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Points > Lung Zang, Channel and Points > Flashcards

Lung Zang, Channel and Points Flashcards

1
Q

Primary channel pathway

A

Originates in Stomach. Descends to LI. Returns to Stomach. Traverses diaphragm. Penetrates Lung. Ascends to throat. Emerges at LU1. Ascends to LU2 in deltopectoral triangle. Descends along antero-lateral aspect of upper arm to cubital crease at LU5. Descends along antero-lateral aspect of forearm towards styloid process of radius. Follows lateral border of radial artery at LU9. Traverses thenar eminence to terminate at LU11 on radial side of thumbnail.

A branch separates from main channel at LU7 and travels to radial side of tip of index finger, linking to LI channel at LI1.

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2
Q

Lung primary channel connects with following zangfu:

A

Stomach

Large intestine

Lung

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3
Q

Primary channel meets with other channels at following points

A

None

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4
Q

Luo connecting channel pathway

A

Separates from primary at LU7. Follows channel into palm and spreads through thenar eminence. Connects with LI.

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5
Q

Divergent channel pathway

A

Diverges from primary at the axilla. Connects with Lung and disperses in LI.

Branch ascends from Lung emerging at supraclavicular fossa ascends to throat converges with LI channel.

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6
Q

Sinew channel

A

Originates at thumb. Binds to thenar eminence. Follows radial artery and flexor aspect of forearm. Binds at center of elbow. Follows antero-lateral aspect of upper arm and enters chest at axilla. Travels laterally across shoulder. Descends into chest. Spreads over diaphragm and converges with floating ribs.

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7
Q

Pathological symptoms of sinew channel

A

Cramping and pain along course of channel. Accumulation of lumps below right lateral costal region, tension along lateral costal region and spitting of blood, when severe.

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8
Q

Lung LI relationship

A

Primary channel descends to LI fu

Branch of primary channel connects LU7 to LI1

Luo connects with LI channel

Divergent channel descends to LI fu and connects with LI channel at neck

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9
Q

Five principal functions

A

Governing qi and controlling respiration

Controlling disseminating and descending

Regulating water passages

Controlling skin and body hair

Opening into the nose (LU channel does not connect directly with nose but Indirectly via LI channel)

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10
Q

LU1 pinyin

A

Zhongfu

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11
Q

LU1 point categories

A

Front mu of Lung

Meeting point of LU and SP channels

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12
Q

LU1 location

A

Lateral aspect of chest

First intercostal space

6 cun lateral to midline

1 cun inferior to LU2

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13
Q

LU1 needling

A

Transverse oblique

0.5-1 cun

Medially along ICS

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14
Q

LU1 actions

A

Disseminates and descends Lung qi and alleviates cough and wheezing

Transforms phlegm clears heat and regulates the water passages

Descends stomach qi

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15
Q

LU1 indications

A

Cough (turbid phlegm; blood and pus), Wheezing, asthma, fullness of chest, chest pain, breathing with raised shoulders, oppression of chest and difficulty breathing, diminished qi with inability to lie down

Heat in chest, aversion to cold, chills and fever, sweating

Throat bi syndrome, nasal congestion, swelling of face

Difficult ingestion, vomiting, GB heat vomiting, retching, abdominal distension

Skin pain, running piglet qi with lumbar pain, goitre, pain of upper back and shoulder

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16
Q

LU1 commentary

A

Front mu point > acts primarily on Lung zang rather than channel

Clears excess of all kinds from Lung

Indicated when excess Lung patterns are accompanied by Lung channel disorders like nasal obstruction and throat bi syndrome

When exterior pathogenic factors cause acute swelling of face LU1 indicated

Indicated for dual disharmony of Lung and Stomach impairment

Metal controls wood > GB heat

Clear heat from chest: LU1 ST12 UB11 UB12 bilaterally

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17
Q

LU2 pinyin

A

Yunmen

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18
Q

LU2 location

A

I’m hollow of deltopectoral triangle

6 cun from midline

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19
Q

LU2 needling

A

Transverse oblique

0.5-1 cun

** deep perpendicular may cause pneumothorax

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20
Q

LU2 actions

A

Clears Lung heat

Disseminates and descends lung qi

Dispels agitation and fullness

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21
Q

LU2 indications

A

Cough, wheezing, asthma, dyspnoea with inability to lie down, shortness of breath, oppressive and agitated sensation in chest, heat in chest, oppression and pain in chest, upsurging of qi to Ht, sudden pain of heart and abdomen

Pain of lateral costal region and back, pain of back and shoulders, pain of shoulder with inability to raise arm, pain of supraclavicular fossa

Choppy pulse which cannot be felt at cun position, throat bi syndrome, goitre, injury by cold giving rise to persistent heat in limbs

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22
Q

LU2 commentary

A

Important for draining heat from extremities along with

DU2 LI15 UB40

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23
Q

LU1 ++ actions and indications

A

Drain to aid release of old emotions

Build courage

Somnolence, bronchitis, pneumonia, pulmonary tuberculosis, excessive sweating

Restoring one’s sense of oneself. If metal is stuck one rejects everything of quality offered. Receive praise, take pleasure.

