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EQUINE ACUPOINTS FIVE ELEMENTS ......................................................................................................... 2 TCM PATHOGENS ...................................................................................................... 3 SOME TREATMENT GUIDELINES .......................................................................... 4 ACUPRESSURE CHART ............................................................................................. 6 KIDNEY MERIDIAN ................................................................................................... 7 BLADDER MERIDIAN ................................................................................................ 9 LIVER MERIDIAN ..................................................................................................... 15 GALL BLADDER MERIDIAN .................................................................................. 17 HEART/PERICARDIUM MERIDIAN....................................................................... 21 SMALL INTESTINE MERIDIAN.............................................................................. 25 SPLEEN MERIDIAN .................................................................................................. 28 STOMACH MERIDIAN ............................................................................................. 30 LUNG MERIDIAN ..................................................................................................... 34 LARGE INTESTINE MERIDIAN .............................................................................. 36 TRIPLE HEATER MERIDIAN .................................................................................. 40 GOVERNING VESSEL MERIDIAN ......................................................................... 44 CONCEPTION VESSEL MERIDIAN........................................................................ 48 BONY LANDMARKS ................................................................................................ 51 MUSCLES ................................................................................................................... 52 JIN SHIN JYUTSU...................................................................................................... 54 FIVE ELEMENTS WATER Kidney WOOD Liver YANG ORGAN Bladder Gall Bladder CLIMATE SEASON Cold Winter Windy Spring DIRECTION TASTE SENSE TISSUE North Salty Hearing Bones South Bitter Speech Vessels EMOTION SOUND SMELL OPENS INTO MANIFESTS Fear Groaning Putrid Ears Head hair East Sour Sight Sinews, ligaments, tendons Anger Shouting Rancid Eyes Nails FLUID SPIRIT Urine Zhi (Will Power) Reproductive / Urinary Tears Hun (Benevolent) Nervous KD=5–7pm UB=3–5pm LV=1-3am GB=11pm1am YIN ORGAN WESTERN TIME FIRE Heart / Pericardium Small Intestine / Triple Warmer Hot Summer EARTH Spleen / Pancreas Stomach METAL Lung Damp Late Summer Centre Sweet Taste Muscle and flesh Dry Autumn Joy Laughter Burned Tongue Complexion Worry Singing Sweetish Mouth Lips Sweat Shen (Spirit) Saliva Yi (Intellect) Digestive / Lymphatic/ Muscular SP=9-11am ST=7-9am Grief Crying Rank Nose Skin & body hair Mucus Po (Animal) Respirator y Circulatory / Hormonal / Endocrine HT=11pm-1am SI=1-3pm PC=7-9pm TW=9-11pm Large Intestine West Pungent Smell Skin LU=3-5am LI=5-7am TCM PATHOGENS Pathogen Cold Damp Phlegm Heat Wind Characteristics Colour Treatment SOME TREATMENT GUIDELINES Muscles and joints Lower back soreness UB20, UB23, UB24, UB27, UB40, UB67, GB29, GB30, GB34, GB44, GV4, TH5, Bai Hui Neck Stiffness UB10, UB11, UB60, GB20, GB21, GB34, GB39, L7 Shoulder soreness GB21, SI3, SI9, SI11, LI4, LI14, LI15 Stifle problems UB20, UB21, ST35, ST36, GB34, GB36, SP1, SP9, LV8 Hock problems UB39, UB60, UB62, ST41, ST42, SP5, GB21, GB38, K3, K7 Arthritis Arthritis – Worse with cold ST36, LI10, LI11, CV6 Arthritis – Joints show heat ST44, LI4, LI11, GV14 Arthritis – Worse with cloudy wet weather SP6, SP9, ST36, ST40, CV4, CV6 Arthritis – location of pain changes UB11, UB12, GB39, TH5, LI11, GV14 Colic Colic – Flatulent ST25, ST30, ST39, SP6, UB25, UB27 Colic – Impaction ST36, SP6, K6, UB21, UB25, CV4 Colic – Spasmodic ST25, LV3, LI20, UB20, UB25, UB27 Colic – Preventative treatment UB20, UB21, UB25, UB27, ST25, ST36, ST39, SP6, PC6, CV4, CV6, CV12 Foot Laminitis – Acute SP21, LV14, PC9, TH1, L11, SI1 Laminitis – Chronic UB13, UB18, UB23, LI4, L7, L9, TH1, L11, SI1 Navicular SI9, UB11, UB23, PC1, PC9 Performance Pre-performance GB21, GB34, Bai Hui, TH5, PC6, HT6 Post-performance SP6, ST2, ST36, Bai Hui, UB60, L1, LI4 Other Edema/Swelling K3, L1, L3, LI2, LI4, LI5, SP2, ST36, UB20, TH4, ting points Cold/Cough L1, L5, L9, L10, LI4, LI20, ST40, CV17 Cribbing UB17, UB21, ST9, ST12, ST45 Heaves UB13, UB15, PC6, L1, L9, K27, GV14, CV17 Immune system strengthening UB17, UB23, ST36, SP6, PC6, LI4, LI11, GB39, GV14 Nervousness/Anxiety UB15, HT7, PC6, PC7, GV24 Shock UB5, UB7, HT9, K1, TH1, GV26 Tying Up / Azoturia UB19, UB23, UB28, LV1, LV3, GB24, GB34, GB44, GV8 Vision LI4, UB1, UB67, ST1, GB1, GB37 Depression HT3, LV3 Allergies TH8, SP6 (always together) Wind GV16, UB12, UB60, GB31, LV3 Heat Ting points Dampness SP9, UB28 (together) ACUPRESSURE CHART KIDNEY MERIDIAN Store essence – Constitution Produces marrow – Building block for bones, blood, bone marrow, brain and spinal cord. Dominates the bones Dominates body fluid – water metabolism Grasp the Qi (air) – enable deep breathe Opens into ears Sexual function Faecal and urinary continence Manifests on the head hair Will power and short term memory Yin and Yang for whole body – Opposite (extreme) symptoms Point TCM Indications Western indications Location 5 Elements / Landmarks K1 Tonifies Yin, clears heat, subdues wind and empty heat, calms the mind and restores consciousness. Shock, high fever, pain at the heel. In a depression between the bulbs of the heel of the hind limb. K2 Cools blood and pacifies fire, drains kidney heat. Caudomedial to the tibial tarsal bone. K3 Tonifies the kidneys and benefits the essence. Benefits the Kidney function of dominating water Arthritis of the tarsal joint, ankle sprain, tendinitis, sexual dysfunction, irregular menses, cystitis. Arthritis and local swelling of the tibiotarsal joint, paralysis of the pelvic limb, cystitis, kidney dysfunction, parturition, oestrous Well Point. TING POINT. Sedation and wood point. Hou Jiu, central bulb of pelvic heel. He Zi, talus Fire point In a depression between the medial malleolus and the tendocalcaneus, at the level of the proximal tip of the Power balancing point. Stream Point. Source and Earth point metabolism. K4 Regulates Kidney and harmonizes the blood. K5 K6 K7 K8 K9 K10 K11 K12 K13 K14 K15 K16 K17 K18 K19 K20 K21 K22 K23 K24 K25 K26 cycle irregularity, cough. Poor stamina, dyspnea, arthritis of the hock, pain in the lumbosacral region. Hock disorders, Kidney disorders, irregular heat cycles, hindlimb edema. medial malleolus. 0.5 cun caudodistal to K3 on the medial border of the tendocalcaneus. Caudal to the distal end of the tibia, 1 cun distal to K3 Luo Point Accumulation point. Benefits Kidney function of dominating water metabolism, relieves Dampness, calms the mind, promotes Source Qi Hock pain, obstetric problems, anhidrosis, anxiety. 2 cun proximal to K3 on the cranial border of the tendocalcaneus. Tonification and Metal point. Dispels Heat and Damp, regulates Qi circulation, tonifies liver and kidney. Stifle pain, lethargy, cystitis, deep lumbar stiffness. On the medial side of the popliteal fossa at the level of UB40, between the semimembranosus and semitendinosus muscles. Water point Urinary incontinence, colic, diarrhoea, postpartum abdominal pain. 0.5 cun lateral to the ventral midline, 2 cun caudal to the umbilicus. K27 Regulates Lung Qi, harmonizes Stomach. Cough, asthma, chest pain, immunemediated disorders. Between the sternum and the first rib, over the descending pectoral muscle, 2 cun lateral to the midline. Association point of all association points. Western Indications Location 5 Elements / Landmarks UB1 Conjunctivitis, keratitis, periodic ophthalmia, calming Da Yan Jiao, medial canthus UB2 Ocular conditions, conjunctivitis, calming. At the medial canthus of the eye, in the indentation dorsal to the base of the nictitating membrane. In a depression dorsal to UB1 at the hair whorl. Cervical rigidity and pain, wobbler syndrome, pain in the shoulder and back, encephalitis. Caudal to the ear, in a depression caudal to the wings of the atlas, 2 cun ventral to Fu Tu, wing of the atlas BLADDER MERIDIAN Point UB3 UB4 UB5 UB6 UB7 UB8 UB9 UB10 Receives and excretes urine TCM Indications UB11 Increases Qi, Pain in the neck and back, pain in the scapula region, cough, fever, tonic for internal conditions. UB12 Eliminates wind, Cervical pain and backache, cold, cough, fever. UB13 Dispels heat and Pain along the medial aspect of the forelimb, respiratory problems. UB14 Cough, lung congestion, anxiety eliminates pathologic wind and eases pain. Painful joints and chronic arthritis. promotes lung function dispersing Qi. promotes lung function in dispersing Qi UB15 Benefits the heart, Cardiac pain, cough, anxiety UB16 All neck and back problems, soreness at the withers, hair loss, pruritus, abdominal pain. clams the mind, regulates circulation of Qi and blood. UB17 Regulates Qi circulation, tonifies blood, and pacifies the stomach. High blood pressure, low haemoglobin, white and red blood cell count, decreases prolonged clotting time, fatigue, nonresponsive skin conditions, immunostimulation, the mane, between the splenius and brachiocephalicus muscles. 