针 Acupuncture Point Dynamics VOLUME II Dr. John McDonald PhD ACUPUNCTURE POINT DYNAMICS VOLUME TWO: THE SIX HAND MERIDIANS, CONCEPTION VESSEL (RENMAI) & GOVERNING VESSEL (DUMAI) Dr John McDonald, PhD Revised Edition 2020 COPYRIGHT JOHN McDONALD 1989, 2008, 2015, 2019, 2020 TABLE OF CONTENTS Introduction Legend Bibliography i iv v LUNG MERIDIAN Major Points Summary Point Indications Summary Point Actions Summary Analysis of major points 1 2 5 8 11 PERICARDIUM MERIDIAN Major Points Summary Point Indications Summary Point Actions Summary Analysis of major points 24 25 29 32 35 HEART MERIDIAN Major Points Summary Point Indications Summary Point Actions Summary Analysis of major points 48 49 51 53 55 LARGE INTESTINE MERIDIAN Major Points Summary Point Indications Summary Point Actions Summary Analysis of major points 67 68 71 74 77 TRIPLE ENERGIZER (SANJIAO) MERIDIAN Major Points Summary Point Indications Summary Point Actions Summary Analysis of major points 98 99 103 106 109 SMALL INTESTINE MERIDIAN Major Points Summary Point Indications Summary Point Actions Summary Analysis of major points 128 129 132 135 137 CONCEPTION VESSEL Major Points Summary Point Indications Summary Point Actions Summary Analysis of major points 154 155 160 164 167 GOVERNING VESSEL Major Points Summary Point Indications Summary Point Actions Summary Analysis of major points Cover design by Raquela Petre 191 192 196 199 204 INTRODUCTION This work was prompted by the writer’s dissatisfaction with facile sweeping statements about the actions and indications of acupuncture points. Coupled with this desire for clear and practical knowledge was a strong conviction that it is possible to make accurate interpretations about point usage through rational and analytical processes. Traditional Chinese Medicine is a fundamentally pragmatic system. The theory of Traditional Chinese Medicine (T.C.M.) has been derived from clinical observation rather than being built on a philosophical system. The first step in this development was making systematic observations of responses to treatment. Hence the first type of information on acupuncture to be systematized was in the form of "This point is effective for that symptom" (eg: Zusanli (ST-36) is effective for poor appetite). While this type of information is fairly crude when it forms the sole basis for point selection, it is still the fundamental basis for more sophisticated theory. In recent years in the West, an artificial polarization has occurred between the "Symptomatic" and "Energetic"(or "Energic") schools of thought in acupuncture. Why is this polarization artificial? Simply because the "Symptomatic" approach is the foundation of the more sophisticated theory on which the "Energetic" school is based. They are in fact "Ben" (Root) and "Biao" (Manifestation). Once a body of information had been recorded on which points were effective for which symptoms, it was then possible to draw generalizations about the actions of individual points and groups of points. These general statements were useful as guidelines but were never intended to imply a higher level of "truth" than the specific observations from which the generalizations originally derived. For example, to describe a point which is effective for Damp-Heat diarrhoea and Damp-Heat dysuria as a point which "Clears Damp-Heat" does not change the nature of the point or give it special magic. It would be absurd to assume that this point has now also somehow become effective for Damp-Heat skin rashes and Damp-Heat leukorrhoea. Furthermore this type of woolly extrapolation was never intended. The statement that a point "Clears Damp-Heat" really means that there are certain symptoms for which that point is effective which may be described as Damp-Heat symptoms. It does not mean that the point is effective for all Damp-Heat symptoms. The obvious question then arises, "How do we know exactly what is meant clinically when we find a point described as having the action of clearing Damp-Heat"? To find the answer we can examine the records of the original clinical observations on which such generalizations have been based. In short, we can search the indications for the point in question through classical and modern works and then make educated interpretations. For example let us examine the points Riyue (GB-24) and Daimai (GB-26). Both of these points are said to be effective in the treatment of Damp-Heat, but clinically they are quite different. Riyue (GB-24) is indicated for jaundice, and in modern books, for hepatitis and cholecystitis but never for diarrhoea, dysentery, dysuria, leukorrhoea or eczema. Hence it is reasonable to conclude that Riyue (GB-24) is used for Damp-Heat in Liver & Gall Bladder (as described in the theory of differentiation of Zang-Fu syndromes) but is not useful For Damp-Heat in the Intestines, Damp-Heat in the Bladder, Damp-Heat leukorrhoea or Damp-Heat rashes. Daimai (GB-26) on the other hand, is indicated for leukorrhoea and cystitis but not for jaundice, diarrhoea or eczema. Therefore it would be fairly safe to assume that Daimai ii (GB-26) is effective for Damp-Heat leukorrhoea and Damp-Heat in the Bladder , but not for other forms of Damp-Heat. It is also possible to cross-check our conclusions by searching modern clinical reference books in the treatment sections to discover whether our expectations are supported. In the above example, a search on treatments for jaundice reveals that Riyue (GB-24) indeed features prominently in the treatment of Damp-Heat jaundice, but is never mentioned in the treatment of other Damp-Heat conditions. This confirms our interpretation of how Riyue effects Damp-Heat. Of course, to investigate every general statement on every point (or even the major points) is an exceedingly time-consuming task. However it is a very important and necessary undertaking if acupuncture is ever to derive the full benefit from its rich legacy of literature. This book is a first attempt at precisely this task, and like all first attempts is not free from difficulties. it has taken seven years of translation, compilation and interpretation to date in order to arrive at this draft. It cannot be said that the work is finished, however it is hoped that this approach of returning to the history of point indications for reliable clincial information on point usage, rather than the facile and often misleading approach of relying on point function statements will be more widely embraced. The method of preparing this work began with the selection of source materials from Peoples Republic of China, Taiwan, South Korea and France. One of the Chinese books included summary tables, detailing which were the most important indications for each point (primary and secondary indications). The indications which did not appear in the summary tables, but did appear in the body of the text have been taken as a tertiary grouping of indications. Indications which were not well corroborated by various sources were left in a category of "Other indications" which appears last in the detailed analysis of each point. In a sense this has generated some distortions because some quite important indications do sometimes appear in the "Other indications" ragbag. However if babies and bathwater have been confused, at least nothing has been thrown out. Even the most exotic indications have been preserved, while at the same time there is some sense of perspective in an otherwise very confusing area. It will also be noted that not only certain "major" points have been selected for consideration. This selection was based on a rough composite of the selections of major points made by the various source works. If anything there has been a tendency to be overinclusive in the selection of points. Each meridian is arranged with first a summary of the points covered. This is the area with the most commentary on the broad uses of the points and occasional comparative comments are made. Next is the summary of indications which is useful as a quick, if somewhat simplistic clinical reference, and also demonstrates the regional actions of points. Then comes the actions summary which compares points with similar actions, for example compares the points which influence Damp-Heat. Finally comes the detailed compilation on each point with every item of data tagged with its source. It shows readily who has said what about a particular point. The interlinking web of knowledge which is essential to a full understanding of point dynamics includes a detailed knowledge of T.C.M. theory (especially Differentiation of ZangFu Syndromes), a knowledge of symptom analysis and differential treatment of symptoms and diseases. iii One aspect of point dynamics which has not been touched upon in this work is the importance of needling technique. A particular point may only be effective for a particular listed symptom if the appropriate needle technique is used. For example, when needling Neiguan (PC-6) for symptoms in the chest, the best effect is gained when Qi sensation radiates up the inner arm to thechest and ribs. The complexity of this question is enormous, particularly when it is remembered that what we casually refer to as "a point" may have been described in up to 12 different locations over the history of acupuncture, and sometimes with several different specific needling techniques for each location. While this important question does need to be addressed, it is beyond the scope of this book. TERMINOLOGY Several T.C.M. terms have been rendered in Pinyin romanized form rather than translated. This has been done where translation renders a term less accurate or sometimes even makes a term misleading. A brief glossary of such terms follows: Bi syndrome Joint pain said to be caused by a combination of Wind, Cold and Dampness; can include osteoarthritis, rheumatoid arthritis, rheumatism and gout. Dian kuang Psychosis; dian ji corresponds to Phlegm Confuses Heart Orifice, while kuang ji corresponds to Phlegm-Fire Disturbs Heart (manic psychosis). Jiao qi Ankle swelling; modern rendering of "beriberi" is misleading since jiaoqi includes other types of ankle swelling. Jiao qi is literally "Foot Qi". Jue ni Severe coldness of the limbs often associated with loss of consciousness. Lin syndrome Urinary disturbance with urgency, frequency and pain. The Five Lin (wu lin) were Stone Lin (shi lin), Qi Lin, Milky Lin (gao lin), Fatigue Lin (lao lin) and Blood Lin (xue lin) Shan qi A loose term for any disorder in the lower abdomen or genitals which is usually painful and which may involve difficulty or obstruction to the passing of urine or stools. While Shan qi does include the modern idea of hernia, not all Shan qi conditions relate to hernia. Wei syndrome Paralysis with flaccidity of muscles or flaccid paralysis Xiao ke A classical term referring to symptoms associated with diabetes mellitus, including extreme thirst, excessive appetite and excessive urination iv LEGEND LU LI ST SP HT SI BL KI PC TE GB LIV CV GV Lung Large Intestine (Colon) Stomach Spleen Heart Small Intestine Bladder Kidney Pericardium (Xinbao) Triple Energizer (Sanjiao)/Three Heater/Triple Burner Gall Bladder Liver Conception Vessel (Renmai) Governing Vessel (Dumai) Indications are sorted into primary, secondary and tertiary by the use of shading. Indications shaded in dark grey are primary indications. Indications shaded in light grey are secondary. Indications with no shading are tertiary indications. For example: Cough Asthma Febrile diseases Low back pain In this example, cough and asthma are primary indications, febrile diseases is a secondary indication and low back pain is a tertiary indication. In indications summaries, primary indications are shown in bold type for the point number, while secondary indications are shown in italic bold eg: ST 36 (primary indication) ST 39 (secondary indication) v BIBLIOGRAPHY Ess Sh J K CYM Ch NVN FCA CAM O Beijing College of Traditional Chinese Medicine et al [compilers] (1980) Essentials of Chinese Acupuncture, Foreign Languages Press, Beijing Shanghai College of Traditional Chinese Medicine; O'Connor, John & Bensky, Dan (translators) (1981) Acupuncture: A Comprehensive Text, Eastland Press, Chicago Jiangsu Provincial College of Traditional Chinese Medicine[compilers] (1979) Zhen Jiu Xue (Acupuncture & Moxibustion Text) [in Chinese], Medicine, Pharmacy