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The Channel Colin Chan THE TRIPLE ENERGIZER CHANNEL OF HAND-SHAOYANG PART 1 Copy right: Colin Chan The Triple Energizer channel of Hand-ShaoYang General Information of the Triple Energizer (TCM) 1. Special Fu-organ, divides the internal organs in the chest and abdomen. 2. Composed of upper, middle and lower energizer. Physiological functions of the Triple Energizer (TCM) 1. To regulate fluid distribution and metabolism. (通調水道). Relationship of the Triple Energizer to other organs (TCM) 1. Internal-External related with the Pericardium. Copy right: Colin Chan The Triple Energizer Channel of Hand-ShaoYang Route 5 Surface pathway 4 3 The Triple Energizer channel starts from the tip of the ring finger, runs upwards between the 4th and 5th metacarpal bones along the dorsal aspect of the hand and continues to ascend between the radius and the ulnar, and up to the olecranon. It goes along the (posterior) lateral aspect of the upper arm to the shoulder region, running close to the GB channel (upper scapular region) and winding over into the SC fossa. 2 1 Copy right: Colin Chan The Triple Energizer Channel of Hand-ShaoYang Route Inner pathway 6 U From the SC fossa, it enters the chest and link with the PC channel. From the chest, it U descends through the diaphragm and joins its pertaining organ. M L M L Copy right: Colin Chan Route- Branch 10 9 A branch starts from the chest and ascends to the SC fossa. It continue to run upwards along the neck and proceed to the posterior border of the ear. It crosses from the superior aspect of the ear to the corner of the forehead, 8 7 turning downwards to the cheek and wind up to the inferior aspect of the eye. 11 12 Copy right: Colin Chan Route- Branch Another branch starts from retro-auricular region and enters the ear. It emerges at the front of the ear, crosses the 1st branch at the cheek and terminates at the outer canthus (Joins with the Gall Bladder channel). 13 Copy right: Colin Chan Principal Syndrome 1. Deafness, tinnitus. 2. Swelling of pharynx and throat. 3. Hidrosis, pain in the outer canthus, pain in the cheek. 4. Pain in the posterior border of the ear, pain in the lateral aspect of the shoulder, upper arm, elbow and forearm. 5. Dysfunction of the ring finger. Copy right: Colin Chan Commonly used acupoint TE 1 Guanchong 关冲 Location : On the ulnar aspect of the distal phalanx of the ring finger, acupoint is located 0.1 cun distance from the corner of the nail. Classification: Jing-Well point. Approach: shallow insertion technique 0.1 cun or prick to bleed. 关为门之意, 冲为冲要 此穴是三焦经之井穴, 经气由此而出 故为关冲 Copy right: Colin Chan TE 2 Yeman 液门 Commonly used acupoint Location : On the dorsum of the hand, acupoint is located proximal to the margin of the web between the 4th and 5th fingers, at the junction of the red and white skin. Classification: Ying-Spring point. Approach: perpendicular insertion technique, 0.3-0.5 cun. 液为精气 此穴是三焦经之气冲荥之门 故为液门 Copy right: Colin Chan Commonly used acupoint TE 3 Zhongzhu 中渚 Location : On the dorsum of the hand, acupoint is located on the ulnar aspect of the 4th metacarpal bone, in the depression proximal to the 4th MCP. Classification: Shu-Stream point. Approach: perpendicular insertion technique, 0.3-0.5 cun. 渚为水中小州, 三焦水道似江 此穴居其中如渚 故为中渚 Copy right: Colin Chan Commonly used acupoint TE 4 Yangchi 阳池 Location : On the transverse crease of the dorsum of the wrist, acupoint is located in the depression and on the ulnar aspect of the tendon m. extensor digitorum communis. Classification: Yuan-Source point. Approach: perpendicular insertion technique, 0.3-0.5 cun. 阳为阳经, 有背之意, 陷者为池 此穴居当腕骨, 凹似池 故为阳池 Copy right: Colin Chan Commonly used acupoint TE 5 Waiguan 外关 Location : On the dorsal aspect of the forearm, acupoint is located on the line joining TE 4 Yangchi 阳 池 and the tip of the elbow, 2 cun above the transverse crease of the wrist, between the radius and the ulnar. 外为表, 关有联系与门户之意 此穴为阳经联外的关卡 故为外关 Classification: Luo-Connecting point, one of the 8 confluent point (linking with the Yang Link Vessel 通阳维脉). Approach: perpendicular insertion technique, 0.5-1.0 cun. Copy right: Colin Chan The Collateral route of TE channel TE 5 Waiguan 外关 Waiguan: Is assigned as the Luo-Connecting point. • Its rouite as a collateral starts from 2 cun above the dorsal transverse crease of the wrist, up along the dorsal aspect of the forearm and ascends up and over the shoulder region and it enters the chest to link with the PC channel. (The GB channel runs over the shoulder region). Copy right: Colin Chan Commonly used acupoint TE 6 Zhigou 支沟 Location : On the dorsal aspect of the forearm, acupoint is located on the line joining TE 4 Yangchi 阳 池 and the tip of the elbow, 3 cun above the transverse crease of the wrist between the radius and the ulnar. Classification: Jing-River point. 