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Acupuncture Points Comprehensive > Hand Shaoyang 1-11 > Flashcards

Hand Shaoyang 1-11 Flashcards

1
Q

TB1 Guan Chong

A

Passage Hub

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2
Q

TB1 Location

A

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.

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3
Q

TB1 Needling

A

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

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4
Q

TB1 Associations

A

Entry point from PC8

Jing Well

Metal Pt

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5
Q

TB1 TCM Actions

A

Clears upper jiao heat

Benefits ears and tongue

Activates channel and alleviates pain

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6
Q

TB1 Indications

A

*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.

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7
Q

TB1 Neuroanatomy

A

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

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8
Q

TB1 Notes

A

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.

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9
Q

TB1 TCM Patterns

A
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10
Q

TB1 Nearby Points

A

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.

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11
Q

TB2 Yemen

A

Fluid Gate

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12
Q

TB2 Location

A

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

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13
Q

TB2 Needling

A

0.3 - 0.5 cun perpendicular

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14
Q

TB2 Associations

A

Ying Spring

Water Point

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15
Q

TB2 TCM Actions

A

Disperse upper jiao heat

Benefits ears

Calms the spirt

Activates channel and alleviates pain

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16
Q

TB2 TCM Indications

A

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.

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17
Q

TB2 Neuroanatomy

A

Superficial Innervation: Ulnar nerve from C8 and T1

Dermatome Segment: C7, C8

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18
Q

TB2 Notes

A

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.

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19
Q

TB2 Nearby Points

A

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

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20
Q

TB2 TCM Patterns

A

?

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21
Q

TB3 Zhongzhu

A

Central Islet

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22
Q

TB3 Location

A

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.

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23
Q

TB3 Needling

A

Perpendicular or oblique insertion directed proximally

0.5 - 1 cun

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24
Q

TB3 Associations

A

Shu Stream

Wood Point (Parent)

(Trigger Pt)

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25
Q

TB3 TCM Actions

A

Clears Heat

Benefits the ears

Clears the head and eyes

Activates the channel and alleviates pain

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26
Q

TB3 Indications

A

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.

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27
Q

TB3 Neuroanatomy

A

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

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28
Q

TB3 Trigger Point

A

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

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29
Q

TB3 TCM Patterns

A

?

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30
Q

TB3 Notes

A

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

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31
Q

TB3 Nearby Points

A

SI3 - On the ulnar border of the hand, in the substantial depression proximal to the head of the 5th metacarpal

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

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32
Q

TB4 Yangchi

A

Yang Pool

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33
Q

TB4 Location

A

On the transverse crease of the dorsum of the wrist, in the depression on the ulnar side of the tendon of extensor digitorum communis, between that and extensor digiti minimi

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34
Q

TB4 Needling

A

Slightly oblique proximal insertion 0.3 - 0.5 cun or transverse insertion toward the radial side of the wrist beneath the tendons 0.5 - 1.0 cun

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35
Q

TB4 Associations

A

Yuan source pt

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36
Q

TB4 TCM Actions

A

Relaxes sinews and alleviates pain

Clears heat

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37
Q

TB4 Indications

A

Relaxes sinews and alleviates pain: Dorsal wrist issues such as strains, sprains or subluxations.

Clears heat: Febrile disease with absence of sweating, wasting & thirsting disorder, regulates water metabolism, diabetes, alleviates dry mouth a/or thirst

Moxa to tonify the Yang of the body

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38
Q

TB4 TCM Patterns

A

?

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39
Q

TB4 Notes

A

Clinically, Yuan-Source points are of great significance in treating diseases of the internal organs. Yuan-Source points are the sites where the Yuan (Primary) qi of the Zang-Fu organs passes and stays. Puncturing the Yuan-Source points stimulates the vital energy of the regular meridians, regulates the functional activities of the internal organs, reinforces antipathogenic factors and eliminates pathogenic factors. This method of treating diseases deals principally with the root causes. The Yuan (source) point from the affected meridian is often combined with the Luo (Connecting) point of the internally-externally related meridians in use.

Moxa at this point moves yuan qi through the spine, opening the entire Triple Heater mechanism to remove blocks in the channels that prevent back shu and source points points working (Yuen, 2005, The Extraordinary Vessels). Also see Zusanli St-36 and Quchi LI-11 for a similar application when the channels stop working from exhaustion.

