Flashcards in Practical Exam Prep Deck (72):
Meaning and function of the Du Meridian?
Du Mai is the Sea of yang Channels, exerts an influence on all the yang channels, organs and functions.
Describe the first branch of Du.
Originates in the area between the kidneys, emerges at RN1. Continues posteriorly to DU1 then ascends to DU16 where a branch enters the brain. At DU12(T3) it connects with the Bladder channel at UB12 (T2) and returns to DU13 (T1) in a diamond shape. It ascends further to the vertex and continues over the midline to the tip of the nose, ending at the junction of the lip and upper gum.
Describe the second branch of Du.
The second branch goes over the genitals, the perineal region, runs to the tip of the coccyx and diverts to the buttocks (where it connects with the Kidney and Bladder Channels). From there it goes through the spine and connects with the Kidneys.
Describe the third branch of Du.
A third channel path starts at the inner acanthi (UB2) and goes over the forehead to meet at the vertex where it enters the brain. There it splits into two branches that descend on both sides of the spine to connect with the kidneys.
Describe the two internal branches of Du.
1) An internal branch emerges from DU4 and connects with the kidneys.
2) An internal branch, starting in the lower abdomen connects with the umbilicus and rises (internally) up through the heart, through the throat, circling the mouth (lips) and splits in two ending under the centre of the eye (traditional ending or Ren Mai).
Describe the connecting vessel of Du.
From DU1 two branches run on either side of the spine to the occipital region from where they disperse over the head.
Describe and locate the master point of Du.
The master point of Du is SI3. Coupled point of Yang Qiao Mai. Shu Stream and Wood Pt of SI.
It is located on the ulnar surface of the hand in the significant depression just proximal to the head of the fifth metacarpal.
Needling: 0.5-2 cun towards LI3
Describe and locate the extra meridian point of GV4.
GV4 (Mingmen) Gate of Life
Midline of the lower back, in the depression below the spinous process of the second lumbar vertebra
Needling: Perpendicular 0.5-1 cun
GV4 indications (extra)
Clears heat; regulates Du Mai; tonifies kidneys; benefits lumbar spine (Level with BL23 and BL52)
Describe and locate the extra meridian point of GV11.
GV11 (Shendao) Spirit Pathway
Midline of the upper back in the depression below the spinous process of the fifth thoracic vertebra
Needling: Oblique superior 0.5-1 cun
GV11 indications (extra)
Tonifies the Heart and Lung and calms the spirit; clears heat and pacifies wind (Level with BL15 and BL44)
Describe the meaning and function of the Ren Meridian?
Ren Mai is the Sea of Yin Channels and exerts an influence on all yin channels, organs and functions and nourishes all yin in the body.
Describe and locate the opening/master/confluent point of Ren.
Lu7 Lieque (Broken Sequence)
Lu7 is located on the radial aspect of the forearm, approximately 1.5 cun proximal to LI5, in the cleft between the tendons of brachioradialis and abductor pollicis longs.
Needling: With the fingers of one hand pinch up the skin over the point and with the other hand needle transversely in a proximal or distal direction,
0.5-1 cun, avoiding the cephalic vein.
For extra points what are the hats of the master point of Ren?
Lu7 Lieque (Broken Sequence)
1) Luo Connecting point of Lung 2) Heavenly Star point
3) Command point of head and neck
4) Master point of Ren Mai
Describe the trajectory of Ren Mai.
- Originates inside the lower abdomen between the kidneys; flows through the uterus and emerges in the perineum at CV1
- Ascends along the midline of the abdomen, chest, throat, and chin and terminates at CV24
- Connects with Chong Mai at CV4 and CV7
- Circles around the lips and inside the mouth, divides and enters the eyes ending at ST1.
- Connecting Vessel: separates from CV15 and spreads over the abdomen.
Describe and locate the extra meridian point of CV6.
Qihai (Sea of Qi)
On the midline of the lower abdomen, 1.5 cun inferior to the umbilicus and 3.5 cun superior to the pubic symphysis.
For extra points name the hats and indications of CV6.
* Source point of Membranes (Huang
Tonifying: Rescue collapse of Yang. Foster original qi (Yuan Qi). Tonify Qi and Yang. Tonify Kidneys.
Dispersing: Regulate qi and harmonize blood. Resolve damp.
Describe and locate the extra meridian point of CV12.
Zhongwan (Middle Epigastrium)
On the midline, 4 cun superior to the umbilicus and 4 cun inferior to the sternocostal angle.
For extra points name the hats and the indications of CV12.
*Front Mu of ST
*Influential Point of Fu Organs
*Group Luo Point of MJ
*Meeting point of CV, SI, TE and ST
Harmonizes the middle jiao and descends rebellion; tonifies the stomach and fortifies the spleen; regulates qi and alleviates pain.
