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Points > Stomach Fu, Channel and Points > Flashcards

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
Q

ST3 point categories

A

Meeting point of Yang Motility Vessel

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26
Q

ST3 location

A

directly below pupil

level with lower border of ala nasi and lateral to naso-labial groove

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27
Q

ST3 needling

A

Perpendicular 0.3-0.4

Transverse to joint ST4, SI18

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28
Q

ST3 actions

A

Eliminates wind, dissipates swelling and alleviates pain

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29
Q

ST3 indications

A

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

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30
Q

ST4 pinyin

A

dicang

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31
Q

ST4 point categories

A

meeting point of LI channel

meeting point of yang motility vessel

meeting point of DU channel

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32
Q

ST4 location

A

0.4 cun lateral to corner of mouth

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33
Q

ST4 needling

A

Transverse

Join with ST6, LI20, REN24

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34
Q

ST4 actions

A

eliminates wind from face

activates channel and alleviates pain

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35
Q

ST4 indications

A

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

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36
Q

ST4 commentary

A

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

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37
Q

ST5 pinyin

A

daying

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38
Q

ST5 location

A

anterior to angle of jaw

in a depression at anterior border of masseter muscle

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39
Q

ST5 needling

A

i. oblique 0.3-0.5 cun
ii. transverse to join with ST4, ST6

**contraindicated to vigorous insertion

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40
Q

ST5 actions

A

eliminates wind and reduces swelling

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41
Q

ST5 indications

A

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

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42
Q

ST6 pinyin

A

jiache

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43
Q

ST6 point categories

A

sun si-miao ghost point

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44
Q

ST6 location

A

1 finger breadth anterior and superior to angle of jaw

at prominence of masseter muscle

45
Q

ST6 needling

A

i. perpendicular 0.5 cun
ii. transverse to join ST4, ST5, ST7
iii. transverse towards upper or lower jaw for toothache

46
Q

ST6 actions

A

eliminates wind and benefits the jaw and teeth

activates the channel and alleviates pain

47
Q

ST6 indications

A

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
Q

ST6 commentary

A

important pont in treatment of wide range of local disorders affecting jaw

used to treat mania epilepsy

49
Q

ST7 pinyin

A

xiaguan

50
Q

ST7 point categories

A

meeting point of GB channel

51
Q

ST7 location

A

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
Q

ST7 needling

A

i. perpendicular, slightly inferiorly 0.5-1

ii. transverse to join with SI19, SI18 (for diseases of ear, teeth, face and jaw)

53
Q

ST7 actions

A

benefits ears, jaw, teeth

activates channel and alleviates pain

54
Q

ST7 indications

A

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
Q

ST7 commentary

A

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
Q

ST8 pinyin

A

touwei

57
Q

ST8 point categories

A

meeting point of GB channel

meeting point of Yang Linking vessel

58
Q

ST8 location

A

corner of forehead

  1. 5 cun lateral to DU24
  2. 5 cun within hairline
59
Q

ST8 needling

A

transverse

0.5-1 cun

**contraindicated to moxa

60
Q

ST8 actions

A

eliminates wind and alleviates pain

benefits the eyes

61
Q

ST8 indications

A

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
Q

ST8 commentary

A

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
Q

ST9 pinyin

A

renying

64
Q

ST9 point categories

A

meeting point of GB channel

Point of window of heaven

point of sea of qi

65
Q

ST9 location

A

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
Q

ST9 needling

A

perpendicular

0.5-1 cun

**contraindicated to moxa, avoid carotid artery

67
Q

ST9 actions

A

regulates qi and blood and lowers rebellion

benefits the throat and neck

alleviates pain

68
Q

ST9 indications

A

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
Q

ST9 commentary

A

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
Q

ST10 pinyin

A

shuitu

71
Q

ST10 location

A

anterior border of SCM

midway between ST9 and ST11

72
Q

ST10 needling

A

perpendicular-oblique

0.5-1 cun

directed medially

73
Q

ST10 actions

A

benefits throat and neck

descends Lung qi

74
Q

ST10 indications

A

swelling and pain of throat, goiter, scrofula

cough, whooping cough, SOB, dyspnea, swelling and pain of shoulder

75
Q

ST11 pinyin

A

qishe

76
Q

ST11 location

A

at root of neck

superior to medial end of clavicle

in depression between sternal and clavicular heads of SCM

77
Q

ST11 needling

A

i. perpendicular 0.2-0.3

ii. directed inferiorly along posterior border of clavicle <0.5 cun

78
Q

ST11 actions

A

benefits the throat and neck and descends qi

79
Q

ST11 indications

A

swelling and pain of throat, scrofula, footer, stiffness of neck with inability to turn head

dyspnea, difficult ingestion, hiccup

80
Q

ST12 pinyin

A

quepen

81
Q

ST12 location

A

posterior to superior border to clavicle

midpoint of clavicle - 4 cun lateral from midline

82
Q

ST12 needling

A

perpendicular

0.3-0.5 cun

along posterior border of clavicle

83
Q

ST12 actions

A

descend Lung qi and clears heat from chest

activates channel and alleviates pain

84
Q

ST12 indications

A

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
Q

ST12 commentary

A

meeting point of all yang channels except BL, principal function is to descend rebellion of qi

86
Q

ST13 pinyin

A

qihu

87
Q

ST13 location

A

on inferior border of clavicle

4 cun lateral to midline

88
Q

ST13 needling

A

transverse-oblique

laterally or medially

0.5-0.8 cun

transverse, inferiorly along channel

**caution deep insertion

89
Q

ST13 actions

A

descends rebellious qi and unbinds chest

90
Q

ST13 indications

A

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
Q

ST14 pinyin

A

kufang

92
Q

ST14 location

A

in first intercostal space

4 cun from midline

lateral to REN20

93
Q

ST14 needling

A

transverse-oblique insertion laterally or medially along ICS

0.5-0.8

transverse insertion superiorly or inferiorly along channel

94
Q

ST14 actions

A

descends rebellious qi and unbinds chest

95
Q

ST14 indications

A

distention and fullness of chest and lateral costal region, cough, coughing of pus and blood, dyspnea

96
Q

ST15 pinyin

A

wuyi

97
Q

ST15 location

A

second intercostal space

4 cun lateral from midline

level with REN19

98
Q

ST15 needling

A

transverse-oblique, laterally or medially along ICS

0.5-0.8 cun

transverse insertion superiorly or inferiorly along channel

99
Q

ST15 actions

A

descends rebellious qi and unbinds chest

benefits the breasts

alleviates pain and itching of skin

100
Q

ST15 indications

A

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
Q

ST16 pinyin

A

yingchuang

102
Q

ST16 location

A

third intercostal space

4 cun from midline

level with REN18

103
Q

ST16 needling

A

transverse-oblique, laterally or medially along ICS

0.5-0.8 cun

transverse insertion superiorly or inferiorly along channel

104
Q

ST16 actions

A

alleviates cough and wheezing

benefits breasts

105
Q

ST16 indications

A

cough, fullness of chest with SOB, restless sleep, fever and chills, swelling of lips, borborygmus and watery diarrhea

breast abscess

106
Q

ST17 pinyin

A

ruzhong

107
Q

ST17 location

A

centre of nipple

fourth intercostal space

4 cun to midline

108
Q

ST17 needling

A

contraindicated to needling and moxa

reference point

109
Q

ST18 pinyin

A

Points (9 decks)

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