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24
Q

LU2 ++ actions and indications

A

Disperses mental fogginess. For one who had difficulty seeing or feeling joy, brightness. One who is preoccupied with that which isn’t going well.

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25
Q

LU3 pinyin

A

Tianfu

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26
Q

LU3 point category

A

Window of sky

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27
Q

LU3 location

A

3 cun inferior to axillary fold

At the lateral edge of biceps brachii muscle

Divide line between axillary fold and LU5 at cubital crease into thirds

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28
Q

LU3 needling

A

Perpendicular

0.5-1 cun

** moxa can cause counterflow and disordered qi

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29
Q

LU3 actions

A

Clears lung heat and descends lung qi

Cools blood and stops bleeding

Calms the corporeal soul (po)

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30
Q

LU3 indications

A

Wheezing, dyspnoea, cough, asthma, nosebleed, spitting blood, cough blood, much spittle

Somnolence, insomnia, sadness, weeping, disorientation, and forgetfulness

Goitre, swelling of throat, pain of antero-lateral aspect of upper arm, dizziness, swelling and distension of body, malaria, purple-white wind blotches (pityriasis versicolor), visual dizziness, short-sightedness

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31
Q

LU3 commentary

A

Indicated for sudden severe thirst, internal rebellion, liver and lung struggle against each other, blood overflows from mouth and nose

Branch of liver channel crosses diaphragm and scatters in Lung. If Liver fire rises and scorches Lung it may injure blood vessels and fluids

Goitre due to stagnation of qi and phlegm in neck, descends the qi of Lung, benefits sensory orifices > eyes

Psycho emotional disorders

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32
Q

LU3 ++ actions and indications

A

Opens communication between head and body

Indication for psychological disorders due to Lung emotions

Confusion, forgetfulness, disorientation, wailing and ghost talk, lying down with inability to sleep

Brings peace, clarity and stability to one who is in darkness, confused. Severe depression, devil possession. One who won’t talk to anyone but self. Person who had a desire to lie down.

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33
Q

Lu4 pinyin

A

Xiabai

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34
Q

LU4 location

A

4 cun inferior to axillary fold

In depression between lateral aspect of biceps brachii muscle and shaft of humerus

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35
Q

LU4 needling

A

Perpendicular

0.5-1 cun

36
Q

LU4 actions

A

Descends Lung qi

Regulates qi and blood in chest

37
Q

LU4 indications

A

Cough, dyspnea, asthma, shortness of breath,

Heart pain, palpitations, agitation and fullness, retching

Pain in medial aspect of arm, pityriasis versicolor

38
Q

LU4 ++ actions and indications

A

Cardiac pain, shortness of breath

39
Q

LU5 pinyin

A

Chize

40
Q

LU5 point categories

A

He sea

Water point of metal channel

Sedation

41
Q

LU5 location

A

On cubital crease

In depression at radial side of tendon of biceps brachii

42
Q

LU5 needling

A

Perpendicular

0.5-1 cun

43
Q

LU5 actions

A

Clears heat from lung and descends rebellious qi

Regulates water passages

Activates channel

Relaxes sinews and alleviates pain

44
Q

LU5 indications

A

Cough, cough with phlegm, asthma, wheezing, dyspnea, shortness of breath, agitation and fullness of chest

Tidal fever, taxation fever, shivering, malaria, dry mouth and tongue, throat bi syndrome, tendency to sneeze

Spitting, coughing, vomiting blood, nosebleed

Swelling of four limbs, enuresis, frequent urination

Vomiting, diarrhea, abdominal distention

Pain of lateral costal region, heart pain, agitation of heart, sobbing with grief, acute and chronic childhood fright wind, epilepsy, clonic spasm

Coldness in shoulder, pain in upper arm and shoulder, inability to raise arm to head, wandering bi syndrome of elbow and upper arm, restricted movement of elbow, elbow pain, difficulty in opening and extending the hand, five types of lumbar pain, crane’s knee swelling and pain

45
Q

LU5 commentary

A

Principal action is to clear all forms of heat from Lung and to descend lung qi

Deficiency heat in lung is due to depletion of lung and kidney yin or damage to lung yin by repeated chronic attacks of excess heat

Has important effect on upper limb especially that characterized by pain and restricted motion

