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Flashcards in Hand Shaoyin Deck (97)
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HE1 Jiquan

Summit Spring


HE1 Location

In a depression at the centre of the axilla, on the radial side of the axillary artery


HE1 Needling

Perpendicular insertion in the direction of GB21, 0.5 - 1 cun avoiding the axillary artery


HE1 Caution

Medial insertion toward the chest may puncture the lung. Incorrect insertion may puncture the axillary artery.


HE1 Associations

Entry point from SP21

(Opening of Heart Divergent Channel)


HE1 Indications

Conditions / Symptoms:

Shoulder Pain

Heart Disease/(Heart pain with retching, agitation and fullness)

Agitation with thirst and dry throat


Elbow and Arm - inversion counterflow, pain, cold

Loss of use of limbs

Yellow eyes



Adhesive Capsulitis (Frozen Shoulder)

Cardiac/chest Pain


Regulate Qi flow from the torso to the arm and vice versa - cold, numbness, pain in shoulder a/or arm.

Pain in the cardiac region - heart pain, chest pain, shortness of breath, anxiety, palpitations.

Frozen shoulder.

Pain a/or distention of the upper thoracic area.


HE1 TCM Actions

Regulates qi and unbinds the chest

Activates channel and benefits arm


HE1 TCM Patterns

Heart Blood Stagnation


HE1 Neuroanatomy

Superficial Innervation: Medial cutaneous nerve of the arm from T1 - T2
Dermatome Segment: T1
Deeper Structures: Insertion point of subscapular nerve (C5 - C6) into subscapularis muscle


HE1 Trigger Point

Muscle: Subscapularis
Myotome Innervation
: Upper and lower subscapular nerve (C5 - C6)
Location Notes: The actual trigger points are located on the anterior surface of the scapula but can only be accessed from this point
Pain Referral Pattern: Across scapula and concentrating on posterior aspect of the deltoid. Also radiating down across the triceps and the dorsal aspect of the wrist
Indications: Musculoskeletal diseases of the shoulder


HE1 Notes

Ling Shu Ch. 71, On Evil Visitors, says that when a depletion evil is in the Liver it flows in the armpits. One theory of the Divergent meridians suggests that they store pathogens at the major joints, depleting our resources to keep them sedated, which would suggest this point is associated with the Liver/Gall Bladder Divergents.



HE1 Nearby Points

SI9 - 1 cun above the posterior end of the axillary fold, posterior and inferior to the shoulder joint, found with the arm adducted

PC1 - 1 cun lateral to the nipple in the 4th ICS

PC2 - 2 cun below the end of the anterior axillary fold between teh two heads of the biceps brachii muscle

LI15 - anterior and inferior to the acromion in a depression found with the arm abducted

TH (SJ)14 - In a depression posterior and inferior to the acromion, found with the arm abducted 


HE2 Qingling

Cyan (Green) Spirit


HE2 Location

3 cun proximal to the medial end of the transverse cubital crease, on a line connecting HE1 with HE3, on the ulnar side of the biceps brachii muscle in the medial groove


HE2 Needling

Oblique distal or proximal insertion, 0.5 - 1 cun avoiding the brachial artery


HE2 Caution

Many early classics only discuss moxibustion at this point and the Introduction to Medicine specifically contraindicates needling, probably due to potential to damage the brachial artery


HE2 Associations

No hats.

Trigger point

Luo Harmonzing Point


HE2 Indications

Conditions / Symptoms:

Shoulder Pain


Arm Pain

Pain of chest, axilla

Eyes yellow


Inability to raise the shoulder and arm, swelling, pain and redness of the shoulder, pain of the axilla, headache with cold shivering, yellow eyes, pain of the lateral costal region, scrofula.

Local point - in many classics needling this point is contraindicated.  Moxabustion, however, is applicable.




HE2 TCM Actions

Activates channel and alleviates pain


HE2 TCM Patterns



HE2 Neuroanatomy

Superficial Innervation: Medial cutaneous nerve of the arm from T1 - T2
Dermatome Segment: T1
Deeper Structures: Brachial plexus (nerves from C5 - T1)


HE2 Trigger Point

Muscle: Triceps brachii
Myotome Innervation: Radial nerve (C5 - T1) with long head innervated by axillary nerve (C5 - C6)
Pain Referral Pattern: To medial epicondyle and down ulnar side of arm to little and ring fingers
Indications: Pain of posterior shoulder and upper arm


HE2 Notes

Location of the brachial pulse

At the end of a Heart Luo treatment this point is needled, deqi grasped and removed immediately to normalize the circulation of blood (Cecil-Sterman, 2012, Advanced Acupuncture).



HE2 Nearby Points

LI13 - 3 cun above LI11 on a line drawn between LI11 and LI15



HE3 Shaohai

Lesser Sea


HE3 Location

With the elbow flexed, midway between the ulnar end of the cubital crease and the medial epicondyle of the humerus. 

At the medial end of the transverse cubital crease


HE3 Needling

Oblique insertion distally or proximally, or directed towards LI11, 0.5 -1.5 cun

Perpendicular 0.5 - 1 cun (ACA)


HE3 Caution

Contraindicated to moxibustion


HE3 Associations

He Sea

Water Point



HE3 Indications

Conditions / Symptoms:


Eye Problems

Excesses in the heart (5 Element acupuncture, this is the controlling point)

Parkinson's Disease




Canker sores (Cold Sores)

Epilepsy (Seizure)

Stroke (CVA)


Good local point to move the Qi and Blood.

Spirit disorders from phlegm a/or heat etiologies - epilepsy, depression, anxiety, nervousness, poor memory, fuzzy thinking.

Water Point - redness of the eyes, mouth ulcerations.