Briefly describe the meaning and function of of the Chong Mai.
Chong Mai is very complicated in terms of function but is Sea of Blood, Sea of 12 Channels, Sea of 5 Yin and 6 Yang organs. Chong circulates qi from the abdomen to lower extremities (not to arms).
Name the branches of the Chong Mai trajectory.
Internal branch of Chong.
Originates inside the abdomen, flows through the uterus and emerges in the perineum at CV1
Abdominal branch of Chong.
Emerges at S30, connects with the kidney channel at K11 and ascends through the kidney channel to K21 and then disperses in the chest and breasts
Head and Spinal branches of Chong.
Head: Flows over the throat, around the chin, curves around the lips and terminates below the eyes.
Spinal: Emerges from CV1 and ascends inside the lumbar spine
Descending Branch of Chong.
Emerges from S30 and descends along the inner aspect of the thigh and lower leg to the medial malleolus. At the heel it separates, one branch going to the foot's arch to connect with the Kidney channel and another branch going to the big toe to connect with the liver channel.
Describe and locate the opening/master/confluent point of Chong.
SP4 Gongsun (Grandfather Grandson)
Located on the medial side of the foot, in the depression distal and inferior to the base of the first metatarsal bone.
Perpendicular insertion 0.5-1 cun
For extra points name the hats of the master point of Chong. Indications?
Luo connecting point of the Spleen channel
- Fortifies the Spleen and harmonizes MJ
- Regulates qi and resolves dampness
- Calms spirit
- Benefits Heart and Chest
- Regulates Penetrating Vessel
Describe and locate the extra meridian point of KI13.
Qixue (Qi Cave)
On the lower abdomen, 3 cun inferior to the umbilicus, 2 cun superior to the superior border of the symphysis pubis, 0.5 cun lateral to the midline (CV4 Front Mu of SI)
Needling: Perpendicular 0.5-1 cun
Describe and locate the extra meridian point of KI14.
Siman (Four Fullnesses)
On the lower abdomen, 2 cun inferior to the umbilicus, 3 cun superior to the superior border of the symphysis pubis (CV5 Front Mu of TE)
Needling: Perpendicular 0.5-1 cun
For extra points, what are the hats and indications of KI13?
*Meeting point of Kidney channel with Penetrating Vessel (duh)
- Supplements kidney qi, regulates LJ
- Regulates Penetrating and Conception Vessels
For extra points, what are the hats and indications of KI14?
*Meeting point of Kidney Channel with Penetrating Vessel
- Supplements Kidney Qi, regulates penetrating and conception vessels
- Promotes free flow through waterways (think level with TE Mu)
Briefly describe the meaning and function of the Dai Mai EOV.
The Dai Mai is the only horizontal vessel of the body. It circulates qi between the two halves of the body, it links the upper and lower. It also links all of the yin meridians with the yang in the back. It exerts an inward pulling much like a muscular compression. The Dai Mai conducts the qi of the whole organism in the correct direction and to its final destination.
Describe the trajectory of the Dai Mai.
The Dai Mai originates in the hypochondrium and flows through LR13 Zhangmen and then connects with GB26 Daimai, GB27 Wushu, and GB28 Weidao. In the back it connects with the Kidney Divergent Channel at the level of BL23, Shenshu.
Describe and locate the master/opening/confluent point of Dai Mai.
GB41 Zulinqi (Foot Governor of Tears)
Located on the top of the foot in the depression just distal to the junction of the 4th and 5th metatarsals, lateral to the tendon of extensor digitorum longus.
Perpendicular insertion 0.5-1 cun.
For extra points describe the hats and indications of the master pt of Dai.
*Master point of Dai
*Wood point (Horary) of GB
Use along with TE5 to treat headaches that come along with menses!
- Clears fire and extinguishes wind
- Brightens eyes and sharpens hearing
- Courses LV and GB qi stagnation
- Transforms phlegm heat
Describe and locate the extra meridian point of LR13.
LR13 Zhangmen (Completion Gate)
Directly anterior and inferior to the free end of the eleventh rib
Needling: Transverse or oblique medial or lateral 0.5-1 cun
For extra points name the hats and indications of LR13.
*Front Mu point of the Spleen
*Influential point of Zang
*Meeting pt of LR and GB
- Harmonizes the LR and SP
- Regulates the MJ and LJ
- Fortifies the SP
- Spreads the LR and regs qi
Describe and locate the extra meridian point of GB27.
GB27 Wushu (Five Pivots)
In the depression just anterior to the ASIS, approx. level with CV4 (3 cun below the umbilicus)
Needling: Perp 1-1.5 cun
For extra points name the hats and indications of GB27.
