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Akupunktur > Large Intestine > Flashcards

Large Intestine Flashcards

1
Q

The Large intestine primary channel connects with the following zangfu?

A

Large intestine, Lung

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2
Q

Which channels gather and collect at the ear?

A

Large Intestine, Stomach, Small Intestine, Gall Bladder, Sanjiao

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3
Q

What are the pathological symptoms of the Large Intestine sinew channel?

A
  • Cramping and pain along the course of the channel
  • Inability to raise the shoulder
  • Inability to turn the neck to the left or the right
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4
Q

Where is the Large Intestine sinew channel?

A

-

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5
Q

The Large Intestine channel can be summarised as?

A
  • Treating all disorders of the yangming channel in the head (face, cheeks, forehead, eyes, nose, lips, gums and teeth)
  • Treating disorders of the ear
  • Expelling wind, cold and heat from the exterior portion of the body
  • Clearing wind-heat, interior heat and fire poison from the areas traversed by the channel, especially in the head
  • Clearing yangming fire which disturbs the Heart and spiriti
  • Assisting the Lung in its function of opening the water passages
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6
Q

Where is Li1?

A

Dorsal aspect of index finger, radial border of the nail and base of the nail, 0,1 cun from the corner of the nail

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7
Q

How to needle Li1?

A

Perpendicular or oblique directed proximally 0,1-0,2 cun, or prick to bleed

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8
Q

What are the actions of Li1?

A
  • Clears heat
  • Reduces swelling
  • Alleviates pain
  • Revives consciousness
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9
Q

What are the indications for Li1?

A
  • Throat painful obstruction, tootache of the lower jaw, pain of the lower cheek, swelling of the submandibular region, dry mouth, deafness, tinnitus
  • Loss of consciousness from windstroke, loss of consciousness, qi fullness of chest radiating to the lateral costal region, dyspnoea and cough, febrile disease with abscence of sweating, hot malaria
  • Pain of the shoulder and back that radiates to the supraclavicular fossa, numbness and heat of the fingers
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10
Q

Where is Li2?

A

Radial border of index finger, in a depression just distal to the MCP joint (easier to find if fingers are flexed and relaxed)

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11
Q

How to needle Li2?

A
  1. Oblique proximal or distal insertion 0,2-0,3 cun

2. Perpendicular-oblique insertion towards the palm 0,5 cun

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12
Q

What are the actions of Li2?

A
  • Expels wind
  • Clears heat and reduces swelling
  • Alleviates pain
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13
Q

What are the indications of Li2?

A
  • Tootache, pain and swelling of the lower cheek, acute weeping eczema of the face, deviation of the mouth and eye, nosebleed, rhinitis, throat painful obstruction, dry mouth, cloudy vision, eye diseases, yellow eyes
  • Febrile disease, cold shivering, acute foot stagnation
  • Injury by cold with water binding the chest and lateral costal region, propensity to fright, somnolence
  • Pain and stiffness of the shoulders and back, cold and pain at the point of Li15
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14
Q

Where is Li3?

A

Radial side of index finger, in the substantial depression proximal to the head of the second metacarpal bone

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15
Q

How to needle Li3?

A

Perpendicular 0,5-2 cun, directed towards Si-3, needle with hand in a loose fist position

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16
Q

What is the actions of Li3?

A
  • Expels wind and heat
  • Clears heat and benefits the throat and teeth
  • Dispels fullness and treats diarrhoea
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17
Q

What are the indications of Li3?

A
  • Throat painful obstruction, obstruction of the throat, tootache of the lower jaw, pain from decaying teeth, tongue thrusting, acute eye pain, dry scorched lips and mouth, nosebleed, rhinitis, tinnitus, chills and fever
  • Cold or damp diarrhoea, borborygmus, somnolence, injury by cold with water binding the chest and lateral costal region, fright, fullness of the chest, malaria
  • Acute stiff neck, redness and swelling of the dorsum of the hand, difficulty flexing and extending the fingers
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18
Q

Where is Li4?

A

On the dorsum of the hand, between the 1st and 2nd metacarpal bones, at the midpoint of the 2nd metacarpal bone and close to its radial border

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19
Q

Needling tip for Li4?

A

Ask the patient to squeeze the thumb against the base of the index finger, locate Li4 at the highest point of the bulge of the muscle

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20
Q

Contraindication for Li4?

A

Pregnancy

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21
Q

How to needle Li4?

A
  1. Perpendicular 0,5-1 cun

2. Oblique directed proximally 1-1,5 cun

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22
Q

What are the actions of Li4?

A
  • Regulates the defensive qi and adjusts sweating
  • Expels wind and releases the exterior
  • Regulates the face, eyes, nose, mouth and ears
  • Activates the channel and alleviates pain
  • Induces labour
  • Restores the yang
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23
Q

Indications for Li4?

