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Stomach Fu, Channel and Points Flashcards

1
Q

Primary Channel Pathway

A

Begins at the lateral side of nose - LI20. Ascends to medial canthus - BL1. Descends laterally to ST1. Descends to enter upper gum and curves to meet DU28 and DU26. Circles around lips to REN24. Runs laterally across cheeks to ST5 and ST6 on mandible. Ascends anterior to ear to ST7 and GB3. Ascends within hairline to ST8. Follows hairline to meet DU24.

A branch separates at ST5 and descends along anterior border of SCM to enter supraclavicular fossa at ST12. Travels posteriorly to upper back to DU14. Descends through diaphragm to REN13 and REN12 to enter ST and SP.

A branch descends to ST12 along maxillary line (4 cun) to ST18. Then descends 2 cun from midline to ST30.

A branch originates from pyloric orifice of ST and descends within abdomen and meets with ST30. Travels laterally to ST31 on the anterolateral aspect of thigh. Descends along lateral margin of femur to patella and alongside lateral margin of tibia to dorsum of foot, terminating at lateral tip of second toe at ST45.

A branch separates from main channel at ST36 and terminates at lateral aspect of middle toe.

A branch separates on dorsum of foot at ST42 and terminates at medial side of tip of big toe at SP1, linking to SP channel.

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2
Q

Primary channel connects with zangfu:

A

Stomach and Spleen

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3
Q

Primary channel meets with other channels at following points:

A 
LI20
BL1
GB3
GB4
GB5
GB6
DU14
DU24
DU26
DU28
REN12
REN13
REN24

*GB14, GB21

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4
Q

Luo Connecting Channel

A

Originates on lateral side of lower leg at ST40. Travels to medial aspect of lower leg to joint with SP channel. Ascends the leg and trunk to nape of the neck and head where it converges with Qi of other Yang channels. Travels internally to terminate at throat.

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5
Q

Divergent Channel Pathway

A

Branches from primary channel in middle of the thigh. Ascends and enters abdomen. Travels to Stomach and disperses in Spleen. Ascends to penetrate to Heart. Ascends along the esophagus and emerges at the mouth. Continues along the nose to connect with the eye and unites with primary Stomach channel.

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6
Q

Sinew Channel Primary

A

Begins at middle three toes and binds on dorsum of foot. Ascends along lateral aspect of the tibia and binds at lateral aspect of knee, connecting with GB sinew channel. Ascends to bind at hip joint. Passes through lower ribs into spine.

A branch runs along tibia and binds at knee. Ascends thigh and binds in pelvic region above genitals. Ascends abdomen and chest and binds at ST12. Ascends the neck to jaw, mouth, and side of nose and binds below nose. Joins with BL sinew channel (“upper net”) to form a muscular net around eye (“lower net”).

A branch separates at jaw and binds in front of ear.

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7
Q

Pathological Symptoms of Sinew Channel

A

Strained middle toe, cramping of lower leg, spasmodic twitching and hardness of the muscles of the foot, spasm of thigh, swelling of the anterior inguinal region, Shan disorder, abdominal sinew spasm that extends to the supraclavicular fossa and cheek, sudden deviation of mouth, inability to close eye (if cold), laxity of sinews and inability to open eye (if hot)*.

*If cheek sinew has cold, it will be tense and pull cheek, mouth will deviate. If cheek sinew has heat, sinews become flaccid and mouth will deviate.

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8
Q

ST Relationships

A

Interiorly exteriorly coupled. ST primary channel enters SP. ST divergent channel disperses in the SP. ST luo channel at ST40 joins with SP channel.

Primary channel enters upper gum, circles lips and connects with lower gum.

Primary channel ascends in front of ear.

Luo channel terminates at throat; ST primary channel descends through throat.

Divergent channel penetrates Heart, ST primary channel ascends to meet DU channel.

Primary channel descends through breast and nipple.

Primary channel descends to cross chest, epigastrium and upper and lower abdomen.

Branch of primary terminates at lateral side of middle toe.

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9
Q

Stomach Functions

A

Controls rotting and ripening of food

Controls descending and acts as first stage in digestion of fluids

*Disharmony manifests as disorders of appetite and digestion, distention and pain in the epigastrium due to failure of ST qi to descend, belching nausea or vomiting due to rebellious qi.

Abundant in Qi and Blood > used to regulate qi and blood in lower limb and treat atrophy disorder and painful obstruction, hemiplegia and pain.