*Meeting point of GB with Dai Mai
- Regulates the Dai vessel
- Regulates the LJ and transforms stagnation
Briefly describe the meaning and function of the Yang Qiao Mai vessel.
Qiao means walker, motility, heel or stepping. Yang Qiao Mai distributes qi across yang surfaces. It also absorbs excess Yang, especially in the head.
Describe the trajectory of the Yang Qiao Mai meridian.
It originates inside the heel on the lateral side, goes to the external mallelous and BL62. Ascends on the lateral side of the leg and connects with BL61 and BL59. Ascends on the lateral side of the upper thigh and hip and connects with GB29 (same as Yang Wei). It then travels to SI10 (crossover of Yang Wei as well). Rises outside the shoulder and connects with LI16 (LI Channel) and LI15 (TE channel). Ascends to ST9 (LI and ST channel) and then to ST4 (Ren) and ST3 (ST channel) and to ST1 (Ren). It then goes to the inner corner of the eye at BL1 (SI, BL, ST, YinQ). From there it continues over the skull, behind the ear and enters GB20 where it ends.
Describe and locate the master point of Yang Qiao Mai.
BL62 Shenmai (Extending Vessel)
Location: Located on the lateral side of the foot, 0.5 cun inferior to the inferior border of the lateral malleolus, in a depression posterior to the peroneal tendons.
Needling: Oblique insertion directed inferiorly, 0.3-0.5 cun
For extra points name the hats and indications of the master point of Yang Qiao.
Hats: Master point Yang Qiao, Coupled point of Du, Ghost point
- Pacifies interior wind and expels exterior wind
- Calms the spirit and treats epilepsy
- Benefits the head and eyes
- Opens and regulates the Yang Qiao vessel
Describe and locate the extra meridian point of LI15.
LI15 Jianyu (Shoulder Bone)
In the depression which lies anterior and inferior to the acromion, at the origin of the deltoid muscle.
Needling: Perpendicular or oblique downward 0.8-1.5 cun
Describe and locate the extra meridian point of BL59.
BL59 Fuyang (Instep Yang)
On the lower leg, 3 cun directly superior to BL60.
Perpendicular 0.5-1 cun
For extra points name the hats and indications of BL59.
*Xi cleft point of Yang Qiao Mai
- Benefits the lumbar region and legs
Describe and locate the extra meridian point of GB20.
GB20 Fengchi (Wind Pool)
Below the occiput, approx. midway between GV16 and GB12 in the hollow between the origins of SCM and trapezius.
Oblique 0.5-0.8 toward nose or subcutaneously to GV16
For extra points name the hats and indications of GB20.
*Meeting pt of GB with TE, Yang Linking and Yang Heel
- Eliminates wind
- Benefits head and eyes
- Clear sense organs
Briefly describe the meaning and function of Yin Qiao Mai.
The Qiao vessels spread qi along surfaces. Yin Qiao Mai spreads qi to all of the yin surfaces. It also absorbs excess yin, especially in the abdomen.
Describe the trajectory of Yin Qiao Mai.
- Originates as a branch of the Kidney Meridian, veering off at KI6 (this class)
- It then moves further up to KI8 (Xi cleft pt)
- It travels up the medial aspect of the leg to the inguinal region where it enters into the external genitalia
- It ascends the abdomen and chest and connects with ST12
- It passes in front of ST9 (level with laryngeal prominence) and up the cheek to enter BL1 where it meets with the BL meridian, Du Mai and Yang Qiao Mai
Describe and locate the master/opening/confluent point of Yin Qiao Mai.
KI6 Zhaohai (Shining Sea)
Location: Located 1 cun below the prominence of the medial mallelous, in the groove formed by two ligamentous bundles.
Needling: Oblique insertion directed superiorly 0.3-0.5
For extra points what are the hats and indications of the master point of Yin Qiao?
Hats: Master point Yin Qiao Mai, Coupled point Ren Mai
- Benefits throat
- Nourishes kidneys and clears deficiency heat
- Regulates the Yin Qiao vessel
- Calms spirit
- Regulates LJ
Describe and locate the extra meridian point of KI8.
KI8 Jiaoxin (Exchange Belief)
On the medial aspect of the lower leg, 2 cun superior to KI3 and 0.5 cun anterior to KI7, posterior to the medial border of the tibia.
For extra points name the hats and indications of KI8.
Hats: Xi Cleft point of Yin Qiao Mai
- Regulates the Ren and Chong vessels and adjusts menstruation
- Stops uterine bleeding
- Clears heat and drains damp from LJ
Briefly describe the meaning and function of the Yin Wei Mai meridian.