When combined with Waiguan SJ-5 and Yingu Kid-10 this point relates to the Sixth Level of Manifestation of the Soul or the Ajna chakra concerned with the Will to Create endless possibilities. This point pools the Yang, Yingu Kid-10 pools the Yin and Waiguan SJ-5 emanates the resulting mixture outwards via the Yang wei mai and the San jiao as an irrigation system.
This stage also relates to the formation of the spiritual embryo and attainment of immortality in meditation practice (Yuen, 2005, 3 Spirits & 7 Souls)

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40
Q

TB4 Nearby Points

A

SI4 - On the ulnar border of the hand, in a depression between the base of the fifth metacarpal and the triquetral bone

SI5 - On the ulnar border of the hand, in a depression between the head of the ulna and the triquetral bone

EX-UE-7 Yaotongxue - Two points on the dorsum of the hand between the 2nd and 3rd and 4th and 5th metacarpal bone, in the depressions just distal to the bases of the metacarpals

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41
Q

TB5 Waiguan

A

Outer Pass

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42
Q

TB5 Location

A

On the extensor aspect of the forearm, 2 cun proximal to SJ4 (transverse crease of wrist), in the depression between the radius and ulna, on the radial side of the extensor digitorum communis tendons

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43
Q

TB5 Needling

A

Slightly oblique insertion toward the ulnar side or oblique proximal insertion proximal or distal 0.5 - 1.5 cun or through-needled to PC6

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44
Q

TB5 Caution

A

Movement of the patient’s arm or hand after needling can result in a bent needle

45
Q

TB5 Associations

A

Luo Connecting

Confluent of Yang Wei Mai coupled with GB41 (Dai Mai)

46
Q

TB5 TCM Actions

A
  1. Activates channel and alleviates pain
  2. Benefits the head and ears
  3. Clears heat
  4. Expels wind and releases exterior
  5. Open Yang Wei Mai
47
Q

TB5 Indications

A

Expels wind and releases exterior: Beginning exterior conditions, tonify for wind-cold, cold-damp & sedate for wind-heat, fever.

Benefits head: Headache from exterior wind as well as migraines and headaches in any area especially with stiffness or pain in the posterior and lateral aspects of the neck.

Activates channel and alleviates pain: Upper limb disorders including the elbow, forearm, wrist and hand.

Clears heat from head: Bitter taste. Blurred vision. Tinnitus. Deafness. Pruritus, redness, swelling and pain in the ear. Otitis. Redness, pain and swelling of the eyes. Stiffness of the tongue. Chapped lips. Nosebleed. Unilateral headache.

Expels wind, clears heat: Shaoyang stage diseases - alternating fever and chills, etc.

Opens Yang Wei Mai: Luo connecting point of the TH connects to the PC, TH 5 & PC 6 as master points of the Yang Wei and Yin Wei respectively can effect the balance of yin and yang in the body. If right pulse is stronger than the left (more Qi than Blood) disperse TH 5 & tonify PC 6 and vice versa

Febrile disease, headache, redness, swelling and pain of the eye

Tinnitus, deafness

Pain in the hypochondrium, spasm and pain of the upper extremities

48
Q

TB5 TCM Patterns

A
49
Q

TB5 Neuroanatomy

A

Superficial Innervation: Posterior cutaneous nerve of the forearm from C5 - C8
Dermatome Segment: C6, C7

50
Q

TB5 Nearby Points

A

PC6 Neiguan - 2 cun above the wrist crease in a depression between palmaris longus and and flexor carpi radialis

51
Q

TB6 Zhigou

A

Branch Ditch

52
Q

TB6 Location

A

3 cun above the wrist crease, in a depression between the radius and ulna, on the radial side of extensor digitorum communis, on a line joining TB4 and tip of olecranon

53
Q

TB6 Needling

A

Slightly oblique insertion toward the ulnar side or oblique proximal or distal insertion 0.5-1.5 cun

54
Q

TB6 Caution

A

Movement of the patient’s hand or arm after needling this point can result in a bent needle

55
Q

TB6 Associations

A

Jing River

Fire point

Horary of TB

56
Q

TB6 TCM Actions

A
  1. Activates channel and alleviates pain
  2. Benefits the voice and chest
  3. Clears heat in the three jiao
  4. Moves stool
  5. Regulates qi
57
Q

TCM Indications

A

Activates channel and alleviates pain: Bi syndrome in channel. Pain in armpit, shoulder, hand. Pain on the side of back, abdomen and chest.