ST points are most important to clear excess of yang in form of febrile heat or heat that rises to disturb HT and Shen.

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10
Q

Primary Actions and Indications

A

Treats all disorders of yangming channel in head including eyes, face and cheeks, forehead, nose, lips, gums and teeth.

Treats disorders of ears.

Treats disorders of throat.

Regulates function of intestines.

Treats disorders of upper, middle and lower jiaos - esp. LU, HT, chest, epigastrium, ST, SP, uterus, BL.

Tonifies Qi, Blood, Yin and Yang.

Treats acute and chronic disorders of breasts.

Treats disturbance of Shen, esp. mania and depression.

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11
Q

ST1 pinyin

A

Chengqi

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12
Q

ST1 point categories

A

Meeting point of Yang Motility Vessel

Meeting point of Conception Vessel

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13
Q

ST1 location

A

Directly below pupil between eyeball and infraorbital ridge

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14
Q

ST1 needling

A

Slight inferior, then perpendicular

0.5-1 cun

Between inferior wall of orbit and eyeball

  • ask patient to close eyes and look upwards, push eyeball upward and insert needle slowly
  • contraindicated to moxa
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15
Q

ST1 actions

A

Benefits eyes and stop lacrimation

Eliminates wind and clears heat

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16
Q

ST1 indications

A

Redness, swelling and pain of eyes, lacrimation on exposure to wind, cold lacrimation, hot lacrimation, superficial visual obstruction, dimness of vision, short sightedness, visual dizziness, night blindness, itching of eyes, upward staring eyes, twitching of eyelids

Deviation of mouth and eye, inability to speak deafness and tinnitus

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17
Q

ST1 commentary

A

ST1 is a principal point along with BL1 to treat disorders of eyes. Is also a meeting point of a network of channels. ST divergent channel connects with eye and ST sinew channel Jonis with BL sinew channel to form a net around eye.

Eye disorder etiology: i. attack by exterior pathogenic wind-heat or wind-cold ii. interior disharmony (LV Fire, Liver Yang, or Liver Yin/Blood Deficiency) iii. combination of both interior disharmony and exterior pathogens

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18
Q

ST2 pinyin

A

Sibai

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19
Q

ST2 location

A

1 cun below pupil, with eyes looking forward

In depression at the infraorbital foramen

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20
Q

ST2 needling

A

i. Perpendicular 0.2-0.4 cun
ii. Transverse to join SI18, LI20
iii. Perpendicular-oblique 0.3-0.5 cun

*contraindicated to moxa

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21
Q

ST2 actions

A

Eliminates Wind, clears Heat, benefits eyes

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22
Q

ST2 indications

A

redness and pain of eyes, superficial visual obstruction, dimness of vision, visual dizziness, itching eyes, excessive lacrimation, deviation of mouth and eye, twitching of eyelids, headache

round worms in bile duct

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23
Q

ST2 commentary

A

i. substitute for ST1
ii. local point - adjoining adjacent points - for facial pain and paralysis
iii. treatment of round worms in bile duct