A
  • Exterior wind-cold pattern, chills and fever, injury by cold with great thirst, copious sweating, absence of sweating, febrile disease with abscence of sweating, floating pulse
  • Headache, one-sided headache, headache of the whole head, hypertension
  • Redness, swelling and pain of the eyes, dimness of vision, superficial visual obstruction
  • Nosebleed, nasal congestion and discharge, rhinitis, sneezing
  • Tootache or pain of tooth decay in the lower jaw, mouth ulcers, lotus flower tongue, cracked tongue, rigid tongue, lips do not close, tightness of lips
  • Throat painful obstruction, childhood throat moth, mumps, loss of voice
  • Swelling of the face, deviation of the face and mouth, lockjaw, deafness, tinnitus
  • Amenorrhoea, prolonged labour, delayed labour, retention of dead fetus
  • Dysenteric disorder, childhood nutrtional impairment, childhood fright wind, wind rash, malaria, mania
  • Painful obstruction and atrophy disorder of the four limbs, hemiplegia, pain of the sinews and bones, pain of the arm, contraction of the fingers, pain of the lumbar spine
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24
Q

What is the most important point to treat for disorders of the face and sense organs?

A

Li4

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25
Q

Where is Li5?

A

Radial side of wrist, in the centre of the hollow formed by the tendons of extensor pollicis longus and brevis (anatomical snuffbox)

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26
Q

Location note for Li5?

A

Extend the thumb to emphasise the hollow of the anatomical snuffbox. Avoid cephalic vein which runs through the snuffbox

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27
Q

How to needle Li5?

A

Perpendicular 0,5-1 cun

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28
Q

What are the actions of Li5?

A
  • Clears heat and alleviates pain
  • Clears yangming fire
  • Calms the spirit
  • Benefits the wrist joint
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29
Q

What are the indications for Li5?

A
  • Rhinitis, nosebleed, tinnitus, deafness, ear pain, redness, swelling and pain of the eyes, superficial visual obstruction, lacrimation, toothache, pain from tooth decay, headache, chronic headache, frontal headache, throat painful obstruction, pain of the root of the tongue
  • Mania-depression, febrile disease with agitation of the Heart, manic raving, propensity to laughter, seeing ghosts, fright
  • Cold cough, vomiting of foam, urticaria, malaria, fever with absence of sweating
  • Weakness and pain of the wrist, contraction of the five fingers, heat in the palms, difficulty in raising the elbow
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30
Q

Where is Li6?

A

3 cun proximal to Li5

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31
Q

To remember the position of the point

A

Divide the distance between Li5 and Li11 by half, and then half again towards Li5, this is the point for Li6

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32
Q

How to needle Li6?

A

Transverse-oblique 0,5-1 cun

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33
Q

What is the action of Li6?

A
  • Expels wind and clears heat

* Opens and regulates the water passages

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34
Q

What are the indications of Li6?

A
  • Tinnitus, deafness, tootache, tooth decay, cold teeth, redness and pain of the eyes, dimness of vision, blurred vision, rhinitis, nosebleed, dry throat, throat painful obstruction, deviation of the mouth, swelling of the cheek
  • Difficult urination, oedema, ascites, obstruction of the diaprhagm, borborygmus with oedema, attack by wind with abscense of sweating
  • Malaria, manic raving
  • Pain of the wrist, elbow and upper arm
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35
Q

Where is Li7?

A

5 cun proximal to Li5

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36
Q

Location note for Li7?

A

Divide the distance between Li5 and Li11 in half, and move 1 cun distal to find Li7

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37
Q

How to needle Li7?

A

Transverse-oblique 0,5-1 cun

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38
Q

What are the actions of Li7?

A
  • Clears heat and detoxifies poison
  • Moderates acute conditions
  • Regulates and harmonises the intestines and Stomach
  • Clears yangming fire and calms the spirit
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39
Q

What are the indications of Li7?

A
  • Headache, deviation of the face and mouth, redness, swelling and pain of the face, clove sores, carbuncle and furuncle, pain of the teeth and mouth, tongue thrusting, throat painful obstruction with loss of voice
  • Borbygmus with abdominal pain, abdominal distention, vomiting of watery saliva and foam, sudden swelling of the four limbs
  • Frequent laughter, raving, seeing ghosts
  • Pain and difficulty in raising the shoulders and arm
40
Q

Where is Li8?

A

On the radial side of forearm 4 cun distal to Li11

41
Q

Location note Li8?

A

Divide distance between Li5 and Li11 into 3 parts, it’s on the border of the proximal 1/3 towards the elbow

42
Q

How to needle Li8?