Benefits voice and chest: Sudden loss of voice. Tightness in chest.

Clears heat from three jiao: Redness and warmth in face. Fever. Red eyes and swollen throat. Rashes. Wind heat. Acne. Furuncle.

Moves stool: Constipation.

Regulates qi: Numbness of hand

58
Q

TB6 TCM Patterns

A
59
Q

TB6 Neuroanatomy

A

Superficial Innervation: Posterior cutaneous nerve of the forearm from C5 - C8
Dermatome Segment: C6, C7

60
Q

TB6 Nearby Points

A

LI6 Pianli (Slanting Passage) - 3 cun above wrist crease on a line joining LI5 and LI11

PC5 Jianshi (Intermediary) - 3 cun above the wrist crease (flexor aspect) in between the tendons of palmaris longus and flexor carpi radialis

61
Q

TB7 Huizong

A

Ancestral Meeting

or

Convergence and Gathering

62
Q

TB7 Location

A

3 cun proximal to TB4, level with and on the ulnar side of TB6, in a depression between the ulna and extensor digitorum communis

Level with and one finger width to the ulnar side of TB6 on the radial border of the ulna

63
Q

TB7 Needling

A

Slightly oblique insertion toward ulnar side or oblique proximal or distal insertion 0.5-1.5 cun

64
Q

TB7 Associations

A

Xi Cleft Point

65
Q

TB7 TCM Actions

A
  1. Benefits ears
  2. Clears San jiao channel
66
Q

TB7 Indications

A

Benefits ears: Deafness, tinnitus

Clears SJ channel: Pain in fingers, arm, elbow, shoulder, ears including pain of the skin

67
Q

TB7 TCM Patterns

A
68
Q

TB7 Neuroanatomy

A

Superficial Innervation: Posterior cutaneous nerve of the forearm from C5 - C8
Dermatome Segment: C7, C8

69
Q

TB7 Nearby Points

A

LI6 Pianli (Separating Pathway) - 3 cun proximal to LI5 on a line connecting LI5 and LI11

PC5 Jianshi (Intermediary) - 3 cun proximal to the wrist crease

70
Q

TB8 Sanyangluo

A

Three Yang Connection

71
Q

TB8 Location

A

4 cun proximal to TB4 (wrist crease) between the radius and ulna

72
Q

TB8 Needling

A

Slightly oblique insertion toward the ulnar side or proximal or distal oblique insertion 0.5-1.5 cun

NOTE: According to Steve Woodley: Systematic Classic of Acupuncture and Moxibustion and The Illustrated Classic of Acupuncture Points on the Bronze Man this point is contraindicated to needling.

73
Q

TB8 Associations

A

None

74
Q

TB8 TCM Actions

A
  1. Activates channel and alleviates pain
  2. Clears Sanjiao channel
75
Q

TB8 Indications

A

Activates channel and alleviates pain: Pain along channel

Clears San jiao channel: Aphasia. Loss of hearing. Loss of voice (acute or chronic). Combine with HT 5 & CV 23.

76
Q

TB8 TCM Patterns

A
77
Q

TB8 Neuroanatomy

A

Superficial Innervation: Posterior cutaneous nerve of the forearm from C5 - C8
Dermatome Segment: C6, C7

78
Q

TB8 Nearby Points

A

None level with this horizontal circumference of the arm (4 cun proximal to wrist crease)

79
Q

TB9 Sidu

A

Four Rivers

80
Q

TB9 Location

A

7 cun proximal to TB4 (5 cun distal to olecranon) between the radius and ulna on the ulnar side of the forearm

81
Q

TB9 Needling

A

Perpendicular; Oblique proximal or distal; 1 - 2 cun

82
Q

TB9 Associations

A

None

83
Q

TB9 TCM Actions

A
  1. Benefits throat and ears
84
Q

TB9 Indications

A

Benefits throat and ears: Loss of hearing. Loss of voice. Sore throat. Sore ears.