支为上肢, 沟为沟渠 穴在上肢两骨之间, 其形如沟 故为支沟 Approach: perpendicular insertion technique, 0.5-1.0 cun. Copy right: Colin Chan Commonly used acupoint TE 7 Huizhong 会宗 Location : On the dorsal aspect of the forearm, acupoint is located 3 cun above the transverse crease of the wrist, on the ulnar aspect of TE 6 Zhigou 支沟 and on the radial aspect of the ulnar bone. Classification: Xi-Cleft point. 穴既支沟旁, 为三焦之郗 为经气宗会之所 Approach: perpendicular insertion technique, 0.5-1.0 cun. 故为会宗 Copy right: Colin Chan Commonly used acupoint TE 8 Sanyangluo 三阳络 Location : On the dorsal aspect of the forearm, acupoint is located 4 cun above the transverse crease of the wrist, between the radius and the ulnar. Classification: - 穴在手三阳经之间通行, 两旁二经络脉 Approach: perpendicular insertion technique, 0.5-1.0 cun. 本穴可相通联络之 故为三阳络 Copy right: Colin Chan Commonly used acupoint TE 10 Tianjing 天井 Location : On the lateral-(posterior) aspect of the upper arm, acupoint is located in the depression 1 cun above the olecranon of the ulna when the elbow is flexed. Classification: He-Sea point. 穴在肘后曲肘凹陷中, 形如井 腰以上为天 故为天井 Approach: perpendicular insertion technique, 0.5-1.0 cun. Copy right: Colin Chan Commonly used acupoint TE 13 Naohui nao会 穴在臂nao之侧 Location : On the (posterior) aspect of the upper arm, acupoint is located n the line joining the olecranon and TE 14 Jianliao 肩蓼, 3 cun below TE 14 Jianliao 肩蓼, on the posterior-inferior border of the m. deltoideus. 是三焦与阳维之会所 Classification: - 故为nao会 Approach: perpendicular insertion technique, 1.0-1.5 cun. Copy right: Colin Chan Commonly used acupoint TE 14 Jianliao 肩蓼 Location : On the region of the shoulder, acupoint is located in the depression posterior and inferior to the acromion (posterior to LI 15 Jianyu 肩禺) when the arm is abducted. 蓼为隙也 穴当肩端下陷中 故为肩蓼 Classification: Approach: perpendicular insertion technique, 1.0-1.5 cun towards the shoulder joint. Copy right: Colin Chan Commonly used acupoint TE 17 Yifeng 翳风 Location : Posterior to the lobule of the ear, acupoint is located in the depression between the angle of the mandible and the mastoid process. Classification: Crossing point of TE and GB channel. 翳为隐藏 穴隐于耳垂后凹陷中, 能治风证 Approach: perpendicular insertion technique, 0.5-1.0 cun. 故为翳风 Copy right: Colin Chan Commonly used acupoint TE 20 Jiaosun 角孙 Location : On the head, acupoint is located directly above the apex of the auricle when it is bend forward. Classification: Crossing point of TE and GB channel. Approach: oblique insertion technique, 0.3-0.5 cun. 角为耳角, 孙为多之意 故为角孙 Copy right: Colin Chan TE 21 Ermen 耳门 Commonly used acupoint Location : On the face, acupoint is located in the depression anterior to the supra-tragic notch, posterior to the condyloid process of the mandible when the mouth is open. Classification: - 门, 为经气出入之所 穴在耳上切迹凹陷处, 支脉从耳后入耳, Approach: perpendicular insertion technique, 0.5-1.0 cun. 出于此穴, 故为耳门 Copy right: Colin Chan Commonly used acupoint TE 23 Sizhukong 丝竹空 Location : On the face, acupoint is located in the depression at the lateral end of the eyebrow. Classification: Approach: oblique insertion technique, 0.3-0.5 cun. 丝指细, 空指凹陷 穴在眉毛外尖细的孔窍中 故为丝竹空 Copy right: Colin Chan END OF PART 1 Copy right: Colin Chan THE TRIPLE ENERGIZER CHANNEL OF HAND-SHAOYANG PART 2: TUITORIAL Copy right: Colin Chan Tutorial 5 10 9 13 4 Starts: ulnar aspect of the ring finger. 1 Pertain: Triple Energizer. 6 Runs: 8 6 7 Ends: 3 along the dorsal aspect of the lower arm to the lateral-posterior aspect of the upper arm, to the scapula, to the SC fossa, up the neck to behind and around the ear. lateral aspect of the eyebrow. Communicates: Communicates with PC channel through TE 5 Waiguan 外关. 2 1 Breaks/Joins: breaks from behind the ear and joins the Gall Bladder channel at the lateral aspect of the outer canthus. 13 Acupoints: total 23 acupoints. Copy right: Colin Chan 2 3,4,5 8, 9, 10 COMMON CLINICAL POINTS TE 1 Guanchong 关冲 TE 3 Zhongzhu 中渚 TE 4 Yangchi 阳池 TE 5 Waiguan 外关 TE 6 Zhigou 支沟 TE 14 Jianliao 肩蓼 TE 17 Yifeng 翳风 TE 21 Ermen 耳门 TE 23 Sizhukong 丝竹空 Copy right: Colin Chan OVERVIEW OF MEDICAL CONDITION POINTS ON SHOULDER AND ARM MAIN TX: REGIONAL ILLNESS NECK AND LATERAL ASPECT OF HEAD MAIN TX: EYE, EAR AND REGIONAL ILLNESS Copy right: Colin Chan PRECAUTIONS POINTS ON NECK AND FACE NO THRUSTING Copy right: Colin Chan END OF PART 2 Copy right: Colin Chan