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Acupuncture Points Comprehensive > Hand Jueyin 1-9 > Flashcards

Hand Jueyin 1-9 Flashcards

1
Q

PC1 Tian Chi

A

Heavenly Pool

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2
Q

PC1 Location

A

1 cun lateral and slightly superior to the nipple in the 4th ICS

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3
Q

PC1 Needling

A

Transverse-oblique insertion posteriorly along the ICS 0.5 - 1 cun

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4
Q

PC1 Precautions

A

Pneumothorax with deep needling

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5
Q

PC1 Associations

A

Window of Sky Point

Entry point from KI22

(Intersection of PC/GB channels)

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6
Q

PC1 TCM Actions

A

Unbinds the chest, transforms phlegm

Regulates qi and dissipates nodules

Descends rebellion

Benefits breasts

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7
Q

PC1 Indications

A

Unbinds chest, Transforms phlegm: Cough with copious phlegm, SOB, rattling sound in the chest and throat, fullness of the chest,

Descends rebellion: cough, agitation of the chest and diaphragm, shortness of breath, uprising qi, pain of the lateral costal region.

Regulates qi and dissipates nodules: Swelling and pain of the axilla, scrofula of the neck, breast abscess,

Benefits breasts: breast diseases, insufficient lactation.

Regulates qi, Intersection with GB channel: Headache, blurred vision, inability to raise the four limbs, pain of the arm.

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8
Q

PC1 TCM Patterns

A
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9
Q

PC1 Neuroanatomy

A

Superficial Innervation: Lateral cutaneous from T4 or T5
Dermatome Segment: T4, T5

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10
Q

PC1 Nearby Points

A

SP18 (Tian Xi - Celestial Ravine) 6 cun lateral to the anterior midline in the 4th ICS

ST17 (Ruzhong - Breast Centre) 4 cun lateral to the AML in the 4th ICS (usually over the nipple, reference point only)

KI23 (Shenfeng - Spirit Seal) In the 4th ICS 2 cun lateral to CV17

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11
Q

PC1 Notes

A

Ling Shu Ch. 52, On the Wei Qi, considers this to be the tip of the hand Jueyin meridian with the root being at Neiguan Pc-6.

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12
Q

PC2 Tian Quan

A

Heavenly Spring

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13
Q

PC2 Location

A

On the anterior aspect of the arm, 2 cun distal to the anterior axillary fold, in between the two heads of the biceps brachii muscle

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14
Q

PC2 Needling

A

Oblique insertion distally or proximally along the line of the channel, 1 - 1.5 cun

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15
Q

PC2 Associations

A

(Luo Harmonizing Pt - not to be confused with Luo connecting)

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16
Q

PC2 TCM Actions

A

Unbinds the chest

Invigorates blood

Alleviates pain

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17
Q

PC2 Indications

A

Unbinds the chest, invigorates blood: palpitations, cough, disorders of the Heart, fullness of the chest and lateral costal region, stone oedema.

Alleviates pain: angina, shoulder pain (pain of chest, back, shoulder, scapula, arm)

Invigorates blood: Aversion to wind and cold, blurred vision

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18
Q

PC2 TCM Patterns

A
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19
Q

PC2 Neuroanatomy

A

Superficial Innervation: Lower lateral cutaneous nerve of the arm (C8, T1)
Dermatome Segment: C6, T1 on ventral axial line

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20
Q

PC2 Nearby points

A

LU3 (Tian Fu - Celestial Storehouse) Window of Sky Pt 3 cun below the axillary fold on the radial side of the biceps brachii tendon

LU4 (Xia Bai - Guarding White) 1 cun below LU3 on the radial side of the biceps brachii muscle, on a line connecting LU3 and LU5

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21
Q

PC2 Notes

A

Biceps trigger points are located distally and on either side of the pericardium channel in the middle of the heads of the biceps brachii channel (Travell & Simons, 1998, Trigger Point Manual)

At the end of a Percardium Luo treatment this point is needled, deqi grasped and removed immediately to normalize the circulation of blood (Cecil-Sterman, 2012, Advanced Acupuncture).

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22
Q

PC3 Quze

A

Marsh at the Crook

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23
Q

PC3 Location

A

On the transverse cubital crease on the ulnar side of the biceps brachii tendon.

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24
Q

PC3 Needling

A

Perpendicular insertion 0.5 - 1 cun or prick to bleed.