3 cun lateral to the dorsal midline, between the 2nd and 3rd thoracic vertebrae. Cranial to the withers, over the cervical portion of the trapezius muscle. 1 cun lateral to the spinous process between the 4th and 5th thoracic vertebrae at the highest point of the withers. Start of outer meridian. 3 cun lateral to the dorsal midline, at the caudal edge of the scapular cartilage in the 8th intercostal space in the iliocostal muscle groove. 3 cun lateral to the dorsal midline, in the 9th intercostal space in the iliocostal muscle groove. 3 cun lateral to the dorsal midline, in the 10th intercostal space in the iliocostal muscle groove. 3 cun lateral to the dorsal midline, in the 11th intercostal space in the iliocostal muscle groove. 3 cun lateral to the dorsal midline, in the 12th intercostal space in the iliocostal muscle groove. T2/3 INFLUENTIAL POINT of Bone. T4/5 INFLUENTIAL POINT of Wind/Trachea . UB41 IC 8 Lung Shu Point. UB42 IC 9 Pericardium Shu Point. UB43 IC 10 Heart Shu Point. UB44 IC 11 Governing Vessel Shu Point. UB45 IC 12 Diaphragm Shu Point. INFLUENTIAL POINT of Blood/Diaphr agm. UB46 UB18 Benefits liver UB19 UB20 UB21 function of patency of flow of Qi. Dispels and transforms dampheat form livergallbladder. Clears the mind and brightens the eye. Benefits liver function of patency of flow of Qi. Dispels and transforms dampheat form livergallbladder. Benefits the spleen function of transformation and transportation, raising Qi. Dispels and transforms dampness. Benefits the stomach function of descending. Dispels and transforms damp. UB22 UB23 Tonifies the kidney yin, strengthens the brain and marrow, benefits the mind, brightens the eye, and strengthens the caudal back and knees. Benefits the kidney function of dominating water metabolism. Dispels and transforms dampness. lung, heart, and stomach conditions. Myositis, tendinitis, ophthalmic disorders, abdominal pain, back soreness. Pain in the hip, sciatica, myositis, tendinitis, desmitis, gastrointestinal problems, pain in the chest and abdomen. Pain along the spleen meridian, back pain, gastrointestinal disorders, obstetric disorders, edema. Pain along the stomach meridian (lateral aspect of the hindlimb), gastrointestinal disorders. Hormonal- endocrine imbalances of the thyroid, adrenals and gonads, thermoregulation, gastrointestinal conditions, pain and stiffness of the caudal back. Asthma, genitourinary disorders, pain in the lumbrosacral area and hip, paralysis of the hindlimb, geriatric weakness. 2 points, each 3 cun lateral to the dorsal midline, in the 13th and 14th intercostal spaces in the iliocostal muscle groove. IC 13&14 Liver Shu Point. UB47 3 cun lateral to the dorsal midline, in the fifteenth intercostal space in the iliocostal muscle groove. IC 15 Gallbladder Shu Point. UB48 The 16th IC space is skipped. 3 cun lateral to the dorsal midline, in the 17th (last) intercostal space in the iliocostal muscle groove. Caudal to the last rib (T18) at the thoraco-lumbar junction, 3 cun lateral to the dorsal midline. 3 cun lateral to the dorsal midline, between the spinous processes of the 1st and 2nd lumbar vertebrae. IC 17 Spleen Shu Point. UB49 3 cun lateral to the dorsal midline, between the spinous processes of the 2nd and 3rd lumbar vertebrae, directly dorsal to the caudal aspect of the last rib. L2/3 Kidney Shu Point. UB52 T/L Stomach Shu Point. UB50 L½ Triple Heater Shu Point. UB51 UB24 Pain in the lumbrosacral area. UB25 Benefits large intestine function of transportation. UB26 UB27 Pain in the neck, shoulder and lateral aspect of the forelimb, caudal back pain, muscular impairment of the hindlimb, arthritis of the hock and stifle, sciatica, colic, constipation, diarrhoea, fever, rhinitis, dyspnea. Infertility, retained placenta, kidney and bladder disorders, rectal prolapse. Caudal back pain, sciatica, caudal abdominal pain. UB28 Strengthens the Pain along the spinal column, all genitourinary problems, colic. UB29 Stiffness and pain in the sacrum and lumbar spine. kidney Yang, regulates baldder, and promotes functions of the urinary and reproductive systems, dispels wind-damp. Warms Yang, dissipates cold. UB30 Regulates menses, Stiffness and pain in disperses lower heater stagnation. UB31 Warms the lower burner, tonifies kidney. the sacrum, irregular estous cycles, endometritis, constipation, rectal prolapse. Lumbar and sacral pain, paralysis of the hindlimb, infertility relating to cervix, vaginal discharge. 3 cun lateral to the dorsal midline, between the spinous processes of the 4th and 5th lumbar vertebrae. 3 cun lateral to the dorsal midline, between the spinous processes of the 5th and 6th lumbar vertebrae, at the cranial edge of the wings of the ilium. L4/5 3 cun lateral to the dorsal midline, between the spinous processes of the 6th lumbar and 1st sacral vertebrae. 3 cun lateral to the dorsal midline, between the 1st and 2nd sacral vertebrae. 3 cun lateral to the dorsal midline, between the 2nd and 3rd sacral vertebrae. L6/S1 Gates of origin. 3 cun lateral to the dorsal midline, between the 3rd and 4th sacral vertebrae. 3 cun lateral to the dorsal midline, between the 4th and 5th sacral vertebrae. 1.5 cun lateral to the dorsal midline, between the 1st and 2nd sacral foramina, dorsomedial to UB27. L5/6 S1/2 Small Intestine Shu Point. Bladder Shu Point. UB32 Strengthens Hindlimb pain and paresis, vaginal discharge. UB33 Lumbar and sacral pain, irregular cycles, gastrointestinal dysfunction. UB34 Sacral pain, abdominal pain, constipation. kidney, cools heat, eliminates dampness. UB35 Damp heat in the lower burner. UB36 Facilitates meridian circulation Hock problems. Hindquarter pain, arthritis of the hip, myositis of the biceps femoris, semimembranosus and semitendinosus muscles, paralysis of the hindlimb, sciatic and femoral neuritis, vaginal and cervical disorders. Stifle point with UB37 and UB38. Hindlimb pain, subluxation of the pelvis, biceps femoris myositis, sciatic pain. UB37 Hindlimb pain, gonitis, subluxation of the pelvis, biceps femoris myositis, sciatic pain. UB38 Hindlimb pain, gonitis, subluxation of the pelvis, biceps femoris myositis, sciatica, cystitis, haemorrhage, constipation. 1.5 cun lateral to the dorsal midline, between the 2nd and 3rd sacral foramina, dorsomedial to UB28. 1.5 cun lateral to the dorsal midline, between the 3rd and 4th sacral foramina, dorsomedial to UB29. 1.5 cun lateral to the dorsal midline, between the 4th and 5th sacral foramina, dorsomedial to UB30. In the most proximal end of the muscle groove between the biceps femoris and the semitendinosus muscles, lateral to the root of the tail. In the muscular groove between the biceps femoris and semitendinosus muscles. 2 cun dorsal to the tuber ischii. In the muscular groove between the biceps femoris and semitendinosus muscles, 3 cun ventral to UB36, at the level of the tuber ischii. In the muscular groove between the biceps femoris and semitendinosus muscles, 3 cun ventral to UB37. Hui Yang, meeting of Yang Xie Qi, evil Qi Han Gou, Sweat groove. Yang Wa, face up tile UB39 UB40 Clears heat, resolves dampness, cools the blood, removes obstruction for the channel, eliminates Blood stasis, tonifies Kidney Qi. UB41 UB42 UB43 UB44 UB45 UB46 UB47 UB48 UB49 UB50 UB51 UB52 UB53 UB54 UB55 UB56 UB57 UB58 Reduces heat and wind-damp UB59 UB60 Expels wind, clear heat, removes obstruction from the channel, relaxes tendons, strengthens the caudal back and stifle, alleviates swelling and pain Local point for hock disorders. Pain and arthritis of the hindlimb, tarsitis, degenerative joint disease (DJD) of the hock. Arthritis of the stifle and hip, lumbar back pain, chronic cystitis, ovarian disorders, urinary incontinance. In a depression at the end of the groove between the biceps femoris and semitendinosus muscles. Midpoint in the transverse crease of the popliteal fossa, between the biceps femoris and semitendinosus muscles. Qian Shen, proximate to the testicles. Hindlimb pain, subluxation of the pelvic joint, arthritis of the hip, biceps femoris myositis, sciatica. Midway on a line connecting the sacroiliac joint (Bai hui) and the greater trochanter of the femur. Huan Zhong, ring middle. Hock and back pain, epistaxis, cystitis, lower limb edema. 