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Triple Warmer Meridian
Presented by
Steve Jackowicz M.Ac., L.Ac.,
Ph.D.
Triple Warmer Meridian Overview
Triple Warmer Meridian - Hand Shao
Yang - General Information
• Internal/External Pathways
Originates on the tip of the finger
Travels up the arm
Passes and goes across GB in the shoulder region
A branch goes to the chest and connects with the PC
then it travels down to the abdomen
• A branch originates from the chest
Goes up the neck around the ear to the outside of the
eye
Another branch enters the ear and continues to the
outer canthus and links up with the GB
Triple Warmer 1
Guanchong
Passage Hub
Location
0.1 cun posterior to the corner
of the nail on the ulnar side of
the ring finger.
Functions
¤ Jing Well Point
¤ Metal Point
¤ Entry Point
¤ Similar to TW 3 which is
used more clinically.
Triple Warmer 2
Yemen
Humor Gate
Location
(0.5 cun) proximal to the
margin of the web between
the ring and the little fingers,
in a depression when fist is
clenched at the border of the
red and white skin.
Functions
¤ Ying Spring Point
¤ Water Point
¤ Similar to TW 3 which is
used more clinically.
Triple Warmer 3
Zhongzhu
Central Islet
Triple Warmer 4
Yangchi
Yang Pool
Location
With fist clenched on dorsum of
the hand between the 4th and 5th
metacarpal bones in a depression
proximal to the 4th
Metacarpalphalangeal joint.
Location
On transverse crease of dorsum
of wrist in a depression on the
ulnar side of the extensor
digitorum communis tendon.
Functions
Functions
¤ Shu Stream Point
¤ Wood Point
¤ Ear Problems of any etiology
such as excess tinnitus, especially
those arising from a LV issue such
as LV Qi Stagnation or LV Yin
Deficiency.
¤ Distal point for temporal
headaches, shoulder a/or upper
back pain, pain a/or inflammation
in the throat.
¤ Eye diseases with GB 37.
¤ Yuan Source Point
¤ Dorsal wrist issues such as
strains, sprains or subluxations.
¤ Wasting & thirsting disorder,
regulates water metabolism,
alleviates dry mouth a/or thirst.
¤ Moxa to tonify the Yang of the
body.
Triple Warmer 6
Triple Warmer 5
Waiguan
Outer Pass
Location
2 cun above TW 4 between the
radius and the ulna on the 4 - 10
line ** Japanese Discrepancy **
Functions
¤ Luo Connecting Point
¤ Yang Wei Master Point coupled with
GB 41
¤ Beginning exterior conditions, tonify
for wind-cold, cold-damp & sedate for
wind-heat, fever.
¤ Headache from exterior wind as well
as migraines and headaches in any
area especially with stiffness or pain
in the posterior and lateral aspects of
the neck.
¤ Upper limb disorders including the
elbow, forearm, wrist and hand.
¤ Shaoyang stage diseases alternating fever and chills, etc.
Zhigou
Branch Ditch
Location 3 cun above TW 4 between
the radius and ulna on the radial side
of the extensor digitorum muscle on
TW 4 and tip of the olecranon line.
Functions
¤ Jing River Point
¤ Fire Point
¤ Affects the Triple Warmer in the
following ways:
¤ Lower: Constipation due to
stagnation and heat in the body.
¤ Middle: Issues with the chest &
hypochondrium, often used with GB
34 for chest & rib pain, also "sudden
turmoil disorder" (vomiting & diarrhea).
¤ Upper: Febrile diseases with no
sweating, eye redness & pain, ear
pain, inflammation.
Triple Warmer 7
Huizong Convergence and Gathering
Location
Level with and one finger
width from TW 6 on the
radial border of the ulna.
Functions
¤ Xi Cleft Point
¤ Local Point
Triple Warmer 8
Sanyangluo Three Yang Connection
Location
4 cun above TW 4 between
the radius and ulna.
Functions
¤ Sudden deafness
¤ acute or chronic loss of
voice,
¤ aphasia -- combine with
HT 5 & CV 23.
Triple Warmer 9
Sidu
Four Rivers
Location
7 cun above TW 4, 5 cun below
the olecranon, between the radius
and ulna on the ulnar side of the
forearm.