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25
Q

PC3 Caution

A

Brachial artery and veins lie deeply, just medial to this point

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26
Q

PC3 Associations

A

He Sea

Water Pt

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27
Q

PC3 TCM Actions

A

Clears Heat from the qi, nutritive and blood levels

Harmonizes the ST and intestines, stops vomiting

Activates channel and alleviates pain

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28
Q

PC3 Indications

A

Clears heat from the qi, nutritive and blood levels

Clears Ying Stage Heat - summer-heat stroke, other heat disease.

Chronic angina - palpitations, anxiety, panic attacks, sensation of “pounding” heart particularly in the upper abdominal area.

Harmonizes the ST/intestines and stops vomiting: Gastrointestinal disorders, “sudden turmoil disease” - vomiting and diarrhea.

Activates channel and alleviates pain: Tremors of the hand a/or arm, Parkinson’s disease - localized pain in the elbow and arm.

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29
Q

PC3 TCM Patterns

A
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30
Q

PC3 Neuroanatomy

A

Superficial Innervation: Border of lateral and medial cutaneous nerves of the forearm (C5 - C6 and C8 - T1)
Dermatome Segment: C6, T1 on ventral axial line
Deeper Structures: Median nerve from C5 - T1

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31
Q

PC3 Nearby Points

A

LU5 - On the tranverse cubital crease immediately lateral (radial) to the biceps brachii tendon

HT3 - With the elbow flexed, halfway between the ulnar side of the biceps brachii tendon (PC3) on the cubital crease and the medial epicondyle of the humerus (at the medial end of the transverse cubital crease when the elbow is fully flexed)

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32
Q

PC4 Ximen

A

Xi Cleft Gate

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33
Q

PC4 Location

A

On the flexor aspect of the forearm, 5 cun proximal to PC7 on a line connecting PC7 and PC3, between the tendons of palmaris longus and flexor carpi radialis

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34
Q

PC4 Needling

A

Perpendicular insertion 0.5 - 1 cun or oblique proximal insertion 0.5 - 1.5 cun

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35
Q

PC4 Associations

A

Xi Cleft Pt

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36
Q

PC4 TCM Actions

A

Cools blood and stops bleeding

Invigorates blood and dispels stasis

Moderates acute conditions

Calms the spirit

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37
Q

PC4 Indications

A

Cools blood and stops bleeding: Acute heat in the Blood, coughing or vomiting of Blood (hematemesis, hemoptysis), bleeding hemorrhoids, nosebleed

Invigorates blood and dispels stasis: Chronic hemorrhoid, furuncle

Moderates acute conditions: Cardiac pain (angina), acute palpitations, epilepsy

Calms the Spirit: Spirit disorders typically due to Blood stasis, yin spirit problems, depression, fear of people, grief, agitation, insomnia

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38
Q

PC4 TCM Patterns

A
39
Q

PC4 Neuroanatomy

A

Superficial Innervation: Border of lateral and medial cutaneous nerves of the forearm (C5 - C6 and C8 - T1)
Dermatome Segment: C6, T1 on ventral axial line
Deeper Structures: Median nerve from C5 - T1

40
Q

PC4 Nearby Points

A

LI7 - 5 cun proximal to LI5 on the line connecting LI5 with LI11 (same level as PC4 and both Xi Cleft Pts)

41
Q

PC4 Notes

A

A Xi-Cleft point is the site where the Qi of the meridian is deeply converged. Qi and blood are stored deeply at these particular points. If there appear abnormal reactions at X-Cleft points, it shows that the pathogens have entered the deeper parts of Zang-Fu organs. Thus, they are used for acute, painful symptoms, inflammation, protracted diseases of its pertaining meridian and Zang-Fun organ. Also, Xi-Cleft points of the Yin meridians have hemostatic functions.

42
Q

PC5 Jianshi

A

Intermediate Messenger

43
Q

PC5 Location

A

On the flexor aspect of the forearm, 3 cun proximal to P7 Daling, on the line connecting P7 and P3, between the tendons of palmaris longus and flexor carpi radialis

44
Q

PC5 Needling

A

Perpendicular insertion 0.5 - 1 cun or oblique proximal insertion 0.5 - 1.5 cun

45
Q

PC5 Associations

A

Jing River

Metal Pt

46
Q

PC5 TCM Actions

A

Transforms phlegm

Calms the spirit

Descends rebellious qi and regulates ST

Regulates menstruation

47
Q

PC5 Indications

A

Transforms phlegm: Phlegm issues affecting the chest, heart, lungs a/or throat. Wheezing with phlegm that you can feel and hear, combine with CV 22.

