Foot Yangming 1-11 Flashcards

(113 cards)

1
Q

ST1 Cheng Qi

A

Container of Tears

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2
Q

ST1 Location

A

With the eyes looking directly forwards, this point is located directly below the pupil between the eyeball and the infraorbital ridge.

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3
Q

ST1 Needling

A

With the patients eyes closed and looking straight up, use a finger to move the eyeball upwards and insert the needle, at first slightly inferiorly, then perpedicularly, between the eyeball and the inferior wall of the orbit, 0.5 - 1 cun.

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4
Q

ST1 Precautions

A

Needle should be inserted slowly without lifting, thrusting or rotating. Immediately on withdrawal, press firmly with a cotton but for about a minute to prevent haematoma. According to several classical texts this point is contradindicated to moxibustion

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5
Q

ST1 Associations

A

Entry Point

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6
Q

ST1 TCM Actions

A

Benefits eyes and stops lacrimation

Eliminates wind and clears heat

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7
Q

ST1 Indications

A

Benefits eyes and stops lacrimation: Eye problems - itching, lacrimation from wind, pain, redness, swelling, vision problems

Eliminates wind and clears heat: Deafness, Deviation of mouth and eye, Tinnitus

Any eye issue, although ST 2 is a good alternative and arguably safer to needle.

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8
Q

ST1 Neuroanatomy (fun)

A

Superficial Innervation: CN V1 ophthalamic branch of trigeminal
Dermatome Segment: CN V1 ophthalamic branch of trigeminal

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9
Q

ST1 TCM Patterns

A

Liver Wind

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10
Q

ST1 Nearby Points

A

UB1 -In a depression, .1 cun above the inner canthus of the eye

UB2 - On the medial end of the eyebrow, directly above the inner canthus of the eye (on the supraorbital notch).

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11
Q

ST2 Sibai

A

Four Whites

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12
Q

ST2 Location

A

With the eyes looking straight ahead this point is located directly below the pupil in a depression at the infraorbital foramen

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13
Q

ST2 Needling

A

Perpendicular insertion 0.2 - 0.4 cun Transverse insertion to join with such points and Quanliao S.I.-18, Yingxiang L.I.-20, etc. Oblique insertion supero-laterally, along the infraorbital foramen 0.3 - 0.5 cun

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14
Q

ST2 Precautions

A

Contraindicated to moxa

i. deep insertion along foramen may injure eyeball
ii. manipulation by lifting and thrusting is contraindicated due to risk of damaging the infraorbital nerve which emerges from the foramen

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15
Q

ST2 Point Associations

A

None

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16
Q

ST2 TCM Actions

A
  1. Eliminates wind, clears heat, benefits eyes
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17
Q

ST2 Indications

A

Expels wind, clear heat, benefits eyes: Eye redness, pain and itching of the eye, facial paralysis/pain, lacrimation, twitching of eye lids

Good alternative to ST 1 and safer to needle for those not properly trained.

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18
Q

ST Neuroanatomy (fun)

A

Superficial Innervation: Infraorbital nerve, from maxillary branch of trigeminal nerve (V2)
Dermatome Segment: CN V2 maxillary branch of trigeminal

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19
Q

ST2 TCM Patterns

A

Liver and Gallbladder Damp Heat

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20
Q

ST2 Nearby Points

A

SI18 - Directly below outer canthus of the eye in a depression on the lower border of the zygoma.

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21
Q

ST3 Ju Liao

A

Great Crevice

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22
Q

ST3 Location

A

With the eyes looking directly forwards, this point is located directly below the pupil, level with the lower border of the ala nasi, on the lateral side of the naso-labial groove.

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23
Q

ST3 Needling

A

Perpendicular insertion 0.3 - 0.4 cun, or transverse insertion to join with such points as Dicang ST-4, Quanliao S.I.-18, etc

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24
Q

ST3 Associations

A

No hats.