and Health Press, Hong Kong Yong Tae Choe & Soo Ho Lee (1973) Acupuncture and Moxibustion Meridians and Points, Ko Moon Sa, Seoul Chong Yuming (Chuang Yumin); Shiu, Desmond (translator) (1972) Chinese Acupuncture: Oriental Publications, New York Chamfrault, A. (1964) [2nd Edition] Traite de Medecine Chinoise (Tome 1) [in French], Editions Coquemard, Angouleme (France) Nguyen Van Nghi (in collaboration with Emmanuel Picou) (1971) [2nd Edition] Pathogenie et Pathologie Energetiques en Medecine Chinoise [in French], Imprimerie Ecole Technique Don Bosco, Marseilles, Ellis, A., Wiseman, N. & Boss, K. (1988), Fundamentals of Chinese Acupuncture, Paradigm Publications, Brookline, Massachusetts Cheng Xinnong (Chief Ed.) (1987) Chinese Acupuncture and Moxibustion, Foreign Languages Press, Beijing Omura, Yoshiaki (1982) Acupuncture Medicine: Its Historical and Clinical Background, Japan Publications, Inc., Toky 1 HAND TAIYIN LUNG MERIDIAN SHOU TAIYIN FEI JING 2 LUNG MERIDIAN MAJOR POINTS SUMMARY LU 1 (ZHONGFU) Front-Mu point of Lungs Front-Mu Point Lung disorders, pain in region of lungs, lung-related signs and symptoms Disorders of Lung organ cough, asthma. haemoptysis, fullness pneumonia, pulmonary tuberculosis Pain in lung region pain in chest, shoulder & back Lung-related signs and symptoms abnormal sweating, night sweats, nasal congestion, sore throat LU 5 (CHIZE) He-Sea point of Lung meridian He-Sea point For Qi contravecting upwards especially Lu Qi but also for ST Qi contravecting upwards cough, dyspnoea, asthma vomiting Clears Heat from the Lungs sore throat, pleurisy, bronchitis, pneumonia, haemoptysis, pulmonary tuberculosis Disperses Cold from the Lungs cough, asthma (in the context of a Wind-Cold condition or other Cold Lung pathology) Cools Heat in the Blood erysipelas Frees the tendons elbow & arm spasm and pain, shoulder pain LU 6 (KONGZUI) Xi-Cleft point of Lung meridian Xi-Cleft point For acute obstruction and pain in the Lung meridian or organ; An important point in acute respiratory crises cough, asthma, haemoptysis pain associated with coughing such as in pleurisy sore throat, headache. pain & motor impairment of elbow & arm Clears Heat from the Lungs haemoptysis, sore throat, tonsillitis, asthma (Hot type) Stops bleeding haemoptysis, bleeding haemorrhoids \ in chest, 3 LUNG MERIDIAN MAJOR POINTS SUMMARY LU 7 (LIEQUE) Luo-Connecting point of Lung meridian Confluent point of Conception Vessel One of Ma Dan Yang’s 12 Stars Luo-Connecting point LU Luomai Shi: sensation of heat in wrist & palm LU Luomai Xu: urinary frequency, yawning NB: While hot sensations in the palms and urinary frequency are included in modern lists of indications for this point, there is no mention of yawning Yuan-Luo coupling technique combining LU 7 and LI 4 is the most commonly used of all the Yuan-Luo couplings and is mainly used for Wind-Cold attack to Taiyang meridian and the Lungs cough, stiff neck, asthma, headache, facial paralysis, oedema in the four limbs (sudden onset type due to Wind-Cold) Confluent point of Conception Vessel When coupled with KI 6: Nourishes Yin, soothes the throat and activates the descending function of LU Yin Xu type sore throat, dry mouth and for cough of Yin Xu type (dry, raspy, worse after dark) For nape and neck Lieque’s the trick Song of the Four Dominant Points (Si Zong Xue Ge) headache, migraine, neck rigidity (especially for occipital headache with neck stiffness in Wind-Cold attack) Dispels Wind-Cold Wind-Cold in Taiyang: cough, sore throat, headache, neck rigidity, asthma Wind-Cold in Taiyang complicating to oedema: sudden swelling in the four limbs Wind-Cold causing facial paralysis Invigorates the jing-luo wrist weakness, neck rigidity, facial paralysis, hemiplegia LU 9 (TAIYUAN) Shu-Stream & Yuan-Source point of Lung meridian Shu-Stream point Bi Syndrome: Bi syndrome of wrist, pain in chest & medial aspect of forearm, pulmonary Bi Yuan-Source point Disorders of the LU organ dyspnoea, asthma, cough, haemoptysis, bronchitis, pneumonia, whooping cough, pulmonary tuberculosis Mother-Son reinforcing point (Earth of Metal) Used more for Lung Qi Xu than Lung Yin Xu (for which LU 7 is more commonly used) One of Eight Meeting Points (Bahui) for vessels/pulse (mai) absent radial pulse 4 LUNG MERIDIAN MAJOR POINTS SUMMARY LU 9 (TAIYUAN) (cont.) Eliminates Wind & transforms Phlegm cough with mucoid sputum, dyspnoea, asthma, throat swelling & pain Regulates Lungs & stops coughing cough, haemoptysis, dyspnoea, asthma LU 10 (YUJI) Ying-Spring Point of Lung meridian Ying-Spring Point Clears heat from the Lungs & benefits the throat tonsillitis, laryngitis, pharyngitis, haemoptysis, fever LU 11 (SHAOSHANG) Jing-Well Point of Lung meridian Jing-Well Point Resuscitation fainting, wind-stroke coma One of Sun Simiao’s Thirteen Ghost Points (Qian Jin Yao Fang – 652AD) psychosis (diankuang) Clears Heat from the Lungs & benefits pharynx pharyngitis, tonsillitis, mumps, fever [prick to bleed] 5 LUNG MERIDIAN POINT INDICATIONS SUMMARY INDICATIONS HEAD, NECK & FACE Headache/ migraine Stiff neck Facial paralysis Facial swelling Trigeminal neuralgia Goitre EYES Eye pain/inflammation Corneal opacity (mu yi) NOSE Nasal congestion Epistaxis THROAT, MOUTH Sore throat Tonsillitis (throat bi) Sudden loss of voice Mumps Toothache Trismus Yellow tongue coat SHEN DISORDERS & NEUROLOGICAL DISORDERS Psychosis (dian kuang) Insomnia Irritability (xin fan) Wind-stroke coma Syncope/ Loss of consciousness Syncope with icy limbs (jue ni) Cadaveric syncope Infantile convulsions Whole body numbness due to Wind Bi CARDIOVASCULAR DISORDERS Cardiac pain Palpitations RESPIRATORY DISORDERS Cough Haemoptysis Asthma Pleurisy Pulmonary tuberculosis Expectorating pus & blood (pulmonary abscess) 1 5 6 7 9 6 7 7 7 9 10 11 1 7 1 9 9 1 11 1 1 5 5 6 6 6 7 7 9 9 10 10 10 11 11 11 7 7 9 10 11 9 10 11 11 7 11 5 7 10 9 1 1 1 1 5 5 5 5 5 6 6 6 7 7 9 9 9 10 10 10 11 11 6 LUNG MERIDIAN POINT INDICATIONS SUMMARY INDICATIONS GASTROINTESTINAL DISORDERS Abdominal pain Vomiting Haematemesis Haemorrhoids GENITOURINARY & SEXUAL DISORDERS Urinary frequency Haematuria Seminal emission Pain in penis GYNAECOLOGICAL & OBSTETRIC DISORDERS Vaginal discharge Mastitis/ breast abscess CHEST, RIBS & SIDES Chest pain Fullness in chest Pain in chest & back Pain in chest, shoulder & back ABDOMEN Abdominal pain FOUR LIMBS Hemiplegia Acute oedema of four limbs SHOULDER Shoulder pain Shoulder & back pain ELBOW & ARM Elbow & arm spasm & pain Elbow pain Forearm pain WRIST Wrist & arm pain Wrist pain Wrist weakness HAND Spasm & pain of fingers Hot sensation in palms SWELLING/OEDEMA Acute oedema of four limbs Facial oedema Goitre 1 5 6 7 9 10 11 10 5 5 9 6 7 7 7 7 11 5 1 1 1 1 9 9 5 10 10 10 7 7 1 1 5 5 6 7 9 7 7 9 9 9 7 9 11 7 1 1 7 LUNG MERIDIAN POINT INDICATIONS SUMMARY INDICATIONS 1 5 6 7 9 10 11 10 10 10 11 FEBRILE DISEASES & PERSPIRATION Febrile diseases Tidal fever Malaria Influenza Absence of sweating Excessive sweating 5 7 9 6 1 11 8 LUNG MERIDIAN POINT ACTIONS SUMMARY ACTIONS ON SIX PERVERSE QI (LIU XIE) Wind Dispels Wind LU 7 facial paralysis, facial neuralgia. facial spasms, headache, stiff neck, swelling of the four limbs Disperses WindCold & opens up the Lungs LU 7 Wind-Cold common cold: cough, headache, stiff neck, sore throat Eliminates Wind LU 9 headache, sore throat, cough, haemoptysis; eye pain/inflammation LU 5 haemoptysis, sore throat, PhlegmHeat Congests Lungs type asthma, pulmonary tuberculosis LU 6 haemoptysis. sore throat, tonsillitis, asthma LU 10 haemoptysis, sore throat, asthma, chest pain Dispels Wind-Heat LU 11 sore throat, tonsillitis, cough, epistaxis, febrile diseases Disperses Xie Heat from chest LU 1 haemoptysis, asthma, chest pain, pneumonia, pulmonary tuberculosis Cools Heat in the Blood LU 5 erysipelas LU 5 cough, asthma, dyspnoea Heat Clears Heat from Lungs Cold Disperses Cold from the Lungs ACTIONS ON FEBRILE DISEASES (RE BING) Febrile diseases LU 11 febrile diseases, pharyngitis, laryngitis tonsillitis, LU 10 febrile diseases, pharyngitis, laryngitis tonsillitis, LU 5 tidal fever (afternoon fever), malaria; sore throat 9 LUNG MERIDIAN POINT ACTIONS SUMMARY ACTIONS ON SIX IMPEDIMENTS (LIU YU) Phlegm Transforms phlegm LU 9 cough with abundant expectoration, asthma, chest pain with stifling feeling ACTIONS ON ZANG FU LUNGS Clears Heat from Lungs/Cools Lungs (See above under Heat) Opens the Lungs (strengthens the dispersing function of LU) LU 7 Wind-Cold common cold, cough, asthma Regulates Lung Qi, suppresses niqi LU 5 Cough, asthma, haemoptysis LU 6 Cough. asthma, haemoptysis LU 9 Cough, asthma, dyspnoea, haemoptysis ACTIONS ON QI & BLOOD Qi Regulates Lung Qi. suppresses niqi (See above under Lung) Blood Cools Heat (in Lungs) and stops bleeding Kongzui (LU 6) haemoptysis, haemorrhoids ACTIONS ON JING - LUO Jing-Luo Invigorates the JingLuo LU 7 heat in palms of hand (Shi symptom of Lung Luomai) One of the Bahui (Eight Influential/ Meeting points, for the vessels (mai also may be translated as pulse) LU 9 pulseless disease, migraine headache LU 7 Yin Xu sore throat (with KI 6) NB: LU 7 has no gynaecological indications Conception Vessel Clears & regulates the Conception Vessel 10 LUNG MERIDIAN POINT ACTIONS SUMMARY ACTIONS ON REGIONS Throat Benefits the throat & Cools Heat in the Lungs LU 10 sore throat (esp. when due to WindHeat) for both pharyngitis/laryngitis and tonsillitis Benefits the pharynx & Cools the Lungs LU 11 sore throat (esp. when due to Wind-Heat), pharyngitis/laryngitis, tonsillitis and also mumps (parotitis) LU 6 haemorrhoids Rectum Treats haemorrhoids and stops bleeding ACTIONS ON TISSUES Tendons Frees the tendons LU 5 Spasms & pain in elbow & arm ACTIONS ON PAIN Pain Stops pain (Xi-Cleft point) LU 6 sore throat, headache, pain & motor impairment of elbow & arm ACTIONS ON SHEN Resuscitation Opens the sensory orifices LU 11 fainting, Wind-stroke (C.V.A.) coma, 11 LU 1 ZHONGFU CENTRAL PALACE LOCATION Below the acromial extremity of the clavicle, 1 cun directly below LU 2, 6 cun lateral to the midline at the level of the first intercostal space CHARACTERISTICS Front-Mu Point for the Lungs Clears Perverse Heat from the chest Clears the Upper Jiao and promotes circulation of Lung Qi INDICATIONS Cough Cough (J,Ess,CAM,Ch,NVN,O,FCA), Coughing & wheezing (Sh), Coughing blood & pus (Sh,FCA), Bronchitis (Sh,K), Tracheitis (K), Pulmonary tuberculosis (Sh) Asthma Asthma (J,Ess,CAM,Sh,K,NVN,O,FCA), Coughing & wheezing (Sh), Dyspnoea (K,NVN) Pain in chest, shoulder & Pain in chest, shoulder & back (Ess,CAM,FCA), Chest back pain (J,K), Pain in chest, shoulder & neck (NVN), Pain in shoulder & scapula (K), Pain in shoulder & back (J, Ch) Chest fullness Fullness in the chest (Ess,CAM,FCA), Distension & fullness of lungs (J,FCA), Oppression, cough, fullness in the chest, sometimes with hiccough (Ch), After catching cold, patient has fullness in the chest, oppression, loss of appetite (Ch) Tonsillitis (throat Bi) Throat Bi/blockage (Sh,FCA) , Sore throat, cannot swallow (Ch) Nasal congestion Nasal congestion (FCA), Congested nose (Sh), Rhinorrhoea with clear liquid (Ch), Turbid snivel (FCA) Excessive sweating Excessive sweating (Sh) , Night sweats (Ch), Sweating (FCA) Neck swellings Adenopathy (Ch), Tumours & nodular growths on the neck (Sh), Goitres and tumours of the neck (FCA) Facial oedema Facial oedema (O), Facial swelling (FCA), Face swollen due to Wind in the Lungs (Ch) 12 LU 1 ZHONGFU CENTRAL PALACE INDICATIONS (cont.) Other indications Pneumonia (Sh), Fever in pulmonary disorders with vomiting (Ch), Fever & vomiting (FCA), Difficult ingestion (FCA), Insomnia (Ch), Somnolence (FCA), Yin or Yang (Hot or Cold) disorders of the lungs with cough, sensation of energy rising to upper body, preventing lying down (Ch), Diminished Qi with inability to lie flat (FCA), Aversion to cold (FCA), Generalized Heat vexation (FCA), Loss of appetite, vomiting, sensation of abdominal fullness (all these symptoms are secondary to pulmonary disorders) (Ch), Running piglet (ben tun) (FCA), Vomiting of pus & blood (FCA), Abdominal distenstion (FCA), Swelling of the four limbs (Ch), Painful skin (Ch), Pain in the skin & bone (FCA) 13 LU 5 CHIZE CUBIT MARSH LOCATION On the cubital crease, on the radial side of the tendon of m. biceps brachii. Locate with the elbow slightly flexed. CHARACTERISTICS He-Sea Point of the Lung meridian