Hand Shaoyang 12-23

Question 1

TB12 Xiaoluo

Answer 1

Dispersing Riverbed

Question 2

TB12 Location

Answer 2

On the upper arm, on a line drawn between TB10 (1 cun above the olecranon) and TB14, 4 cun above TB10 and 6 cun distal to TB14

Question 3

TB12 Needling

Answer 3

Perpendicular or oblique insertion 1-2 cun

Question 4

TB12 Associations

Answer 4

None

Question 5

TB12 TCM Actions

Answer 5

1. Activates channel and alleviates pain

Question 6

TB12 Indications

Answer 6

Activates channel and alleviates pain: Stiff neck. Pain in head, neck, back, shoulders.

Question 7

TB12 Neuroanatomy

Answer 7

Superficial Innervation: Posterior cutaneous nerve of the arm (C5 - C8)
Dermatome Segment: C5, T1 on dorsal axial line

Question 8

TB12 TCM Patterns

Question 9

TB12 Nearby Points

Question 10

TB13 Naohui

Answer 10

Upper Arm Convergence

Question 11

TB13 Location

Answer 11

3 cun below TB14 on the posterior border of the deltoid on a line joining TB14 with the olecranon

Question 12

TB13 Needling

Answer 12

Perpendicular or oblique insertion 1 - 2 cun

Question 13

TB13 Associations

Answer 13

No hats

Trigger Point

Question 14

TB13 TCM Action

Answer 14

1. Activates channel and alleviates pain
2. Regulates qi and transforms phlegm

Question 15

TB13 TCM Indications

Answer 15

Activates channel and alleviates pain: Weakness and pain of shoulder and arm

Regulates qi and transforms phlegm: EPF, Goitre, Nodules in neck, Scrofula

Question 16

TB13 TCM Patterns

Question 17

TB13 Neuroanatomy

Answer 17

Superficial Innervation: Posterior cutaneous nerve of the arm (C5 - C8)
Dermatome Segment: C5, T1 on dorsal axial line

Question 18

TB13 Trigger Point

Answer 18

Muscle: Deltoid and triceps brachii
Myotome Innervation: Deltoid: Axillary nerve (C5 - C6); Triceps: Radial nerve (C5 - T1) with long head innervated by axillary nerve (C5 - C6)
Location Notes: Deltoid trigger point may be slightly superior on the body of the muscle along with several other trigger points between this point and Jianneiling. Triceps point may be slightly lower
Pain Referral Pattern:
Deltoid: To local area and around muscle and lateral side of upper arm
Triceps brachii Local around point and to dorsal aspect of forearm and little and ring fingers
Indications: If deltoid: shoulder pain with difficulty raising arm in any direction ; If triceps: posterior shoulder and arm pain

Question 19

TB13 Nearby Points

Answer 19

LI14 Binao (Upper Arm) 1 cun anterior to the lower end of the deltoid

SI9 Jianzhen (True Shoulder) - 1 cun above the axillary crease

Question 20

TB14 Jianliao

Answer 20

Shoulder Bone Hole

Question 21

TB14 Location

Answer 21

At the origin of the deltoid muscle, in a depression that lies posterior and inferior to the lateral extremity of the acromion

Question 22

TB14 Needling

Answer 22

With the arm abducted, perpendicular insertion directed towards the centre of the axilla 1 - 1.5 cun; or transverse oblique insertion directed distally towards the elbow 1.5 - 2 cun

Question 23

TB14 TCM Actions

Answer 23

1. Alleviates pain
2. Benefits shoulder joint
3. Dispels wind-damp

Question 24

TB14 Indications

Answer 24

Alleviates pain and benefits shoulder joint: Pain, numbness, tingling and heaviness in shoulder and arm

Dispels wind-damp: Remove channel obstruction (bi syndrome)

Question 25

TB14 TCM Patterns

Question 26

TB14 Neuroanatomy

Answer 26

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

Question 27

TB14 Nearby Points

Answer 27

SI10 Naoshu (Upper Arm Shu) - Above the axillary crease on the bottom line of the scapular spine no the