Functions
¤ Local Point
Triple Warmer 10
Tianjing
Celestial Well
Location
1 cun superior to e olecranon process in a
depression with elbow flexed.
Functions
¤ He Sea Point
¤ Ear Point
¤ Sedation Point
¤ Transforms phlegm, reduce lymph
swellings, thyroid disorders.
¤ Elbow pain, tendonitis.
¤ One-sided headache, migraines.
¤ Useful for depression a/or anxiety,
especially with chest pain or oppression,
angina a/or palpitations.
¤ Epilepsy (phlegm obstruction), possibly
mania as well.
Differentiation:
¤ TW 5 is for headache anywhere whereas
TW 10 is specifically for one-sided
headaches.
Triple Warmer 11
Qinglengyuan Clear Cold
Abyss
Location
1 cun above TW 10
with elbow flexed.
Functions
¤ Local Point
Triple Warmer 12
Xiaolou
Dispersing Riverbed
Location
Midway between TW 11
and TW 13 on line
joining the olecranon and
TW 14.
Functions
¤ Local Point
Triple Warmer 13
Naohui Upper Arm Convergence
Triple Warmer 14
Jianliao
Shoulder Bone Hole
Location
3 cun below TW 14 on the
posterior border of the deltoid
muscle on line joining TW 14
and the olecranon.
Location
On shoulder, posterior to LI 15,
in a depression inferior and
posterior to the acromion
when arm is abducted.
Functions
Functions
¤ Shoulder problems,
especially those involving the
lateral or posterior aspects of
the shoulder.
¤ Intersection Point of the
TW, LI & Yang Wei Channels.
¤ Local Point
Triple Warmer 15
Tianliao
Celestial Bone Hole
Location
Midway between GB 21 and SI
13 on the superior angle of
the scapula.
Functions
¤ Intersection Point of the
TW, GB & Yang Wei Channels
¤ Local Point
Triple Warmer 16
Tianyou
Celestial Window
Location
Directly below mastoid
process, level with the
mandibular angle and on the
posterior border of the SCM
muscle (in line with SI 17 and
GV 15).
Functions
¤ Window of the Sky Point
¤ Intersection Point of the TW
& GB Channels
¤ Local Point
Triple Warmer 17
Yifeng
Wind Screen
Location
Posterior to lobule of ear in
depression between the
mandible and mastoid
process.
Triple Warmer 18
Qimai
Spasm Vessel
Location
In the center of the mastoid
process at the junction of the
middle and lower third of
curve (TW17 - TW 20)
posterior to helix.
Functions
Functions
¤ Intersection Point of the
TW & GB Channels
¤ Wind problems deriving from
internal or external sources,
Bell's palsy.
¤ Ear problems, tinnitus,
deafness, acute earache due
to wind cold.
¤ Local Point
Triple Warmer 19
Luxi
Skull Rest
Location
Posterior to ear at
junction of the upper and
middle third of curve
(TW17 - TW20) behind
curve.
Triple Warmer 20
Jiaosun
Angle Vertex
Location
Directly above ear apex
within hairline.
Functions
Precaution: AA NDN
¤ Intersection Point of
the TW, SI & GB
Channels
Functions
¤ Local Point
¤ Local Point
Ermen
Triple Warmer 21
Ear Gate
Location
Anterior to the supratragic notch
and behind the posterior border of
the condyloid process of the
mandible with the mouth open.
Functions
¤ Intersection Point of the TW, SI
& GB Channels
¤ Ear problems of an excess or
deficient nature, tinnitus,
deafness, earache.
¤ TMJ problems, upper jaw too
ache, combine with ST 6 & ST 7.
Triple Warmer 22
Erheliao
Harmony Bone Hole
Location
Anterior and superior to TW 21
level with the root of the auricle
on posterior border of hairline of
the temple where superficial
temporal artery passes.
Precaution: AA
Functions
¤ Intersection Point of the TW, SI
& GB Channels
¤ Local Point
Triple Warmer 23
Sizhukong
Silk Bamboo Hole
Location
In a depression at the
lateral end of the
eyebrow.
Precaution: No Moxa
Functions
¤ Eye pain, redness,
swelling, twitching,
drooping eyelid.
¤ Liver Wind or Liver Fire
headache, combine with
local points.