Intersection Point of the ST, LI & Yangqiao Meridians

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25
ST3 TCM Patterns
Liver Wind
26
ST3 TCM Actions
1. Eliminates wind 2. Relieves swelling and pain
27
ST3 Indications
_Dispels wind, relieves swelling and pain:_ Local point - Twitching eyelids, pain a/or swelling of the cheek, trigeminal neuralgia, toothache. Deviation from Bell's palsy, facial paralysis, stroke Swelling of the knee (Deadman text).
28
ST3 Neuroanatomy (fun)
_Superficial Innervation:_ Infraorbital nerve, from maxillary branch of trigeminal nerve (V2) _Dermatome Segment_: CN V2 maxillary branch of trigeminal
29
ST3 Trigger Point
The trigger point location for zygomaticus major would lie slightly inferior to this point, between Juliao St-3 and Dicang St-4 (Travell & Simons, 1998, Trigger Point Manual)
30
ST3 Nearby Points
SI18 - Directly below the outer canthus of the eye in a depression on the lower border of the zygoma.
31
ST4 Dicang
Earth Granary
32
ST4 Location
0.4 cun lateral to the corner of the mouth
33
ST4 Needling
Oblique or subcutaneous insertion 0.5 - 0.8 cun. Transverse insertion to join with such points as Jiache ST-6, Yingxiang L.I.-20, Chengqiang Ren-24, etc
34
ST4 Associations
No hats.
35
ST4 TCM Patterns
Liver Wind
36
ST4 TCM Actions
1. Eliminates wind from the face 2. Activates the channel and alleviates pain
37
ST4 Indications
_Eliminates wind from the face_: Facial pain - Bell's palsy, deviation of mouth from stroke, eye twitching, not closing, facial paralysis, trigeminal neuralgia, TMD _Activates channel and alleviates pain:_ May be helpful for atrophy and/or movement issues within the legs.
38
ST4 Neuroanatomy
* Superficial Innervation: Depending on direction of needling: mental (inferior) or buchal (lateral) branches of mandibular nerve, or infraorbital (superior) branch of maxillary nerve * Dermatome Segment: CN V3 mandibular branch of trigeminal
39
ST4 Trigger Point
The trigger point location for zygomaticus major would lie slightly superior to this point, between Juliao St-3 and Dicang St-4
40
ST4 Nearby Points
LI19 - Directly below the lateral margin of the nostril, level with DU26 RN24 - centre of the mentolabial groove directly below the lip DU26 - at the junction of the upper and middle third of the philtrum
41
ST5 Daying
Great Welcome
42
ST5 Location
Anterior to the angle of the mandible, on the anterior border of the masseter in a groove-like depression when jaw is clenched
43
ST5 Needling
Oblique insertion 0.3-0.5 cun Transverse insertion to join with ST4, ST6 etc,
44
ST5 Precautions
Vigorous manipulation contraindicated to avoid damagin the facial artery and vein
45
ST5 Associations
No hats.
46
ST5 TCM Patterns
Liver Wind
47
ST5 TCM Actions
Eliminates wind and reduces swelling
48
ST5 Indications
_Eliminates wind and reduces swelling:_ Chills/fever with aversion to cold, Eye problems - pain and inability to close, Facial Pain - swelling of cheek/jaw, Toothache, Stiff tongue leading to speech problems
49
ST5 Neuroanatomy
* Superficial Innervation: Mental nerve, branch of mandibular from trigeminal nerve (CNV3) * Dermatome Segment: Mandibular branch of trigerminal nerve (CN V3)
50
ST5 Trigger Point
Muscle: Masseter * Myotome Innervation: Mandibular branch of trigerminal nerve (CN V3) * Pain Referral Pattern: To lower jaw and molars and possibly to eyebrow * Indications: Facial myalgia ; Toothache ; Headache ; Tempero-mandibular joint pain
51
ST5 Nearby Points
SI17 - Posterior to the angle of the mandible in a depression on the anterior border of the SCM ## Footnote SI16 - On the lateral side of the neck, posterior to the SCM and level with the hyoid cartilage Yiming - 1 cun posterior to SJ17
52
ST6 Jiache
Jawbone
53
ST6 Location
One fingerwidth anterior and superior to the angle of the mandible at the belly of the masseter muscle with teeth clenched
54
ST6 Needling
0.5 cun perpendicular Transverse insertion to join with ST4, 5, 7 etc Transverse insertion toward upper or lower jaw for toothache
55
ST6 Associations
Ghost Point
56