Clears Heat and Fire from the Lungs Disperses Cold from the Lungs Suppresses rebellious Qi which is contravecting upwards Frees the tendons Stops bleeding Reducing point of the Lung meridian (Mother/Son) INDICATIONS Cough Cough (J,Ess,CAM,Sh,NVN,Ch,FCA), Bronchitis (Sh,CYM,Ch), Pleurisy (Sh,CYM), Pulmonary tuberculosis (J,CYM) Haemoptysis Haemoptysis (J,Ess,CAM,CYM), Spitting blood (Sh,NVN,Ch), Coughing of blood (FCA) Asthma Asthma (J,Ess,CAM,Sh,NVN,FCA), Dyspnoea (K,NVN,Ch), Shortness of breath (FCA) Chest fullness Fullness in the chest (J,Ess,CAM,Sh), Distension & fullness of chest (J), Fullness of the lungs (NVN,Ch), Thoracic fullness (FCA), Oppression (Ch,NVN) Counterflow cough & dyspnoea with fullness (FCA), Distension & fullness in the chest & lateral costal region (FCA) Tidal fever Tidal fever (J,FCA), Afternoon fever (Ess), Malaria (Ch) Sore throat/ Tonsillitis (throat Bi) Sore throat (Ess,CAM,Ch,FCA), Pharynx & larynx swollen painful (J), Swelling & pain in throat (Sh), Pain in the throat (NVN), Throat blockage [throat Bi] (Sh,FCA) Elbow arm spasm & pain Elbow arm spasm & pain (J), Swelling & pain in elbow & arm (Sh), Spasmodic pain of elbow & arm (Ess,CAM), Hypertonicity & pain in the elbow and arm (FCA), Pain in shoulder & elbow (NVN), Muscular spasms of forearm (Ch), Cramps in elbow preventing raising the arm (Ch), Pain in elbow with contracture (according to Hua Tuo:Ch), Pain in the arm (O), Pain & hypertonicity of the elbow & arm preventing normal stretching (FCA) 14 LU 5 CHIZE CUBIT MARSH INDICATIONS (Cont.) Shoulder pain Shoulder & scapula neuralgia (CYM), Pain in shoulder & elbow (NVN) Pleurisy Pleurisy (Sh,CYM) Infantile convulsions Infantile convulsions (J, CAM), Infantile convulsions with fever and eyes rolled upward (Ch), Child fright wind (FCA), Clonic spasm (FCA) Pulmonary tuberculosis Pulmonary tuberculosis (J,CYM) Mastitis Mastitis (CAM), Breast abscess (J) Vomiting / haematemesis Vomiting (Ch,FCA), Vomiting blood (Ch), Ejection of blood (FCA) Other indications Erysipelas (Sh), Pneumonia (Sh), Chest pain (Sh), Cardiac pain (FCA), Cholera (CYM), Abdomen distended & painful (Ch), Sudden swelling of the limbs (FCA), Paralysis of the limbs (K), Hemiplegia, quadraplegia (K), Numbness of the arm (O), Pain in the arm (O), Facial nerve paralysis (K), Shanghan (Cold injury) (Ch), Shivering (FCA), Bi syndrome due to wind (Ch), General loss of sensitivity (Ch), Madness (Ch), Frequent sneezing (Ch), Nosebleed (FCA), Intercostal inflammation (Ch), Dry mouth (Ch), Dry tongue (FCA), Pain in the kidneys (Ch), Urinary frequency (Ch), Atony of the bladder (Ch), Enuresis (FCA), Contractures & muscular spasms (Ch), Aching body & vexation (FCA), Stiffness of vertebral column (Ch), Cold in the arm (FCA) 15 LU 6 KONGZUI COLLECTION HOLE LOCATION On the palmar aspect of the forearm, on the line joining LU 9 and LU 5, 7 cun above LU 9 CHARACTERISTICS Xi-Cleft Point of the Lung meridian For acute obstruction or pain in the Lung meridian or organ Emergency use for respiratory difficulty such as acute asthma Regulates Lung Qi & makes it descend Clears Heat from the Lung Stops bleeding INDICATIONS Cough Cough (J,Ess,CAM,Sh,NVN,CYM,Ch,O,FCA), Counterflow cough (FCA) Haemoptysis Haemoptysis (J,Ess,CAM,Sh), Expectoration of blood (FCA) Asthma Asthma (J,Ess,CAM,Sh,O,FCA) Sore throat/ Tonsillitis (throat Bi) Sore throat (Ess,CAM,Sh,Ch,O,FCA), Pharynx & larynx swollen, painful (J), Sore pharynx (FCA), Tonsillitis (Sh,CYM,K), Laryngitis (Ch,O), Loss of voice (J,Sh,FCA) Loss of voice Loss of voice (J,Sh,FCA), Laryngitis (Ch,O), Pharynx & larynx swollen, painful (J) Elbow & arm spasm & pain Elbow & arm spasm & pain (J), Spasmodic pain of the elbow & arm (CAM), Pain & motor impairment of elbow & arm (Ess), Pain in arm & elbow (Sh), Pain in the arm (O), Difficulty bending the arm (Sh), Pain in elbow & arm, which cannot be flexed; cannot touch the head with the hand (Ch), Pain in the elbow & arm with difficulty in bending & stretching (FCA), Elbow & finger arthritis (CYM), Elbow joint arthritis (K) Haemorrhoids Haemorrhoids (CYM,K) Headache Headache (Sh,K,Ch), Migraine (K), Inversion headache (FCA) Fever without sweating Fever without sweating (Ch), Absence of sweating (Sh,FCA) Other indications Pain in the chest (CAM), Pneumonia (Sh), Belching (Sh), Vomiting blood (Ch), Inversion cold in the arms (FCA) Spitting blood (Sh,Ch), 16 LU 7 LIEQUE BROKEN SEQUENCE; BRANCHING CLEFT LOCATION Proximal to the styloid process of the radius, in a small hollow 1.5 cun above the transverse crease of the wrist CHARACTERISTICS Luo-Connecting Point of the Lung meridian Confluent Point of Conception Vessel coupled with KI 6 for Yin Xu dry throat, dry cough or sore throat For nape & neck Lieque’s the trick from Si Zong Xue Ge (Four Dominant Points Song) Special regional actions on nape of neck and head One of Ma Dan Yang’s Twelve Star Points Dispels Wind-Cold Invigorates the circulation of the Jing-Luo INDICATIONS Cough Cough (J,Ess,CAM,Sh,NVN,O,FCA), Cough with mucoid sputum (Ch) Sore throat Sore throat (Ess,CAM,NVN,Ch,FCA), Pharynx & larynx swollen & painful (J), Swelling of the pharynx (Sh), Phlegm obstructing throat (Ch), Swollen and painful throat & neck (O), Throat Bi (FCA) Facial paralysis Facial paralysis (J,Ess,CAM,Sh,CYM,FCA), Paralysis of the mouth & eyes (K), Wryness of the eyes & mouth (FCA), Hemiplegia with deviation of mouth & eyes (Ch), Deviation of mouth (J), Mouth awry (Sh), Lips pendulant & flaccid (Ch) Headache/ migraine Headache (J,Ess,CAM,Sh,K,O,FCA), Migraine (CAM,K,Ch) Neck stiffness Neck stiffness (J,Sh,FCA), Neck rigidity (Ess,CAM), Swollen and painful throat & neck (O) Trismus Trismus (J,Ess,Ch), Clenched jaws (FCA), Facial spasms (CYM) Toothache Toothache (J,CAM,K,FCA) Wrist weakness/ pain Wrist weakness (J,Ess,Ch,FCA), Pain & weakness of the wrist (CAM), Diseases of the wrist joint (Sh), Radial neuralgia (CYM) Hemicrania (NVN), 17 LU 7 LIEQUE BROKEN SEQUENCE; BRANCHING CLEFT INDICATIONS (Cont.) Hemiplegia Hemiplegia (J,Sh,K,CYM,Ch,FCA) Haematuria Haematuria (CYM), Blood in urine (Sh,FCA), Urine hot with haematuria (Ch) Asthma Asthma (Ess,CAM,Sh,FCA), Panting (Sh) Acute oedema of the limbs Acute oedema of the limbs (Sh), Sudden swelling of the four limbs (Ch), Swelling & pain in the four limbs and face (Ch) Hot palms Heat in palm of hand (Ch,NVN,FCA) Trigeminal neuralgia Trigeminal neuralgia (CYM,K) Elbow pain Pain in the elbow (NVN), Joint pain of the elbow (O), Pain in the arm & elbow (FCA) Urinary frequency Urinary frequency (NVN), Enuresis & frequent voidings (FCA) Malaria Malaria (Ch), Malarial disease (FCA), Fever & chills (FCA) Spermatorrhoea Spermatorrhoea (Ch), Seminal loss (FCA) Pain in penis Pain in the penis (Ch), Penile pain (FCA) Syncope with icy limbs (jue ni) Cadaveric syncope with four limbs icy (Ch), Inversion counterflow in the limbs (FCA) Whole body numbness due Insensitivity of the whole body due to Bi syndrome or Wind (Ch), to Wind Bi Generalized Wind Bi numbness (FCA), Other indications Urticaria (Wind Rash) (Sh), Facial spasms (CYM), Lack of energy (Ch), Epilepsy (Ch), Infantile fright epilepsy (FCA), Laughter, raving, visions (Ch), Phlegm obstructing the throat (Ch), Vomiting of phlegm (Ch), Swelling of the shoulders (Ch), Rheumatism of the shoulders (Ch), Tension in the chest & back (FCA), Chills in the back (Ch), Sensation of cold in chest & back (Ch), Sensation of heat with sweating on chest & back (Ch), Heat & pain in the shoulder & back (FCA), Pain in the elbow (NVN), Radial neuralgia (CYM), Restless sleep (FCA) 18 LU 9 TAIYUAN GREAT ABYSS LOCATION At the transverse crease of the wrist in the depression on the radial side of the radial artery. CHARACTERISTICS Shu-Stream & Yuan-Source Point of the Lung meridian One of the Eight Meeting Points (ba hui): for vessels (mai) Transforms Phlegm Regulates the Lungs & stops coughing Dispels Wind Reinforcing Point of the Lung meridian (Mother/Son) INDICATIONS Haemoptysis Haemoptysis (J,Ess,CAM) , Coughing blood (Sh) , Spitting blood while coughing (Ch), Expectoration of blood (FCA) Cough Cough (J,Ess,CAM,NVN,O,FCA), Cough with lots of mucoid sputum (Ch), Asthma with cough due to Cold (NVN), Bronchitis (Sh,K,CYM), Pertussis (whooping cough) (Sh), Pulmonary tuberculosis (Sh) Asthma Asthma (J,Ess,CAM,Sh,O,FCA), Asthma with cough due to Cold (NVN), Dyspnoea (K,Ch), Dyspnoea & fullness in the chest (FCA) Sore throat Sore throat (Ess,CAM,NVN,Ch,O,FCA) , Pharynx & larynx swollen & painful (J) , Dry throat (J), Dry pharynx (FCA), Throat Bi (FCA) Chest pain Chest pain (Sh,O), Pain & fullness in chest (J), Pain in chest & medial aspect of forearm (Ess,FCA), Pain in chest, wrist & arm (CAM), Chest Bi (Ch) , Thoracic Bi (FCA), Fullness of the lungs (Ch), Intercostal neuralgia (CYM) , Heart pain (Ch), Cardiac pain (FCA) Wrist pain Wrist joint pain (K), Pain in wrist & arm (J), Pain or lack of strength in the wrist (FCA), Pain & debility of wrist (Sh), Pain & paralysis of wrist joint (O), Diseases affecting the radial side of the wrist joint (Sh), Pain in chest, wrist & arm (CAM) Headache/ migraine Headache (Sh,FCA), Frontal headache (Ch,CYM), Neuralgia of the head (Ch) (CYM), Migraine 19 LU 9 TAIYUAN GREAT ABYSS INDICATIONS (Cont.) Forearm pain Forearm neuralgia (CYM), Internal aspect of arm painful (Ch), Pain along the inner face of the forearm (FCA), Pain in chest & medial aspect of forearm (Ess,FCA) Palpitations Palpitations (CAM,FCA) Eye pain Pain in the eyes (Sh,FCA), Pain in eyes with fever (Ch), Inflammation of eyes (Ch) Corneal opacity (mu yi) Membrane on the eye (Sh), White membrane on eyes (Ch), Eye pain & screens (FCA) Influenza Influenza (Sh,K) Haematemesis Vomiting blood (Ch,NVN), Nausea & vomiting (Ch) Insomnia Insomnia (K), Malaise preventing sleep (Ch) Toothache Toothache (Sh,FCA) Other indications Pneumonia (Sh), Pulmonary tuberculosis (Sh), Energy rising in the body (Ch), Sudden chills & fever (Ch), Body fever & sweating in thermic disease (FCA), Deviation of mouth (Ch), Divagation (Ch), Manic raving (FCA), Dry throat (Ch), Great thirst with dry throat (Ch), Incontinence of stools (Ch), Stenosis of the oesophagus (Ch), Retching (FCA), Rough pulse (Ch), Palms of hands very hot (Ch), Cold in the palms (FCA), Cold inversion (FCA), Quivering with cold (FCA), Lack of radial pulse (FCA), Pain in shoulders & back with sensation of cold (Ch), Pain in shoulder girdle (Ch), Pain in the clavicle (FCA), Pain in elbow (Ch) 20 LU 10 YUJI FISH BORDER LOCATION On the radial aspect of the midpoint of the first metacarpal bone, on the junction of the red and white skin (ie: the junction of the dorsum and palm of the hand) CHARACTERISTICS Ying-Spring Point of the Lung meridian Clears Heat from the Lungs & from the blood Benefits the throat Harmonizes the Stomach INDICATIONS Cough Cough (J,Ess,CAM,Sh,NVN,FCA), Cough producing pain which radiates to the coccyx (Ch), Cough with pain in the sacrum (FCA), Bronchitis (O), Pneumonia (O) Haemoptysis Haemoptysis (J,CAM,Sh), Spitting blood (Sh), Expectoration of blood (FCA) Sore throat / Tonsillitis (throat Bi) Sore throat (Ess,CAM,NVN,Ch,FCA), Pharynx & larynx swollen and painful (J) , Laryngopharyngitis (Sh), Pharyngitis (K), Throat blockage (Throat Bi) (Sh), Tonsillitis (Sh,K), Loss of voice (J,CAM,Sh), Hoarseness (Sh,K), Dry throat (Ch), Dry throat & thirst (FCA) Loss of voice Loss of voice (J,CAM,Sh,FCA), Hoarseness (Sh,K), Laryngopharyngitis (Sh), Pharynx & larynx swollen & painful (J) Fever Fever (J,Ess,CAM,Sh,O,FCA), Tidal fevers (Sh), Fever without sweating (Ch), Body fever with sweating (FCA), Malarial disease (FCA) Dyspnoea/ asthma Difficulty in breathing (NVN,Ch), Asthma (Sh,O) Pain in chest & back Pain in chest & back (Sh,Ch,FCA), Pain in the heart (NVN), Cardiac Bi pain (FCA) Abdominal pain Abdominal pain (Sh,Ch), Abdominal pain with inability to eat (FCA) Irritability (xin fan) Heart malaise (xin fan) (Ch), Vexation and diminished Qi (FCA), Emotional disturbance (Sh), Sorrow & fear (FCA), Mania (FCA) Yellow tongue coat Yellow tongue fur (FCA,Ch) 21 LU 10 YUJI FISH BORDER INDICATIONS (Cont.) Other indications Feverish sensation in the palm (CAM), Syncope (K), Palpitation (K), Pneumonia (O, Infantile malnutrition syndrome (Sh), All disorders due to alcoholism (Ch), Fear of wind (Ch), Chills (Ch), Aversion to cold (FCA), Headache (Ch), Eye-dizziness (Ch), Dizziness & headache (FCA), Patient cannot eat (Ch), Emesis (O), Gastric counterflow (FCA), Cholera (FCA), Vomiting blood (Ch), Rheumatism of the elbow; cannot extend the arm (Ch), Swelling of the limbs (Ch), Swelling of the chin (Ch), Wandering Bi (Ch), Abscess of the nipple (Ch), Tearing (FCA), Qi ascent (FCA), Tetany (FCA), Hypertonicity of the elbow & fullness in the limbs (FCA), Genital damp itch (FCA) 22 LU 11 SHAOSHANG LESSER MERCHANT LOCATION On the radial side of the thumb, about 1.0 cun posterior to the corner of the nail. CHARACTERISTICS Jing-Well Point of the Lung Meridian 2nd of Sun Simiao’s 13 Ghost Points for the treatment of psychosis (diankuang) and epilepsy (dianxian) Clears Heat from the Lungs (mainly throat) Benefits the throat Revives from fainting INDICATIONS Cough Cough (J,Ess,Sh,CAM,Ch,NVN), Cough counterflow & asthma (FCA) Sore throat Sore throat (Ess,CAM), Sore, swollen throat (FCA), Pains in the throat (NVN), Pharynx & larynx swollen and painful (J), Pharyngitis, laryngitis (K), Sore throat with obstruction of throat & hypersalivation (Ch), Tonsillitis (Sh,K), Swollen patchy tonsils (Sh), Infantile sore throat with white spots (Ch), Throat moth in children (FCA), Cervical swelling with throat blockage (Throat Bi) (Sh,FCA) Syncope/ loss of consciousness Syncope (K), Loss of consciousness (Ess,CAM), Fainting (Sh,O), Wind-stroke coma (J), Wind-stroke (NVN), Stroke (Sh), Cerebral haemorrhage (CYM), Cerebral congestion (NVN,Ch), Apoplectic delirium (Sh), Cadaveric syncope (NVN), Clouding inversion (FCA) Epistaxis Epistaxis (J,Ess,CAM,Ch), Nosebleed (FCA), Persistent nosebleed (FCA) Fever Fever (J,CAM,K,CYM,O), Febrile diseases (Ess), Heat diseases (FCA), Malaria (Ch,O) Psychosis (diankuang) Psychosis (diankuang) (J,Sh), Mania & withdrawal (diankuang) (FCA), Mania (CAM), Mental disorders (Ess), Schizophrenia (K) Spasms/ pain in fingers Contracture & pain of fingers (J,Ess), Spasmodic pain of the thumb (CAM), Spasms of fingers (CYM,Ch), Pain in fingers which cannot be extended (Ch), Pain & hypertonicity of the fingers (FCA) Asthma Asthma (J,Ess,CAM) 23 LU 11 SHAOSHANG LESSER MERCHANT INDICATIONS (Cont.) Tonsillitis (throat Bi) Tonsillitis (Sh,K,CYM), Acute tonsillitis (O), Swollen patchy tonsils (Sh), Infantile sore throat with white spots (Ch), Throat Bi (Sh), Sore throat with obstruction of throat (Ch), Throat moth in children (FCA), Thirst, but cannot swallow (Ch), Oesophagostenosis (CYM), Sublingual adenitis (Ch), Sublingual sarcoma (CYM), Cervical swelling with throat blockage [throat Bi] (Sh,FCA) Mumps Parotitis (Sh,K,CYM,FCA), Mumps (Sh) Vaginal discharge Continuous leukorrhoea (Ch,NVN) Other indications Common cold (Sh), Pneumonia (Sh), Lung diseases (O), Infantile indigestion (Sh), Enteritis (CYM), Headache (K), Infantile epilepsy (Ch), Lips always dry (Ch), Fullness below the heart with abundant sweating (Ch), Sweating (O), Sweating & aversion to cold (FCA), Abdominal distension (Ch), Bleeding from the mouth (Ch), Swelling of the chin with trismus (Ch), Frequent hiccough (Ch), Tinnitus due to emptiness of Ancestral Qi (Yuan Qi) (NVN), Bowstring & elusive masses in males (FCA), Toothache (FCA) 24 HAND JUEYIN PERICARDIUM MERIDIAN SHOU JUEYIN XINBAO JING 25 PERICARDIUM MERIDIAN MAJOR POINTS SUMMARY PC 3 (QUZE) He-Sea Point of Pericardium meridian Treats Ni Qi (contravection of oi) in Stomach and intestines Diarrhoea with vomiting, gastric pain (Often combined with Weizhong (BL 40) for Summer-Heat attacks with diarrhoea and vomiting; in such cases both points are bled on the vein) Regulates the intestines; Stops vomiting & diarrhoea Drains Heat from the Blood (Bleed the vein) (This is one of a group of points on the cubital crease which all have similar effects in clearing Heat from the Blood in rashes. the others being LI 11 & LU 5). Of these three points, LI 11 is the most commonly used, whilst PC 3 is the least used.) eruptive fevers (eg: measles); urticaria Opens up the Heart Qi cardiac pain. palpitations, agitation Empirical use bronchitis Local uses tremor of hand & arm; pain in elbow and arm PC 4 (XIMEN) Xi-Cleft Point of Pericardium meridian For acute obstruction and pain in the meridian or organ (in this case, the Heart organ) Major point for angina pectoris Regulates the Qi and expands the diaphragm cough, haemoptysis; haematemesis, palpitations, spasm of diaphragm (hiccough) Pacifies the Heart & Calms the Shen palpitations; Dianji (depressive psychosis) Stops bleeding (HT Xi Cleft, HT 6 also stops bleeding) haematemesis, haemoptysis, haemorrhoids, epistaxis Empirical use furuncles PC 4 becomes painful in pleurisy and palpitations and hence has diagnostic value 26 PERICARDIUM MERIDIAN MAJOR POINTS SUMMARY PC 5 (JIANSHI) Jing-River Point of the Pericardium meridian 9th of Sun Simiao’s 13 Ghost Points Jing-River Point indications from Nan Jing Difficulty 68 For alternating chills & fevers malaria (Major point for malaria) Jing-River Point indications from Ling Shu Chapter 44 For disorders which affect the voice aphonia 9th of Sun Simiao’s 13 Ghost Points also known as Guilu (Ghost Road) Eliminates Phlegm and Calms the Shen psychosis, especially Dianji (Withdrawal/depressive psychosis) rather than for Kuangji (Manic psychosis) as no heat clearing in required for Dianji, just Phlegm resolving and moving stagnant Qi; plum-stone throat, epilepsy, agitation, palpitations Harmonises the Stomach vomiting, gastric pain Dispels fullness & stops pain in the chest cardiac pain, palpitations Clears Internal Heat febrile diseases, malaria; agitation, irritability, psychosis, palpitations; carditis, cardiac pain Established use irregular menses & uterine congestion PC 6 (NEIGUAN) Luo-Connecting Point of Pericardium meridian Confluent point of Yinweimai PC Luomai Shi (Ling Shu Ch 11) heart pain PC Luomai Xu (Ling Shu Ch 11) stiffness of the nape of the neck Comment on Ling Shu Ch 11 PC 6 is a major point for cardiac pain but is not indicated for neck stiffness in modern texts. The classical Yuan-Luo coupling of TE 4 with PC 6 is also rarely used. Confluent (Key/Master) Point of Yinweimai heart pain Zhen Jing Zhi Nan PC 6 - SP 4 For diseases of Heart, chest and Stomach Frequently coupled with SP 4, the Confluent Point of Chongmai for symptoms such as fullness in chest and epigastrium with vomiting and diarrhoea. This coupling is often used in Liver Qi Invades Spleen. 27 PERICARDIUM MERIDIAN MAJOR POINTS SUMMARY PC 6 (NEIGUAN) (cont.) Si Zong Xue Ge (extra verses) For ribs and chest Neiguan is best chest pain & fullness, cardiac pain, asthma, hiccoughs Regulates the Middle Jiao Major point to suppress nausea & stop vomiting and to relieve epigastric pain Regulates Heart Qi cardiac pain, palpitations Causes vasoconstriction shock Major point for peripheral vascular disorders of the arm & hand Raynaud's Syndrome, Buerger's Disease Calms the Heart & the Shen psychosis, palpitations Suppresses pain Major point for anaesthesia in thoracic surgery, including open-heart surgery Major point for flexor/extensor disorders of the forearm, wrist and hand contracture and pain of elbow and arm PC 7 (DALING) Shu-Stream Point of Pericardium meridian 4th of Sun Simiao’s 13 Ghost Points Shu-Stream point indications Nanjing Difficulty 68 Body heavy, joint pain Bi syndrome of wrist joint Yuan-Source Point of Pericardium meridian Not a significant point for Reinforcing the Heart, as it is mainly used in its role as a Reducing Point (Mother/Son) 4th of Sun Simiao's 13 Ghost Points Psychosis, epilepsy psychosis, panic, fear Clears Heat from Heart and calms the Shen psychosis, palpitations, insomnia, panic, fear Calms the Heart & the Shen psychosis, palpitations Harmonizes the Stomach vomiting, haematemesis, gastric pain; bad breath, tonsillitis (Stomach Heat) Expands the chest pain in chest & sides, cardiac pain 28 PERICARDIUM MERIDIAN MAJOR POINTS SUMMARY PC 8 (LAOGONG) Ying-Spring Point of the Pericardium meridian Substituted for PC 5 as 9th of Sun Simiao’s 13 Ghost Points [9th of Sun Simiao's 13 Ghost Points] Psychosis, epilepsy In Sun Simiao’s Supplement to the Prescriptions Worth a Thousand Gold Pieces (Qianjin Yi Fa) PC 5 is the 9th Ghost Point. This remained in all texts up to 1601 when Yang Jizhou substituted PC 8 for PC 5 in the Great Compendium of Acupuncture-Moxibustion (Zhen Jiu Da Cheng) manic psychosis (Kuangji) Clears Heat from Heart manic psychosis (Kuangji), cardiac pain Clears Heat from the Stomach mouth ulcers, bad breath, diabetes; vomiting Clears Heat from the Blood skin rashes; epistaxis Local uses numb fingers, writer's cramp, hand tremor, sweaty palms PC 9 (ZHONGCHONG) Jing-Well Point of Pericardium meridian Reinforcing point of Pericardium meridian (Mother/Son) Not generally used for Xu conditions Main uses involve bleeding to Clear Heat febrile diseases, hot palms, irritability, Heat stroke, cardiac pain Shen disturbance irritability Resuscitation Bleeding PC 9 is a common treatment for Heat stroke Heat stroke, stroke, shock Su Wen Ch 63 Bleed for tinnitus Established use Tongue stiffness 29 PERICARDIUM MERIDIAN POINT INDICATIONS SUMMARY INDICATIONS HEAD, NECK & FACE Dizziness/vertigo EYES Red eyes Yellow sclera EAR Tinnitus NOSE Epistaxis THROAT, MOUTH Tonsillitis (throat bi) Bad breath Mouth ulcers Stomatitis Plum-pit qi (plum-stone throat) Stiff tongue Pain in root of tongue Aphasia Dry mouth & great thirst Dysphagia Diabetes/ thirst (xiao ke) SHEN DISORDERS & NEUROLOGICAL DISORDERS Psychosis (dian kuang) Depressive psychosis/Withdrawal (dian ji) Manic psychosis (kuang ji) Mental disorders Agitation (fan zao) Irritability (xin fan) Panic/Fear/Fright Plum-pit qi (plum-stone throat) Insomnia Poor memory Wind-stroke (CVA) Syncope/ Loss of consciousness Post-partum syncope Heat-stroke Epilepsy Infantile convulsions CARDIOVASCULAR DISORDERS Cardiac pain Chest pain Carditis Hypertension Palpitations Palpitations with fear 3 4 5 6 7 8 9 9 6 7 7 9 4 8 7 7 8 8 8 5 9 7 9 3 8 8 5 6 7 8 6 7 8 8 4 3 3 3 4 5 5 5 5 7 7 9 7 6 6 3 8 8 9 9 8 8 9 6 3 5 6 7 9 3 3 4 4 4 4 5 5 5 5 6 6 6 6 7 8 7 7 7 8 9 9 30 PERICARDIUM MERIDIAN POINT INDICATIONS SUMMARY INDICATIONS RESPIRATORY DISORDERS Cough Bronchitis Haemoptysis Asthma GASTROINTESTINAL DISORDERS Vomiting and diarrhoea Cholera (huo luan) Haemafaecia Haemorrhoids Rectal prolapse Epigastric pain Nausea Vomiting Haematemesis Hiccough ST & SP disharmony Dysphagia Diabetes/thirst (xiao ke) Jaundice GENITOURINARY & SEXUAL DISORDERS Haematuria GYNAECOLOGICAL & OBSTETRIC DISORDERS Irregular menstruation Uterine congestion Post-partum vertigo/syncope Retained placenta CHEST, RIBS & SIDES Chest pain Pain in chest & sides Fullness in chest Intercostal neuralgia ABDOMEN Epigastric pain FOUR LIMBS Hemiplegia ELBOW & ARM Elbow & arm pain Elbow & arm contracture Arm pain WRIST Wrist pain 3 4 3 3 4 5 6 7 8 4 6 3 3 8 4 3 3 5 4 4 5 6 6 6 6 7 7 7 8 6 6 8 8 8 6 8 5 5 6 6 4 6 7 6 7 3 5 6 7 5 6 6 6 7 7 7 3 3 4 7 9 31 PERICARDIUM MERIDIAN POINT INDICATIONS SUMMARY INDICATIONS HAND Hand tremor Hot palms Writer’s cramp Numb fingers SWELLING/OEDEMA 3 4 5 6 7 3 8 9 8 7 9 8 8 5 Axillary swelling 7 FEBRILE DISEASES & PERSPIRATION Febrile disease Malaria 5 5 3 6 6 9 SKIN Skin disorders Furuncles Scabies Goose/swan palm dermatosis Fungus infection of hand & foot 7 4 7 7 8 8 32 PERICARDIUM MERIDIAN POINT ACTIONS SUMMARY ACTIONS ON SIX PERVERSE QI (LIU XIE) Heat PC 7 cardiac pain, carditis, palpitations; psychosis, panic, fear, insomnia; haematemesis; bad breath. tonsillitis; skin disorders PC 8 Manic psychosis (Kuangji); Heat Stroke, Wind-stroke; mouth ulcers, stomatitis, bad breath [Yangming meridian heat]; goose palm dermatosis, fungus infection of hand & foot; great thirst (diabetes); jaundice; epistaxis; cardiac pain Clears Internal Heat PC 5 febrile diseases, malaria, agitation, irritability, psychosis, palpitations; carditis, cardiac pain Clears Heat from the blood PC 3 urticaria, measles; Heat exhaustion; febrile diseases PC 8 skin rashes, epistaxis Clears Heat/Fire from HT ACTIONS ON SIX IMPEDIMENTS (LIU YU) Phlegm PC 5 Psychosis, epilepsy; Plum-stone throat (Stasis of Qi & Phlegm) ACTIONS ON ZANG FU HEART Clears Heat/Fire from HT (See above under Heat) PC 4 Pacifies HT & Calms the Shen palpitations, Depressive psychosis (Dianji) PC 6 palpitations, psychosis Kuang), epilepsy Regulates HT Qi PC 6 palpitations PC 7 cardiac pain PC 3 cardiac pain, palpitations, agitation Opens