Wei translates to hold together and Yin Wei Mai links all of the yin meridians together. Wei can also mean safeguard and these vessels protect the body from injury. Yin Wei Mai controls the interior of the body and governs nutritive qi and blood.
Describe the trajectory of Yin Wei Mai.
- Originates at KI9
- Travels up the medial aspect of the thigh to the abdomen where it connects with the SP meridian at SP13, SP15 and SP16
- Continues upward to meet with LR meridian at LR14
- Penetrates the diaphragm and rises up the chest and throat to meet with Ren Mai at CV22 and CV23
Describe and locate the master/opening/confluent point of Yin Wei Mai.
PC6 Neiguan (Inner Pass)
Located on the flexor aspect of the forearm, 2 cun proximal to PC7 at the crease of the wrist, between the tendons of palmaris longus and flexor carpi radialis.
Perpendicular insertion 0.5-1 cun
For extra points name the hats and indications of the master point of Yin Wei.
*Master point of Yin Wei Mai
*Luo connecting point of PC channel
- Clears heat, loosens chest (cardiac pain, palpitations)
- Downbears counterflow qi (vomiting, nausea)
- Harmonizes stomach (stomach pain)
Describe and locate the extra meridian point of KI9.
KI9 Zhubin (Guest House)
On the medial aspect of the lower leg, 5 cun superior to KI3, on the line drawn between KI3 and KI10, about 1 cun posterior to the medial border of the tibia.
For extra points name the hats and indications of KI9.
*Xi cleft point of Yin Wei Mai
- Regulates the heart and transforms phlegm
- Calms the mind, communication between HT and KI
- Regulates qi and alleviates pain
Describe and locate the extra meridian point of SP15.
SP15 Daheng (Great Horizontal)
On the abdomen in the depression at the lateral border of the rectus abdominus muscle, level with the umbilicus.
For extra points name the hats and indications of SP15.
*Meeting point of SP and Yin Linking
- Moves qi and regulates intestines
Briefly describe the meaning and function of Yang Wei Mai.
Wei means to hold together and Yang Wei Mai links all of the yang meridians together. Wei can also mean to safeguard and Yang Wei Mai protects the body by governing the exterior of the body and defensive or Wei qi.
Describe the trajectory of Yang Wei Mai.
-Starts at BL63 and ascends up to GB35
- Travels up the thigh to GB29 (crossing of Yang Qiao Mai as well) ascends to the hypochondrium and shoulder at LI14, ascending to TE13 and TE15
- Flows to GB21 (crossing pt of GB, TE and ST)
- Flows to the back of the shoulder to SI10 (crossing of Yang Qiao Mai as well)
- Ascends behind the ear to GB20 flowing through GB points from 20 to GB14.
- Proceeds to forehead, enters the eye and ascends to GB13 where it ends
Describe and locate the master/opening/confluent point of Yang Wei Mai.
TE5 Waiguan (Outer Pass)
Located 2 cun proximal to TE4, in the depression between the radius and ulna, on the radial side of the extensor digitorum communis tendons.
Slightly oblique insertion towards the ulnar side or oblique proximal or distal insertion towards the elbow or wrist respectively, 0.5-1.5 cun.
For extra points name the hats and indications of the master point of Yang Wei.
*Master point of Yang Wei Mai
*Luo connecting point of TE channel
-Dissipates wind and resolves the exterior
-Clears heat and resolves toxin
-Frees the channels and quickens connecting vessels
Describe and locate the extra meridian point of TE15.
TE15 Tianliao (Heavenly Crevice)
In the suprascapular fossa, in the depression midway between GB21 and SI13 (at the medial end of the suprascapular fossa)
Perpendicular 0.3-0.5 or threat to GB21 1-1.5cun
For extra points what are the hats and indications of TE15?
*Meeting point of TE and GB with Yang Linking
-Activates the channel and alleviates pain
-Unbinds the chest and regulates qi
Describe and locate the extra meridian point of GB16.
GB16 Muchuang (Window of the Eye)
Above the forehead, on a curved line drawn between GB15 and GB20, following the contour of the cranium, 1.5 cun posterior to GB15.
Subcutaneous insertion 0.3-0.5 or transverse 0.5-1.5 cun
For extra points what are the hats and indications of GB16?
*Meeting point of GB with Yang Linking
-Benefits the eyes
-Eliminates wind and alleviates pain
Describe and locate the extra meridian point of GB35.
GB35 Yangliao (Yang Intersection)
On the lateral aspect of the lower leg, 7 cun superior to the prominence of the lateral mallelus, in the depression at the posterior border of the fibula.
Perpendicular 0.5-1.5 cun