7 cun proximal to UB60 on the caudal border of the fibula. Luo Point Arthritis of the hock, soft tissue injury, paresis of the lumbar area and distal hindlimb, stiffness of the neck, epistaxis. Located between the lateral condyle of the tibia and the tuber calcus. Fire point Kun Lun, Lateral hock Sea Point. MASTER POINT of caudal back/hips. Yang Ling, Yang grave throughout the body. UB61 UB62 Opens the Yang UB63 Qiao Mai, eliminates internal wind, removes obstruction from the channel. Calms the shen. UB64 Calms the shen. UB65 Dissipates wind and clears heat UB66 Calms Shen, cools heat. UB67 Pain in the tibiotarsal joint, back pain, medial canthus of the eye, shoulder pain. In a depression just distal to the lateral malleolus. Swelling, pain, and arthritis of the tarsal region, neck and sacral pain, convulsions. Swelling, and pain in the metatarsal region, flexor tendinitis, neck pain. Abscesses, cystitis, tendinitis, arthritis of the fetlock, acute laminitis. Disorders of the hoof, laminitis, sidebone, arthritis of the fetlock, tendinitis, stiff neck, fear. Distal aspect of the tuber calcaneus. Accumulation point. Wu Jing, dark tendon Caudodistal to the head of the fourth metatarsal bone. Source point Caudal to the distal end of the fourth metatarsal bone. On the hindlimb, distal to the fetlock and the lateral sesamoid bone, on the caudolateral aspect of the pastern. Proximal to the coronary band, on the caudolateral aspect of the hindlimb, just cranial to the lateral collateral cartilage. Wood and sedation point All rear hoof problems, bladder disorders, back and hock problems, malposition of the foetus in utero, retained placenta. Pyn Moon, side door. Well Point. TING POINT. Metal , tonification point LIVER MERIDIAN Stores the blood – nourished eyes, skin and nails vs. tautness and dryness. Menstruation. Regulates the flow of Qi – emotions, digestion affected. Headaches Blood is mother of Qi and Qi is motivator of blood – Stagnation = pain Houses the Hun spirit – kindness and benevolence Controls the sinews, ligaments and tendons Manifests on the nails and opens into the eyes Controls basal tears that lubricate the eyes Convulsions are a manifestation of interior wind Point TCM Indications Western indications Location 5 Elements / Landmarks LV1 Laminitis, side-bone, eye disorders, hoof disorders, azoturia, hepatitis, skin allergies Laminitis, side-bone, ring-bone, eye disorders. Proximal to the coronary band, on the craniomedial aspect of the hindlimb. Just distal to the rear fetlock of the medial side, distal to the junction of the long digital extensor and interosseous muscles. On the craniomedial aspect of the 3rd metatarsal bone at the level of the head of the 2nd metatarsal bone. Well Point. TING POINT. Horary and Wood point. Over a depression in the Saphenous vein, medial to the cunean tendon. 1.5 cun proximal to the tip of the medial malleolus, on the cranial border of the tibia,, caudal to the cranial tibialis muscle. 7 cun proximal to the tip of the River Point. Metal Point. Qu Chi, pond on the curve. Luo point. LV2 Benefits Liver function of potency of flow of Qi. LV3 Benefits Liver function of potency of flow of Qi. LV4 LV5 LV6 Pain in the hock and coxofemoral joint, motor point for the dorsal interosseous muscle, eye problems, uterine disease, convulsions. Chronic arthritis or pain in the tarsal region and fetlock joint. Rheumatism of the hind leg, pruritus, irregular oestrous cycles. Hindlimb pain, pruritus, irregular Sedation and Fire point. Power balancing point. Pal Hyal, eighth point. Source point, Earth point. Accumulation point. LV7 LV8 LV9 LV10 LV11 LV12 LV13 Benefits Liver LV14 function of potency of flow of Qi. Benefits Spleen function of transformation and transportation. Dispels and transforms Dampness. Disperses food accumulation. LV13 and LV14 are powerful points for balancing the Yin meridians. Yin organ diseases. Harmonizes the Liver and Spleen. Benefits Liver function of potency of flow of Qi. Disperses food accumulation. LV13 and LV14 are powerful points for balancing the Yin meridians. Yin organ diseases. Harmonizes the Liver. oestrous cycles. medial malleolus, on the cranial border of the tibia, caudal to the cranial tibialis muscle Pain in the medial aspect of the stifle of thigh, caudal abdominal pain, uterine prolapse. Caudal to the medial epicondyle of the femur, between the gracilis and the semitendinosus muscles. Tonification point. Myositis, muscle soreness, abdominal pain. Located at the distal (ventral) end of the 18th rib. ALARM POINT of Spleen. INFLUENTIAL POINT of Yin Organs. Pleuritis, hepatitis, chest pain, muscle soreness, myositis Located in the 14th intercostal space at the level of the elbow, between the external abdominal oblique muscle and the internal and external intercostal muscles. ALARM POINT of Liver. GALL BLADDER MERIDIAN Stores and secretes bile – disruption can cause vomiting of bile Rules courage and decisiveness Point TCM Indications Western indications GB1 Disperses Wind, discharges Heat. GB2 Dispels Wind, moves Qi. Conjunctivitis, keratitis,On the transverse periodic ophthalmia, heat facial vein about 1 stroke, anhidrosis. cun caudoventral to the lateral canthus of the eye. Facial paralysis, In the fossa at the ataxia from cervical caudal aspect of vertebral the TMJ, ventral to malformation, the tragus of the tranquillising point, ear. tetanus, encephalitis, and ophthalmic disorders GB3 GB4 GB5 GB6 GB7 GB8 GB9 GB10 GB11 GB12 GB13 GB14 GB15 GB16 GB17 GB18 GB19 Location 5 Elements / Landmarks Tai Yang, great Yang GB20 Dispels Wind, Heat and Cold GB21 Cools Heat, opens blockage, dissolves mucus GB22 GB23 GB24 Benefits Liver GB25 GB26 GB27 GB28 GB29 GB30 function of potency of flow of Qi. Dispels Damp-Heat from the LiverGallbladder. Warms Kidney Cold, Kidney Yang deficiency, tonifies Kidneys. Neck pain, wobbler syndrome, ear and eye problems, fever, cold, tetanus, encephalitis, myalgias of viral infection, rhinitis, lung infections. Neck and shoulder pain, wobbler syndrome, paralysis of the shoulder, arthritis of the foreleg, chest pain, pneumonia, promote lactation, mastitis In a depression caudal to the occipital condyle, cranial to the wings of the atlas. Abdominal pain, hepatic disease, muscle soreness, lumbar pain. In the 14th intercostal space, just caudodorsal to LV14. ALARM POINT of Gallbladder. Pain in the lumbar region, kidney and urogenital problems, abdominal pain. Midway between the caudal border of the costochondral junction of the 18th rib and the lumbar muscles. 0.5 cun cranial to the dorsocranial iliac spine above the wing of the ilium. ALARM POINT of Kidney. 0.5 cun caudal to the dorsocranial iliac spine above the wing of the ilium. Dan Tian, arthritis of the hip and knee. In a depression half way between the wings of the ilium and the greater trochanter of the femur. Ju Liao, at the hip Hock disorders, Rheumatism, arthritis, and pain in the hindquarters, gynaecological problems Lumbar, sacral and hock pain, infertility. Hock point Hindlimb pain, arthritis of the coxofemoral joint, myositis of the biceps femoris, semimembranosus, and semitendinosus muscles, paralysis of the femoral and sciatic nerves Hindlimb pain, arthritis of the coxofemoral joint, Feng Men, wind gate In the centre of the cranial edge of the scapula, between the 7th cervical and 1st thoracic vertebrae. In a depression caudoventral to the greater Yan Chi, wing of the ilium GB31 Eliminates Wind, removes obstruction from collaterals. Immune-mediated disorder involving the Shao Yang level. GB32 GB33 GB34 Benefits Liver function of potency of flow of Qi. Dispels Damp-Heat from LiverGallbladder. Influential point for tendon, ligament, fascia GB35 GB36 GB37 GB38 biceps femoris and gluteal myositis, paralysis of the femoral, tibial and fibular nerves, sciatica. Hindlimb pain, arthritis, pain and sprain of the hip joint, pelvic infection, paralysis of the biceps femoris muscle, paralysis of the femoral, fibular and tibial nerves, generalized pruritus trochanter of the femur. On the lateral aspect of the thigh, in a depression 6 cun caudoventral to the third trochanter, over the muscular groove of the biceps femoris. Xiao Kua, third trochanter Weakness and pain in the hindlimb and lumbar spine, pain in the stifle, paralysis of the tibial and fibular nerves, muscular atrophy, gastrointestinal upset, tendinitis. In the interosseous space between the tibia and fibula, between the long and lateral digital extensor, craniodistal to the head of the fibula. INFLUENTIAL POINT of Tendons. Sea Point. Earth point. Feng Long, flourishing Pain in the stifle, paralysis of the hindlimb, periodic ophthalmia 5 cun proximal to the lateral malleolus of the tibia, on the caudal border of the lateral digital extensor. 4 cun cranioproximal to the tip of the lateral malleolus of the tibia. 