up HT Qi (Dian 33 PERICARDIUM MERIDIAN POINT ACTIONS SUMMARY ACTIONS ON ZANG FU (cont.) STOMACH, MIDDLE JIAO Harmonises ST PC 5 vomiting, gastric pain PC 7 vomiting, haematemesis, gastric pain PC 7 bad breath, tonsillitis Clears Heat from ST PC 8 mouth ulcers, bad breath, vomiting, diabetes Regulates Middle Jiao PC 6 gastric pain, vomiting, nausea Stops vomiting & diarrhoea PC 3 diarrheoa with vomiting PC 3 diarrheoa with vomiting INTESTINES Regulates intestines & stops vomiting & diarrhoea ACTIONS ON QI & BLOOD Qi PC 6 palpitations PC 7 cardiac pain Opens up HT Qi PC 3 cardiac pain, palpitations, agitation Regulates Qi & expands the diaphragm PC 4 cough, haemoptysis, haematemesis, palpitations, spasm of diaphragm (hiccoughs) Regulates HT Qi ACTIONS ON JING - LUO Yin Wei Mai Confluent point of Yin Wei Mai PC 6 cardiac pain 34 PERICARDIUM MERIDIAN POINT ACTIONS SUMMARY ACTIONS ON REGIONS Chest Si Zong Xue Ge (extra verses) For ribs and chest, Neuguan is best PC 6 cardiac pain, asthma, dyspnoea, hiccoughs Dispels fullness & stops pain in chest PC 5 cardiac pain, palpitations Expands the chest PC 7 pain in chest & sides, cardiac pain PC 4 cough, haemoptysis, haematemesis, palpitations, spasm of diaphragm (hiccoughs) Diaphragm Expands the diaphragm ACTIONS ON PAIN Pain Stops pain PC 6 cardiac pain, chest pain, gastric pain; elbow & arm pain; surgical anaesthesia. especially for thoracic surgery ACTIONS ON SHEN PC 5 palpitations, agitation; Depressive psychosis (Dianji), plum-stone throat, epilepsy PC 4 palpitations, psychosis (Dianji) PC 6 palpitations, psychosis (Dian Kuang), epilepsy Clears Heat from HT & calms the Shen PC 7 psychosis, especially Manic psychosis (Kuangji) palpitations, insomnia, panic fear Resuscitation PC 9 Heat-stroke, fainting Calms the Shen & eliminates Phlegm Pacifies the HT & Calms the Shen Depressive stroke, shock, 35 PC 3 QUZE CROOKED MARSH LOCATION On the transverse cubital crease, at the ulnar side of the tendon of m. biceps brachii. CHARACTERISTICS He-Sea Point of the Pericardium meridian Frees the Heart Qi Clears Heat from the Ying and the Blood Regulates the Intestines Stops vomiting and diarrhoea INDICATIONS Cardiac pain/ carditis Cardiac pain (J,CAM,K,NVN,FCA), Pain in cardiac region (Ess), Chest pain & easily frightened (Sh), Myocarditis (CYM,Sh,O), Inflammation of heart (Ch), Rheumatic heart disease (Sh) Palpitations Palpitations (J,Ess,CAM,O,FCA) Irritability (xin fan)/ Agitation (fan zao) Agitation (fan zao) (J), Vexation & agitation (FCA), Fear (Ch,NVN), Irritability (Ess,CAM), Irritability & fullness (Sh), Chest pain & easily frightened (Sh), Susceptibility to fright (FCA) Tremor of hand & arm Tremor of hand & arm (J,Ess,CAM), Trembling of the arm (FCA), Measles with fever and incessant movements of hand and arm (Ch) Fever Fever (J,Ch,NVN,Sh), Febrile diseases (Ess,CAM), Heat diseases (FCA), Body fever (FCA), Measles with fever and incessant movements of hand & arm (Ch), Shanghan (Ch), Cold damage, seasonal thermic disease, scourges & pestilences (FCA) Dry mouth Dry mouth (J,Ch), Great thirst (Ch), Vexation thirst & dry mouth (FCA) Gastric pain, vomiting Gastric pain (J,Ess,O), Stomachache (CAM,K), Stomach pain (FCA), Vomiting (J,Ess,CAM,FCA), Acute gastroenteritis (Sh), Diarrhoea with vomiting (Sh),Vomiting glairy mucus or blood (Ch) 36 PC 3 QUZE CROOKED MARSH INDICATIONS (Cont.) Pain in elbow & arm Pain in elbow & arm (J,Sh,Ess,CAM,NVN,FCA), Pain in upper arm & elbow (O), Upper arm neuralgia (CYM), Spasm of m. biceps brachii (K) Bronchitis Bronchitis (Sh,K,CYM,Ch), Counterflow cough (FCA) Cholera (huo luan) Cholera (Ch,FCA), Diarrhoea with vomiting (Sh), Paracholera; epidemics (CYM), Acute gastroenteritis (Sh), Enteritis (Sh) Other indications Heat exhaustion (Sh), Urticaria (CYM), Morning sickness (CYM), Pulmonary tuberculosis (CYM), Sadness (NVN), Perspiration on head and neck (Ch), Severe tonsillitis (Ch), Hemiplegia (Ch), Congestion of the brain (O), Sterility in women (O), Pain in shoulder & scapula (K), Cramp (FCA), Headache & visual dizziness (FCA), Sha patterns (FCA) 37 PC 4 XIMEN ACCUMULATION DOOR LOCATION 5 cun above the transverse crease of the wrist, on the line connecting PC 3 and PC 7, between the tendons of m. palmaris longus and m. flexor carpi radialis. CHARACTERISTICS Xi-Cleft Point of the Pericardium meridian Special point for angina pectoris Pacifies the Heart & calms the Shen Clears Heat from the Ying and the Blood Frees up the chest & regulates the Qi INDICATIONS Cardiac pain/ carditis Cardiac pain (J,Ess,CAM,Ch,FCA), Angina pectoris (Sh), Chest pain (CAM,O,FCA), Chest pain with vomiting (Sh) , Irritability & pain in the chest (Sh), Myocarditis (CYM,Sh), Rheumatic heart disease (Sh) Palpitations Palpitations (J,Ess,CAM,Sh,O,FCA), Nervous palpitations (K) Haematemesis, vomiting Haematemesis (J,Ess,CAM,Ch,O,FCA), Haemorrhage of stomach (Ch), Chest pain with vomiting (Sh), Vomiting (K), Nausea & vomiting (O) Epistaxis Epistaxis (J,Ess,CAM,Ch,CYM,K), Nosebleed (O,FCA) Deep-rooted boil (ding chuan) Furuncle (J,Ess,CAM), Ding boil (CYM), Clove sores (FCA) Depressive psychosis (dian ji) Depressive psychosis (dian ji) (J), Depression (Sh), Psychopathy (CYM), Hysteria (Sh ), Melancholy (FCA), Vexation (FCA) Fear & fright Fear & fright (FCA), Fear of strangers (Sh), Fear of one's family (Ch),Fearfulness of people (FCA), Insufficiency of spirit Qi (FCA) Cough/ haemoptysis Haemoptysis (J,CAM), Cough with dyspnoea (CYM), Cough (Ch), Pleurisy (Sh) Haemorrhoids Haemorrhoids (CYM,O), Chronic haemorrhoids (Ch) Arm pain Pain in upper arm & elbow (O), Brachial neuralgia (K) Other indications Mastitis (Sh), Spasm of diaphragm (Sh), Wrist joint pain (CYM), Wrist joint arthritis (K), Paralysis of the adjacent muscles of the arms & fingers (O), Lack of energy (Ch), Epilepsy (CAM) 38 PC 5 JIANSHI ACTS AS INTERMEDIARY LOCATION 3 cun above the transverse crease of the wrist, between the tendons of m. palmaris longus and m. flexor carpi radialis. CHARACTERISTICS Jing-River point of the Pericardium meridian 9th of Sun Simiao’s 13 Ghost Points for the treatment of psychosis and epilepsy. Also known as Guishi (Ghost Road) Nourishes the Heart & Calms the Shen Frees up the chest Transforms Phlegm & Harmonizes the Stomach Specific point for plum-stone throat Soothes the sinews & activates the Luo-mai Clears Internal Heat Special point for malaria INDICATIONS Cardiac pain/ carditis Cardiac pain (J,Ess,CAM,K,O,FCA), Sudden cardiac pain (Ch), Angina pectoris (K), Chest pain (Sh,O), Myocarditis (CYM, Endocarditis (CYM), Pericarditis (CYM), Inflammation of heart (Ch), Rheumatic heart disease (Sh) Vomiting Vomiting (J,Ess,CAM,K,FCA), Vomiting glairy mucus (Ch), Stomach-ache with vomiting (Sh) Psychosis (dian kuang) Psychosis (dian kuang) (J,Sh), Mania & withdrawal (dian kuang) (FCA), Mental disorders (Ess,CAM), Sudden madness (Ch), Insanity (dianji – depressive psychosis), (Sh), Madness (NVN,K), Schizophrenia (K,CYM), Hallucinations (O), Fear (Ch,NVN), Agitation (fan zao) (J), Irritability (xin fan) (Ess,NVN), "Seems as if posessed by a demon" (Ch), Ghost evil (FCA), Hysteria (Sh) Palpitations Palpitations (J,Ess,CAM,Sh,O,FCA), "The heart gives the impression of being suspended with sensation of hunger (Ch) Bradycardia (O), Swelling of the axilla Swelling of the axilla (J,Ess,CAM,Ch,FCA) 39 PC 5 JIANSHI ACTS AS INTERMEDIARY INDICATIONS (Cont.) Elbow contracture Elbow contracture (J), Twitching or contracture of the elbow (Ess), Contracture of elbow & arm (CAM), Hypertonicity of the elbow (FCA), Contracture, atrophy, spasm or swelling of the elbow (Ch) Malaria Malaria (J,Ess,CAM,Sh,Ch,O,FCA), Chronic palludism (malaria) (NVN), Enduring malaria (FCA), Tidal fevers (Sh), Intermittent fevers (CYM), Febrile diseases (J,Ess) Gastric pain Gastric pain (J,Ess,O), Stomach-ache (CAM,Sh,K), Stomachache and vomiting (Sh) Febrile disease Febrile diseases (J,Ess,CAM), Heat diesase (FCA), Intermittent fevers (CYM), Tidal fevers (Sh), Diseases due to perverse heat (NVN), Shanghan, fear of wind & cold, shivering (Ch), Malaria (J,Ess,Sh,Ch,O), Chronic palludism (malaria) (NVN) Irritability (xin fan)/ Agitation (fan zao) Agitation (J), Vexation & agitation (FCA), Irritability (xin fan) (Ess,CAM,NVN), Fear (Ch,NVN), "Seems as if possessed by a demon" (Ch) Epilepsy Epilepsy (J,Ess,CAM,Ch,K,O,FCA), Seizures (Sh), Convulsions (CYM,O), Infantile convulsions (Ch) Arm pain Arm pain (J,Ess,FCA) Irregular menstruation Irregular menstruation (Sh,CYM,Ch), Diminished menstruation (Ch), Menstrual irregularity & clotted discharge (FCA) Uterine congestion Uterine congestion (CYM,Ch,O), Problems of uterine circulation (Ch) Plum-stone throat Bone stuck in throat (CYM), Impression of something obstructing the throat ("plum-stone" throat) (Ch), Apoplexy with lots of glairy mucus in the throat (Ch) Other indications Coma (CYM), Yellow eyes (Sh), Red complexion & yellow eyes (FCA), Generalized scabies(Sh), Palms of hands very hot (Ch), Parasitosis (CYM), Wasting disease in infants with parasitosis and malnutrition (CYM), "Shanghan - fear of wind & cold, shivering (Ch), Yin (Cold) disease (Ch), Stifling (Ch), After "Shanghan", sensation of great discomfort in chest which feels "knotted" (Ch), Lack of energy (Ch), Sudden muteness (Ch), Aphonia (Ch), Loss of voice (FCA), Cholera with nausea but no vomiting (Ch), Writer’s cramp (K), Bradycardia (O), Disorders of the spleen (O) Endometritis (CYM), 40 PC 6 NEIGUAN INNER GATE LOCATION 2 cun above the transverse crease of the wrist, between the tendons of m. palmaris longus and m. flexor carpi radialis. CHARACTERISTICS Luo-Connecting Point of the Pericardium meridian Confluent point of Yinweimai (often coupled with SP 4) Calms the Heart and the Shen "For ribs & chest Neiguan is best" (variant additional verse of the Four Dominant Points Song) Regulates the Middle Jiao Frees up the chest and regulates Qi Relieves pain Research findings • • • • • Causes vasoconstriction Regulates blood pressure Strengthens myocardial contraction Contraindicated in hypertrophic obstructive cardiomyopathy [use HT 8 instead] Alleviates nausea and vomiting INDICATIONS Cardiac pain Cardiac pain (J,Ess,CAM,Ch,NVN,O,FCA), Angina pectoris (Sh,O), Chest pain (Sh), Myocarditis (CYM), Endocarditis (CYM), Pericarditis (CYM), Inflammation of heart (Ch), Rheumatic heart disease (Sh) Palpitations Palpitations (J,Ess,CAM,Sh,O,FCA) Epilepsy Epilepsy (J,Ess,CAM,K,O,FCA), Seizures (Sh) Vomiting Vomiting (J,Ess,CAM,Sh,FCA), (CAM,NVN,O), Gastritis (K) Contracture & pain of elbow & arm Contracture & pain of elbow & arm (J,Ess,CAM), Pain & hypertonicity of elbow & arm (FCA), Contracture of elbow (Ch), Neuralgia of arm or elbow (Ch), Neuralgia of the forearm (CYM), All disorders of the arm due to wind or Heat (Ch) Malaria Malaria (J,Ess,CAM,Ch,FCA), Tidal fever (Sh) Febrile disease Febrile diseases (J,Ess,CAM), Heat diseases (FCA), Tidal fever (Sh) Nausea & vomiting 41 PC 6 NEIGUAN INNER GATE INDICATIONS (Cont.) Gastric pain Gastric pain (J,Ess,O), Stomach-ache (CAM,Sh), Stomach pain (FCA), Bellyache (CYM), Abdominal pain (Sh), Abdomen painful with fullness of the chest (Ch), Gastritis(K) Psychosis (dian kuang) Psychosis (dian kuang) (J), Mania & withdrawal (FCA), Mental disorders (Ess,CAM), Madness (K), Hysteria (Sh) Chest pain & fullness Chest pain (Sh), Stuffy chest (CAM), Fullness & malaise of chest (Ch), Fullness of the chest (NVN), Pain in hypochondriac region (CAM) Hiccough Hiccough (CAM,NVN,O), Spasm of the diaphragm (Sh) Wind-stroke Apoplexy (Sh), Cerebral haemorrhage (CYM), Wind strike (FCA) Jaundice Jaundice (Sh,Ch), Jaundice moria (CYM) Post-partum vertigo/ syncope Post-partum syncope (Ch), Post-partum vertigo (CYM) Dyspnoea/ asthma Dyspnoea (CYM), Asthma (Sh), Breathing difficulties (O) Retention of placenta Placenta does not descend (Ch), Makes expulsion of the placenta easier (O) Red eyes Inflammation of the eyes (Ch), Congestion of blood in eyes (Ch), Red eyes (FCA) Rectal prolapse Prolapsed rectum (Sh), Prolapse of rectum (FCA) Poor memory Amnesia (O), Poor memory & derangement (FCA) ST/SP Disharmony Disharmony between the Stomach and the Spleen (Sh,FCA) Other indications Shock (Sh), Migraine headache (Sh), Hyperthyroidism (Sh), Swollen & painful throat (Sh), Pain associated with surgery (Sh), Diseases of the chest (Sh), Diseases of the chest & ribs (FCA), Rheumatic heart disease (Sh), Cardioaesthenia (CYM), Hypertension (K), Pain in shoulder & scapula (K), Stomatitis (K), Insomnia (CAM), Irritability (CAM), Bradycardia (O), Gastric reflux (FCA), Hot, red face (FCA), Lump glomus (FCA), Concretions (FCA) 42 PC 7 DALING GREAT MOUND LOCATION In the depression in the middle of the transverse crease of the wrist, between the tendons of m. palmaris longus and m. flexor carpi radialis. CHARACTERISTICS Shu-Stream and Yuan-Source Point of the Pericardium meridian 4th of Sun Simiao’s 13 Ghost Points for the treatment of psychosis and epilepsy. Also known as Guixin (Ghost Heart) Clears Heart Fire & Calms the Shen Harmonizes the Stomach Frees up the chest Reducing point of Pericardium meridian in Five Phase theory INDICATIONS Cardiac pain/ carditis Cardiac pain (J,Ess,CAM,Ch,FCA), Myocarditis (Sh,CYM,O), Cardiac pain with palms of hands very hot (Ch), Pain in chest & heart with groaning and anxiety (Ch) Vomiting/ haematemesis Vomiting (J,Ess,CAM,K,FCA), Gastritis (Sh), Acute gastritis (K), Acute gastritis with high fever (CYM), Frequent vomiting (Ch), Haematemesis (NVN), Spitting blood (Sh), Blood ejection (FCA), Gastric haemorrhage (Ch,CYM) Palpitations Palpitations (J,Ess,CAM,Sh,O,FCA), Palpitations with fear (J), Fright palpitations (FCA) Psychosis (dian kuang) Psychosis (dian kuang) (J), Mania & withdrawal (FCA), Mental disorders (Ess,CAM), Mental illness (Sh), Madness: incessant laughter, crying & groaning, divagation (Ch), Emotional instability (O), Neuraesthenia (K) Gastric pain Gastric pain (J,Ess), Stomach pain (FCA), Stomachache (CAM), Gastritis (Sh), Acute gastritis (K), Acute gastritis with high fever (CYM), All stomach disorders (NVN), Epilepsy Epilepsy (J,Ess,CAM,Ch), Seizures (Sh), Convulsions (CAM) 43 PC 7 DALING GREAT MOUND INDICATIONS (Cont.) Pain in chest & sides Pain in chest & sides (J), Pain in chest & ribs (Ch,NVN), Pain in chest & hypochondriac region (Ess), Pain in chest & lateral costal region (FCA), Pain in hypochondriac region (CAM), Intercostal neuralgia (Sh,Ch,CYM) Hypertension Hypertension (K), High diastolic blood pressure (O) Panic/ fear/ irritability Panic (Ess), Anxiety, fear, continual irritability (xin fan) (NVN), Palpitations with fear (J), Vexation(FCA), Irritability (CAM), Emotional instability (O), Joy, sorrow, weeping, fright & fear (FCA), Incessant laughter (FCA), Neuraesthenia (K) Insomnia Insomnia (CAM,Sh,CYM) Tonsillitis (throat Bi) Tonsillitis (Sh,K,CYM), Pain in the throat (Ch), Throat blockage (Sh) Swelling of the axilla Swelling of the axilla (Sh,Ch) , Axillary adenitis (CYM) Skin disorders Scabies (Sh,CYM), Damp skin disease of upper extremities (Sh), Eczema (Ch), "Goose palm" dermatosis (CYM), Abscesses, sores, lesions (Ch), Urticaria (CYM), Jie, xian and other sores (FCA) Bad breath Bad breath (CYM), Mouth always smells bad (Ch), Foul breath (CAM) Arm pain Brachial neuralgia (K), Neuralgia or paralysis of the median nerve (O), Contracture & pain of arms and elbows (Ch) Wrist pain Diseases & pain of wrist joint (Sh), Neuralgia or paralysis of the median nerve (O) Tongue root pain Pain at the root of the tongue (Sh,FCA) Red or yellow eyes Reddening or yellowing of the eyes (FCA), Inflammation of eyes (Ch), Yellow sclera (Ch) Hot palms Heat in the palms (FCA), Palms of hands very hot (Ch) Other indications Neuraesthenia (K), Lack of energy (Ch), Constipation (CYM), Cholera imperception of fingers(CYM), Headache (CYM), Firelike body heat (FCA), Fever without sweating and with headache (Ch), Dry mouth (Ch), Urine red like blood (Ch), Swelling of muscles in the renal region (Ch), Shortness of breath (FCA), Stuffy chest (CAM) 44 PC 8 LAOGONG PALACE OF LABOUR LOCATION Alternative location CHARACTERISTICS On the palm of the hand, between the 2nd and 3rd metacarpals, proximal to the metacarpophalangeal joints. Between the 3rd and 4th metacarpals (i.e.: on the ulnar side of the 3rd metacarpal, rather than the radial side). Ying-Spring point of the Pericardium meridian Substituted for Jianshi (PC-5) as the 9th of the Sun Simiao’s 13 Ghost Points in the Great Compendium of Acupuncture and Moxibustion (1601) for the treatment of psychosis and epilepsy Also known as Guiku (Ghost Cave) Calms the Shen Clears Heat from the Heart & Stomach Clears Heat from the blood & Eliminates Damp-Heat (rashes) INDICATIONS Cardiac pain Cardiac pain (J,Ess,CAM,K,FCA), Angina pectoris (Sh), Chest pain (Sh) Epilepsy Epilepsy (J,Ess,CAM,K,O,FCA) Mouth ulcers Mouth ulcers (J,Sh,Ch), Mouth sores (FCA), Stomatitis (Sh,Ess,CYM), Inflammation of oral cavity (O) Bad breath Bad breath (K), Foul breath (J,Ess,CAM,K), Bad or rancid smell in the mouth (Ch), Halitosis (FCA), Stomatitis (Sh,Ess,CYM,K), Infantile gingivitis (Ch), Infantile alveolar-dental pyorrhoea (Ch), Erosion of the gums in infants (FCA) Psychosis (dian kuang) Psychosis (dian kuang) (J), Mania & withdrawal (FCA), Mental disorders (Ess,CAM), Mental illness (Sh), Psychopathy (CYM), Madness: always angry, incessant groaning or laughing, fear (Ch), Madness (kuangji) (Sh,K), Hysteria (Sh), Shyness (O), Irascibility (FCA), Elation (FCA), Apprehensiveness (FCA) Vomiting Vomiting (J,Ess,O,FCA), Nausea & vomiting (Ch,CAM), Vomiting with heart pain (Ch), Stomach diseases (O), Gastritis (CAM) 45 PC 8 LAOGONG PALACE OF LABOUR INDICATIONS (Cont.) Skin rashes Fungus infection of hand & foot (Ess,CAM), Goose palm dermatosis (CYM), Goose foot wind (FCA), Swan hand (Sh), Abscess of the hand (Ch) Numb fingers Numb fingers (Sh), Insensitivity of hand (Ch) Jaundice Jaundice (Sh,CYM), Jaundice with yellow sclera (Ch) Dysphagia Inability to swallow food (Sh), Cannot swallow solids or liquids (Ch) Syncope/ Loss of consciousness/ Wind-stroke Fainting (K), Frightened fainting among infants (Sh), Coma from stroke (Sh), Cerebral hyperaemia (K), Wind strike (FCA), Heat exhaustion (Sh) Epistaxis Epistaxis (CYM), Nosebleed ( FCA), Incessant epistaxis (Ch) Diabetes Diabetes (CYM), Great thirst (Ch), Vexation thirst (FCA) Hypertension Hypertension (Ch), High blood pressure (O), Hardening of the arteries (O), Arteriosclerosis (Ch) Writer's cramp Writer's cramp (CYM,O) Haematuria / haemafaecia Haematuria (Ch), Blood in the stools (Ch), Bloody stool or urine (FCA) Other indications Hand tremors (Sh), Wind with Bi syndrome in the hand and groaning (Ch), Excessive sweating of the palms (Sh), Pleurisy (CYM), Fullness & pain in the sides of the chest (Ch), Pain in the sides preventing turning around (Ch), Spasms of the diaphragm (CYM), Sensations of Qi rising (Ch), Gastric cancer (CYM), Bronchitis (CYM), Haemorrhoids (Ch), Hot or cold abscesses (Ch), Headache (Ch), Migraine (Ch), Fever without sweating after cold has been trapped for a few days (Ch), Wasting disease in infants with malnutrition & parasitosis (CYM), Cheilosis (K), Stomach diseases (O), Difficult ingestion (FCA), Lower abdominal accumulations & concretions (FCA) 46 PC 9 ZHONGCHONG MIDDLE POURING Alternative location In the centre of the tip of the middle finger. About 1 fen from the base of the middle fingernail on the radial side. CHARACTERISTICS Jing-Well Point of the Pericardium meridian LOCATION Opens the sensory orifices (resuscitates) Clears Heat from the Heart Returns Yang Reinforcing point of the Pericardium meridian in Five Phase theory INDICATIONS Cardiac pain/ carditis Cardiac pain (J,Ess,CAM,NVN,K,FCA), Angina pectoris (Sh), Cardiac pain with sensation of fullness & irritability and stiffness of the tongue (Ch), Cardiac inflammation (Ch), Carditis (CYM), Disorders of the heart (O) Irritability (xin fan) Irritability (xin fan) (J,Ess), Vexation & oppression (FCA), Cardiac pain & irritability (NVN), Cardiac pain with sensation of fullness & irritability and stiffness of the tongue (Ch) Syncope/ Loss of consciousness/ Wind-stroke/ Heat stroke Syncope (hunmi) (J,K), Loss of consciousness (Ess,CAM), Coma (O), Apoplectic coma (Sh), Coma due to apoplexy (O), Cerebral haemorrhage (CYM,K), Cerebral congestion (CYM), Shock (Sh,K), Clouding inversion (FCA), Fright inversion (FCA), Infantile convulsions (Ess), Heat stroke (zhong shu) (J,Ess,CAM,O), Summerheat strike (FCA), Heat exhaustion (Sh) Tinnitus Tinnitus (J,NVN) , Deafness (NVN) Tongue stiffness Tongue stiffness Stiffness, swelling & pain of the tongue (J) , Stiffness & swelling of tongue(Ch) , Aphasia with stiffness of tongue (Ess), Aphasia with stiffness & swelling of tongue (CAM), Stiffness of the tongue impeding speech (FCA), Sublingual sarcoma (CYM) 47 PC 9 ZHONGCHONG MIDDLE POURING INDICATIONS (Cont.) Febrile disease Fever (O), Febrile diseases (J,Ess,CAM), Heat diseases (FCA), High fever (Sh), Sweatless fevers (CYM), All Yang (Hot) diseases with fever & chest malaise, without sweating (Ch), Shanghan with headache. The body is literally burning: the palms of the hands are very hot (Ch), Body burning (NVN), Hot palms Palms hot (J), Heat in the palm (FCA), Feverish sensation in palm (Ess,CAM), Shanghan with headache. The body is literally burning; the palms of the hands are very hot (Ch) Infantile convulsions Infantile convulsions (Ess,K), Convulsions (CAM) Dizziness/ vertigo Vertigo (CYM), Dizziness (K) Other indications Infantile night crying (J), Infantile parasitosis (CYM), Mental disorder (K), Acute disorders due to perverse wind (NVN), Paralysis of the extremities (K), Elbow pain (FCA), Thoracic oppression (FCA), Pain in the root of the tongue (FCA) 48 HAND SHAOYIN HEART MERIDIAN SHOU SHAOYIN XIN JING 49 HEART MERIDIAN MAJOR POINTS SUMMARY HT 1 (JIQUAN) Mainly local actions on axilla, chest, sides, shoulder and for circulatory insufficiency of the arm cold & painful arm Miscellaneous uses thirst, dry retching HT 3 (SHAOHAI) He-Sea Point of Heart meridian He-Sea point Nan Jing Difficulty 68 Ni Qi in the Stomach & Intestines - vomiting Regulates the Heart Qi cardiac pain Calms the Shen psychosis (Dian Kuang), especially Manic psychosis (Kuangji), neuraesthenia, memory loss Clears the vessels arm numbness, hand tremor, elbow contracture debility of the four limbs; dizziness, headache Relaxes the tendons elbow contracture, stiff neck Empirical point scrofula HT 5 (TONGLI) Luo-Connecting Point of the Heart meridian One of Ma Dan Yang’s 12 Stars HT Luomai Shi (Ling Shu Ch 11) fullness & pressure in the chest HT Luomai Xu (Ling Shu Ch 11) aphasia Comment on Ling Shu Ch 11 HT 5 is a major point for aphasia but is not commonly used for fullness & pressure in the chest Regulates the Heart Qi Research has shown that HT 5 regulates cardiac rate & rhythm palpitations, cardiac arrhythmia, tachycardia, bradycardia Calms the Shen psychosis (Dian Kuang), neurasthenia, hysterical aphasia, nervous palpitations, tachycardia Miscellaneous uses headache, dizziness with blurred vision, uterine, haemorrhage and urinary incontinence 50 HEART MERIDIAN MAJOR POINTS SUMMARY HT 6 (YINXI) Xi-Cleft Point of the Heart meridian For acute obstruction and/or pain in the meridian or organ cardiac pain, brachial neuralgia, nervous palpitations Empirical point night sweats (especially in HT Yin Xu) Stops bleeding (Xi-Cleft point of PC, PC 4 also stops bleeding) haematemesis, epistaxis HT 7 (SHENMEN) Shu-Stream & Yuan-Source Point of the Heart meridian Shu-Stream point Nan Jing Difficulty 68 Bi syndrome of wrist Yuan-Source point Disorders of the HT organ Xu conditions of the Heart Mother-Son reducing point (Earth of Fire) Shi conditions of the Heart Calms the Shen Sedative function irritability, psychosis (Diankuang), hysteria, nervous palpitations, insomnia, poor memory Pacifies the Heart cardiac pain, irritability, psychosis (Diankuang), hysteria, nervous palpitations, insomnia, poor memory Clears the meridians pain in sides, hot palms Miscellaneous uses yellow sclera, tongue paralysis, febrile diseases, heamatemesis HT 8 (SHAOFU) Ying-Spring Point of Heart meridian Clears Heat from the Heart meridian palpitations, hot palms, cardiac arrhythmia (especially premature ventricular contractions - P.V.C.s) Clears Heart Heat Transmitting Downwards to Small Intestine dysuria Calms the Shen palpitations, hysteria, misanthropy. laments and sighs often Regulates the Heart Qi chest pain, palpitations. cardiac arrhythmia HT 9 (SHAOCHONG) Jing-Well Point of the Heart meridian Shen disturbance Psychosis (Dian Kuang), irritablity Resuscitation Wind-stroke coma, syncope Bleed febrile diesases, sore throat 51 HEART MERIDIAN POINT INDICATIONS SUMMARY