San Jiao Channel Flashcards
(100 cards)
Pathway of San Jiao Channel
Originates from the tip of the ring finger
- -> Running upward between the 4th and 5th metacarpal bones along the dorsal aspect of the wrist to the lateral aspect of the forearm between the radius and ulna
- -> Passing through the olecranon and along the lateral aspect of the upper arm, it reaches the shoulder region, where it goes across and passes behind the GB channel.
- -> Winding over to the supraclavicular fossa, it spreads in the chest to connect with the PC.
- -> Descends through the diaphragm down to the abdomen, and joints its pertaining organ, the upper, middle and lower jiao
Branch of SJ channel
A branch originates from the chest;
–> Running upward, it emerges from the
supraclavicular fossa –> Ascends to the neck, running along the posterior border of the ear, and further to the corner of the anterior hairline.
–> Turns downward to the cheek
–> Terminates in the infraorbital region
Auricular branch of SJ channel
Arises from the retroauricular region –> Enters the ear –> Emerges in front of the ear –> Crosses the previous branch at the cheek –> Reaches the outer canthus (SJ 23) Links with the GB channel
SJ Divergent
After deriving from the SJ channel at the vertex, it descends into the supraclavicular fossa –> Crosses the upper jiao, middle jiao and lower jiao –> Finally disperses in the chest
SJ Luo-connecting channel
Arises from SJ 5 (Waiguan), 2 cun above the dorsum of the wrist –> Travels up the posterior aspect of the arm and over the shoulder –> Disperses in the chest –> Converging with the PC primary channel
Sinew channel
Starts from the extremity of the fourth finger –> knots at dorsum of wrist –> ascends forearm –> knots a olecranon of elbow –> proceeds along lateral aspect of arm, crosses shoulder and neck –> converges w muscle region of SI channel
Branch: splits at angle of mandible, connects w root of tongue
Another branch: proceeds upward in front of the ear to outer canthus —> crosses temple –> connects at corner of forehead
SJ 1 location
On the lateral side of the ring finger
about 0.1 cun posterior to the corner of the nail
SJ 2 location
Clench the fist.
in the depression proximal to the margin of the web
SJ 3 location
Clench the fist.
on the dorsum of the hand
between the 4th and 5th matacarpal bones proximal to the MP joint
SJ 4 location
on the transverse crease of the dorsum of the wrist
in the depression lateral to the tendon of m. extensor digitorum communis
SJ 4 needling
needling method:
slightly oblique proximal insertion 0.3 - 0.5 cun
2. transverse insertion towards the radial side of the wrist beneath the tendons, 0.5 - 1.0cun
SJ 5 location
2 cun above (proximal to) SJ 4 between the radius and ulna
SJ 5 needling
needling method:
1. slightly oblique insertion towards the ulnar side or oblique proximal or distal insertion
towards the elbow or wrist respectively, 0.5 - 1.5 cun 2. through and through to PC6
caution; movement of the patient’s arm or hand after needling this point can result in a bent needle
SJ 3 needling
perpendicular or oblique directed proximally, 0.5 - 1.0 cun
SJ 2 needling
perpendicular insertion 0.3 - 0.5 cun
SJ 1 needling
- perpendicular or oblique insertion directed proximally 0.1 – 0.2 cun
- prick to bleed
SJ 6 location
3cunaboveSJ4
between the radius and ulna
on the radial side of m.extensor digtorum
SJ 6 needling
- slightly oblique insertion towards the ulnar side or oblique proximal or distal insertion
towards the elbow or wrist respectively, 0.5 - 1.5 cun - through and through to PC5
SJ 7 location
3cunaboveSJ4(atthelevelwithSJ6) about one finger-breadth lateral to SJ 6 on the radial side of the ulna
SJ 7 needling
same as SJ 5
SJ 8 location
4cunaboveSJ4
between the radius and ulna
SJ 8 needling
same as SJ5
contra-indicated to needling according to some classic text books
SJ 9 location
on the lateral sid of the forearm 5 cun below the olecranon
between the radius and ulna
SJ 9 needling
perpendicular or oblique proximal or distal insertion towards the elbow or wrist respectively, 1 – 2 cun