Indicated to relax contraction of sinews of whole body

Cross-connected to knee

46
Q

LU5 ++ actions and indications

A

Sedation point

Transforms phlegm

Regulates water passages

Yellow, green, brown mucus

47
Q

LU6 pinyin

A

Kong zui

48
Q

LU6 point categories

A

Xi cleft

49
Q

LU6 Location

A

5 cun inferior to LU5

Divide line between LU5 and LU9 at wrist crease in half and find 1 cun superior to this point

50
Q

LU6 needling

A

Perpendicular

0.5-1 cun

51
Q

LU6 actions

A

Disseminates and descends lung qi

Clears heat and moistens lung

Clear heat and stops bleeding

Moderates acute conditions

52
Q

LU6 indications

A

Cough, wheezing, asthma, chest pain, swelling and pain of throat, loss of voice, febrile disease with absence of sweating

Cough, spit, vomit blood and hiccup

Severe pain of elbow and upper arm, inability to raise arm above head, difficulty in flexing and extending fingers, epigastric pain, hemorrhoid, headache, clonic spasm

53
Q

LU6 commentary

A

Xi cleft points are where qi and blood gather and plunge more deeply > indicated for acute conditions and pain.

Xi cleft of yin channels additionally treat disorders of blood.

Particularly indicated for exterior attack by wind heat or wind dryness which lodge in skin and obstruct pores > febrile disease w/o sweating. Or penetrate lung zang and channel giving rise to acute cough and wheezing, swelling and pain of throat, loss of voice.

Indicated for bleeding of lung due to wind dryness, wind heat, phlegm heat, liver lung disharmony, or yin deficiency

54
Q

LU7 pinyin

A

Lieque

55
Q

LU7 point categories

A

Luo connecting

Exit point

Confluent point of Ren channel

Command point of head and neck

Heavenly star point

56
Q

LU7 location

A

On radial aspect of forearm

1.5 cun proximal to LI5

In cleft between tendons of brachioradialis and abductor pollicis longus

57
Q

LU7 needling

A

Pinch skin

Transverse proximally or distally

0.5-1 cun

** avoid cephalic vein

58
Q

LU7 actions

A

Releases exterior and expels wind

Promotes descending function of lung

Pacifies wind and phlegm

Benefits head and nape

Opens and regulates Ren channel

Regulates water passages

Activates channel and alleviates pain

59
Q

LU7 indications

A

Chills and fever, nasal congestion and discharge, nasal polyps, flaring of nostrils, throat bi syndrome, cough and with phlegm, wheezing, asthma, dyspnea, diminished qi and shortness of breath, heat of chest and back, shivering and cold of chest and back, sweating, sudden swelling of limbs, thirst, inversion counterflow of limbs

Headache and stiffness of neck and nape, one sided headache, lockjaw, hemiplegia, deviation of mouth and eye, toothache, epilepsy, childhood fright-epilepsy, loss of consciousness, vomiting foamy watery saliva, wind bi syndrome, hypertension

Retention of lochia, dead fetus, postpartum inability to speak, blood in urine, hot and painful urination, difficult urination, pain of penis, genitals, seminal emission

Poor memory, palpitations, propensity to laughter, frequent yawning and stretching, tension of chest and back, fullness of lateral costal region, breast abscess

Weakness and pain of wrist and hand,
Pain of thumb, shoulder, heat in palms, malaria

60
Q

LU7 commentary

A

Has ability to clear heaviness and oppression of chest

Closely related to LI channel

Important for wind disorders

Taiyin communicates directly with exterior via respiration

Most exterior acting of lung channel points and principal to release exterior, promote function of lungs in dispersing and descending, and regulating water passages

String wind expelling capabilities

Headaches opens and regulates flow of qi in Ren channel

Treats psychoemotional disorders

Thumb and index finger pain. Needle towards hand and transmit sensation to diseased area

61
Q

LU8 pinyin

A

Jingqu

62
Q

LU8 point categories

A

Jing river

Horary point > Metal point of metal channel

63
Q

LU8 location

A

1 cun proximal to LU9 at wrist crease

Lateral to radial artery

At base of styloid process

64
Q

LU8 needling

A

Oblique proximal

Perpendicular

0.3-0.5 cun

** avoid radial artery, no moxa

65
Q

LU8 actions

A

Descends lung qi and alleviates cough and wheezing

66
Q

LU8 indications

A

Cough, asthma, wheezing, dyspnoea, distention and pain of chest and upper back, sore throat, throat bi syndrome, febrile disease with absence of sweating, febrile disease with breathlessness, heat in palms

Heart pain with vomiting, wrist pain, malaria, excessive yawning, pain in soles of feet

67
Q

LU8 commentary

A

Jing river of lung
> indicated for excess cough, dyspnoea, and wheezing with fullness and pain in chest and upper back. Febrile disease with absence of sweating