Calms spirit: Cardiac pain, palpitation, manic psychosis, insomnia, heat disorders affecting the heart, red tongue tip

Descends rebellious qi and regulates ST: Vomiting, gastric pain, distal point for enlarged thyroid

Regulates menstruation: irregular menstruation, dysmenorrhea, leucorrhea

48
Q

PC5 Neuroanatomy

A

Superficial Innervation: Border of lateral and medial cutaneous nerves of forearm (C5 - C6 and C8 - T1)
Dermatome Segment: C6, T1 on ventral axial line
Deeper Structures: Median nerve from C5 - T1

49
Q

PC5 Notes

A

PC 5 is one of the more important points to treat Phlegm misting the Heart. Jing-River points are where the qi of the meridian begins to flow more heavily. They are known to treat cough and asthma due to pathogenic cold or heat.

Ling Shu Ch. 44, On the Qi Moving in Accordance with the Norms, indicates that the Jing-River points should be pierced in late summer or when the disease affects the voice. The seasonal aspect should not be interpreted literally as it describes the voice and musical notes as “controlled by late summer”. It also describes the morning, afternoon, evening and night cycle of the day to be like the four seasons of the year although late summer is not included in this comparison but presumably has some correlate (maybe late afternoon).

50
Q

PC5 Nearby Points

A

LI6 - 3 cun proximal to LI5 on a line joining LI5 to LI11

51
Q

PC6 Neiguan

A

Inner Pass (Inner Gate)

52
Q

PC6 Location

A

2 cun proximal to PC7 at the transverse crease of the wrist, on a line joining PC7 and PC3, between the tendons of palmaris longus and flexor carpi radialis

53
Q

PC6 Needling

A

Perpendicular insertion 0.5 - 1 cun or through-needled to SJ5 (Cecil in clinic!!)

Oblique proximal insertion 0.5 -1.5 cun for diseases of the chest or oblique distal insertion 0.5 - 1.5 cun for numbness of the fingers

54
Q

PC6 Associations

A

Luo Connecting

Command Point of Head, Chest and Epigastrium

Command Pt of Yin Wei Mai (coupled with SP4 of Chong)

55
Q

PC6 Caution

A

The median nerve lies directly under this point and needling commonly elicits a tingling sensation. This is an acceptable manifestation of deqi but once elicited further manipulation is inappropriate and may result in damage.

56
Q

PC6 TCM Actions

A
  • Calms the spirit and regulates heart
  • Clears heat
  • Harmonizes stomach
  • Alleviates nausea and vomiting
  • Opens Yin Wei Mai
  • Unbinds the chest and regulates qi
57
Q

PC6 Indications

A

Calms the spirit: Insomnia a/or other spirit disorders of an excess or deficient nature, mania, nervousness, stress, poor memory, depression

Regulates Heart qi: Similar to PC 3 but more for Chronic Heart symptoms from Qi stagnation.

Unbinds the chest: Opens and relaxes the chest, chest tightness, asthma, cardiac pain (angina), palpitations.

Alleviates nausea and vomiting: Nausea, seasickness, motion sickness, vomiting, epigastric pain, hiccup

Clears heat: Febrile disease, fever with absence of sweating, headache, jaundice, yellow eyes, red eyes, red face with hot skin, malaria, cracked and bleeding tongue

Opens Yin Wei Mai: dizziness, post-partum dizziness, irregular menstruation, painful urinary dysfunction.

Activates channel and alleviates pain: Carpal Tunnel Syndrome, spasm and pain of the upper extremities

58
Q

PC6 Neuroanatomy

A

Superficial Innervation: Border of lateral and medial cutaneous nerves of the forearm (C5 - C6 and C8 - T1)
Dermatome Segment: C6, T1 on ventral axial line
Deeper Structures: Median nerve from C5 - T1

59
Q

PC6 Notes

A

PC 6 is an extremely popular and useful point. It is very helpful in treating insomnia and calming the Shen. It also is the point to use for nausea and vomiting. Furthermore, it can be used for any condition related to the chest. Luo-Connecting points of one meridian can communicate with two meridians. They treat diseases of the collaterals and can be used to treat chronic diseases, especially chronic diseases of the Zang-Fu organs. Clinically, Luo-Connecting points are often combined with Yuan-Source points in the treatment of diseases.