3 cun proximal to the tip of the lateral malleolus in the depression of the caudal aspect to the tibia, cranial to the flexor hallicus longus. Craniodistal to the tip of the lateral malleolus of the tibia, overlying the tendon of the lateral digital extensor. Luo Point Pain in the eye, hock problems, rheumatism in the hindlimb. GB39 Influential point of Pain in the neck, chest and thigh, immunostimulation. GB40 Pain in the distal extremities. the marrow, paralysis master point. Eliminates Wind, removes obstructions from the collaterals, eases pain. Benefits Liver function of potency of flow of Qi. Sedation and Fire point Source point. GB41 Benefits Liver function of potency of flow of Qi. Dispels Damp-Heat from LiverGallbladder. Opens the Dai Mai. GB42 GB43 GB44 Swelling and pain in the metatarsal region, flexor tendinitis, stops secretion of milk, mastitis On the caudolateral surface of the metatarsus, at the junction of the proximal and middle 3rd of the metatarsus, distal to the head of the 4th metatarsal bone, overlying the lateral palmar superficial vein. Wood point. Lu Jie, metatarsus Laminitis, arthritis, tendinitis. On the lateral aspect of the hindlimb, distal to the fetlock and interosseous muscle. Proximal to the craniolateral aspect of the coronary band, on the hindlimb. Tonification, Water point. Pyon Moon, side door Laminitis, arthritis, hock and coxofemoral pain. Well Point. TING POINT. Metal point. Hou Ti Men, heel of the pelvic hoof HEART/PERICARDIUM MERIDIAN Contains the Shen – ability to connect with the external world, relationships, be sociable, gestures and facial expressions Governs the blood and the blood vessels – complexion, heart rate and energy levels Manifests in the face – complexion and facial expressions Sweat is the fluid of the heart Controls the tongue – ability to communicate Pericardium is the protective shield of the heart Point TCM Indications Western indications Location 5 Elements / Landmarks HT1 Sprain in the thoracic limb, shoulder lameness, paralysis of the scapular nerve, pain in the chest and cardiac region. In the center of the axilla, medial to the axillary artery, between the lateral surface of the trunk and the medial surface of the forelimb, over the pectoralis ascendens muscle. Jia Qi, axilla HT2 HT3 Elbow pain HT4 Forelimb pain HT5 Forelimb pain Between the medial end of the transverse cubital crease and the medial epicondyle of the humerus. On the caudolateral border of the forelimb, 1.5 cun proximal to HT7 if the caudal aspect of the lateral ulnar muscle. On the caudolateral border of the forelimb, 1 cun proximal of HT7 of the caudal aspect of the lateral lunar muscle. Metal point Luo point HT6 HT7 Forelimb pain Calms heart and mind Carpal joint pain, anxiety HT8 Tendinitis, arthritis of the fetlock, bursitis. HT9 Inflammation of the heel, laminitis, pedal osteitis. PC1 Opens the chest, diffuses Lung, and Pain in the chest and auxiliary region, foot On the caudolateral border of the forelimb, 0.5 cun proximal to HT7 of the caudal aspect of the lateral ulnar muscle. On the caudal aspect of the radius, proximal to the accessory carpal bone at the insertion of the flexor carpi ulnaris at the level of the carpus. On the caudolateral aspect of the third metacarpal bone, 2/3 of the distance distally of the lateral aspect of the deep flexor tendon. Proximal to the coronary band, on the caudolateral aspect of the forelimb, just cranial to the collateral cartilage. Accumulation point. Between the 5th intercostal space Cheng Deng, stirrup Power balancing point. Stream Point. Earth, source and sedation point. Horary and fire point. Ban Jing, Flexor tendon Well Point. TING POINT. Wood and tonification point. Qian Ti Men, heel of the hoof. clears Heat. problems. Diagnostic point for foot problems such as navicular, pedal osteitis and abscesses. and the medial aspect of the elbow, over the ascending pectoral muscle. Moves Blood and dispels stasis. Fever, fear, trembling, stomach pain. Water point PC4 Calms heart, opens chest, regulates and cools Blood. Pain in the forelimb, emotional disturbances, heart disorders, epistaxis. PC5 Clams Shen, transforms Phlegm. Pain in the elbow and forelimb, lack of stamina, palpitations, fear. PC6 Opens the Yin Wei Mai, regulates the Heart Qi and Blood, calms the mind, harmonizes the Stomach. PC7 Benefits Stomach function of descending, calms Shen, activates Blood. Important point for the heart, throat, chest and shoulder, swelling or pain on the medial side of the forelimb, gastritis, emotional imbalance. Local point for the knee, fright, inflammation of skin, stomach disorders. On the medial side of the cubital crease of the elbow, medial to the tendon of the biceps muscle. 5 cun dorsal to PC7 in the groove between the flexor carpi radialis and the flexor carpi ulnaris muscles. 3 cun proximal to PC7, in the groove between the flexor carpi radialis and the flexor carpi ulnaris muscles. On the medial side of the forelimb, directly cranial to the chestnut. Power balancing point. Sedation and source point. PC8 Clears Heart Fire, eliminates Dampheat, quiets Shen. Tendinitis, bucked shins, anxiety, anhidrosis. At the level of the accessory carpal bone, on the radial side, cranial to the extensor carpi ulnaris muscle. On the forelimb, approximately 2/3 the distance distally, on the caudal aspect of the superficial flexor tendon. In the centre depression between the bulbs of the heel on the forelimb. PC2 PC3 PC9 Hoof disorders, forelimb pain, arthritis of the fetlock and carpal joints, and tendinitis. Fever, anxiety, hyperhidrosis, lack of sexual interest. Accumulation point Metal point. MASTER POINT chest/cranial abdomen. Ye Yan, chestnut Fire point Well Point. TING POINT. Wood, tonification point. Qian Jiu, central bulb SMALL INTESTINE MERIDIAN Separates and discerns – digestion (and scanty of excessive urination) Point TCM Indications Western indications SI1 Laminitis, pedal osteitis, poor milk production, fever. SI2 Contusion and arthritis of the fetlock joint, flexor tendinitis, laminitis, periostitis. SI3 SI4 Dispels heat, clears the throat, calms the mind and soothes the heart, open the Du Mai. Contusion and arthritis of the fetlock, carpal arthritis, tendinitis, bucked shins, secondary point for laminitis, anaemia, important point for shoulder and neck disorders. Arthritis of the carpal and fetlock joints, tendinitis, bucked shins. Location 5 Elemen ts / Landmarks Proximal to the coronary band, on the craniolateral aspect of the forelimb. Caudolateral aspect of the pastern over the interosseous muscle, distal to the lateral sesamoid bone. In a depression of the distal caudolateral border of the third metacarpal bone and proximal to the fetlock, over the lateral palmar vein. Well Point. TING POINT. Metal point On the lateral surface of the forelimb, distal to the carpal joint, caudolateral to the head of the fourth Cuan Jing, bundle of tendons. Source point Ming Tang. Qian Chan Wan, thoracic fetlock. Wood and tonification point. SI5 Reflex point for the fetlock, hoof and shoulder. Important point for all disorders of the carpal joint, navicular disease, laminitis, bowed tendons, dysuria, enuresis, cystitis. Pain in the elbow, shoulder and back. SI6 SI7 SI8 SI9 SI10 SI11 Pain in the elbow and forelimb, bucked shins Eliminates wind, removes obstructions form the meridian, relieves pain. Pain in the shoulder, forelimb and elbow. Important point for the forelimb. Triceps trigger point, shoulder pain reflex point, rheumatism and arthritis of the forelimb. Paralysis of the ulnar or radial nerve or nerves in the scapular region, strained biceps muscle, acupuncture analgesia. Paralysis of the suprascapular nerve, atrophy of the shoulder and the brachial muscles, chronic shoulder lameness. Forelimb pain. Arthritis of the shoulder joint, reflex to shoulder pain, paralysis of the suprascapular nerve, cough, pneumonia metacarpal bone, over the lateral palmar vein. In a depression of the lateral epicondyle of the radius, proximal to the accessory carpal bone, caudal to the flexor carpi ulnaris, cranial to HT7. Distal to the tip of the Ulna, over the lateral ulnar muscle. 5 cun proximal to SI5 on a line joining SI5 and SI8, on the caudolateral aspect of the forelimb. In a depression between the olecranon and the medial epicondyle of the humerus. In the fossa caudal to the humerus on the caudal border of the deltoids and between the long and lateral heads of the triceps brachii. Fire point Accumulation point Luo point Earth and sedation point. Jian Zhen, steadfast shoulder. In the area if the infraspinous fossa, caudal to the tuber of the scapular spine, dorsal to SI9 Gong Zhi In the depression at the caudal border of the scapular cartilage, at the junction of the dorsal and middle third of the scapula. Caudal to Fei Pan, lung hugging the deltoid and triceps brachii muscles. SI12 SI13 SI14 SI15 SI16 Arthritis of the foreleg, pain in the scapular region, reflex point fot the scapula, paralysis of the suprascapular nerve, atrophy of the shoulder and brachial muscles, ataxia from cervical vertebral malformation, chest pain, cough. Thoracic limb pain, paralysis of the suprascapular nerve, arthritis of the shoulder. 