Infrequently used clinically

68
Q

LU9 pinyin

A

Taiyuan

69
Q

LU9 point categories

A

Shu stream

Yuan source

Hui meeting of vessels

Earth point of metal channel

Tonification

70
Q

LU9 location

A

At wrist crease

Lateral to radial artery

In depression between radial artery and tendon of abductor pollicis longus

71
Q

LU9 needling

A

Perpendicular

0.3-0.5 cun

**avoid radial artery

72
Q

LU9 actions

A

Tonifies lung and transforms phlegm

Promotes the descending function of lung

Regulates and harmonizes the one hundred vessels

Activates channel and alleviates pain

73
Q

LU9 indications

A

Cough and with watery phlegm, asthma, Wheezing, dyspnoea, shortness of breath, excessive yawning, heat in palms, dry throat, oppression and agitation of chest with difficult breathing and inability to lie down

Spitting, coughing, vomiting blood, agitation with heart pain accompanied by choppy pulse, manic raving, pulseless syndrome

Rebellion of stomach qi, belching, superficial visual obstruction, redness and pain of eyes, cold shivering, cold inversion, toothache, head wind, swelling of face

Weakness or pain of wrist, pain of shoulder and back, pain of supraclavicular fossa, pain in inner aspect of arm, breast pain

74
Q

LU9 commentary

A

Most important point on Lung channel to tonify lung qi or yin > deficient pattern, tonify mother (earth point of metal channel)

Weak lung qi will not move fluids leading to profuse watery phlegm; if lung yin is deficient, heat condensed fluids producing dry scanty phlegm with dryness in throat

Hui meeting point > harmonizes relationship between qi and blood

Harmonizes stomach, indicated for stomach rebellious qi and stomach channel heat symptoms

75
Q

LU10 pinyin

A

Yuji

76
Q

LU9 ++ actions and indications

A

Promote longevity using gold needle, emergency point for no pulse, toothache, eye pain

For depths of loneliness > use with care and by request

clarifies and unmasks pulses esp when out of alignment with patient

Removes debris esp after drug abuse

Clears radiation poisoning

77
Q

LU10 location

A

On thenar eminence

At midpoint of first metacarpal bone

Between shaft of bone and thenar muscles

78
Q

LU10 needling

A

Perpendicular

0.5-1 cun

79
Q

LU10 actions

A

Benefits throat

Clears lung heat

Descends rebellious qi

Harmonizes stomach and heart

80
Q

LU10 indications

A

Throat bi syndrome, sore throat, dry throat, loss of voice

Cough with absence of sweating, cough leading to hypogastric or sacral pain, cough w hiccup, shortness of breath with heat bi syndrome, chest bi syndrome w inability to catch breath

Deficiency heat, heat in body, aversion to cold, attack of wind and cold after alcohol consumption leading to chills and fever

Cough, spit, vomit blood, blood in urine

Agitation of heart, sadness and fear, anger and mania, sadness and anger with counterflow qi, heart bi syndrome w fear and fright

Yellow tongue coating, breast abscess, toothache, lacrimation, visual dizziness, genital damp itching, impotence with abdominal distention, headache, malaria, tetany (muscle spasms)

Abdominal pain, with inability to eat or drink, sudden turmoil disorder, esophageal construction due to middle Joao deficiency, vomiting, childhood nutritional impairment

Heat and pain of palm and thumb, contraction of the elbow w distention and fullness of arm

81
Q

LU10 commentary

A

Ying spring > effective for clearing heat from lung zang and channel

For excess heat with predominance of heat > LU10; for excess heat with predominance of phlegm > LU5 LU1

Extent of sweating indicated severity of heat

Clears heat which transmits to stomach channel giving rise to toothache, lacrimation or breast abscess

Counters dual rebellion of lung and stomach qi manifesting as cough w hiccup

Treats various disorders of stomach fu

82
Q

LU11 pinyin

A

Shaoshang

83
Q

LU11 point categories

A

Jing well

Sun si Miao ghost point

Wood point of metal channel

84
Q

LU11 needling

A

Perpendicular

Oblique

Directed proximally

0.1-0.2 cun

Prick to bleed

85
Q

LU11 actions

A

Revives consciousness

Clears heat and benefits the throat

86
Q

LU11 indications

A

Loss of consciousness from wind stroke, cold inversion, hot inversion

Sore throat, throat bi syndrome, childhood throat moth, mumps, nosebleed, lotus flower tongue, dry lips w desire to drink, febrile disease w cold shivering

Agitation of heart w cough and dyspnoea, fullness of heart w sweating, fullness below heart, mania, childhood fright wind, malaria, vomiting

Pain and contraction of wrist, thumb pain, heat in palms, bi syndrome of upper arm, pain of front of ear

87
Q

LU11 commentary

A

Jing well > revive collapse

Tonsillitis

Important for sore throat of any kind

Used more for extreme conditions due only to excess

Used when grief and anger experienced together (wood in metal)

Points (9 decks)

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