Download Study Notes - Exam 1

Course:
Point Location 2
Study Notes – Exam 1
Date:
Jan 17, 2008
Heart Channel
What is Mu Xi and how does it relate to the Heart Channel?
Mu Xi is translated as 1) the eye system or 2) the tissues connecting the eyes to the brain.
Heart Channel ascends to the face and connects to Mu Xi. (Condition of Heart is expressed in the inner
and outer canthus of the eyes.)
What other channel is related to eyes?
Liver. Liver and Heart have yang aspects and are the only two yin channels traveling to the face.
What are the yang-like aspects of the Heart Channel?
1) Heart has fire
2) Goes to the face – eyes and tongue.
Where does the Heart channel begin?
Heart organ.
What are the branches of the primary channel?
Branches:
1) Descends from Heart through diaphragm to Small Intestine organ
2) From Heart, ascends next to esophagus, to face/cheek/eye.
3) Heart to Lung to axilla…
Some books say heart to lung, descends, then goes to axilla...
down medial aspect of arm to terminate at the radial corner of the nail on the pinkie.
Where on the tongue can you find Heart expressed?
Heart travels to root of tongue, upper surface of tongue (not lower surface! That’s spleen.)
Page 1 of 8
Point
HT 1
HT 2
Categories
Location
Depression at center of axilla.
Needling
Perpendicular 0.5 – 1 cun
To locate:
Method 1
 Find deepest point of armpit (hollow
of axilla)
Method 2 (more accurate)
 Find anterior and posterior ends of
the axillary fold.
 Use a measure to get the distance
between the 2 and divide it in half.
Avoid the axillary artery.
3 cun proximal to the medial end of the
transverse cubital crease, in the groove
between the medial side of the biceps
brachii and the humeral shaft.
Perpendicular 0.5 – 1 cun
Beware the axillary
artery!
Great point for blurry
To locate:
vision due to the cnx
between heart and eyes.
 Locate with elbow flexed
 Find the medial end of the transverse
cubital crease.
 Measure proximally 3 cun using hand
measure (or measuring tool, dividing
axillary crease end to med cub crease
end into 3rds).
 Locate the point at this line in the
groove between the humeral shaft
and the medial border of the biceps
brachii.
Note: LU 3-4 and LI 13 are on the lateral
border of the biceps brachii. Also, this is
generally in line between HT 3 and HT 1,
Page 2 of 8
Caution/Contra
Medial insertion
towards chest may =
pneumothorax.
Point
Categories
Location
but more important to locate the point in the
groove between humerus and biceps.
Needling
HT 3
He Sea point
Medial end of the transverse cubital crease
when the elbow is fully flexed.
Perpendicular 0.5 – 1 cun
To locate:
Elbow slightly flexed:
 Midway between end of cubital
crease and the bump of the humeral
epicondyle.
Elbow fully flexed:
 Medial edge of the transverse cubital
crease.
HT 4
Jing River point
Radial side of the flexor carpi ulnaris, 1.5
cun proximal to HT 7.
Perpendicular 0.3 – 0.5 cun
To locate, first find HT 7, measure
proximally 1.5 cun.
Note: Ht 4-7 are all located inline. 1.5 cun
total between Ht 4 and Ht 7.
HT 5
Luo Connecting point
Radial side of the flexor carpi ulnaris, 1 cun
proximal to HT 7.
To locate, find HT 7 first, measure
proximally by 1 cun.
Note: Ht 4-7 are all located inline. 1.5 cun
total between Ht 4 and Ht 7.
Page 3 of 8
Perpendicular 0.3 – 0.5 cun
Caution/Contra
Point
HT 6
Categories
Xi Cleft point
Location
Radial side of the flexor carpi ulnaris, 0.5
cun proximal to HT 7.
Needling
Perpendicular 0.3 – 0.5 cun
Caution/Contra
Caution: ulnar nerve
and artery lie adjacent
to this point.
To locate, find HT 7 first, measure
proximally by 0.5 cun.
Note: Ht 4-7 are all located inline. 1.5 cun
total between Ht 4 and Ht 7.
HT 7
Shu-Stream and YuanSource point
At the wrist joint on the transverse crease
that runs through the pisiform bone. On the
radial side of the flexor carpi ulnaris in the
depression at the proximal border of the
pisiform bone.
Perpendicular 0.3 – 0.5 cun
HT 8
Ying Spring point
Between the 4th and 5th metacarpal bones
where the tip of the pinkie rests when you
make a fist.
Perpendicular 0.3 – 0.5 cun
Usually located between the two transverse
palmar creases.
HT 9
Jing-Well point
Dorsal aspect of pinkie on the radial corner
of the fingernail.
Small Intestine
Where does the Small Intestine channel begin?
Ulnar side of little finger on corner of fingernail.
What is the path of the SI primary channel?
Page 4 of 8
Perpendicular 0.1 – 0.2 cun
Ascends along the ulnar (yang) side of the arm, to medial side of elbow (but still on the yang aspect), to shoulder then to Du 14. Goes over
shoulder to anterior side of body, up neck to cheek below eye, around and into ear.
One branch descends to the lower he-sea point at ST 39.
To what organs does the SI channel connect?
Heart, Stomach, Small intestine.
Point
SI 1
Categories
Jing-Well point
Location
Ulnar corner of pinkie fingernail, opposite
side from HT 9.
