapular region, on the upper border of the scap- ular spine, approximately 1 cun lateral to its medial end.
3.
Dispersing actions: Expel Wind (Bi). Remove obstructions from the Channel. Benefit the Shoulder.
Tonifying actions: Activate the Channel. Benefit the shoulder.
4.
INDICATIONS
Local disorders: Neck stiffness, upper arm, shoulder, and scapular region pain
FUNCTIONS
Clears painful obstruction syndrome and benefits the shoulder
5.
NEEDLING METHOD
● Puncture perpendicularly 0.3–0.5 cun or puncture obliquely, laterally 0.5–1.0 cun.
● Moxibustion 3–5 min. PRECAUTIONS
This point is located close to the medial border of the scap- ula, and an insertion that is too medial or too deep may puncture the lungs.
SI 14: JIANWAISHU
- Location: CICM
- Location Anatomy book: (AB)
- Point functions: CICM
- Indications and functions: AB
- Needling method & Precautions: AB
Outside of Shoulder Shu Point
1.
3 cun lateral to the intervertebral space T1 / T2(Du13). The point lies above Bl 41 on a continuation of the line of the Outer Bladder Line.
2.
LOCATION
This point is located 3 cun lateral to the lower border of the spinous process of the first thoracic vertebra, where DU-13 (tao dao) is located, and on the same vertical line extending upward from the median margin of the scapula.
LOCATION GUIDE
Have the patient sit or lie in the prone position. Locate the point in the upper back region, at the same level as the inferior border of the spinous process of the first thoracic vertebra (T1), 3 cun lateral to the posterior midline. The dis- tance from the posterior midline to the medial border of the scapula is 3 cun.
3.
Dispersing actions: Expel Wind (Bi). Remove obstructions from the Channel. Benefit the shoulder.
Tonifying actions: Activate the Channel. Benefit the Shoulder.
4.
INDICATIONS
Local disorders: Shoulder and upper arm pain and neck rigidity
FUNCTIONS
Clears painful obstruction syndrome
5.
NEEDLING METHOD
● Puncture obliquely 0.5–1.0 cun.
● Moxibustion 2–3 min.
PRECAUTIONS
Perpendicular or deep insertion carries a substantial risk of inducing a pneumothorax, especially in thin patients.
SI 15: JIANZHONGSHU
- Location: CICM
- Location Anatomy book: (AB)
- Point functions: CICM
- Indications and functions: AB
- Needling method & Precautions: AB
Centre of Shoulder Shu Point
1.
2 cun lateral to the intervertebral space C7 / T1 (Du 14).
2.
LOCATION
This point is located 2 cun lateral to the lower border of the spinous process of the seventh cervical vertebra, on the same horizontal level as DU-14 (da zhui).
LOCATION GUIDE
Have the patient sit or lie in the prone position. Locate the point in the upper back region, at the same level as the infe- rior border of the spinous process of the seventh cervical vertebra (C7), 2 cun lateral to the posterior midline. The dis- tance from the posterior midline to the medial border of the scapula is 3 cun.
3.
Dispersing actions: Remove obstructions from the Channel. Benefit the Shoulder. Descend Lung
Qi.
Tonifying actions: Activate the Channel. Benefit the shoulder.
Main Use of SI 9 - 10, 13 - 15: Channel problems of the Shoulder.
4.
INDICATIONS
Local disorders: Shoulder pain and neck stiffness Respiratory disorders: Bronchial asthma with coughing Ophthalmic disorders: Diminishing vision
FUNCTIONS
Removes obstructions from the channel, clears lung-qi, and brightens the eyes
5.
NEEDLING METHOD
● Puncture obliquely, 0.5–1.0 cun. ● Moxibustion 3–5 min.
PRECAUTIONS
Deep insertion inferiorly carries a substantial risk of induc- ing pneumothorax, especially in thin patients.
SI 16 (W): TIANCHUANG
- Location: CICM
- Location Anatomy book: (AB)
- Point functions: CICM
- Indications and functions: AB
- Needling method & Precautions: AB
Heavenly Window: Window of Heaven
1.
On the horizontal ring of points that runs out and slightly upwards from just below the Adam’s apple, through St 9 and LI 18. This point lies on that ring just posterior to the sternocleidomastoid muscle. If you stroke the back of the muscle very gently you can feel a slight depression at the point.
2.
LOCATION
This point is located on the lateral aspect of the neck, at the level of the laryngeal prominence, along the posterior border of the sternocleidomastoid muscle, posterior to LI-18 (fu tu).
LOCATION GUIDE
Have the patient sit or lie in the supine position. Locate the point on the lateral aspect of the neck, posterior to the sternocleidomastoid muscle, at the same level as the laryngeal prominence of the thyroid cartilage (Adam’s apple).
3.
Dispersing actions: Regulate the ascending and descending of Qi and calm the Spirit. Subdue Wind
(internal). Benefit ears, throat and voice. Remove obstructions from the Channel.
Tonifying actions: Unite Qi of Heaven and Earth.
Main Use: As a Window of Heaven (Fire CF).
4.