ST6 TCM Patterns
Liver Wind
57
ST6 TCM Actions
* Eliminates wind, benefits the jaw and teeth * Activates the channel and alleviates pain
58
ST6 TCM Indications
_Eliminates wind, benefits the jaw and teeth:_ Bell's Palsy, TMD and facial pain, Toothache, Stroke, Stiffness and pain of neck, Vocal problems - loss of voice
59
ST6 Neuroanatomy
Superficial Innervation: Mandibular branch of trigeminal nerve (CN V3) Dermatome Segment: CN V3 mandibular branch of trigeminal
60
ST6 Trigger Point
_Muscle:_ Masseter _Myotome Innervation:_ Mandibular branch of trigerminal nerve (CN V3) _Pain Referral Pattern:_ To lower jaw and molars and possibly to eyebrow _Indications:_ Facial myalgia ; Toothache ; Headache ; Tempero-mandibular joint pain
61
ST6 Nearby Points
GB12 - In a depression posterior and inferior to the mastoid process SI17 - Posterior to the angle of the mandible in a depression on the anterior border of the SCM SI16 - On the lateral side of the neck, posterior to the SCM and level with the hyoid cartilage Yiming - 1 cun posterior to SJ17
62
ST7 Xiaguan
Below the joint
63
ST7 Location
At the lower border of the zygomatic arch, in a depression anterior to the condyloid process of the mandible
64
ST7 Needling
Perpendicular insertion slightly inferior 0.5-1 cun Transverse insertion to join with SI18, SI19, ST6
65
ST7 Associations
No hats.
66
ST7 TCM Patterns
Liver Wind
67
ST7 TCM Actions
* Benefits ears, teeth and jaw * Alleviates pain and activates channel
68
ST7 Indications
_Benefits ears, teeth and jaw:_ Deafness, Ear problems, Facial pain and swelling, Infection of ear (Otitis media), Lower jaw tooth pain, Tinnitus, TMD
69
ST7 Neuroanatomy
_Superficial Innervation:_ mandibular branch of trigeminal nerve (CN V3) _Dermatome Segment_: CN V3 mandibular branch of trigeminal
70
ST7 Trigger Point
_Muscle_: Masseter and lateral pterygoid _Myotome Innervation:_ Mandibular branch of trigerminal nerve (CN V3) _Location Notes:_ Lateral pterygoid trigger points would be located slightly anterior and anterior and posterior to the classical location. _Pain Referral Pattern:_ Masseter: Angle of jaw, temple and ear, and if located slightly inferior to upper molars and cheek. Teeth, jaw and occiput _Lateral pterygoid:_ Cheek and condyloid process. _Indications_: Facial myalgia ; Toothache ; Headache ; Tempero-mandibular joint pain
71
ST7 Nearby Points
GB3 - In a depression directly above ST 7 on the upper border of the zygomatic arch, in front of the ear. SJ21 - Anterior to the supratragic notch and behind the posterior border of the condyloid process of the mandible with the mouth open. SI19 - Anterior to the tragus and posterior to the condyloid process of the mandible, in a depression formed when the mouth is opened. GB2 - Anterior to the intertragic notch at the posterior border of the condyloid process of the mandible (located with the mouth open).
72
ST8 Touwei
Head Corner
73
ST8 Location
At the corner of the foreheard, 4.5 cun lateral to DU24 and 0.5 cun into the hairline
74
ST8 Needling
Transverse insertion 0.5-1 cun
75
ST8 Precautions
In many classical texts, contraindicated to moxibustion
76
ST8 Associations
Meeting point for all Arm Yang Sinew Meridians
77
ST8 TCM Patterns
Liver Wind Liver Yang Rising Spleen Damp-Cold Invasion (sedate or even method, ST8 resolve dampness from head)
78
ST8 TCM Actions
* Eliminates wind and alleviates pain * Benefits the eyes
79
ST8 Indications
_Eliminates wind and alleviates pain:_ Chills/fever, Dizziness, Headache (splitting, esp. frontal), Migraines (with eye pain, nausea, vomiting), Hair loss (pattern baldness), _Benefits the eyes_: Eye problems - itching, excessive lacrimation. Vision Problems - dimness of vision
80
ST8 Neuroanatomy
Superficial Innervation: CN V3 mandibular branch of trigeminal Dermatome Segment: CN V3 mandibular branch of trigeminal
81
ST8 Nearby Points