60
Q

PC6 Nearby Points

A

SJ5 - On the extensor aspect of the forearm, 2 cun proximal to SJ4, in the depression between the radius and the ulna, on the radial side of the extensor digitorum communis tendon

HT4 - 1.5 cun proximal to HT7 on a line joining HT7 to HT3

LU7 - 1.5 cun proximal to LI5, in a cleft between the tendons of brachioradialis and abductor pollicis longus

LI6 - 3 cun proximal to LI5 on a line joining LI5 to LI11

61
Q

PC7 Daling

A

Great Mound

62
Q

PC7 Location

A

On the transverse crease of the wrist, between the tendons of palmaris longus and flexor carpii radialis, level with HT9

63
Q

PC7 Needling

A

Perpendicular inseriton 0.3-0.5 cun or oblique distal insertion along the carpal tunnel 0.5 - 1 cun for carpal tunnel syndrome

64
Q

PC7 Associations

A

Shu Stream

Earth Pt (Child)

Yuan Source Pt

Ghost Pt

65
Q

PC7 TCM Actions

A

Clears heat from the heart and calms the spirit

Harmonizes the stomach and intestines

Clears the nutritive level and cools blood

Unbinds the chest

66
Q

PC7 Indications

A

Clears heat from the heart: Clears heat that is affecting the Heart of a deficient or excess nature, combine with HT7 for sweat issues (too much or too little), hot flashes

Calms spirit: Emotional issues, manic psychosis

Clears the nutritive level and cools blood: Clears Ying and Blood heat, fever deep in the body that is drying up fluids.

Unbinds the chest: Cardiac pain, palpitation, pain in the chest and hypochondrium

Harmonizes ST and intestines: Gastric pain, vomiting

Main treatment point of Spleen Sho pattern (with SP 3) - in Japanese style Five Phase treatment protocol.

Pain of the heel

Carpal Tunnel Syndrome, combine with PC 5, PC 6 & SP 9.

67
Q

PC7 Neuroanatomy

A

Superficial Innervation: Median nerve from C6 - C8
Dermatome Segment: C6, C7
Deeper Structures: Carpal tunnel where median nerve from C5 - T1 passes into hand

68
Q

PC7 Notes

A

Tinel’s sign: light percussion over the median nerve along the channel near this point will elicit a tingling or pins and needles feeling in the thumb, index and middle finger in cases of carpal tunnel syndrome.

Phalen’s manoeuver: holding the wrists in complete and forced flexion (pushing the dorsal surfaces of the wrist together) for 30 - 60 seconds can induce burning, tingling or numb sensations in cases of carpal tunnel syndrome.

69
Q

PC7 Nearby Points

A

HT9 - At the wrist joint, on the radial side of flexor carpi ulnaris, in a depression just proximal to the pisiform bone

LU9 - At the wrist joint, in the depression between the radial artery and tendon of abductor pollicis longus

70
Q

PC8 Laogong

or Guicu

A

Palace of Toil

(Ghost Cave)

71
Q

PC8 Location

A

Between the second and third metacarpal bones, proximal to the metacarpophalangeal joint, in a depression at the radial side of the third metacarpal bone

72
Q

PC8 Needling

A

Perpendicular insertion 0.5 cun

73
Q

PC8 Associations

A

Ying Spring

Fire Point (Horary)

Ghost Pt (Third Trinity)

Exit Pt to SJ1

74
Q

PC8 TCM Actions

A

Clears heat from the heart and calms spirit

Clears heat from the PC and revives consciousness

Clears heat from the MJ and harmonizes the ST

Clears the nutritive level and cools blood

75
Q

PC8 Indications

A

Clears heat from the heart and calms spirit: cardiac pain (angina), restless zang, mental health, manic, depressive, ceaseless laughter

Clears heat from the PC and revives consciousness: coma, windstroke, hypertension, excess heat conditions, more cooling than PC 7 which can be used for heat from an excess or deficient issue.

Clears heat from the MJ and harmonizes ST: Heat in the mouth, mouth or tongue ulcers, halitosis, difficult ingestion, hypogastric masses, cold sores from Heart or Stomach Fire, vomiting

Clears nutritive level and cools blood: Cools Ying and Blood stage heat, fevers with damage to the yin, cools the Blood, blood in the stool or urine, nosebleeds.

Tremor of hand, eczema or tinea (fungal infection) of the hand, heat in palm of hands

Tong Ren/Tam Healing System: Important point for qi gong healing, can increase internal energy by placing PC 8 on GV 20.