3 cun ventral to the midpoint of the dorsal border of the scapular cartilage on the scapula, dorsal to the fifth rib at the level of TH15. Tendinitis, lumbar pain, cervical arthritis, conjunctivitis, pharyngitis. Between the second and third cervical vertebrae, on the dorsal border of the brachiocephalicus muscle. Caudal to the angle of the mandible, in the depression of the cranial border to the brachiocephalicus muscle. Directly ventral to the lateral canthus of the eye, in a depression of the ventral border of the facial crest. Dorsal to the temperomandibula r joint and ventral to the intertragic notch. In the indentation of the rostromedial corner of the ear base. SI17 Facial paralysis, toothache, swelling of the cheek. SI18 Deafness, tranquillising point. SI19 Tetanus, facial paralysis. In the depression just cranial to the cranial angle of the scapula. Bo Jian, shoulder tip. Shang Guan, Upper joint SPLEEN MERIDIAN Transports and transforms – nutritive essences (food) extracted, transported to lungs and transformed to Qi and blood. Dampness in Spleen is root cause of phlegm in Lungs Movements and transformation of water – edema Digestion Control of ascending Qi – muscles and flesh droop, internal organs prolapse Controls blood – holding blood in the veins (bleeding) and amount of blood. Dominates the flesh / muscles – pleasing shape “Flesh layer” healing well or not. Opens into mouth – reddish, moist and full indicate healthy spleen Houses the Yi – considered decision making, insight and clarity of thought Loathes dampness Point TCM Indications Western indications Location 5 Elements / Landmarks SP1 Regulates circulation of Qi and blood, promotes function of the spleen and stomach Laminitis, pain along the spleen meridian, edema. Well Point. TING POINT. Wood point SP2 Benefits spleen function of transformation and transportation. Laminitis, edema in the ankle region. SP3 Benefits spleen function of transformation and transportation, dispels and transforms Arthritis of the ankle, ring-bone, tendinitis Proximal to the coronary band, on the caudomedial aspect of the hindlimb, just cranial to the medial collateral cartilage. Distal to the medial sesamoid bone, over the interosseous muscle. Distal end of the medial aspect of the third metatarsal bone, just proximal to the medial Tonification, Fire point Earth, source and horary point. SP4 dampness Benefits spleen function of transformation and transportation, benefits stomach function of descending, regulates Chong channel SP5 SP6 Pain in the hock and metatarsus. Obstetric problems. Intersection point of the spleen, liver and kidney meridians. Benefits spleen function of transformation and transportation. Benefits the kidney function of dominating water metabolism. Benefits the liver function of potency of flow of Qi. Benefits Yin, dispels and transforms dampness, dispels and transforms damp-heat. SP7 SP8 SP9 Tendinitis, arthritis of the ankle, reproductive problems, used with SP6 for analgesia. Obstetric, gastrointestinal and urinary disorders, immunostimulation. Pain in the pelvis and stifle, diarrhoea, oestrous cycle irregularity, urticaria. Benefits the spleen of transformation and transportation. Dispels and transforms dampness and eliminates heat. SP10 Eliminates Wind, dispels heat and Pain in the pelvis and stifle, diarrhoea, oestrous cycle irregularity, urticaria, poisoning, urinary disorders. Pain in the pelvis and stifle, oestrous sesamoid bone. In a depression on the hindlimb, caudodistal to the head of the medial splint bone, over the deep flexor tendon. Luo point In a depression distal to the medial malleolus, proximal to the tendon of the tibial cranial muscle. Located 3 cun proximal to the proximal tip of the medial malleolus, caudal to the tibial border, cranial to the large lateral head of the deep digital flexor muscle, medial to GB 39. Metal and sedation point 3 cun distal to SP9 of the caudal border to the tibia, cranial to the deep digital flexor muscle. In a depression on the distal border of the medial condyle of the tibia, over the lateral head of the deep digital flexor muscle and the saphenous vein. Located 2 cun proximal to the Accumulation point Power balancing point. MASTER POINT of caudal abdomen/uro genital system. 3 yin meeting point (Liver, Spleen & Kidney) Sea Point. Water point Sea of Blood regulates circulation of Qi and blood. SP11 SP12 SP13 SP14 SP15 SP16 SP17 SP18 SP19 SP20 SP21 Controls all Yin meridians, master connecting point of all connecting points. cycle irregularity, uterine bleeding, allergy, urticaria, toxaemia. patella, in the depression in the belly of the vastus medialis muscle. Flexing the stifle aids in locating this point. Pain in the lower back, hip, loin and stifle. Infertility Directly cranial to the tuber coxae, overlying the tensor fascia latae and external abdominal oblique muscles. Emphysema, lung disorders, dermatitis. Diagnostic indications are carpal soreness, immune-mediated disorders. Emphysema, laminitis, back pain, liver disorders, general weakness. In the 4th intercostal space, 2 cun ventral to the level of the scapulohumeral junction, under the triceps muscle. At the 10th intercostal space at the level of the scapulohumeral junction. STOMACH MERIDIAN Controls receiving – natural Qi flow is downward Controls rotting and ripening - digestion Point TCM Indications Western indications ST1 Conjunctivitis, keratitis, periodic ophthalmia, corneal ulcers, facial paralysis Keratitis, conjunctivitis, periodic ophthalmia, facial paralysis, gastrointestinal upset, constipation ST2 Dispels wind, relaxes tendons and muscles, relieves pain, smoothes the circulation of Qi and blood in collaterals ST3 ST4 ST5 ST6 Facial paralysis, nasal swelling Dispels wind, relieves pain, smooths the circulation of Qi and blood in collaterals Location At the intersection of the medial and middle one third of the lower eyelid. Ventral to the medial canthus of the eye, at the bifurcation of the jugular vein. Facial paralysis, hypersalivation, lingual paralysis, maxillary and mandibular disorders, mastication problems, facial swelling, tetanus, tranquilization. On the lateral surface of the face between the nasoincisive notch and the infraorbital foramen. 0.5 cun caudal to the corner of the mouth, at the Vshaped junction of the levator nasolabialis and zygomaticus, on the outer margin of the orbicularis muscle. Lung disorders, facial paralysis, Dorsal to the intermediate 5 Elements / Landmarks Jing Ming, clear eye San Jiang, 3 rivers Song Gu, endoturbinat e Suo Kou, locking mouth ST7 ST8 ST9 facial swelling, maxillary and mandibular disorders, mastication problems, tetanus, tranquilization. Tetanus, facial paralysis tendon of the masseter muscle in the centre of the muscle belly. Located in a depression when the jaw is opened. At the temporomandibula r joint, ventral to the zygomatic arch, caudodorsal to the lateral canthus, in the masseter muscle Throat problems, laryngitis, pharyngitis Caudal to the carotid artery, at the junction of the jugular and the external maxillary veins, on the ventral border of the cleidomastoid muscle, on the level of the tip of the larynx. Between the sternocephalicus muscle and the ventral aspect of the brachiocephalic muscle, one hand dorsocranial to the point of the shoulder. ST10 Problems along the Sore throat, cough, stomach meridian ST11 ST12 ST13 ST14 ST15 ST16 ST17 ST18 ST19 ST20 ST21 ST22 ST23 ST24 ST25 Benefits large intestine function of transportation. asthma, stifle problems Gastrointestinal disorders, diarrhoea. Located 2 cun lateral to the umbilicus. Xia Gun, lower jaw ALARM POINT of the large intestine Disperses food accumulation ST26 ST27 ST28 ST29 ST30 Stifle point, abdominal pain, irregular oestrous cycles, impotence. ST31 Hindquarter pain such as arthritis, pain and strain of the hip, biceps femoris myositis, pelvic limb paralysis. ST32 Hip and loin pain, arthritis of the stifle. ST33 ST34 Benefits stomach function of descending. ST35 Pelvic limb pain, arthritis, pain and swelling in the stifle. ST36 Benefits stomach function of descending. Benefits spleen function of transformation and transportation. ST37 Hip pain, arthritis of the stifle, patellar luxation. Motor point of the cranial tibialis muscle, tibial and fibular pain, stifle pain, upward fixation of the patella, arthritis of the tarsal joint, paralysis of the tibial and fibular nerves, gastrointestinal disorders, acetylcholine effects, immunostimulation, fever, anorexia, lethargy. In the flank area, cranial to the insertion of the tensor fasciae latae, ventral to the tuber coxae 6 cun cranioventral to the greater trochanter of the femur, between the body of the ilium and the patella, over the tensor fasciae latae. 6 cun proximal to the proximolateral border of the patella, over the fascia lata in the depression cranial to the femur. 