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Flashcards in Hand Yangming Deck (142)
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1

LI1 Location and Needling

Shangyang - Metal Yang

  • 0.1 cun from the corner of lines drawn along the radial side and the bottom of the nail on the second digit
  • 0.1-0.2 cun proximally or prick to bleed

2

LI1 Point Associations

  • Jing Well Metal
  • Metal Point

3

TCM Actions

  • Jing Well Point, for heat, pain, stagnation (swelling) at opposite end of the channel
  • Benefits throat
  • Restores consciousness from windstroke
  • Bleed for high fever, coma  

4

LI1 TCM Patterns

Large Intestine Damp Heat

5

LI1 Conditions Treated

Clears heat, reduces swelling, alleviates pain: High fever, hot pain, heat/numbness of fingers, toothache, swelling of jaw and cheek, pain of scapula, tinnitus

Benefits throat: Sore throat, throat constriction

Revives consciousness: coma, loss of consciousness 

6

LI1 Nearby Points

  • LU11 - Corner of radial border of thumbnail
  • PC9 - Centre of tip of middle finger

7

LI2 Location/Needling

Erjian - Second Space

  • On the radial side of the index finger distal to the 2nd metacarpophalangeal joint in a depression at the border of the red and white skin.
  • i. Oblique proximal or distal insertino 0.2 to 0.3 cun ii. Perpendicular insertion towards the palm 0.5 cun

8

LI2 Point Associations 

  • Ying Spring
  • Water Point
  • Sedation Point

9

LI2 Actions/Clinical Uses

  • Expels wind, clears heat, reduces swelling
  • Alleviates pain

 

  • Shown to increase saliva production and to effect the areas of the brain involved in saliva production. Useful for dry mouth (xerostomia).
  • Sedation Point and Ying Spring Point, treats excess and clears heat from opposite end of the channel

10

LI2 Nearby Points

  • Baxie (M-UE-22) - Depressions between metacarpal heads, also between thumb and index metarpals
  • Luozhen (M-UE-24) - Dorsum of hand, just proximal to heads of 2nd and 3rd metacarpals

11

LI2 Conditions 

Clears heat, reduces swelling opposite end of channel: Eye problems (redness and pain), Fever, Facial muscles paralylzed, Gum inflammation, Nosebleed, Sore throat, Toothache, TN

 

 

 

12

LI3 Location/Needling

Sanjian - Third Space

  • On the radial side of the 2nd digit, proximal to the head of the 2nd metacarpal bone
  • Perpendicular 0.5-2.0 cun towards SI3, needle with hand in a loose fist

 

13

LI3 Associations

  • Shu Stream
  • Wood point

14

LI3 Actions/Clinical Uses

  • Expels wind and heat esp. opposite end of channel
  • Dispells fullness and treats diarrhea.  

15

LI3 TCM Patterns

Large Intestine Damp Heat

16

LI3 Primary Conditions

Clears heat, reduces swelling, alleviates pain esp. opposite end of channel: Dry mouth, Eye pain, Nosebleed, Rhinitis, Sore throat, Tinnitus

Dispells fullness and treats diarrhea: Bloating, Borborygmus, Cold/Damp Diarrhea, Fullness of chest

17

LI3 Nearby Points

  • Baxie (M-UE-22) - Depressions between metacarpal heads, also between thumb and index metarpals
  • Luozhen (M-UE-24) - Dorsum of hand, just proximal to heads of 2nd and 3rd metacarpals
  • Yaotongxue (N-UE-19) - On the dorsum of the hand, midway of metacarpals, between both the 2nd and 3rd and the 4th and 5th metacarpals (2 points on each hand).

18

LI4 Location/Needling

Hegu - Union Valley

  • When thumb and index finger are pressed together this point is located at the highest point of the muscle, close to the middle of the second metacarpal bone on the radial side.
  • i. 0.5-1.0 cun perpendicular ii. oblique insertion directed proximally 1 to 1.5 cun

19

LI4 Point Associations

  • Command Point of Face and Head
  • Heavenly Star Point
  • Yuan Source point
  • Entry Point

20

LI4 Cautions

Pregnancy

21

LI4 Clinical Uses/Actions

  • Expels wind and releases the exterior 
  • Strengthens the wei qi and adjusts sweating
  • Any problem on the face - 
  • Headache 
  • Promote labor or for retained placenta
  • Restores the yang

22

LI4 TCM Patterns

Lung Wind Invasion - Wind Cold

Lung Wind Invasion - Wind Heat

23

LI4 Conditions

Releases the exterior for wind-cold or wind-heat syndromes, esp. wind heat

Strengthens the wei qi and adjusts sweating:, improves immunity, Regulates the sweat glands, for excessive sweating tonify LI 4 then disperse KD 7 and vice versa.

Any problem on the face - sense organs, mouth, teeth, jaw, toothache, allergies, rhinitis, hay fever, acne, eye problems, etc.

Toothache use both LI 4 & ST 44 - LI for the lower jaw & ST for the upper jaw.

Headache, especially frontal a/or sinus (yangming area).

Chronic Pain: known as pain point of the body

Restores yang/Influence the circulation of Qi and Blood - Use the four gates, LI 4 & LV 3 to strongly move the Qi and Blood in the body clearing stagnation and alleviating pain.

Promote labor or for retained placenta  

24

LI4 Nearby Points

  • Yaotongxue (N-UE-19) - On the dorsum of the hand, midway of metacarpals, between both the 2nd and 3rd and the 4th and 5th metacarpals (2 points on each hand)

25

LI5 Location and Needling

Yangxi - Yang Stream

  • On the radial side of the wrist between the tendons of extensor pollicis longus and brevis found when the thumb is tilted up
  • Perpendicular 0.5-1 cun

26

LI5 Cautions

Look carefully to locate the cephalic vein which runs through teh anatomical snuffbox

27

LI5 Clinical Uses/Actions

  • Local point for wrist pain.
  • Clears heat and alleviates pain 
  • Clears yangming fire 
  • Calms the spirit 
     

28

LI5 Point Associations

  • Jing River
  • Fire Point

29

LI5 Conditions

Clears heat and alleviates pain: Arm motor impairment, Deafness, Eye disorders, Headache, Sore throat 

Clears yangming fire: Toothache, Tissue diseases, Urticaria

Benefits the wrist joint

Calms the spirit: Classically noted with LI 7 for "seeing ghosts," manic depression

30

Discuss LI4 vs BL60

BL-60 more for back and lower body; LI-4 is more for upper body and face; other pain points are BL-60 and LR-3; LR-3 and LI-4 are the "four gates" and for whole body pain and moving the qi in the entire body