85
Q

TB9 TCM Patterns

A
86
Q

TB9 Neuroanatomy

A

Superficial Innervation: Posterior cutaneous nerve of the forearm (C5 - C8)
Dermatome Segment: C6, C7
Deeper Structures: Radial nerve (C6 - C8)

87
Q

TB9 Trigger Point

A

Muscle: Extensor carpi radialis brevis
Myotome Innervation: Deep branch of radial nerve (C5 - T1)
Location Notes: A similar point on the ulnar side of the bone relates to extensor carpi ulnaris
Pain Referral Pattern: Along radial aspect of the forearm to the dorsal aspect of the hand and lateral aspect of the elbow
Indications: Extensor tendonitis of the forearm ; Tennis elbow pain

88
Q

TB9 Nearby Points

A

LU6 Kongzui (Biggest Hole) - 7 cun above the wrist crease

89
Q

TB10 Tianjing

A

Celestial Well

90
Q

TB10 Location

A

1 cun proximal (superior) to the olecranon process in a depression when the elbow is flexed

91
Q

TB10 Needling

A

Perpendicular 0.5-1 cun

92
Q

TB10 Associations

A

He Sea

Earth Point

Child of Sanjiao Channel (Sedation)

93
Q

TB10 TCM Actions

A
  1. Activates channel and alleviates pain
  2. Calms spirit
  3. Clears heat from Sanjiao channel
  4. Regulates qi and descends rebellion
  5. Transforms phlegm and dissipates nodules
94
Q

TB10 Indications

A

Activates channel and alleviates pain: Elbow pain. Tendonitis. Pain in chest, back and side. One sided headache, migraines (TB5 for any headache)

Calms spirit: Manic behaviour. Sadness. Fear. Palpitation. Depression. Mood swings.

Clears heat from Sanjiao channel: Sore throat. Redness and pain of eyes.

Regulates qi and descends rebellion One sided headache

Transforms phlegm and dissipates nodules: Coughing up mucus. Epilepsy. Lymph swellings. Thyroid disorders. Tonsillitis.

95
Q

TB10 TCM Patterns

A
96
Q

TB10 Neuroanatomy

A

Superficial Innervation: Medial cutaneous nerve of the arm (C8 - T1)
Dermatome Segment: C5

97
Q

TB10 Nearby Points

A

LI12 Zhouliao (Elbow Bone Hole) - When the elbow is flexed this point is located one cun proximal and one cun lateral to LI11

SI8 Xiaohai (SI Sea) - Between the olecranon process of the ulna and the medial epicondyle of the humerus, found when the elbow is flexed.

98
Q

TB11 Qinglengyuan

A

Clear Cold Abyss

99
Q

TB11 Location

A

1 cun above TB10 (2 cun above tip of olecranon) with the elbow flexed

100
Q

TB11 Needling

A

Perpendicular insertion 0.5-1 cun

101
Q

TB11 Associations

A

None

102
Q

TB11 TCM Actions

A
  1. Activate channel and alleviate pain
  2. Clear damp heat
103
Q

TB11 Indications

A
  1. Activate channel and alleviate pain: Arm pain. Eye pain. Headache.
  2. Clear damp heat: Jaundice.
104
Q

TB11 TCM Patterns

A
105
Q

TB11 Neuroanatomy

A

Superficial Innervation: Medial cutaneous nerve of the arm (C8 - T1)
Dermatome Segment: C6

106
Q

TB11 Trigger Point

A

Muscle: Triceps brachii attachment point
Myotome Innervation: Radial nerve (C5 - T1) with long head innervated by axillary nerve (C5 - C6)
Pain Referral Pattern: To elbow
Indications: Pain in posterior shoulder and upper arm

107
Q

TB11 Nearby Points

A

No points on the same horizontal circumference (2 cun above olecranon)

LI13 Shouwuli (Arm Five Mile) - 3 cun above LI11 (elbow crease)

HE2 Qingling (Cyan Spirit) - 3 cun above the antecubital crease on the edge of the biceps brachii

108
Q
A

Acupuncture Points Comprehensive (24 decks)

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