2 cun proximolateral to the patella, in the belly of the vastus lateralis muscle. In the depression between the lateral and middle patellar ligaments. One cun lateral to the distal aspect of the tibial crest, on the craniolateral side of the tibia, over the cranial tibialis muscle. Da Kua, greater trochanter Hou Fu Tu, hidden rabbit. Accumulation point Lu Cao, stifle Sea Point. Earth and horary point. Master point for cranial abdomen and digestive system. ST38 ST39 ST40 Influential point for Pain, swelling and phlegm, transforms phlegm and damp paralysis of the hindlimb, cough, constipation ST41 Regulates Pain in the hock, motor impairment, abdominal disorders. ST42 Hock pain, motor impairment, abdominal disorders. ST43 Arthritis of the fetlock and pastern. circulation of Qi, removes obstruction and eases pain ST44 Clears damp heat Laminitis, ring-bone, side-bone, tendinitis. ST45 Laminitis, ring-bone, side-bone, colic, stifle problems, problems along the stomach meridian. from the stomach, disperses food accumulation Halfway between the middle of the stifle joint and the middle of the tibiotarsal joint on the cranial border of the lateral extensor. At the junction of the tarsus and the metatarsus, at the level of the lateral malleolus, between the long and lateral digital extensor. Distal to the hock joint on the craniolateral aspect of the metatarsus, proximal to the distal retinaculum. Proximocranial to the fetlock, over the long digital extensor. Craniodistal to the fetlock, at the junction of the interosseous and long digital extensor muscles. Proximal to the coronary band, on the cranial midline of the hindlimb. Luo Point Tonification point, Fire point Source point Wood point Water point Well Point. TING POINT. Metal, sedation and horary point LUNG MERIDIAN House the Po – Animal spirit / survival instinct Grief Rule Qi – inhales clean air (Qi) and exhales waste air (Qi) Energy moves downward and outward – moisture gathers and thickens Control the water passages – outward to the skin and downward to the kidneys Regulates opening and closing of pores in the skin Dominates skin and body hair Opens into nose – breathing, invasion of pernicious Qi (immunity) Connects with the throat – affecting the voice Point TCM Indications Western indications Location 5 Elements / Landmarks L1 Cough, thoracic, shoulder and back pain, edema of cranial thorax Located in the first intercostal space, medial to the humerus, over the m. pectoralis descendens, directly medial to the cephalic vein. At the triangle formed by the sternocephalic, brachiocephalic and cranial superior pectoral muscles and ventrolateral to the pre-scapular lymph node, directly ventral to the cephalic vein ALARM POINT of the Lung. Medial side of the cubital crease on the lateral side of the tendon of the biceps brachii 7 cun proximal to L9, on the cephalic vein 6 cun ventral to the axilla, between the extensor carpi Sedation and water point Eliminates heat and promotes Qi circulation L2 Cough, thoracic, shoulder and forearm pain L3 L4 L5 L6 Elbow pain, cough, pharyngitis Eliminates pathogenic heat, reduces upward perversion of pulmonary Qi. Stops bleeding Cough, pharyngitis, Arthritis of the shoulder and elbow, inflammation of the brachiocephalic muscle, laminitis Accumulation point and pain in the forelimb L7 L8 L9 Confluent point for the throat, chest, and lung, opens into the Ren Mai, removes pathogenic wind, disperses pulmonary Qi Disorders of the lung, stiffness and pain in the neck, facial paralysis, forelimb pain. Influential point for weakness of pulse and deficiency of vital energy. Disorders of the lung, shoulders and back pain, tendonitis, metacarpal arthritis, periostitis. L10 L11 Cough, sore throat, fever, swelling and arthritis of the carpal joint, myositis and tendonitis in the carpal region, periostitis of the third metacarpus Eliminates pulmonary and throat heat Immunostimulation, sore throat, respiratory failure, laminitis, pain in the pastern, side bone, inflammation of the bulbs of the hoof, epistaxis. LARGE INTESTINE MERIDIAN Moves waste down and out Receives and eliminates waste - peristalsis radialis and the flexor carpi radialis. On the craniomedial edge of the radius, immediately proximal to the medial styloid process. 1.5 cun proximal to the transverse crease of the carpal joint. Caudal to the extensor carpi radialis and cranial to the m. abductor pollicus longus. On the radial side of the carpus at the junction of the radius and the first row of carpal bones, just cranial to the accessory carpal bone. On the medial surface of the forelimb, 6cm distal to the carpal joint. At the junction of the proximal and middle third of the third metacarpal bone, caudal to the medial splint bone, over the medial palmar vein. Proximal to the coronary band, on the caudomedial aspect of the forelimb, just cranial to the medial collateral cartilage. MASTER POINT of head/neck/lu ngs. Luo Point Power balancing point. Source, earth and tonification point Fire point TING POINT.Well Point. Wood point Point TCM Indications Western indications Location 5 Elements / Landmarks LI1 Laminitis, ring-bone, side-bone, navicular, all hoof problems, fever, pharyngitis. Proximal to the coronary band, on the craniomedial aspect of the forelimb. Distal to the medial sesamoid bone, over the interosseous muscle. TING POINT. Well Point. Metal point On the caudomedial aspect of the fetlock, distal to the end of the second metacarpal bone, over the interosseous muscle On the medial side of the foreleg, distal to the base of the second metacarpal bone, between the second and third metacarpal bones. (Under the head of the medial splint bone) Wood point Dispels heat, relieves swelling. LI2 Secondary point for laminitis and sidebone, edema and arthritis of the ankle, periostitis, tendinitis Secondary point for laminitis, arthritis of the fetlock, flexor tendinitis and tenosynovitis LI3 LI4 Master point for the head, neck and cranial chest, and intestinal tract. Dispels wind, heat, and cold. Benefits large intestine function of transportation, sedates pain, and removes Motor point for the dorsal interosseous muscle, pain in the neck, shoulder, forelimb, and mouth, immunostimulation, fever. Sedation and water point MASTER POINT of face/mouth. Source Point. obstructions for collaterals LI5 Edema of the forelimb, knee arthritis, all metacarpal problems LI6 Soreness and pain in the forelimb. LI7 Forelimb pain, arthritis and pain in the shoulder, scapular region, elbow and carpal joint, paralysis of the radial nerve, myositis, tendinitis, and tenovaginitis. LI8 LI9 LI10 LI11 LI12 LI13 LI14 Forelimb pain, radial paralysis, indigestion. In a large depression on the (medial) radial side of the carpus between the second and third carpal bones. Three cun proximal to LI 5 between the extensor carpi radialis and common digital extensor. 2 cun proximal to LI 6, on the lateral surface of the forelimb in the groove between the common digital extensor and extensor carpi radialis. Fire Point. Luo point MASTER POINT of head/neck/lu ngs. Accumulation point At the junction of the proximal and middle third of the lateral surface of the radius. In the muscular groove between the extensor carpi radialis and the common digital extensor. 2 cun below LI 11. Eliminates windheat, dispels and transforms dampheat, regulates circulation of Qi and blood, general tonification. Arthritis in the elbow, paralysis of the forelimb, fever, pharyngitis, urticaria, abdominal pain, eye pain, immunostimulation. In a depression cranial to the elbow when flexed, in the transverse cubital crease. Sea Point. Helps the lungs disperse Qi and removes obstructions form collaterals. Forelimb pain, arthritis of the shoulder, strained biceps muscle, inflammation of the brachiocephalic muscle, paralysis of the suprascapular Mid-shaft lateral humerus over the biceps brachii at the level of the second costal attachment to the sternum. At the insertion of the LI15 Promotes Qi and blood circulation, relieves joint pain, disperses wind. nerve, stomach disorders, diarrhoea Forelimb pain, main point for shoulder pain and arthritis, inflammation of the brachiocephalic muscle, paralysis of the suprascapular nerve. LI16 Pain and disorders of the proximal forelimb, arthritis of the shoulder and elbow, inflammation of the brachiocephalic muscle, paralysis of the nerves of the scapular region, pneumonia. LI17 Carpal pain, chronic distal forelimb pain. LI18 Cough, pharyngitis, hoof pain LI19 LI20 Dispels pathogenic heat, removes nasal obstructions Cough, cold, sinusitis, rhinitis, congestion of the lungs, urticaria, fever, fatigue, sunstroke deltoid tuberosity of the humerus. In a depression of the dorsolateral border of the shoulder, proximal to the cranial part of the greater tubercle of the humerus between the supraspinous and infraspinous muscles. In a depression on the cranial border of the scapula, two thirds of the way between TH 15 and the point of the shoulder. At the intersection of the cranial margin of the suprascapular muscle and the caudal margin of the brachiocephalicus muscle, cranioventral to the first thoracic vertebra. Craniodorsal to LI 16 on the dorsal border of the sternocleidomastoi d muscle at the level of C 6. Dorsal to the jugular vein, on the cranial border of the cleidomastoideus muscle at the level of the ventral border of the mandible when the head is extended. Caudal to the nares on the lateral side of the caninus muscle. Bi Shu, ginger bud TRIPLE HEATER MERIDIAN Point Lower