Needling
Perpendicular 0.1 – 0.2 cun
SI 2
Ying-Spring point
Ulnar border (where skin changes
Perpendicular 0.2 – 0.3 cun
color/txture) of little finger in a depression
just distal to the metacarpo-phalangeal joint.
Make a loose fist and palpate for the
depression – it’s usually right at the end of
the crease.
(You locate LI 2 this same basic way.)
SI 3
SI 4
Shu-Stream point
Ulnar border of hand where skin changes
Confluent pt of Du vessel color in a big depression proximal to the
head of the 5th metacarpal bone.
Du = Governing
Make a loose fist and it’s easier to find.
Perpendicular 0.3 – 0.8 cun
Yuan-Source point
Perpendicular 0.3 – 0.5
cun.
Ulnar border of the hand where the skin
changes colors in a depression between the
base of the 5th metacarpal bone and the
triquetral bone.
Just distal to triquetral bone.
Page 5 of 8
Needle it with hand in a
loose fist also.
Caution/Contra
Point
SI 5
Categories
Jing-River point
Location
On the transverse crease of the wrist in the
depression between the head of the ulna and
the triquetral bone.
Needling
Perpendicular 0.3 – 0.5 cun
SI 6
Xi Cleft point
Dorsal aspect of the head of the ulna in a
cleft level with and to the radial side of the
high point of the styloid process of the ulna.
Perpendicular 0.5 – 0.8 cun
KNOW:
Indicated for—
1) eye degeneration
due to aging.
2) Headaches
3) Acute lower back
pain
4) Shoulder joint
pain such as
bursitis or
tendonitis.
SI 7
Luo-connecting point
Caution/Contra
To locate:
1) lie hand flat on table.
2) Place point of finger on the styloid
high point of the ulna.
3) Have patient rotate the wrist toward
their own body and the finger will
fall into a depression.
4) Be sure to locate the point on the
distal side of this depression, not the
proximal side.
Inline with SI-5 and SI-8, 5 cun proximal to
SI-5.
Perpendicular 0.5 – 1 cun
(5 to 5…just like LI 7 is 5 to 7. Both are 5
cun proximal to transverse crease of wrist.)
SI 8
He-Sea point
Funny bone point…
In depression between the tip of the
olecranon process of the ulna and the tip of
the medial epicondyle of the humerus.
Page 6 of 8
Perpendicular 0.3 – 0.5 cun
Ulnar nerve lies deep to
the point.
“Zap” isn’t Qi here!
It’s the ulnar nerve!
Pull out a bit, change
direction and no
damage if you do it
quick.
Point
SI 9
Categories
Location
1 cun superior to the posterior tip of the
axillary crease when the shoulders are
dropped and the arms are at the sides
normally.
Needling
Perpendicular 1-1.5cun
SI 10
Meeting of SI and BL
with Yin Linking and
Yang Motility
Depression directly below the acromion on
the lateral side of the scapular spine. This
point should be directly above the posterior
tip of the axillary crease.
Perpendicular 1-1.5cun
SI 11
SI 12
Caution/Contra
In a depression on the infrascapular angle
Perpendicular or oblique
line. To find this point:
toward manifestation .51. Locate the mid point of the lower
1.5 cun
border of the scapular spine
2. Locate the posterior border of the
scapula.
3. Draw a line between these two
points and divide into thirds. SI 11 is
located at the meeting point of the
upper 1/3 and the lower 1/3.
Meeting of SI, LI, SJ, GB In the suprascapular fossa at the mid point
of the upper border of the scapular spine.
Locate the point just above the bone.
Perpendicular 0.5-1cun
Risk of pneumothorax
with deep puncture!
SI 13
Depression at the medial end of and
superior to the scapular spine. To locate,
find the medial border of the scapula.
Should be about midway between SI 10 and
the spinous process of T2.
Perpendicular or oblique
toward the scapula 0.5-0.8
cun
Risk of pneumothorax
if point is angled to
medially.
SI 14
3 cun lateral to the lower border of the
spinous process of T1 (Du 13) on or near
the medial border of the scapula.
Oblique  scapula 0.5-1
cun
Risk of pneumothorax
Page 7 of 8
Point
SI 15
Categories
Location
2 cun lateral to Du 14 (lower border of C7
spin process
Needling
Oblique scapula 0.5-1
cun
SI 16
Window of Sky
On lateral aspect of neck level with
laryngeal prominence. Locate the point on
this level on posterior border of SCM.
(in horizontal line with ST 9 on anterior
border and LI 18 between the two heads of
the SCM)
Perp 0.3-0.8 cun
SI 17
Window of Sky
In a depression between the angle of the jaw Perp 0.3-0.8
and the anterior border of the SCM. Point is
level with the angle of the jaw/mandible
SI 18
Meeting of SI and SJ
Directly below the outer canthus of the eye
and on the inferior border of the zygomatic
bone.
Perp 0.3-0.5 cun
SI 19
Meeting of SI, SJ, GB
Just anterior to the tragus of the ear (or the
lower tragus if the pt has 2 of them) and
posterior to the condyloid process of the
mandible/jaw.
Perp 0.5-1cun
Note: with the mouth open there’s a
depression. Locate and needle with the
mouth open, then pt can close jaw.
Page 8 of 8
Caution/Contra
Risk of pneumothorax
Contra: moxa