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The Channel 17/4/16 Colin Chan THE PERICARDIUM CHANNEL OF HAND-JUEYING PART 1 Copy right: Dr. Colin Chan The Pericardium Channel of Hand-Jueyin General Information of the Pericardium (TCM) 1. It is the tissue that surrounds and protects the heart. 2. In the Zangxiang theory 脏象学说, pathogenic factors would have to attack the pericardium first before invading the heart. 3. The symptoms of high fever, coma and delirium in exogenous febrile diseases are described as invasion of pathogenic factors into the pericardium (TCM). Relationship of the Pericardium to other organs (TCM) 1. Internally-Externally related to the Triple. Energizer 心包与三焦相表理 Copy right: Dr. Colin Chan Principal Symptoms 1. Feverish sensation in the palm. 2. Spasm and contracture of the arm and elbow. 3. Swelling of the axilla. 4. Chest and hypochondriac congestion. 5. Palpitations with irritabilities. 6. Flushed face. 7. Mania. Copy right: Dr. Colin Chan The Pericardium Channel of Hand-Jueyin Route There are 9 acupoints in the surface pathway of the heart channel. Inner pathway: 1 2 3 1. Originates at the chest, where it serves its organ, the pericardium. 1 2. The channel descends through the diaphragm to the abdomen and … 2 3. Connects with the upper, middle and lower energizer. Copy right: Dr. Colin Chan 3 The Pericardium Channel of Hand-Jueyin Route: Main The surface pathway : 1.Emerges from the chest near the nipple at point PC 1 Tianchi 天池. 4 5 6 7 2.From here the channel ascends to the axilla and follows the central aspect of the palmer side of the upper arm into the cubital fossa. 3.The channel then continue to flow along the central aspect of the palmer side of the forearm, between the tendons of the palmaris longus and flexor carpi radialis… 4.To the palm of the hand and to the tip of the middle finger. Copy right: Dr. Colin Chan 4 5 6 7 The Pericardium Channel of Hand-Jueyin Route: Branch Inner pathway: 8. A branch leads from point PC 8 Laogong 劳宫 to the tip of the ring finger and connects with the Triple Energizer channel. 8 Copy right: Dr. Colin Chan Commonly used acupoint PC 1 Tianchi 天池 Location : 1. On the chest 2. Located in the 4th intercostal space, 1 cun lateral to the nipple or 5 cun lateral to the anterior midline. Classification: The Crossing point of PC channel and GB channel. 穴处肋间隙,形凹如池, 腰以上为天, Approach: Oblique / subcutaneous insertion technique, 0.5-0.8 cun. 故为天池 Copy right: Dr. Colin Chan Commonly used acupoint PC 3 Quze 曲泽 Location : 1. On the transverse crease of the elbow. 2. Located on the ulnar aspect of the tendon m. biceps brachii. Classification: 穴为心包之合穴, 属水, 正当肘内, 微曲肘得其穴, 又与尺泽并列 故为曲泽 He-Sea point. Approach: Perpendicular insertion technique, 0.8-1.0 cun. Copy right: Dr. Colin Chan Commonly used acupoint PC 4 Ximen 郗门 Location : 1. On the palmar aspect of the forearm. 2. Located 5 cun above the transverse crease of the wrist, on the line joining PC 3 Quze 曲泽 and PC 7 Daling 大陵, between the tendons m. palmaris longus and m. flexor carpi radialis. 郗为孔隙, 为 人体气脉出入之处, Classification: 穴在前臂两筋之间, Xi-Cleft point. 形貌有如两扇大门, 故为郗门 Approach: Perpendicular insertion technique, 0.5-1.0 cun. Copy right: Dr. Colin Chan Commonly used acupoint PC 5 Jianshi 间使 Location : 1. On the palmar aspect of the forearm. 