burner – elimination of impure fluids Middle burner – digestion and assimilation of fluids Upper burner – respiration and circulation Distribution of water in the body TCM Indications TH1 TH2 Reduces Heat and disperses Wind TH3 Dissipates Wind, drains Heat. Western Indications Location 5 Elements / Landmarks Laminitis, side-bone, ring-bone, hoof injury, inflammation of the bulbs of the heel and coronary band, colic, throat problems, convulsions, fever. Secondary point of laminitis and sidebone, pain in the forelimb, arthritis of the fetlock, tendinitis, conjunctivitis, throat problems, oral pain. Proximal to the coronary band, on the cranial midline on the forelimb. Well Point. TING POINT. Metal point On the midline of the forelimb, craniolateral to the proximal end of the second phalanx, over the common digital extensor, cranial to the proximal end of the first phalanx. On the midline of the forelimb, Water point Secondary point for laminitis, arthritis of Tonification and wood the fetlock, tendinitis, pharyngitis, paralysis of the forelimb, shoulder and neck pain. TH4 Dissipates Wind, drains Heat, promotes lower heater function. Swelling, arthritis and sprain in the carpal joint, edema of the foreleg, general malaise TH5 Regulates Yang, eliminates Wind, expels all pathogenic elements TH6 Disperses stuck Blood and Qi, disperses WindHeat. TH7 Clears pathogenic Heat and Wind, soothes the Liver. Pain in the neck, elbow and shoulder, navicular disease, paralysis of the forelimb, analgesia point, gastrointestinal, obstetric and respiratory disorders, carpal pain, tendon contracture. Pain in the neck, elbow and shoulder, navicular disease, inflammation of the lung and large intestine, dermatitis, anhidrosis. Pain in the neck, elbow and shoulder, aging. TH8 TH9 Cools brain Forelimb pain, arthritis of the elbow, carpal and fetlock joints, paralysis of the radial nerve, myositis, tendinitis, cranial to the distal end of the third metacarpal bone, over the common digital extensor, cranial to the distal end of the third metacarpal bone In a depression slightly lateral to the middle of the distal margin of the cranial surface of the carpal joint, between the intermediate and third carpal bones, between the tendons of the extensor carpi radialis and the common digital extensor. In a depression at the distal end of the radius, between the lateral digital extensor and the common digital extensor, 2 cun dorsal to the ulnar carpal bone. point. 1 cun proximal to TH5, between the common digital extensor and the lateral digital extensor. Fire point 0.5 cun caudal to TH6 between the long digital extensor and lateral ulnar muscles Accumulation point. On the lateral aspect of the forelimb in the depression distal to the lateral tuberosity of the radius, in the Cheng Zhong, radius Source point. Xi Yan, carpus Luo Point. Guo Liang, passing beam tetanus, laminitis, dental pain. TH10 Regulates Qi and Blood in the chest. TH11 TH12 TH13 Clears pathogenic Heat TH14 Dispels Wind and Damp, moves Qi, regulates tendons, relieves pain. TH15 Dispels Wind, eliminates Damp, reduces heat. TH16 Clears Heat, dispels Wind, eliminates Damp, reduces Heat. Forelimb pain, arthritis and swelling of the elbow, shoulder paralysis, general weakness, wobbler syndrome. Shoulder and thoracic limb pain, suprascapular nerve paralysis. Arthritis and pain in the shoulder, forelimb pain, myositis of the biceps and sternobrachiocephali cus, paralysis of the suprascapular and radial nerves, stomach disorders, relaxation after racing. Shoulder pain, Forelimb pain, arthritis of the shoulder joint, paralysis of the suprascapular nerve. Cervical rigidity, swelling id the face, TMJ pain. groove of the common digital extensor and lateral ulnar muscle. In the depression between the tuber of the olecranon and the lateral epicondyle of the humerus, over the lateral head of the triceps. On the caudal border of the deltoid muscle, at its junction with the triceps brachii, Craniodistal to SI9. Caudoventral to the neck of the scapula and caudodorsal to the greater tubercle of the humerus at the caudal margin of the shoulder joint, over the deltoideus muscle. (Caudolateral to LI 15) In the depression over the dorsal edge of the scapula at its junction with the scapular cartilage, dorsal to the 3rd intercostal space. It lies over the cervical part of the trapezius muscle midway between GB21 and SI13. Caudoventral to the mastoid process, between the 1st and 2nd cervical vertebrae, over the caudal border of the brachiocephalicus muscle and cranial Sedation and Earth point. Zhou Shu, elbow association point. Qiang Feng, robbing wind Jian Wai Yu, transport point of the shoulder. Fei Men, Lung gate TH17 Eliminates Wind TH18 TH19 TH20 TH21 Opens the ear portals, disperses Heat TH22 Cools Heat and TH23 disperses Wind Disperses Wind, resolves Heat, brightens eye. Tranquillising point, facial paralysis, cervical problems, wobbler syndrome, swelling in the cheek, cerebral problems, tetanus, TMJ, dental problems. Anhidrosis, irregular oestrous cycles, tetanus, encephalitis. Ear, nose, eye and mouth disorders. Conjunctivitis, keratitis, periodic ophthalmia, facial paralysis, tetanus, encephalitis. to SI16. In a depression between the mandible and the mastoid process, Caudoventral to the ear. In a depression at the rostromedial corner of the ear base, in the temporal fossa caudodorsal to the coronoid process of the mandible. I cun rostrodorsal to TH21. On the ventral border of the zygomatic process of the frontal bone, near the lateral canthus. On the external rim of the orbit, at the end of the eyebrow. Nao Shu, brain association point. Zhuan Nao, turning brain. GOVERNING VESSEL MERIDIAN Point TCM Indications Western indications Location 5 Elements / Landmarks GV1 Pain in the caudal back, constipation, diarrhoea, rectal prolapse, swelling of the perineal area, tenesmus, and genitourinary problems. In a depression between the anus and the ventral tail base. Hou Hai, caudal sea Problems in the hindquarters, genitourinary system, and intestinal tract. In the sacrococcygeal space. Wai Gen, Tail base Any lameness or paralysis of the hindquarters, arthritis of the hip joint, lung liver, and intestinal disorders, colic, gastric dilation, cold, heatstroke, overexertion, In the lumbosacral space. Point of 100 meetings GV2 Bai Hui Strengthens the Kidney and the Yang resolves Damp-Heat and calms the mind. Junction point with conceptual vessel, links the Gallbladder and Kidney meridians, benefits the intestines. Warms the lower heater, strengthens Kidneys, extinguishes interior Wind and calms spasms and convulsions. Point at which all Yang meridians merge. GV3 GV4 GV5 Energetic connections between the lower and upper part of the spine, Kidney organ and energy problems. Benefits Kidney function of dominating Water metabolism, Benefits Yang and firms Jing Fortifies Spleen and harmonizes the Stomach GV6 GV7 tetanus, anoestrus, irregular oestrous cycles. Pain in the hindlimb, lumbar pain, and sciatica. Pain in the hindlimb, problems in the genitourinary system and intestinal tract, disorders related to the kidney, lower back pain. Bleeding after castration, epistaxis, hematuria, sterility and nephritis, facilitation of parturition, lumbar pain. Bleeding after castration, epistaxis, hematuria Bleeding after castration, epistaxis, hematuria, stiffness in the spinal column GV8 GV9 GV10 Disperses Lung, suppresses cough, Heat in the Spleen GV11 Quiets the Shen, reduces Heat, extinguishes Wind GV12 Calms the Shen, stabilizes the Heart, diffuses the Lung Qi. GV13 Clears Lung Heat, clams the Shen, expels Wind. Bronchitis, asthma, pneumonia, cough Asthma, cough, cardiac disorders, pain in the back and spinal column. Stiffness and pain of the back, respiratory problems, cough, chronic obstructive pulmonary disease (COPD), Heat in chest. Cough, asthma, enterospasm, fever, stiffness in the neck GV14 Dispels Wind-Heat, Cervical problems, Between the 4th and 5th lumbar vertebrae, dorsal to BL24, overlying the supraspinous ligament. Yang Guan, Yang pass Between the 2nd and 3rd lumbar vertebrae, dorsal to UB23. Ming Men, life gate Between the 1st and 2nd lumbar vertebrae, dorsal to UB22. Duan Xue, interrupt bleeding Between the 18th thoracic and the 1st lumbar vertebrae, dorsal to UB21. Between the 17th and 18th thoracic vertebrae, dorsal to UB20. Duan Xue, interrupt bleeding Between the 11th and 12th thoracic vertebrae, dorsal to UB16. On the dorsal midline, between the 5th and 6th thoracic vertebrae. At the highest point of the withers, between the 3rd and 4th thoracic vertebrae In the depression between the spinous processes of the 1st and 2nd thoracic vertebrae In a depression on Duan Xue, interrupt bleeding San Chuan, three rivers Qi Jia, withers Qi Qian, in front of the withers Da Zhui, meeting point of all Yang meridians, calms the Shen. GV15 GV16 Dispels Wind-Cold, clears the spirit, drains fire. wobbler syndrome, thoracic spine and forelimb disorders, pain of the back, fever, heatstroke, anhidrosis, asthma, cough, cold, eczema, convulsions, immune