Foot Yangming 12-22 Flashcards Preview

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Flashcards in Foot Yangming 12-22 Deck (121)
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1

ST12 Qupen

Empty basin

2

ST12 Location

In the midpoint of the supraclavicular fossa, 4 cun lateral to the anterior midline

3

ST12 Needling

Perpendicular 0.3-0.5

4

ST12 Precautions

Deep or posterior insertion may injure the subclavian vessels or puncture the lung. Contraindicated in pregnancy.

5

ST12 Associations

No hats.

Confluent/Master point of the Lung and Large Intestine Divergent Meridians 
One of the "59 piercings" for clearing Heat in Su Wen Ch. 61

6

ST12 TCM Patterns

Stomach Qi Deficiency

Stomach Rebellious Qi

7

ST12 TCM Actions

  • Descends lung qi and clears heat from chest
  • Activates channel and alleviates pain 

8

ST12 Indications

Descends Lung qi and clears heat from the chest: Acid reflux, Asthma, Cough, Chills/fever, Sore throat

Activates channel and alleviates pain: Bursitis, Carpal Tunnel, Shoulder pain (especially that radiates to neck), Obstruction of upper limb symptoms, Tennis Elbow

Internal branch of the ST meridian connects here directly from the Stomach, Spleen & Diaphragm - tonify middle warmer.

 

 

9

ST12 Neuroanatomy

Superficial Innervation: Supraclavicular nerve from C3 - C4
Dermatome Segment: C3, C4

10

ST12 Notes

An alternate translation of this point name is "Broken Dish" and derives from the semi-circular shape of the whole supraclavicular fossa. It used to refer to the whole area rather than a single point  

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The "59 piercings" are named in the Su Wen Ch. 61 and mentioned in Su Wen Ch. 32 and Ling Shu Ch. 23 for treating Heat diseases. This point along with Dazhu Bl-11, Zhongfu Lu-1 and Feishu Bl-13 clear Heat from the chest. 

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Ling Shu Ch. 20, On the Five Evils, advises piercing either this point or Tiantu Ren-22 (depending on how the location "in the middle of the Broken Basin" is interpreted) along with Zhongfu Lu-1, Yunmen Lu-2 and Feishu Bl-13 for pathogens in the Lung. 

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When used as part of a Divergent Meridian treatment is paired with the He Sea point, or less commonly with the Yuan Source or Luo Connecting point of the channels (Chace, The Merging of Ways). 

11

ST12 Nearby Points

CV22 - In a depression just superior to the suprasternal notch 

GB21 - At the midpoint of a line connecting GV14 and the acromion at the highest point of the shoulder

12

ST13 Qihu

Qi Door

13

ST13 Location

At the top of the chest, directly below ST12, on the inferior border of the clavicle, 4 cun lateral to the midline (generally on mamillary line)

14

ST13 Needling 

Transverse oblique insertion laterally or medially, 0.5 - 0.8 or transverse insertion inferiorly along the channel

15

ST13 Associations

No hats.

16

ST13 Precautions 

Deep perpendicularly needling carries substantial risk of puncturing the lung or sublclavian vessels

17

ST13 TCM Patterns

Lung Rebellious Qi

18

ST13 TCM Actions

  • Descends rebellious qi and unbinds chest

19

ST13 Indications

Descends rebellious qi and unbinds the chest: Asthma, Dyspnea (wheezing, distention of chest), Emesis of blood, Hiccups, 

Activates channel and alleviates pain - rib pain, inability to turn head, neck pain.

 

20

ST13 Neuroanatomy

Superficial Innervation: Supraclavicular nerve from C3 - C4
Dermatome Segment: C3, C4

21

ST13 Trigger Point

Muscle: Pectoralis major (clavicular head)
Myotome Innervation: Lateral pectoral nerve (C5 - C7)
Pain Referral Pattern: From point across top of chest inferior to clavicle
Indications: Strain of pectorals ; Cardiac syndromes

22

ST13 Nearby Points

CV21 - On the midline of the manubrium of the sternum, midway between Ren 20 and 22.

KI27 - in a depression on the lower border of the clavicle, 2 cun lateral to the midline 

23

ST14 Kufang

Storehouse

24

ST14 Location

4 cun lateral to the anterior midline, in the 1st intercostal space 

25

ST14 Needling

Transverse-oblique insertion laterally or medially along the intercostal space 0.5-0.8 cun, or transverse inertion superiorly or inferiorly along the channel 

26

ST14 Caution

Deep or perpendicular insertion carries risk of puncturing lung 

27

ST14 Associations

No hats.

28

ST14 TCM Patterns

Lung Qi Deficiency

Lung Rebellious Qi

29

ST14 TCM Actions

  • Descends rebellious qi and unbinds chest 

30

ST14 Indications

Descends rebellious qi and unbinds chest: Cough - pus and blood, Distension and fullness of the chest and lateral costal region