A

Perpendicular or oblique 0,5-1,5 cun

43
Q

What are the actions of Li8?

A
  • Harmonises the Small Intestine
  • Expels wind and clears heat
  • Clears yangming fire and calms the spirit
44
Q

What are the indications of Li8?

A
  • Abdominal pain, lower abdominal distention, fullness and pain of the abdomen and lateral costal region, periumbilical pain, insufficiency of Small Intestine qi, diarrhoea containing undigested food, blood in the stool, dark urine
  • Headache, head wind, dizziness, pain of the eye, dry lips with drooling, breast abscess, dyspnoea
  • Manic raving, mad walking
  • Hemiplegia, wind-damp painful obstruction, cold painful obstruction, pain of the elbow and arm
45
Q

Where is Li9?

A

Radial side of forearm, 3cun distal to Li11

46
Q

Location note Li9?

A

Locate with elbow flexed and radial side upwards. 1/4 of the way from Li11 towards Li5

47
Q

How to needle Li9?

A

Perpendicular or oblique, 0,5-1,5 cun

48
Q

Indications Li9?

A
  • Borborygmus, LI qi stagnation, abdominal pain, difficult and dark urination
  • Chest pain, dyspnoea, brain wind, headache
  • Pain or numbness of the shoulder, elbow and arm, numbness of the limbs, hemiplegia from windstroke, cold sensation of the bone marrow
49
Q

Where is Li10?

A

Radial side forearm, 2cun distal to Li11

50
Q

Location note Li10?

A

Located with elbow flexed and radial side upwards. Usually very tender to palpation

51
Q

How to needle Li10?

A

Perpendicular or oblique 0,5-1,5 cun

52
Q

What are the actions of Li10?

A
  • Regulates qi and blood, activates the channel and alleviates pain
  • Harmonises the intestines and Stomach
53
Q

Actions of Li9?

A
  • Harmonises the Large Intestine

* Activates the channel and alleviates pain

54
Q

Indications Li10?

A
  • Pain and immobility of the arm and shoulder, windstroke, paralysis of the arm, numbness of the arm, atrophy disorder, hemiplegia, contraction and inflexibility of the elbow, lumbar pain with inability to lie down
  • Abdominal pain, vomiting and diarrhoea, periodic sensation of cold in the intestines, sudden turmoil disorder
  • Tootache with swelling of the cheek, deviation of the mouth, loss of voice, scrofula
55
Q

Where is Li11?

A

Elbow, lateral end of transverse cubital crease

56
Q

Location note Li11?

A

Located with elbow flexed

57
Q

How to needle Li11?

A

Perpendicular 1-1,5 cun

58
Q

Actions of Li11?

A
  • Clears heat
  • Cools the blood, eliminates wind, drains damp and alleviates itching
  • Regulates qi and blood
  • Alleviates the channel and alleviates pain
59
Q

Indications of Li11?

A
  • Fever
  • Throat painful obstruction, loss of voice, tootache, redness and pain of eyes, pain in front of ear
  • Agitation and oppression of the chest, manic disorders, poor memory, dizziness, hypertension, goitre
  • Symptoms of skin
  • Distention and pain of abdomen, vomiting and diarrhoea
  • Numbness of upper arm, hemiplegia, clonic spasm, contraction, immobility and pain of elbow and shoulder, emaciation and weakness of elbow, redness and swelling of arm, atrophy disorder of the lower limbs, pain and swelling of the ankle
60
Q

Where is Li12?

A

When elbow is flexed, directly above the lateral epicondyle, just anterior to the lateral supracondylar ridge

61
Q

How to needle Li12?

A

Perpendicular 0,5-1 cun

62
Q

Actions of Li12?

A
  • Activates the channel and alleviates pain

* Benefits the elbow joint

63
Q

Indications Li12?

A
  • Contraction, numbness and immobility of upper arm

* Pain and stiffness of the elbow

64
Q

Where is Li13?

A
  • Lateral side of upper arm 3 cun proximal to Li11
  • Depression between latearl border of biceps brachii and humerus
  • 1/3 from li11 towards axillary fold
65
Q

How to needle Li13?

A

Perpendicular 1-1,5 cun

66
Q

Actions of Li13?

A
  • Alleviates the channel and alleviates pain
  • Alleviates coughing
  • Regulates qi, drains damp and transforms phlegm
67
Q

Indications Li13?

A
  • Pain, numbness or contraction of the elbow and upper arm, inability to raise the arm, shoulder pain, windtaxation with fear and fright
  • Cough, difficulty breathing, vomiting blood
  • Scrofula, desire to sleep, diminished qi, inability to move the four limbs, yellow body with intermittent low-grade fever, malaria, blurred vision, fear and fright
68
Q

Where is Li14?