GB15 - On the head, directly above the pupil, .5 cun above the anterior hairline at the midpoint of a line connecting GV 24 to ST 8 (directly above GB 14). GB8 - Superior to the apex of the auricle, 1.5 cun within the hairline (1/2 ear length from the apex). UB4 - 1.5 cun lateral to GV 24, or .5 cun inside the AHL at the junction of the medial 1/3 and lateral 2/3's distance between GV 24 & ST 8.
82
ST9 Renying
Man's Prognosis (Man's Welcome)
83
ST9 Location
Level with the tip of and 1.5 cun lateral to the laryngeal prominence, in the depression between the anterior border of the SCM and the lateral border of the thyroid cartilage
84
ST9 Needling
Perpendicular insertion 0.5 - 1 cun
85
ST9 Precautions
Care should be taken not to puncture the carotid artery which must be felt and held laterally during needling. According to several classical texts, this point is contraindicated to moxibustion NO MOXA
86
ST9 Associations
Window of Heaven Sea of Qi
87
ST9 TCM Actions
* Regulates qi and blood and lowers rebellion * Benefits the throat and neck * Alleviates pain
88
ST9 Indications
_Regulates qi and blood and lowers rebellion_: Asthma (fullness, SOB), Counterflow qi (eg. cough, hiccups, vomiting), Hypertension (High Blood Pressure) _Benefits neck and throat_: Sore Throat - swelling and pain, difficult swallowing (plum pit qi) _Alleviates pain_: Acute lumbar sprain Window of the Sky Point - restores Qi flow between the body and the head - useful with headache, chest tightness, asthma Caution: No Moxa
89
ST9 TCM Patterns
Stomach Rebellious Qi Liver Qi Stagnation
90
ST9 Neuroanatomy
Superficial Innervation: Transverse cervical nerve (C2 - C3) Dermatome Segment: C2, C3
91
ST9 Nearby Points
LI18 - Level with the tip of the Adam's Apple between the sternal and clavicular heads of the SCM. SI16 - On the lateral side of the neck, posterior to the SCM and LI 18, level with the Adam's apple.
92
ST10 Shuitu
Water Prominence
93
ST10 Location
On the neck, at the anterior border of the SCM, midway between ST9 and ST11
94
ST10 Needling
Perpendicular-oblique insertion 0.5 - 1 cun directed medially to avoid carotid artery
95
ST10 Precautions
Palpate and hold carotid artery lateral to point while needling
96
ST10 Associations
No hats.
97
ST10 TCM Patterns
Stomach Rebellious Qi
98
ST TCM Actions
* Benefits throat and neck * Descends lung qi
99
ST10 Indications
_Benefits neck and throat_: Sore throat, Thyroid issues _Descends Lung qi_: SOB, Whooping cough _Activates channel and alleviates pain_: Swelling and pain of shoulder Tam System: Hyperlipidemia (High cholesterol) Constipation
100
ST10 Nearby Points
LI17 - On the lateral side of the neck, 1 cun below LI 18 on the posterior border of the SCM.
101
ST10 Neuroanatomy
Superficial Innervation: Transverse cervical nerve (C2 - C3) Dermatome Segment: C2, C3
102
ST10 Trigger Point
_Muscle:_ Sternomastoid _Myotome Innervation:_ Motor functions supplied by ipsilateral accessory nerve (CN XI); Sensation provided by dorsal rami of C2 - C3 _Location Notes:_ The exact trigger point location should be on the belly of the sternomastoid _Pain Referral Pattern:_ To back of head and from top of cheek to temple, to the forehead above the eyebrow and into the inner canthus of the eye. Some spillover onto cheek, top of head and front of throat _Indications:_ Torticollis ; Myalgia of neck muscles ; Head and facial pains
103
ST11 Qishe
Qi Abode
104
ST11 Location
At the superior border of the clavicle between the sternal and clavicular heads of the sternocleidomastoideus muscle.
105
ST11 Needling
Perpendicular insertion 0.3-0.5 cun
106
ST11 Precaution
Deep insertion may puncture lung.
107
ST11 Associations
No hats.
108
ST11 TCM Patterns
Stomach Rebellious Qi
109
ST11 TCM Actions
* Benefits the throat and neck and descends qi
110
ST11 Indications
_Benefits throat and neck:_ Dyspnea, Difficulty swallowing, Neck pain (inability to turn), Sore throat _Descends qi:_ Acid Reflux Disease (GERD), Hiccups - Counterflow Qi, Hypertension (not sure if this is part of descending qi)
111
ST11 Neuranatomy
_Superficial Innervation:_ Transverse cervical nerve (C2 - C3) _Dermatome Segment:_ C2, C3
112
ST11 Nearby Points
RN22 - in a notch superior to the suprasternal notch
113