INDICATIONS
Local disorders: Stiffness of the neck and pain ENT disorders: Deafness, tinnitus, and sore throat
FUNCTIONS
Benefits the ears, throat, and voice, calms the mind, regulates qi and activates the channel, alleviates pain, and clears heat
5.
NEEDLING METHOD
● Puncture perpendicularly 0.5–0.8 cun.
● Moxibustion 3–5 min.
SI 17 (W): TIANRONG
- Location: CICM
- Location Anatomy book: (AB)
- Point functions: CICM
- Indications and functions: AB
- Needling method & Precautions: AB
Heavenly Appearance: Window of Heaven
2.
LOCATION
This point is located on the lateral aspect of the neck, posterior to the angle of the mandible, in the depression on the anterior border of the sternocleidomastoid muscle.
LOCATION GUIDE
Have the patient sit or lie in the supine position. Locate the point in the anterior region of the neck, posterior to the angle of the mandible, in the depression anterior to the sternocleidomastoid muscle.
3.
Dispersing actions: Subdue rebellious Qi. Resolve Damp and Heat and Expel Fire-Poison. Benefit the ears, neck and throat.
Tonifying actions: Unite Qi of Heaven and Earth.
Main Use: As a Window of Heaven (Fire CF). Specific for severe acute tonsillitis.
4.
INDICATIONS
ENT disorders: Deafness, tinnitus, tonsillitis, and sore throat Neurological disorders: Aphasia and dysarthria
FUNCTIONS
Resolves damp heat and clears obstructions from the channel
5.
NEEDLING METHOD
● Puncture perpendicularly directed toward the root of the tongue, anterior to the carotid vessels, 0.5–1.0 cun. Avoid the carotid vessels.
● Moxibustion 3–5 min.
● In case of tonsillitis, insert needle toward the tonsil without puncturing or damaging the tonsil itself.
SI 18: QUANLIAO
- Location: CICM
- Location Anatomy book: (AB)
- Point functions: CICM
- Indications and functions: AB
- Needling method & Precautions: AB
Cheekbone Foramen
1.
The point lies directly inferior to the outer canthus of the eye, in a hollow just inferior to the zygomatic arch and anterior to the masseter muscle. Find the outer canthus of the eye (the angle of the meeting of the eyelids). From here drop straight down over the large ridge of the cheekbone to the inferior edge of this bone. With your finger on the point, ask your
patient to close their mouth and then to pretend to chew. You will feel the masseter muscle bulging next to your finger. Now with their face relaxed palpate gently for the point.
2.
LOCATION
This point can be found on the face, directly below the outer canthus of the eye, in the depression on the lower border of the zygomatic bone.
LOCATION GUIDE
Have the patient sit or lie in the supine position. Locate the point on the face, inferior to the zygomatic bone, in the depression directly below the outer canthus of the eye.
3.
Dispersing actions: Expel Wind. Clear Heat. Relieve pain (Local point).
4.
INDICATIONS
Neurological disorders: Facial palsy and trigeminal neuralgia
Dental disorders: Toothache
ENT disorders: Acute rhinitis
Ophthalmic disorders: Twitching of the eyelids
FUNCTIONS
Relieves pain and expels wind
5.
NEEDLING METHOD
● Puncture perpendicularly 0.5–0.7 cun.
● Moxibustion is contraindicated.
SI 19: TINGGONG
- Location: CICM
- Location Anatomy book: (AB)
- Point functions: CICM
- Indications and functions: AB
- Needling method & Precautions: AB
Listening Palace: Exit Pt.
1.
The point lies anterior to the midpoint of the tragus of the
ear. This point must be located and needled with the mouth open. Identify the tragus of the ear and then find an imaginary horizontal.
mid-line of the tragus at the level of its widest part. Extend this horizontal line forwards into the cavity that is found directly anterior to the
tragus when the mouth is held open. The point lies here in the centre of this cavity, between the tragus and the mandibular joint.
2.
LOCATION
This point is located midway between the tragus and the temporomandibular joint (anterior to the middle of the tra- gus and posterior to the condyloid process of the mandible), in the depression formed when the mouth is slightly open.
LOCATION GUIDE
Have the patient sit or lie in the supine position with their mouth slightly open. Locate the point on their face, in the depression between the anterior border of the middle of the tragus and the posterior border of the condyloid process of the mandible.
3.
Dispersing actions: Benefit the ear.
Tonifying actions: Promote discerning and discriminating function of the Small Intestine.
Strengthen and calm the Spirit. Benefit the ear.
Main Use: Exit point (often with Bl 1). Strengthen and calm the Spirit (Fire CF). Benefit the ear
(mainly in deficiency conditions).
4.
INDICATIONS
ENT disorders: Deafness, tinnitus, otitis media, and arthri- tis in the temporomandibular joint
Neurological disorders: Dysarthria
FUNCTIONS
Facilitates opening of the ears and calms the mind
5.
NEEDLING METHOD
●
Puncture perpendicularly 0.5–1.0 cun. Needling should be done with the mouth open. Following insertion of the needle, the patient may close their mouth. Moxibustion 3–5 min.