2. Located 3 cun above the transverse crease of the wrist, on the line joining PC 3 Quze 曲泽 and PC 7 Daling 大陵 between the tendons m. palmaris longus and m. flexor carpi radialis. Classification: 间为空隙, 使为使令, Jing-River point. 间使者, 君行之使道 Approach: 故为间使 Perpendicular insertion technique, 0.5-1.0 cun. Copy right: Dr. Colin Chan Commonly used acupoint PC 6 Neiguan 内关 Location : 1. On the palmar aspect of the forearm. 2. Located 2 cun above the transverse crease of the wrist, on the line joining PC 3 Quze 曲泽 and PC 7 Daling 大陵 between the tendons m. palmaris longus and m. flexor carpi radialis. Classification: 内指内脏, 关是关联, 联络之意, 故为内关 Luo-Connecting point, one of the 8 convergent point (linking with the Yin Link Vessel 通阴维 脉). Approach: Perpendicular insertion technique, 0.5-1.0 cun. Copy right: Dr. Colin Chan The Collateral route of PC channel PC 6 Neiguan 内关 Nei Guan: is assigned as the Luo-Connecting point of the PC channel. • Its route as a collateral starts parallel, 2 cun above the transverse crease of the wrist, disperse between the two tendons and runs along the PC channel to the pericardium which is located in the chest / upper energizer to link with the TE channel. (A branch of the TE channel runs down the chest where the pericardium lies and continues its way to the lower energizer). Copy right: Dr. Colin Chan Commonly used acupoint PC 7 Daling 大陵 Location : 1. In the middle of the transverse crease of the wrist. 2. Located between the tendons m. palmaris longus and m. flexor carpi radialis. Classification: Yuan-Source point, Shu- Stream point. 大为崇高之意, Approach: 穴在掌根部, 两骨结合点的陵下 Perpendicular insertion technique, 0.3-0.5 cun. 故为大陵 Copy right: Dr. Colin Chan Commonly used acupoint PC 8 Laogong 劳宫 Location : 1. In the palm. 2. Located between the 2nd and 3rd metacarpal bone, closer to the radial aspect of the 3rd metacarpal bone, on the spot where the tip of the middle finger touches when a fist is made. Classification: Ying-Spring point. 劳指操劳, 宫指要所, Approach: 中央手任劳作, 穴在掌心 Perpendicular insertion technique, 0.3-0.5 cun. 故为劳宫 Copy right: Dr. Colin Chan Commonly used acupoint PC 9 Zhongchong 中冲 Location : 1. Acupoint is located in the center of the tip of the distal phalanx of the middle finger. Classification: Jing-Well point . Approach: Perpendicular insertion technique, 0.1 cun, prick to bleed. 本经之气, 中道而行 冲达手中指中端 故为中冲 Copy right: Dr. Colin Chan END OF PART 1 Copy right: Dr. Colin Chan THE PERICARDIUM CHANNEL OF HAND-JUEYING PART 2: TUITORIAL Copy right: Colin Chan Tutorial 4 1 2 5 3 6 1 Starts: chest (pericardium) Pertain: Pericardium Runs: along the central aspect of the palmer side of the upper arm/forearm Ends: tip of the middle finger 4/ 5/ 6/ 7 Communicates: Communicates with Triple Energizer channel through PC 8 Laogong 劳宫 Breaks/Joins: Channel breaks at PC 8 Laogong 劳宫 and join with the TE channel at the tip of the ring finger Acupoint: 7 Copy right: Dr. Colin Chan total 9 acupoints COMMON CLINICAL POINTS PC 1 Tianchi 天池 PC 3 Quze 曲泽 PC 6 Neiguan 内关 PC 7 Daling 大陵 PC 8 Laogong 劳宫 PC 9 Zhongchong 中冲 Copy right: Dr. Colin Chan OVERVIEW OF MEDICAL CONDITION POINTS ON CHEST AND UPPER ARM MAIN TX: CHEST AND HEART LOWER ARM AND HAND MAIN TX: CHEST, HEART, GASTRIC, PSYCH AND HEAT Copy right: Colin Chan PRECAUTIONS POINTS ON CHEST SHALLOW APPROACH NO THRUSTING Copy right: Colin Chan END OF PART 2 Copy right: Physician Colin Chan SRN,CCRN