Stomach channel Flashcards
The Stomach primary channel connects with the following zangfu:
Stomach and Spleen
What are the pathological symptoms of the sinew channel for the Stomach channel?
• Strained middle toe
• Cramping of the lower leg
• Spasmodic twitching and hardness of the muscle of the foot
• Spasm of the thigh
• Swelling of the anterior inguinal region
• Shan disorder
• Abdominal sinew spasm that extends to the supraclavicular fossa region and cheek
• Sudden deviation of the mouth
• (if cold) inability to close the eye
• (if hot) laxity of the sinews and the eye cannot be opened
If the cheek sinew has cold, it will be tense and pull the cheek, and the mouth will be deviated; if there is heat then the sinews become flaccid and this will result in deviation of the mouth
What are the functions of the Stomach fu?
- Control the ‘rotting and ripening’ of food
* Control descending and to act as 1st stage in the digestion of fluids
How does disharmony of the Stomach manifest as?
- Disorders of apetite and digestion
- Distention and pain in the epigastrium due to failure of the Stomach qi to descend
- Belching, nausea or vomiting due to rebellious ascent of Stomach qi
Yangming channel is abdundant in qi and blood. Points of foot yangming channel are there much used clinically to?
- Regulate qi and blood in lower limb
- To treat atrophy disorders and painful obstructions
- Hemiplegia and pain of all kinds
How can the primary actions and indications of the points of the Stomach channel be summarised as?
- Treating disorders of the yangming channel in the head including the eyes, face and cheeks, forehead, nose, lips, gums and teeth
- Treating disorders of the ear
- Treating disorders of the throat
- Regulating the functions of the intestines
- Treating disorders of the upper, middle and lower jiao, especially the Lung, Heart, chest, epigastrium, Stomach, Spleen, uterus and Bladder
- Tonifying qi, blood, qin and yang
- Treating both acute and chronic disorders of the breast
- Treating disturbance of the spirit, especially mania-depression
Where is St1?
Directly below the pupil between the eyeball and infraorbital ridge
What are the actions of st1?
- Benefits the eyes and stops lacrimation
* Eliminates wind and clears heat
Indications st1?
- Redness, swelling and pain of the eyes, lacrimation on exposure to wind, cold lacrimation, hot lacrimation, superficial visual obstruction, dimness of vision, short sightedness, visual dizziness, night blindness, itching of the eyes, upward staring eyes, twitching of the eyelids
- Deviation of the mouth and eye, inability to speak, deafness and tinnitus
Where is st2?
1 cun directly below pupil, in the depression at the infraorbital foramen
How to needle st2?
Perpendicular 0,2-0,4 cun
RISK!! Deep insertion along the foramen may injure the eyeball. Manipulation by lifting and thrusting is contraindicated due to the risk of damaging the infraorbital nerve which emerges from the foramen
Actions of st2?
- Eliminates wind
- Clears heat
- Benefits the eyes
Indications st2?
- Redness and pain of the eyes, superficial visual obstruction, dimness of vision, visual dizziness, itching eyes, excessive lacrimation, deviation of the mouth and eye, twitching of the eyelids, headache
- Round worms in the bile duct
Where is st3?
Directly below pupil, level with the lower border of the ala nasi
How to needle st3?
Perpendicular 0,3-0,4 cun
Actions of st3?
- Eliminates wind
* Dissipates swelling and alleviates pain
Indications of st3?
- Pain and swelling of the external nose and cheek, nosebleed, toothache, swelling and pain of the lips and cheek, deviatoin of the mouth, aversion to wind and cold in the face and eyes, superficial visual obstruction, excessive lacrimation, clonic spasm
- Leg qi, swelling of knee
Where is st4?
0,4 cun lateral to the corner of mouth
How to needle st4?
Transverse insertion to join st6, li20, ren24 etc
Actions of st4?
- Eliminates wind from the face
* Activates the channel and alleviates pain
Indications of st4?
- Deviation of the mouth, pain of the cheek, trigeminal neuralgia, drooling, food and drink leak out of the mouth, numbness of the lips and face, tootache, contraction of the facial muscles, loss of speech
- Ceaseless movement of the eyeball, inability to close the eye, twitching of the eyelids, itching of the eye, blurring of distant objects, night blindness
- Atrophy disorder with inability to walk, swelling of the leg, inability to eat
What is the location of st5?
Directly anterior to angle of jaw, in a depression at the anterior border of the masseter muscle
How to needle st5?
Ask patient to clench jaw
Oblique 0,3-0,5 cun
RISK! Vigorous manipulation is contraindicated to avoid the risk of damaging the facial artery and vein
Actions of st5?
- Eliminates wind
* Reduces swelling
Indications st5?
- Wind tetany with lockjaw, deviation of the mouth, twitching of the lips, toothache of the lower jaw, frequent yawning, stiffness of the tongue with inability to speak, inability to close the eyes accompanied by pain of the eyes
- Swelling of the face and lower cheek, wind obstructing the face leading to swelling, mumps, scrofula, neck pain with chills and fever, aversion to cold
Location of st6?
1 fingerbreadth anterior and superior to angle of jaw
How to needle st6?
Ask patient to clench jaw
Perpendicular insertion 0,5 cun
Actions of st6?
- Eliminates wind and benefits the jaw and teeth
* Activates the channel and alleviates pain
Indications of st6?
- Deviation of the mouth and eye, swelling of the cheek, tootache, gum disorders, lockjaw, tension and pain of the jaw, inability to chew, inability to open the mouth following windstroke
- Stiffness and pain of the neck, mumps, loss of voice
Location of st7?
• Lower border of zygomatic arch, in the depression anterior to condyloid process of mandible
How to needle st7?
Perpendicular slightly inferiorly 0,5-1 cun
Actions of st7?
- Benefits the ears, jaw and teeth
* Activates the channel and alleviates pain
Indications of st7?
- Deafness, tinnitus, ear pain, itching, and purulent discharge from the ear
- Lockjaw, dislocation of the jaw
- Tootache, pain of the teeth of the lower jaw, swelling and pain of the gums (of the lower jaw), pain of the cheek and face, swelling of the cheek, yawning deviation of the mouth and eye, visual dizziness
Location of st8?
Corner of forehead, 0,5 cun within the anterior hairline
How to needle st8?
Transverse 0,5-1 cun
Actions of st8?
- Eliminates wind and alleviates pain
* Benefits the eyes
Indications of st8?
- Headache, splitting headache with chills and fever, dizziness, vomiting
- Dimness of vision, bursting eye pain, lacrimation on exposure to wind, twitching of the eyelids
- Dyspnoea with agitation and oppression, hemiplegia
Location of st9?
Level with tip of and 1,5 cun lateral to laryngeal prominence, in the depression between anterior border of scm and thyroid cartilage (also between carotid artery and lateral border of thyroid cartilage)
How to needle st9?
Perpendicular 0,5-1 cun
NB!! Palpate carotid artery first, and hold it laterally while needling to avoid puncturing it (consider whether you need to needle it)
Actions of st9?
- Regulates qi and blood and lowers rebellion
- Benefits the throat and neck
- Alleviates pain
Indications of st9?
- Headache, dizziness, visual dizziness, red face, fullness of chest, shortness of breath, asthma, sudden turmoil disorder, vomiting, pulseless syndrome, hypertension, hypotension
- Swelling and pain of the throat, scrofula, goitre, difficulty in swallowing
- Lumbar pain