76
Q

PC8 Neuroanatomy

A

Superficial Innervation: Median nerve branches to fingers from C6 - C8 and ulnar nerve (communicating to median branch) from C8 - T1
Dermatome Segment: C7

77
Q

PC8 Notes

A

Ling Shu Ch. 6 suggests piercing the Ying points (and Shu points according to Unschuld, 2016, but not according to Wu & Wu, 201) of the Yin channels if a disease is in the Yin of the Yin realm (e.g. the Zang organs) suggesting this point (and Daling Pc-7) in diseases of the Heart. The Heart had no channel in Ling Shu, if disease had reached that far death was considered immanent.

Ling Shu Ch. 9, On Ends and Beginnings, advises that in the case of Heat associated with receding Yin Qi the Yang conduit should be pierced once and the Yin conduits twice. Based on other recommendation to use the He-Sea of the Yang conduits (Ch. 19) and the Yuan-Source with the Ying-Spring points (Chs. 6, 19 and 24) to clear Heat from the Zangfu, that would suggest this point, Daling Pc-7 and Tianjing SJ-10 as a protocol to clear Heat in the Pericardium/San Jiao. Next it advises that in Cold associated with receding Yang Qi the Yang should be pierced twice and the Yin once but no such obvious protocol is evident for this situation. Another interpretation that would match with common practice today, based on the idea of odd numbers being Yang/moving/clearing while even numbers are Yin/tonifying/reinforcing, is that the points on the channel to be cleared are pierced on one side only while those on the channel to be tonified are pierced bilaterally.

78
Q

PC8 Nearby Pts

A

H8 - On the palm, in the depression between the 4th and 5th metacarpal bones, where the tip of the little finger rests when a fist is made

LU10 - On the thenar eminence, in a depression between the midpoint of the first metacarpal bone and the thenar muscles

79
Q

PC9 Zhong Chong

A

Middle Rushing

or

Central Hub

80
Q

PC9 Location

A

In the centre of the tip of the middle finger. Alternatively this point is sometimes located on the radial side of the middle finger, at the intersection of lines drawn along the radial border and base of the nail, approx. 0.1 cun from the corner of the nail

81
Q

PC9 Needling

A

Perpendicular or oblique insertion 0.1 - 0.2 cun or prick to bleed

82
Q

PC9 Associations

A

Jing River

Wood Pt (Parent)

83
Q

PC9 TCM Actions

A

Clears heat from the PC and revives consciousness

Clears heat from the heart

Benefits tongue

Clear summer heat

84
Q

PC9 Indications

A

Clears heat from the Heart: Jing Well Point for clearing heat in the Heart, cardiac pain, irritability

Benefits tongue: Stiff tongue, speech disorders, especially those arising after a stroke.

Revives consciousness: Restoring consciousness, coma

Clears summer heat: heat stroke

85
Q

PC9 Neuroanatomy

A

Superficial Innervation: Median nerve branches to fingers from C6 - C8
Dermatome Segment: C7

86
Q

PC9 Notes

A

Jing-Well points are where the qi bubbles up. Jing-Well points are indicated to revive consciousness. Jing-Well points are known to treat fullness below the Heart and clear Heat.

One of the Shixuan points which are usually pricked to bleed for acute conditions such as loss of consciousness.

In five element acupuncture this point is reinforced to tonify Heart deficiencies.

Ling Shu Ch. 19, on the Four Seasonal Qi, advises opening the Jing-Well and Ying-Spring openings in winter, piercing deeply and retaining the needle for a while.

Ling Shu Ch. 24, On Counterflow Diseases, advises using this point on the opposite side for sounds in the ears. It then advises using the equivalent points on the feet.

87
Q

PC9 Nearby Points

A

LI1 - On the dorsal aspect of the 2nd digit, at the intersection of lines drawn along the base and the radial side of the nail, approx. 0.1 cun from the corner of the nail bed

SJ1 - On the dorsal aspect of the 4th digit, at the intersection of lines drawn along the base and the ulnar side of the nail, approx. 0.1 cun from the corner of the nail bed

88
Q

PC9 TCM Patterns

A
89
Q

PC5 TCM Patterns

A
90
Q

PC6 TCM Patterns

A
91
Q

PC7 TCM Patterns

A
92
Q

PC8 TCM Patterns

A
93
Q
A

Acupuncture Points Comprehensive (24 decks)

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