enhancement. the dorsal midline between the 7th cervical and 1st thoracic vertebrae. large vertebrae. Wobbler syndrome, cervical conditions, epistaxis, pharyngitis, cold, tetanus, encephalitis, stimulates the hypothalamus. On the dorsal midline in a depression between the occipital protuberances, between the right and left GB20 at the base of the ears, over the atlantooccipital joint. Tian Men, heavenly gate GV17 GV18 GV19 GV20 Reunion of all Yang Rectal and uterine meridians. Benefits Spleen function of raising Qi. Benefits Yang. GV20 A GV21 GV22 GV23 GV24 Calms the Liver and quiets the spirit. Yin Tang GV25 Discharges Heat, restores Qi prolapse, convulsions, ear and eye problems, immunostimulation, tranquillisation, shock. Tetanus, encephalitis. Anxiety, convulsions, tetanus, encephalitis, rhinitis. Cough, colds, tranquillising point, pus in the frontal sinuses, cerebral hyperaemia, neck pain, encephalitis Pain and stiffness of the cervical region, At the highest point of the poll, rostral to the occipital crest. On the nuchal crest on the dorsal midline, between the fossa of the ears. On the dorsal midline at the root of the ear, at the rostral end of the mane. Midpoint of a line connection the lateral canthi of the eyes. Dorsal to GV26, at the junction of the Da Feng Men, great Wind gate Long Hui, dragon meeting GV26 Cools Heat, disperses Wind, brings up Yang. GV27 GV28 Disperses Lung, clears Heat, drains Fire, relieves itching, reduces Heat, awakens Shen. GVT facial paralysis, rhinitis, congestion of the lung, cerebral hyperaemia, stroke, unconsciousness, inappetance. Increases brain activity, increases heart and respiratory rates, epinephrine point, aesthetic apnoea, coma, facial paralysis, enterospasm. Shock point in emergencies. Stimulating respiration and circulation in newborns. Acute lumbar pain, anhidrosis, tooth pain, neck stiffness. V-shaped tendon of the levator labii maxillaries muscle on the midline on the dorsal part of the nose. At the centre of the upper lip, midway between the ventral limit of the nostrils. Stomatitis, indigestion, pharyngolaryngitis Between the upper lip and upper gum. Nei Chun Yin, inner upper lip Inability to stand, unconsciousness, overexertion, heatstroke, cold, enterospasm, seizures. Tip of the tail. Wei Jian, tail tip. Fen Shui, dividing waters CONCEPTION VESSEL MERIDIAN Point TCM Indications Western indications Location 5 Elements / Landmarks CV1 Draws Yin up and Yang down, cools Heat, removes Damp, strengthens the Kidneys. Urethritis, genital pain, uterine prolapse, urinary retention, loss of consciousness. Sedation of Yin meridians. CV2 Warms Yang, reduces Heat, and tonifies the Kidneys. Tonifies Yuan Qi and reinforces transformation of Qi, cools DampHeat, Meeting point of 3 Yin meridians: Spleen, Kidney and Liver. Benefits Kidney function of dominating Water metabolism, Irregular oestrous cycles, urinary retention. On the perineal region, at the midpoint between the anus and the posterior border of the penis in males, and between the anus and the posterior labial commissure in females. On the midpoint of the cranial border of the symphysis pubis. Located 4 cun caudal to the umbilicus or 1 cun cranial to the symphysis pubis, on the ventral midline. Located 3 cun caudal to the umbilicus or 2 cun cranial to the ALARM POINT of Small Intestine. CV3 CV4 Urinary and obstetric problems, infertility, retained placenta. Caudal abdominal pain, bladder infections, diarrhoea, irregular ALARM POINT of Bladder. CV5 CV6 CV7 CV8 benefits Yin, strengthens the Yuan Qi, reduces Heat Arms and tonifies the Kidney, invigorates Yang, reduces Heat, opens Water passages oestrous cycles, uterine prolapse, body tonification. symphysis pubis, on the ventral midline. Abdominal pain, diarrhoea, infertility, anorexia, irregular oestrous cycles, bladder infections. On the ventral midline, halfway between the pubic symphysis and the umbilicus. Warms and stabilises Yang, restores consciousness, moves gastrointestinal Qi, transforms Damp stagnation Abdominal pain, diarrhoea, massive energy deficiency In the centre of the umbilicus. CV9 CV10 CV11 CV12 Influential point for Colic, diarrhoea, all Yang diseases. Benefits Stomach function of descending. Benefits Spleen function of transformation and transportation. Dispels the transforms Dampness, disperses food accumulation, counteracts rebellious Qi. CV13 CV14 Calms the Heart, disperses Phlegm in the chest, benefits Stomach function of descending ulcers, any digestive disorders, grounding point for agitated patients, anorexia. Cardiac arrhythmias, anxiety, gastrointestinal upset of emotional origin. CV15 CV16 CV17 Influential point for Any respiratory of the respiratory system and Qi. Connects the Pericardium to the Lung, Kidney and Small Intestine thoracic problem, anxiety, increases lactation, anhidrosis. ALARM POINT of Triple Heater. On the ventral midline, halfway between the xiphoid and the umbilicus. ALARM POINT of Stomach. On the ventral midline just caudal to the xiphoid process. ALARM POINT of Heart. Along the ventral midline, at the level of the caudal border of the elbow. ALARM POINT of Pericardium. meridians, benefits the diaphragm, stagnation of Blood. CV18 CV19 CV20 CV21 CV22 Balances rebellious Cough, asthma, Qi, cools Heat pharyngitis CV23 Meeting point of Pharyngitis, thyroid problems, laryngeal hemiplegia CV24 Facial paralysis, Stomatitis Yin and Yang energy. In a depression cranial to the manubrium. On the ventral midline of the neck, at the 3rd tracheal ring. Skin of the centre of the lower lip, in a depression 1 cm ventral to the rim of the lower lip. Hou Shu, association point of the throat. Chen Jiang, receiving saliva. BONY LANDMARKS MUSCLES JIN SHIN JYUTSU Locations of the 26 Safety Energy Locks 1 Prime Mover 8 2 Universal Meaning of the Safety Energy Locks 3 4 5 Wisdom Duality Understanding The Window The Door Admitting knowledge and consciousness Defence against problems 9 10 Abundance Rhythm Strength Peace End of one cycle, beginning of a new cycle Vehicle of the outpouring of limitless life power 1+0=1 15 16 17 Wash our hearts with joy and laughter Transformation 22 23 Happy and content wherever I am Complete {Master number} Breaking down existing forms for new ones Proper circulation maintenance Controller of my destiny Relaxation of mind and nerves 24 Harmonizing chaos Not my will but thy will 19 Authority and leadership 1+9=10=1+0=1 25 26 Life force for total being Complete Meridian Balancing Kidney: Bladder: Liver: Gall Bladder: Heart: Pericardium: Small Intestine: Triple Heater: Spleen: Stomach: Lung: Large Intestine: Little toe + pubic bone SEL 12 + 25 SEL 4 + opposite 22 SEL 12 + opposite 20 SEL 11 + 17 SEL 14 + opposite 19 SEL 11 + opposite 13 SEL 19 + opposite 20 SEL 5 + 25 (coccyx) SEL 21 + 22 SEL 14 + 22 SEL 11 + opposite index finger Some Treatment Guidelines 14 Equilibrium Love Fertility Sustenance Creation 18 Gently and quietly regenerate and rejuvenate 13 Perfect life power Unconditional love {Master number} Functions affecting personality Balance 12 Justice Body consciousness 7 Victory Regeneration 11 Excess baggage 6 20 Eternity Everlasting 21 Escape from mental bondage Flow Initial Centering General Energy Revitalizing (Spleen Flow) Safety Energy Locks 13 + 10 RHS Sequence: RHS 5 + 25 (coccyx) LHS 14 + 25 (coccyx) RHS 13 + LHS 14 LHS 22 + LHS 14 Swap sides Anterior Descending Energy (Stomach Flow) LHS Sequence: LHS 21 or 12 + LHS 22 LHS 21 or 12 + RHS 14 LHS 21 or 12 + RHS 23 LHS 21 or 12 + LHS 14 RHS 1 + RHS 14 RHS 1 + RHS 8 RHS 1 + RHS middle toe Posterior Descending Energy (Bladder Flow) LHS 12 + 25 (coccyx) LHS 12 + LHS 8 LHS 12 + LHS 16 LHS 12 + LHS outer toe Or (on horses) LHS 12 + 23 LHS 23 + 25 (coccyx) 25 (coccyx) + LHS 8 25 (coccyx) + LHS 16 25 (coccyx) + LHS hoof RHS 25 + RHS 11 RHS 15 + RHS 11 LHS 11 + LHS 25 LHS 11 + LHS 15 LHS 1 + RHS 1 Or 1+2 Total Body Harmoniser Prime Mover Revitalize and Calmer Muscle and Back Pain LHS 4 + RHS 4 Or 4 + 13 RHS 5 with right hand + RHS 8. Once in balance move hand down to 16 balancing along the way. Aids Helps all immune issues; total body energizer; rejuvenator; energy to all organs; white & red blood cells; skin surface; allergic conditions; builds immunity; spleen Digester of food and ideas; sinus; skin; allergies; bloat; colic; helps to regulate weight and appetite; worry; anxiety; skittishness; nervous habits; clears the mind and emotions RHS helps constipation LHS helps diarrhoea Eliminator; back, leg, head fear issues’ elimination, RHS helps diarrhoea LHS helps constipation Breathing and digestion; spinal issues; broken limbs Panic, shock, choking, breathing, nervous discomfort, digestion, bloat, obesity, mental and emotional balance. Head, eye, general fatigue, emotions, same side limbs, dying. Natural aspirin and anti-inflammatory, muscle cramping, back pain, general pain relief, arthritis. Some Quickies Sequence 3 + 15 26 + 15 19 + 1 19 25 + 11 Aids 3, 5, 6, 15, 23 15, 24, 26 1, 10, 14, 19, 20, 21, 22 9,13,14,19 11, 16, 25 25 8, 25