A
  • Lateral side of upper arm, in visible depression formed between insertion of deltoid and brachialis
  • 3/5 of the way from Li11 to Li15
69
Q

How to needle Li14?

A

Oblique 1-1,5 cun

70
Q

Actions of Li14?

A
  • Activates the channel and alleviates pain
  • Regulates qi and dissipates phlegm nodules
  • Benefits the eyes
71
Q

Indications Li14?

A
  • Pain, numbness and painful obstruction of the upper arm and shoulder, wasting and weakness of the upper arm, inability to raise the arm, contraction and sitffness of the neck
  • Scrofula, goitre, chest pain
  • Redness, swelling and pain of the eyes
72
Q

Where is Li15?

A

In the depression which lies anterior and inferior to the acromion at the origin of deltoideus

73
Q

How to needle Li15?

A
  • With arm abducted, perpendicular directed towards axilla 1-1,5 cun
  • Transverseoblique directed towards elbow 1,5-2 cun
74
Q

Actions of Li15?

A
  • Dispels wind-damp, alleviates pain and benefits the shoulder joint
  • Eliminates wind and regulates qi and blood
  • Regulates qi and dissipates phlegm nodules
75
Q

Indications of Li15?

A
  • Shoulder pain, weakness of the shoulder, wind-damp of the shoulder, heat sensation in the shoulder, redness and swelling in the shoulder, inability to raise the arm, hemiplegia, wind paralysis, windstroke, wind atrophy disorder, wind disease, heat in the four limbs, inability to turn the head, painful obstruction of the fingers
  • Hypertension
76
Q

Where is Li16?

A

In the depression medial to acromion and between lateral extremity of clavicula and spina scapula

77
Q

How to needle Li16?

A

Perpendicular or oblique 0,5cun to 1 cun

RISK! Deep medial insertion carries risk of causing pneumothorax, particularly in thin patients

78
Q

Actions of Li16?

A
  • Activates the channel, alleviates pain and benefits the shoulder joint
  • Regulates qi and blood and dissipates phlegm nodules
79
Q

Indications Li16?

A
  • Pain of the shoulder and back, blood stasis in the shoulder, difficulty in moving or raising the arm, pain of the upper arm
  • Fright epilepsy, vomiting of copious quantities of blood, blood stasis in the chest, scrofula, goitre
80
Q

Where is Li17?

A

Lateral side of neck, posterior border of scm 1 cun inferior to Li18

81
Q

How to needle Li17?

A

• Perpendicular 0,3-0,5 cun
• Oblique 0,5-0,8 cun
RISK! Deeper nedling may puncture carotoid artery or jugular vein

82
Q

Actions of Li17?

A

Benefits the throat and voice

83
Q

Indications of Li17?

A

• Sudden loss of voice, throat painful obstruction, rattling sound in the throat, goitre, scrofula, difficulty breathing, difficult ingestion

84
Q

Where is Li18?

A

Lateral side of neck, level with tip of the laryngeal prominence, between sternal and clavicular heads of scm

85
Q

How to needle Li18?

A

• Perpendicular 0,3-0,5 cun
• Oblique 0,5-0,8 cun
RISK! Deeper needling may puncture carotoid artery or jugular vein

86
Q

Actions of Li18?

A
  • Benefits the throat and voice

* Alleviates cough and wheezing

87
Q

Indications of Li18?

A
  • Swelling and pain of the throat, sudden loss of voice, rattling sound in the throat, goitre, scrofula, difficulty in swallowing
  • Cough, coughing with much spittle, wheezing, asthma, hypotension
88
Q

Where is Li19?

A

Below the lateral margin of nostril

89
Q

How to needle Li19?

A

Oblique insertion 0,3-0,5 cun

90
Q

Actions of Li19?

A

• Eliminates wind and opens the nasal passages

91
Q

Indications of Li19?

A
  • Nasal congestion and discharge, loss of sense of smell, nasal sores, nasal polyps, rhinitis with nosebleed
  • Lockjaw, deviation of the mouth, loss of consciousness
92
Q

Where is Li20?

A

At naso-labial groove, level of the midpoint of the lateral border of ala nasi

93
Q

How to needle Li20?

A

• Transverse mediosuperally 0,3-0,5 cun at the highest point of the naso-labial groove

94
Q

Actions of Li20?

A
  • Opens the nasal passages

* Expels wind and clears heat

95
Q

Indications of Li20?

A
  • Nasal congestion, nasal congestion and discharge, rhinitis, profuse nasal discharge, loss of sense of smell, nasal polyps, nasal sores, sneezing, nosebleed
  • Deviation of the mouth, swelling and itching of the face, pain and swelling of the lip, heat and redness of the eyes, dyspnoea

Akupunktur (9 decks)

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