Hand Shaoyang 1-11 Flashcards Preview

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Flashcards in Hand Shaoyang 1-11 Deck (108)
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1

TB1 Guan Chong

Passage Hub

2

TB1 Location

On the dorsal aspect of the 4th digit, at the junction of lines drawn along the the ulnar border and base of the nail, approx. 0.1 cun from the corner of the nail.

3

TB1 Needling

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

4

TB1 Associations

Entry point from PC8

Jing Well

Metal Pt

5

TB1 TCM Actions

Clears upper jiao heat

Benefits ears and tongue

Activates channel and alleviates pain

6

TB1 Indications

*Similar properties to TB3 which is used more clinically.

Clears heat from the upper jiao: Sore throat, dryness of mouth, redness of eyes, febrile disease, loss of consciousness, dark complexion, sudden turmoil disorder, vomiting of sour fluid, no pleasure in eating.

Benefits ears and tongue: Deafness, earache, Ear Problems of any etiology such as excess tinnitus, especially those arising from a LV issue such as LV Qi Stagnation or LV Yin Deficiency. Pain at root of tongue, cracked tongue

Activates channel and alleviates pain: Distal point for temporal headaches, shoulder a/or upper back pain, difficulty turning head, pain a/or inflammation in the throat.

7

TB1 Neuroanatomy

Superficial Innervation: Ulnar nerve (digital branch) from C8 and T1
Dermatome Segment: C7

8

TB1 Notes

Notes:

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.


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. 23, On Heat Diseases, recommends using this point in the case of throat-blockage with curled tongue, dry mouth, vexed and painful heart and inside of the arms with an inability to lift the head (Unschuld, 2016), or lift the arm to the level of the head (Wu & Wu, 2010). 

Ling Shu Ch. 24, On Counterflow Diseases, advises using this point in cases of deafness, followed by the equivalent point on the feet Zuqiaoyin GB-44. On the basis of the next line it may be advisable to treat the opposite side to the afflicted ear. 

9

TB1 TCM Patterns

10

TB1 Nearby Points

PC9 - In the centre of the tip of the middle finger. Alt: On the dorsal aspect of the 3rd digit, at the junction of lines drawn along the base of the nail and the radial side of the nail, approx. 0.1 cun from the corner of the nail.

SI1 - On the dorsal aspect of the little finger (5th digit), at the junction of lines drawn along the base and the ulnar side of the nail, approx. 0.1 cun from the corner of the nail. 

Shixuan - On the tip of each finger.

11

TB2 Yemen

Fluid Gate

12

TB2 Location

Between the little and ring fingers, 0.5 cun proximal to the margin of the web 

13

TB2 Needling

0.3 - 0.5 cun perpendicular

14

TB2 Associations

Ying Spring

Water Point

15

TB2 TCM Actions

Disperse upper jiao heat

Benefits ears

Calms the spirt

Activates channel and alleviates pain

16

TB2 TCM Indications

Clears heat from upper jiao - malaria, sore throat, headache, redness of the eye, dry eyes, swelling and pain of throat, toothache, bleeding gums, fever with absence of sweating

Benefits ears: Deafness, sudden deafness, tinnitus, earache 

Calms the spirit: Fright palpitations, raving, mania, epilepsy, shortness of breath.

Activates channel and alleviates pain: Pain of the arm, inability to raise the arm due to pain, redness and swelling of the back of the hand, contraction of the five fingers, weakness of the wrist, neck pain.

17

TB2 Neuroanatomy

Superficial Innervation: Ulnar nerve from C8 and T1

Dermatome Segment: C7, C8

18

TB2 Notes

Ling Shu Ch. 52, On the Wei Qi, considers this to be the root of the hand Shaoyang meridian with the tip being at Jiaosun SJ-20 or Sizhukong SJ-23.

Ying-Spring points are where the qi dribbles down the meridian. Ying-Spring points are indicated for heat in the body and changes in the complexion. Ying-Spring points are known to clear heat from the meridian.

19

TB2 Nearby Points

SI2 - When a loose fist is made, at the ulnar end of the crease, distal to the 5th metacarpophalangeal joint at the junction of the red and white skin.

LI2 - On the radial border of the index finger, in a depression just distal to the metacarpophalangeal joint

EX-UE-9 Baxie - 6/8 lie in the depressions between the metacarpal heads, proximal to the web margins. The remaining two lie equidistant between the thumb and index metacarpals, proximal to the web margins.

EX-UE-8 Luozhen (fell off pillow) - On the dorsum of the hand, in the depression just proximal to the heads of the second and third metacarpophalangeal joints

20

TB2 TCM Patterns

?

21

TB3 Zhongzhu

Central Islet

22

TB3 Location

On the dorsum of the hand, in a depression just proximal to the 4th metacarpophalangeal joint, between the 4th and 5th metacarpal bones. Locate with the hand resting in a loose fist.

23

TB3 Needling

Perpendicular or oblique insertion directed proximally

0.5 - 1 cun 

24

TB3 Associations

Shu Stream

Wood Point (Parent)

(Trigger Pt)

25

TB3 TCM Actions 

Clears Heat

Benefits the ears

Clears the head and eyes

Activates the channel and alleviates pain

26

TB3 Indications

Benefits ears: Ear Problems of any etiology such as excess tinnitus, especially those arising from a LV issue such as LV Qi Stagnation or LV Yin Deficiency.

*Great distal point for temporal headaches, shoulder a/or upper back pain, pain a/or inflammation in the throat.

Clears head and eyes: one-sided headache, pain of the temples, dizziness, redness and pain of the eyes, superficial visual obstruction, eye diseases with GB37

Clears heat: Itching of the body and face, red face, red face with absence of sweating, chills and fever, aversion to wind and cold, throat painful obstruction

Activates channel and alleviates pain: Inability to flex and extend the fingers, redness, swelling and pain of the elbow and upper arm extending into the shoulder, numbness of the four limbs, pain of the spine at the level of the Heart.

 

27

TB3 Neuroanatomy

Superficial Innervation: Ulnar nerve from C8 and T1
Dermatome Segment: C7, C8

28

TB3 Trigger Point

Trigger Point Associations:
Muscle: Fourth dorsal interosseous
Myotome Innervation: Deep branch of the ulnar nerve (C8–T1)
Location Notes: Together with ulnar Yaotongxue. Trigger points for the other interossei may be found anywhere between the metacarpals
Pain Referral Pattern: To side of affected finger
Indications: Arthritic pain in the fingers ; Heberden's nodes

29

TB3 TCM Patterns

?

30

TB3 Notes

Shu-Stream points are where the qi starts to pour down the meridian. They are known to alleviate heaviness and pain in the joint