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24
Q

ST3 pinyin

A

juliao

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25
ST3 point categories
Meeting point of Yang Motility Vessel
26
ST3 location
directly below pupil level with lower border of ala nasi and lateral to naso-labial groove
27
ST3 needling
Perpendicular 0.3-0.4 Transverse to joint ST4, SI18
28
ST3 actions
Eliminates wind, dissipates swelling and alleviates pain
29
ST3 indications
pain and swelling of external nose and cheek, nosebleed, toothache, swelling and pain of lips and cheek, deviation of mouth, aversion to wind and cold in face and eyes, superficial visual obstruction, excessive lacrimation, clonic spasm leg qi, swelling of knee
30
ST4 pinyin
dicang
31
ST4 point categories
meeting point of LI channel meeting point of yang motility vessel meeting point of DU channel
32
ST4 location
0.4 cun lateral to corner of mouth
33
ST4 needling
Transverse Join with ST6, LI20, REN24
34
ST4 actions
eliminates wind from face activates channel and alleviates pain
35
ST4 indications
deviation of mouth, pain of cheek, trigeminal neuralgia, drooling, food nd drink leak out of mouth, numbness of lips and face, toothache, contraction of facial muscles, loss of speech ceaseless movement of the eyeball, inability to close the eye, twitching of eyelids, itching of the eye, blurring of distant objects, night blindness atrophy disorder with inability to walk, swelling of leg, inability to eat
36
ST4 commentary
important to eliminate local wind from face and frequently used in treatment of facial paralysis either due to exterior pathogenic wind or sequelae of windstroke pain of face differentiated: i. invasion of channels of face by wind and cold, ii. flaring up of ST and LV fire, iii. Heat due to yin Deficiency
37
ST5 pinyin
daying
38
ST5 location
anterior to angle of jaw in a depression at anterior border of masseter muscle
39
ST5 needling
i. oblique 0.3-0.5 cun ii. transverse to join with ST4, ST6 **contraindicated to vigorous insertion
40
ST5 actions
eliminates wind and reduces swelling
41
ST5 indications
wind tetany with lockjaw, deviation of the mouth, twitching of the lips, toothache of lower jaw, frequent yawning, stiffness of tongue with inability to speak, inability to close eyes accompanied by pan of eyes swelling of face and lower cheek, wind obstructing face leading to swelling, mumps, scrofula, neck pain with chills and fever, aversion to cold
42
ST6 pinyin
jiache
43
ST6 point categories
sun si-miao ghost point
44
ST6 location
1 finger breadth anterior and superior to angle of jaw at prominence of masseter muscle
45
ST6 needling
i. perpendicular 0.5 cun ii. transverse to join ST4, ST5, ST7 iii. transverse towards upper or lower jaw for toothache
46
ST6 actions
eliminates wind and benefits the jaw and teeth activates the channel and alleviates pain
47
ST6 indications
deviation of mouth and eye, swelling of cheek, toothache, gum disorders, lockjaw, tension and pain of jaw, inability to chew, inability to open mouth following windstroke stiffness and pain of neck, mumps, loss of voice
48
ST6 commentary
important pont in treatment of wide range of local disorders affecting jaw used to treat mania epilepsy
49
ST7 pinyin
xiaguan
50
ST7 point categories
meeting point of GB channel
51
ST7 location
at lower border of the zygomatic arch in depression anterior to condyloid process of mandible **ask patient to open mouth to locate condyloid process, then close mouth so finger falls into point
52
ST7 needling
i. perpendicular, slightly inferiorly 0.5-1 | ii. transverse to join with SI19, SI18 (for diseases of ear, teeth, face and jaw)
53
ST7 actions
benefits ears, jaw, teeth activates channel and alleviates pain
54
ST7 indications
deafness, tinnitus, ear pain, itching, and purulent discharge from ear lockjaw, dislocation of jaw toothache, pain of teeth of lower jaw, swelling and pain of gums of lower jaw, pain of cheek and face, swelling of cheek, yawning, deviation of mouth and eye, visual dizziness
55
ST7 commentary
important for treatment of local disorder affecting ear (deafness, tinnitus, pain and discharge), teeth (toothache, swelling and pain of gum), cheek (pain and swelling). can be needled 0.5 anterior to location for trigeminal neuralgia and facial pain
56
ST8 pinyin
touwei
57
ST8 point categories
meeting point of GB channel meeting point of Yang Linking vessel
58
ST8 location
corner of forehead 4. 5 cun lateral to DU24 0. 5 cun within hairline
59
ST8 needling
transverse 0.5-1 cun **contraindicated to moxa
60
ST8 actions
eliminates wind and alleviates pain benefits the eyes
61
ST8 indications
headache, splitting headache with chills and fever, dizziness, vomiting dimness of vision, bursting eye pain, lacrimation on exposure to wind, twitching of eyelids dyspnea with agitation and oppression, hemiplegia (paralysis of one side of body)
62
ST8 commentary
important point for headaches. ST yangming rules forehead, GB Chaoyang rules temporal, Yang Linking links all Yang channels (DU and BL) and rules vertex. needle direction for temporal and vertex
63
ST9 pinyin
renying
64
ST9 point categories
meeting point of GB channel Point of window of heaven point of sea of qi
65
ST9 location
1.5 cun lateral and level with tip of laryngeal prominence in a depression between anterior border of SCM and lateral border of thyroid cartilage **avoid carotid artery, just deep to anterior border of SCM
66
ST9 needling
perpendicular 0.5-1 cun **contraindicated to moxa, avoid carotid artery
67
ST9 actions
regulates qi and blood and lowers rebellion benefits the throat and neck alleviates pain
68
ST9 indications
headache, dizziness, visual dizziness, red face, fullness of chest, SOB, asthma, sudden turmoil disorder, vomiting, pulseless syndrome, hypertension, hypotension swelling and pain of throat, scopula, goiter, difficulty swallowing lumbar pain
69
ST9 commentary
window of heaven points reestablish harmony in flow of qi between body and head inversion qi manifests as sudden acute pain > ST9 for lumbar sprain & sprain and severe pain in any part of body reduces hypertension important for harmonizing and redistributing qi in body
70
ST10 pinyin
shuitu
71
ST10 location
anterior border of SCM midway between ST9 and ST11
72
ST10 needling
perpendicular-oblique 0.5-1 cun directed medially
73
ST10 actions
benefits throat and neck descends Lung qi
74
ST10 indications
swelling and pain of throat, goiter, scrofula cough, whooping cough, SOB, dyspnea, swelling and pain of shoulder
75
ST11 pinyin
qishe
76
ST11 location
at root of neck superior to medial end of clavicle in depression between sternal and clavicular heads of SCM
77
ST11 needling
i. perpendicular 0.2-0.3 | ii. directed inferiorly along posterior border of clavicle <0.5 cun
78
ST11 actions
benefits the throat and neck and descends qi
79
ST11 indications
swelling and pain of throat, scrofula, footer, stiffness of neck with inability to turn head dyspnea, difficult ingestion, hiccup
80
ST12 pinyin
quepen
81
ST12 location
posterior to superior border to clavicle midpoint of clavicle - 4 cun lateral from midline
82
ST12 needling
perpendicular 0.3-0.5 cun along posterior border of clavicle
83
ST12 actions
descend Lung qi and clears heat from chest activates channel and alleviates pain
84
ST12 indications
cough, coughing blood, dyspnea, fullness of chest, heat and fullness in chest, chills and fever with sweating, absence of sweating, edema, scrofula, throat painful obstruction pain of supraclavicular fossa, pain of shoulder that radiates to neck, numbness and painful obstruction of upper limb, inability to raise the arm, lumbar pain with inability to turn
85
ST12 commentary
meeting point of all yang channels except BL, principal function is to descend rebellion of qi
86
ST13 pinyin
qihu
87
ST13 location
on inferior border of clavicle 4 cun lateral to midline
88
ST13 needling
transverse-oblique laterally or medially 0.5-0.8 cun transverse, inferiorly along channel **caution deep insertion
89
ST13 actions
descends rebellious qi and unbinds chest
90
ST13 indications
fullness and distention of chest and lateral costal region, pain of chest and upper back, cough, dyspnea, asthma, wheezing, vomiting blood, hiccup, inability to taste food, stiffness of neck with inability to turn head
91
ST14 pinyin
kufang
92
ST14 location
in first intercostal space 4 cun from midline lateral to REN20
93
ST14 needling
transverse-oblique insertion laterally or medially along ICS 0.5-0.8 transverse insertion superiorly or inferiorly along channel
94
ST14 actions
descends rebellious qi and unbinds chest
95
ST14 indications
distention and fullness of chest and lateral costal region, cough, coughing of pus and blood, dyspnea
96
ST15 pinyin
wuyi
97
ST15 location
second intercostal space 4 cun lateral from midline level with REN19
98
ST15 needling
transverse-oblique, laterally or medially along ICS 0.5-0.8 cun transverse insertion superiorly or inferiorly along channel
99
ST15 actions
descends rebellious qi and unbinds chest benefits the breasts alleviates pain and itching of skin
100
ST15 indications
cough, wheezing, dyspnea, SOB, coughing of pus and blood, distention and pain of chest and lateral costal region breast pain, breast access pain of skin - making wearing clothes unbearable, generalized itching, heaviness of body, swollen body, pain and weakness of limbs
101
ST16 pinyin
yingchuang
102
ST16 location
third intercostal space 4 cun from midline level with REN18
103
ST16 needling
transverse-oblique, laterally or medially along ICS 0.5-0.8 cun transverse insertion superiorly or inferiorly along channel
104
ST16 actions
alleviates cough and wheezing benefits breasts
105
ST16 indications
cough, fullness of chest with SOB, restless sleep, fever and chills, swelling of lips, borborygmus and watery diarrhea breast abscess
106
ST17 pinyin
ruzhong
107
ST17 location
centre of nipple fourth intercostal space 4 cun to midline
108
ST17 needling
contraindicated to needling and moxa reference point
109
ST18 pinyin

Points (9 decks)

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