INDICATIONS HEAD, NECK & FACE Headache Dizziness/vertigo Stiff neck Scrofula EYES Visual dizziness Yellow sclera NOSE Epistaxis THROAT, MOUTH Sore throat Dry throat Tonsillitis (throat Bi) Sudden loss of voice Toothache Aphasia with stiff tongue Paralysis of tongue Hysterical aphasia Thirst SHEN DISORDERS & NEUROLOGICAL DISORDERS Psychosis (dian kuang) Manic psychosis (kuang ji) Mental disorders Neuraesthenia Hysteria Intellectual impairment Poor memory Insomnia Irritability (xin fan) Wind-stroke (CVA) coma Syncope/ Loss of consciousness Epilepsy Fear CARDIOVASCULAR DISORDERS Cardiac pain Enlarged heart Palpitations Palpitations with fear Cardiac arrhythmia Tachycardia Bradycardia RESPIRATORY DISORDERS Dyspnoea 1 3 5 6 5 5 6 6 1 3 3 3 3 3 5 1 7 8 7 9 9 6 5 9 7 5 5 9 6 7 3 5 7 5 1 3 3 5 3 5 5 7 6 6 3 7 7 7 7 7 7 7 7 7 1 3 6 5 5 5 5 5 6 6 7 7 7 7 9 9 9 8 9 9 9 8 8 9 8 9 9 8 7 7 9 52 HEART MERIDIAN POINT INDICATIONS SUMMARY INDICATIONS GASTROINTESTINAL DISORDERS Vomiting Dry retching Haematemesis Jaundice GENITOURINARY & SEXUAL DISORDERS Dysuria Urinary incontinence GYNAECOLOGICAL & OBSTETRIC DISORDERS Vaginal discharge Uterine bleeding Pruritus vulvae CHEST, RIBS & SIDES Chest pain Fullness in chest Pain in chest & sides Pain in ribs & sides Intercostal neuralgia Pain in axilla & sides Body odour from axilla FOUR LIMBS Paralysis of four limbs SHOULDER Shoulder joint restriction ELBOW & ARM Elbow & arm coldness & pain Elbow contracture Arm pain Arm pain & contracture Arm numbness WRIST & ARM Wrist & arm pain HAND Hot palms Hand tremor Contracture of little finger SWELLING/OEDEMA Scrofula 1 3 5 6 7 6 7 7 8 9 3 1 1 9 8 8 5 6 5 8 8 3 9 6 9 1 1 3 3 3 7 1 1 3 1 1 3 5 9 9 3 5 7 8 3 8 1 3 FEBRILE DISEASES & PERSPIRATION Febrile diseases Malaria Night sweats Pulmonary tuberculosis (bone steaming fever) 7 8 8 6 6 SKIN Pruritus vulvae Pruritus (itching) 8 8 9 53 HEART MERIDIAN POINT ACTIONS SUMMARY ACTIONS ON SIX PERVERSE QI (LIU XIE) Heat Clears Heat from HT meridian HT 8 palpitations, hot palms, cardiac arrhythmia (especially premature ventricular contractions - P.V.C.s) Clears Heat Transmitting Downwards to Small Intestine HT 8 dysuria ACTIONS ON ZANG FU HEART HT 3 cardiac pain HT 5 palpitations, cardiac arrhythmia, tachycardia, bradycardia HT 8 chest pain, arrhythmia Reinforces HT Yin HT 6 night sweats Pacifies HT calms the Shen HT 7 cardiac pain, nervous palpitation, insomnia, hysteria, psychosis (Dian Kuang), irritability, poor memory Regulates HT Qi and palpitations, cardiac ACTIONS ON QI & BLOOD Qi Regulates HT Qi (See above under HT) ACTIONS ON JING - LUO Jing-Luo Clears the meridians HT 7 pain in the sides, hot palms Clears the vessels HT 3 arm numbness, hand tremor, elbow contracture, debility of the four limbs; dizziness, headache 54 HEART MERIDIAN POINT ACTIONS SUMMARY ACTIONS ON TISSUES Tendons Relaxes the tendons HT 3 elbow contracture, neck stiffness ACTIONS ON SHEN HT 3 psychosis (Dian Kuang) (especially Manic psychosis (Kuangji), neurasthenia, memory loss HT 5 psychosis (Dian Kuang), neuraesthenia, hysterical aphasia, nervous palpitations, tachycardia HT 7 nervous palpitation, insomnia, hysteria, psychosis (Dian Kuang), irritability, poor memory HT 8 palpitations, hysteria, misanthropy, laments and sighs often HT 9 psychosis (Dian Kuang), irritability Calms the Shen 55 HT 1 JIQUAN EXTREME SPRING LOCATION In the centre of the axilla, on the medial side of the axillary artery. Locate with the arm raised. CHARACTERISTICS Regulates Qi & frees up the chest Activates the circulation in the Jing-luo INDICATIONS Cardiac pain Cardiac pain (J,K,FCA), Angina pectoris (Sh), Pain in the costal & cardiac regions (Ess,CAM,FCA), Heart or chest pain (O), Pain in heart with groaning (Ch), Chest pain and thirst (Sh), Cardiac Bi (FCA) Pain in ribs & sides Aching & pain in sides and ribs (J), Pain in costal & cardiac regions (Ess), Pain in chest & hypochondrium (K), Intercostal neuralgia (Sh,O), Pain in the sides (NVN), Ribs full & painful (Sh), Pain & fullness in the sides (Ch), Fullness & pain in lateral costal region (FCA) Dry retching Dry retching (J,Sh,FCA), Nausea, great thirst (Ch) Thirst Throat dry & irritating thirst (J), Dryness of the throat (CAM), Chest pain & thirst (Sh), Great thirst (Ch), Thirst with desire to drink (FCA) Scrofula Scrofula (J,Ess,CAM,FCA) Elbow & arm cold & painful Elbow & arm cold & painful (J,Ess,CAM,FCA), Pain, contracture & sensation of cold in arm & elbow (NVN), Contracture & sensation of cold in arm & elbow (Ch), Icy cold sensation in arms (Ch), Inversion cold in the arm & elbow (FCA), Sensation of cold in elbow (K) Paralysis of four limbs Paralysis of four limbs (Ch), Paralysis of lower extremities (K), Pain or paralysis of upper arm (O), Insensitivity of the four limbs (Ch), Body odour (armpit) Stench in the axilla (K), Strong axillary odour (O) Shoulder joint restriction Perifocal inflammation of shoulder joint (Sh), Arthritis of the shoulder (Sh), Inability to raise the arm (Sh) Jaundice Jaundice (Sh), Yellow sclera (Ch) Other indications Depression (Sh), Groaning (Ch), Insufficient lactation (O) 56 HT 3 SHAOHAI LESSER SEA LOCATION When the elbow is flexed, this point is at the medial end of the transverse cubital crease, in the depression anterior to the medial epicondyle of the humerus. CHARACTERISTICS He-Sea Point of the Heart meridian Calms the Shen Transforms phlegm (Special point for scrofula) Regulates Heart Qi Relaxes the tendons Invigorates the circulation in the Jing-luo INDICATIONS Cardiac pain Cardiac pain (J,Ess,CAM,K,FCA), Heart pain with nausea and vomiting (NVN), Heart pain with hand tremors (Ch), Pain in the region of the heart (FCA), Chest pain (Sh,O) Arm numbness Arm numbness (J,Ess,FCA), Numbness in both arms (FCA), Numbness of forearm (Sh), Spasmodic pain & numbness of hand & arm (CAM) Hand tremor Hand tremor (J,Ess,CAM,CYM,FCA), Heart pain with hand tremors (Ch), Chest pain with hand tremors (Sh), Trembling hands & hypertonicity of the elbow (FCA) Elbow contracture Elbow contracture (J,Ess), Contracture of elbow & pain in axilla (Ch), Contracture causing fixation of elbow (CYM), Hypertonicity of the elbow (FCA), Trembling hands & hypertonicity of the elbow (FCA), Elbow joint arthritis (K), Diseases of elbow (Sh) Scrofula Scrofula (J,Ess,CAM,CYM,Ch,K,FCA), Goitre Lymphadenitis (Sh), Nodular growths in the neck (Sh) Pain in axilla & sides Pain in axilla & sides (J,Ch), Pain in axilla and hypochondriac region (Ess,CAM), Pain in axillary & lateral costal regions (FCA), Pain in the axilla (Sh,FCA), Intercostal neuralgia (Sh,CYM,K), Elbow contracture & pain in the axilla (Ch) (NVN), 57 HT 3 SHAOHAI LESSER SEA INDICATIONS (Cont.) Headache Headache (CYM), Headache due to Wind (Ch), Headache and dizziness (Sh,FCA), Pain in the nape of the neck (J) Psychosis (dian kuang) Psychosis (dian kuang) (Sh), Schizophrenia (K), Madness (Ch), Madness (kuang ji – manic psychosis) (Sh), Mania (FCA) Memory loss Absent-mindedness (Sh), Poor memory (FCA), Loss of memory, frequent forgetfulness (Ch), Neuraesthenia (Sh) Dizziness Dizziness (O), Eye-dizziness (Ch), Headache and dizziness (Sh,FCA) Stiff neck Stiff neck (Sh,O), Torticollis (Ch) , Pain in nape of the neck (J) Toothache Toothache (Sh,CYM,FCA), Toothache with cold sensation in the teeth (Ch), Pain in the gum (Ch) Vomiting Vomiting (Sh), Vomiting of mucoid sputum with dribbling, nausea (Ch), Vomiting of foamy drool (FCA), Qi counterflow (FCA) Paralysis of limbs Debility of the limbs (Sh), Cannot move the four limbs (Ch), Pain or paralysis of arm or elbow joint area (O) Other indications Cold fingers (CYM), Ulnar nerve neuralgia (Sh), Neuraesthenia (Sh), Epilepsy, bleats like a lamb (Ch), Hiccoughs (Ch), Fever with chills (Ch), Sensation of energy rising to the upper body (Ch), Swelling of arm & forearm (NVN), Pulmonary tuberculosis (O), Facial neuralgia (O) 58 HT 5 TONGLI COMMUNICATION WITH THE INSIDE LOCATION On the radial side of the tendon of flexor carpi ulnaris, 1.0 cun above the transverse crease on the palmar aspect of the wrist CHARACTERISTICS Luo-Connecting Point of the Heart meridian One of Ma Dan Yang’s Twelve Stars Calms the Shen Regulates the Heart Qi The point of choice for aphasia Special point for palpitations Research Effective for disturbances of cardiac rate (both tachycardia & bradycardia) and disturbances of cardiac rhythm INDICATIONS Palpitations Palpitations (J,Ess,CAM,Sh,CYM,O), Nervous palpitations (K,Ch), Palpitations due to nervous fright (Sh), Palpitations with fear (J), Tachycardia (nervous palpitations) with anxiety, fear (NVN), Palpitations & racing of the heart (FCA) Pain in wrist & arm Pain in wrist & arm (J,Ess,FCA), Pain in wrist & elbow (CAM), Pain in elbow & arm (Ch), Pain in forearm (O), Contractures in upper limbs (Ch), Nervous spasms of upper limbs (CYM) Aphasia / stiff tongue Aphasia (O), Aphasia with tongue stiffness (J,Ess,CAM), Stiff tongue preventing speech (FCA), Stiffness of tongue (Sh), Tongue seems tied with speech difficulty (NVN), Acute glossitis (CYM), Sudden atony of tongue (Ch), Acute paralysis of suprahyoid muscle (O), Hysterical aphasia (Sh), Suddenly mute, does not want to talk (Ch) Sudden loss of voice Sudden loss of voice (J,CAM,FCA), Sudden hoarseness of voice (Ess), Sore throat (Ess,Ch), Pharynx & larynx swollen & painful (J), Throat blockage (Throat Bi) (Sh), Tonsillitis (CYM) 59 HT 5 TONGLI COMMUNICATION WITH THE INSIDE INDICATIONS (Cont.) Dizziness / vertigo Dizziness (J,Ess,CAM,K,FCA), Vertigo (CYM,Ch), Headache and dizziness (Sh), Eye-dizziness (J,Ch), Blurring of vision (Ess,CAM) Sore throat / tonsillitis Sore throat (Ess,CAM,Ch), Pharynx & larynx swollen & painful (J), Sore swollen throat (FCA), Throat blockage (Throat Bi) (Sh,FCA), Tonsillitis (CYM) Headache Headache (CYM,Ch), Headache and dizziness (Sh) Psychosis (dian kuang) Psychosis (dian kuang) (Sh), Psychopathy (CYM) Neuraesthenia Neuraesthenia (Sh,K), Nervous anxiety (O), Lack of energy (Ch), Insomnia (O), Shyness (O) Hysteria Hysteria (K,Sh), Visceral agitation [zang zao](FCA), Hysterical aphasia (Sh), Suddenly mute, does not want to talk (Ch) Uterine haemorrhage / menorrhagia Metrorrhagia (CYM), Abnormal uterine bleeding (Sh), Heavy menstrual bleeding (Ch), Excessive menstruation (O), Profuse menstruation (FCA), Uterine haemorrhage due to fullness (Ch) Urinary incontinence Urinary incontinence (Sh,Ch) Cardiac arrhythmia Cardiac arrhythmia (Sh), Arrhythmia (O), Tachycardia / bradycardia Palpitations & racing of the heart (FCA), Tachycardia (nervous palpitations) with anxiety, fear (NVN), Bradycardia (Sh) Other indications Chest pain (Sh), Cough (Sh), Asthma (Sh), Fever with malaise in the chest (Ch), Hot face without sweating (Ch), Groaning (Ch), Pain & blood congestion in eyes (Ch), Frequent yawning (Ch), Vomiting (Ch), Sensation of chills in the heart (Ch), Heart feels as if lifted upwards (Ch), Insomnia (O), Enhances mental acuteness (O) 60 HT 6 YINXI YIN CLEFT LOCATION On the radial side of the tendon of flexor carpi ulnaris, 0.5 cun above the transverse crease on the palmar aspect of the wrist CHARACTERISTICS Xi-Cleft Point of the Heart meridian Clears Heart Fire & Calms the Shen Consolidates the Exterior (stops sweating) Special point for night sweats [use with SI 3] from the Ode of a Hundred Patterns by Gao Wu (1529) INDICATIONS Cardiac pain Cardiac pain (J,Ess,CAM,Ch,FCA), Angina pectoris (O), Acute myocardial infarct (O) Palpitations Palpitations (Sh), Palpitations with fear (J), Fright palpitations (FCA), Nervous palpitations (Ch,O,K), Trembling with fear with night sweats (NVN), Fear (Ch) Night sweats / bone steaming fever Night sweats (J,Ess,CAM,Sh,Ch,K,FCA), Trembling with fear with night sweats (NVN), Bone steaming fever (J), Infantile steaming bone fever (FCA), Pulmonary tuberculosis (Sh) Neuraesthenia Neuraesthenia (Sh,K) Hysteria Hysteria (Ess,CAM), Fear (Ch), Trembling with fear with night sweats (NVN) Headache Headache (Ch,O) Dizziness / vertigo Dizziness (FCA), Vertigo (Ch) Sudden loss of voice Sudden loss of voice (CAM), Loss of voice (FCA), Sudden atony of tongue (Ch), Chest fullness Fullness in the chest (Ch,FCA) Haematemesis Haematemesis (J,Ch), Stomach haemorrhage (Ch), Vomiting of blood (O) Epistaxis Epistaxis (J,CAM,Ch), Nosebleed (O,FCA) Vaginal discharge Leukorrhoea (K), Uterine inflammation (Ch), Endometritis (K) Other indications Haemoptysis (CAM), Disorders of energy, chills (Ch), Profuse perspiration with fear of cold (J), Cholera with contractures (Ch), Fright inversion (FCA), Throat bi (FCA) 61 HT 7 SHENMEN SHEN DOOR LOCATION On the radial side of the tendon of flexor carpi ulnaris, on the transverse crease of the wrist, in the depression in the articular region between the pisiform bone and the ulna CHARACTERISTICS Shu-Stream & Yuan-Source Point of Heart meridian Calms the Shen & the Heart Clears Heart Heat and Fire Regulates counterflowing Qi (ni qi) Reducing point of the Heart meridian in Five Phase theory INDICATIONS Cardiac pain Cardiac pain (J,Ess,CAM,Ch,K,FCA), Angina pectoris (Sh,O), Sensation of heat in the heart with pain (Ch), Myocardial infarction (O) Irritability (xin fan) Irritability (xin fan) (J,Ess,CAM), Irritability & insomnia (Sh), Irritability (Heart malaise) (NVN), Malaria with irritability (Heart malaise) (Ch), Vexation (FCA) Psychosis (dian kuang) Psychosis (dian kuang) (J), Mania & withdrawal (FCA), Mental disorders (Ess), Mental illness (Sh), Psychopathy (CYM), Madness (Ch,NVN), Schizophrenia (K), Madness with crying or crazy laughter (Ch), Madly running around (Sh), Mania (CAM) Epilepsy Epilepsy (J,Ess,CAM,Ch,O,FCA), Idiocy and seizures (Sh) Poor memory Poor memory (J,Ess,FCA), Loss of memory (Ch), Absentmindedness (Sh), Insomnia with forgetfulness (NVN), Amnesia (CAM), Dementia (CAM) Palpitations Palpitations (J,Ess,CAM,Sh,CYM,K), Nervous (Ch,O), Palpitations with fear (J), Fright (FCA),Trembling with fear with tachycardia (NVN) Insomnia Insomnia (J,Ess,CAM,Sh,CYM,K,Ch,O,FCA), Insomnia with forgetfulness (NVN), Excessive dreaming (Sh), Irritability and insomnia (Sh) Yellow sclera Yellow sclera (J,Ess,CAM,Ch,FCA), Jaundice (Sh) Pain in sides Pain in sides (J,Ch), Pain in ribs (Sh), Pain in hypochondriac region (Ess,CAM), Pain in lateral costal region (FCA) palpitations palpitations 62 HT 7 SHENMEN SHEN DOOR INDICATIONS (Cont.) Hot palms Hot palms (J,FCA), Palms of hands very hot (Ch), Feverish sensation in palm (Ess,CAM) Hysteria Hysteria (Ess,CAM,Sh,O), Visceral agitation [zang zao](FCA), Fearful, likes to laugh (Ch), Trembling with fear with tachycardia (NVN), Red facial complexion & tendency to laugh (FCA) Neuraesthenia Neuraesthenia (Sh,K) Intellectual impairment Feeblemindedness (FCA), Idiocy (Ch), Idiocy & seizures (Sh), Dementia (CAM) Tongue paralysis Paralysis of lingual muscles (CYM), Paralysis of suprahyoid muscle (K), Paralysis of hypoglossus muscle (Sh), Loss of voice (Sh) Shortness of breath Dyspnoea (Ch), Dyspnoea counterflow qi ascent (FCA), Panting (Sh) Haematemesis Haematemesis (Sh,Ch), Retching or spitting of blood (FCA) Febrile disease Heat penetrating Heart meridian with irritability (Heart malaise), desire for cold drinks, protracted chills, fever of short duration (NVN), Malaria with irritability (Heart malaise), sensation of heat in the heart and pain; desires cold drinks; fear of cold; chills; red face (Ch) Enlarged heart Cardiomegalia (CYM), Enlargement of heart (O), Dilatation of the heart (Ch) Tachycardia Very rapid tachycardia (O), Racing of the heart (FCA), Trembling with fear with tachycardia (NVN) Dry throat/ loss of voice Dry throat (Ch), Dryness of throat with no desire to eat (FCA), Laryngitis (Ch), Loss of voice (Sh), Throat bi (FCA) Other indications Lack of energy (Ch), Heart disease (Sh), Scrofula (Ch), Rhinitis (CYM), Constipation (Ch), Loss of appetite (Ch), Nausea (Ch), Incontinence of urine (Ch), Atony of urethra (Ch), Cold feet (Ch), Icy cold arms (Ch), Contractures of arms (Ch), Wrist joint arthritis (K), Inflammation of uterus (Ch), Post-partum syncope (Ch), Cadaveric syncope (NVN), Arrhythmia (O), Constipation (O), High blood pressure (O), Pain in forearm (O) 63 HT 8 SHAOFU LESSER MANSION LOCATION On the palmar surface, between the 4th and 5th metacarpal bones. The tip of the little finger rests on this point when a fist is formed. CHARACTERISTICS Ying-Spring Point of Heart meridian Calms the Shen Regulates the Heart Qi Research Effective for premature ventricular contractions (P.V.C.’s) and other forms of cardiac arrhythmia INDICATIONS Palpitations Palpitations (J,Ess,CAM,Sh,K,FCA) Chest pain Chest pain (J,Ess,CAM,Sh,O,FCA), Pain in chest & heart (Ch), Fullness & malaise in chest (Ch), Angina pectoris (Sh) Spasms of little finger Spasms of little finger (J,Sh), Twitching & contracture of little finger (Ess), Inability to extend hand (Ch), Spasmodic pain of little finger (CAM), Hypertonicity of the fingers (FCA), Snapping finger (O) Pruritus vulvae Pruritus vulvae (J,Ch,O), Itching of the groin (Sh), Pruritus of external genitalia (CAM), Genital itch (FCA) Hot palms Hot palms (J,FCA), Palms of hands very hot (Ch), Feverish sensation in palm (Sh,K) Urinary incontinence Urinary incontinence (J,Sh,Ch,O), Enuresis (Ess,CAM,Sh,FCA) Dysuria Dysuria (J,Ess,CAM,Sh,K), Difficult urination (Sh,Ch), Inhibited urination (FCA) Cardiac arrhythmia Cardiac arrhythmia (Sh), Rheumatic heart disease (Sh) Itching (pruritus) Skin pruritus (Ess), Itchy skin (FCA) Fear/ sorrow Sorrow , fear & fearfulness of people (FCA), Laments & sighs often (Ch), Misanthropy (Ch), Vexation, fullness & diminished Qi (FCA) Febrile disease Fever (K), Malaria (O), Chronic malaria with chills (Ch) 64 HT 8 SHAOFU LESSER MANSION INDICATIONS (Cont.) Other indications Hysteria (Sh), Rheumatic heart disease (Sh), Lack of energy (Ch), Painful knees due to Wind (NVN), One side of scrotum larger than the other (Ch), Wrist joint pain (O), Pain in arm (Ch), Contracture of axilla & elbow (Ch), Uterine prolapse (Ch), Vaginal pain (Ch), Intercostal neuralgia (O), Toothache (O), Dryness in throat (K) , Impotence (K) 65 HT 9 SHAOCHONG LESSER RUSHING LOCATION On the radial side of the little finger, about 0.1 cun (1 fen) posterior to the corner of the nail CHARACTERISTICS Jing-Well Point of the Heart meridian Emergency point for unconsciousness & coma (bleed) Opens the Heart orifices (resuscitates) Clears Pathogenic Heat INDICATIONS Palpitations Palpitations (J,Ess,CAM,Sh,O,FCA), Pain in heart & chest with nervous palpitations (Ch), Nervous palpitations (K) Cardiac pain Cardiac pain (J,Ess,CAM,NVN,K,FCA), Pain in heart & chest with nervous palpitations (Ch), Chest pain (O), Angina pectoris (O) Febrile disease Febrile diseases (J,Ess,CAM,K), Heat diseases (FCA), High fever (Sh), Intermittent fever (CYM,NVN), Fever with sensation of cold (Ch), Fever due to Wind (NVN), Heat diseases with vexation & agitation (FCA) Irritability (xin fan) Irritability (xin fan) (J), Hysteria (Sh) Pain in chest & sides Pain in chest & sides (J), Pain in chest & hypochondriac region (Ess,CAM), Pain in chest & lateral costal region (FCA), Chest pain (O), Angina pectoris (O), Malaise & fullness in chest with sensation of energy rising to upper body (Ch), Inflammation of diaphragm (Ch), Pain in heart & chest with nervous palpitations (Ch) Psychosis (dian kuang) Psychosis (dian kuang) (J), Mania & withdrawal (FCA), Mania (CAM), Psychopathy (CYM), Mental disorders (Ess,K), Madness (K), Alternating joy & anger (NVN), Fearful (Ch) Syncope/ Loss of consciousness/ Wind-stroke Wind-stroke coma (J,Sh), Emergency treatment of wind strike (FCA), Cerebral haemorrhage (CYM), Loss of consciousness (Ess,CAM,O), Coma (O), Syncope (K,O), Shock (K), Emergency care (K), Clouding inversion (FCA), Apoplectic syncope with suffocating phlegm, trismus & aphagia (Ch) 66 HT 9 SHAOCHONG LESSER RUSHING INDICATIONS (Cont.) Sore throat Sore throat (Ch), Tonsillitis (CYM), Throat Bi (FCA), Laryngitis (K), Dry throat (Ch) Pain & contracture of arm Neuralgia & paralysis of deltoid region (CYM), Contractures of upper limbs (Ch), Pain in elbow which cannot be extended (Ch), Pain in internal aspect of arm (Ch) Jaundice Jaundice (CYM,FCA), Yellow sclera (Ch) Other indications Pain in root of tongue (FCA), Incontinence of urine (CYM), Pain in vagina (CYM), Fetid odour of the vagina (Ch), Hysteria (Sh), Fearful (Ch), Alternating joy and anger (NVN), Headache (K), Infantile convulsions (Sh), Epilepsy (K), Inflammation of diaphragm (Ch), Catarrh, bronchial hypersecretion (Ch), Cardiac weaknesses (Ch), Bradycardia (O), Arrhythmia (O) 67 HAND YANGMING LARGE INTESTINE MERIDIAN SHOU YANGMING DA CHANG JING 68 LARGE INTESTINE MERIDIAN MAJOR POINTS SUMMARY LI 1 (SHANGYANG) Jing-Well point of Large Intestine meridian Jing-Well point of Large Intestine meridian: Opens orifices & revives Shen Resuscitation: syncope, loss of consciousness, Windstroke coma Clears Heat from LU & benefits throat sore throat, tonsillitis Clears Heat from Exterior febrile diseases Clear heat from Yangming high fever LI 4 (HEGU) Yuan-Source pont of Large Intestine meridian One of Ma Dan Yang’s 12 Stars For mouth and face Hegu is ace: Si Zong Xue Ge With LR 3 known as Four Gates: Biao You Fu For mouth & face Hegu is ace (Si Zong Xue Ge) headache, toothache, sore throat, tonsillitis, eye pain, redness & swelling, epistaxis, deafness, tinniutus, facial swelling, mumps, facial paralysis, trismus, nasal polyps, nasosinusitis, cornela opacity Dispels Wind & clears the Exterior; Eliminates Wind-Cold & Wind-Heat Febrile diseases, febrile disease without sweating, malaria, common cold, ssore throat, tonsillitis, eye pain, redness & swelling Regulates perspiration: Promotes perspiration in Wind-Cold but reduces perspiration in excessive sweating Febrile diseases without sweating, excessive sweating Often used with LU 7 for Wind-Cold and either KI 7 or SI 3 for general sweating disorders Relieves pain headache, toothache, sore throat, tonsillitis, eye pain, redness & swelling, arm pain, abdominal pain, pain in general, pain in shoulder & back Relieves stagnation in intestines constipation, dysentery Activates dispersing function of LU asthma, common cold, facial swelling Clears the meridians Research findings • Stimulates production & release of oxytocin (used to induce or stimulate contractions during labour and for retained placenta; contraindicated in pregnancy especially first trimester) • Dental surgery analgesia with ST 44 • Regulates blood pressure • Regualtes peripheral vasoconstriction and vasodilation and promote peripheral circulation (especially in hands) • Inhibits peristalsis of the stomach, relaxes pyloric sphincter & gastric spasms 69 LARGE INTESTINE MERIDIAN MAJOR POINTS SUMMARY LI 5 (YANGXI) Jing-River point of Large Intestine meridian Dispels Wind & clears Fire headache, eye redness, swelling & pain; toothache, sore throat, tonsillitis, tinnitus Clear heat from Yangming fever LI 10 (SHOUSANLI) Dispels Wind & frees Luomai (collaterals) swelling of submandibular region & cheek, upper limb paralysis, facial paralysis, hemiplegia, shoulder & arm pain Harmonises ST & benefits intestines abdominal pain, vomiting & diarrhoea, LI 11 (QUCHI) He-Sea point of Large Intestine meridian 12th of Sun Simiao’s 13 Ghost Points One of Ma Dan Yang’s 12 Stars Clears Heat Febrile diseases Clears Heat in Blood urticaria, eczema, dry skin Dispels Wind and Clears the Exterior; Clears Wind-Heat Febrile diseases, febrile disease with rashes, sore throat, tonsillitis, eyes red & painful Removes obstructions from joints Pain & swelling of upper limb, swelling & pain in elbow & arm, upper limb paralysis, hemiplegia Eliminates Dampness vomiting & diarrhoea, dysentery, scrofula, pain & swelling of upper limb Harmonizes Qi and Blood Reinforcing point of Large Intestine meridian (Mother/Son) Research findings • • Regulates blood pressure Lowers temperature in fevers (with GV 14) LI 12 (ZHOULIAO) Local point for elbow & arm Removes obstruction from joints elbow & arm pain, Wind Bi in elbow joint, shoulder pain & restricted movement, paralysis of elbow & shoulder 70 LARGE INTESTINE MERIDIAN MAJOR POINTS SUMMARY LI 14 (BINAO) Activates circulation in the jingluo & relieves pain shoulder & arm pain, arm pain & restricted abduction, stiff neck, scrofula Clears the vision eye diseases LI 15 (JIANYU) Point of intersection of Yangqiaomai Activates circulation in the jingluo & removes onstruction from joints (especially shoulder) shoulder & arm pain, Bi syndrome of shoulder, upper limb paralysis, hemiplegia Dispels Wind & Clears Heat Bi syndrome of shoulder, hemiplegia urticaria, rubella, eczema; hypertension LI 16 (JUGU) Point of intersection of Yangqiaomai Activates circulation in the jingluo & removes onstruction from joints (especially shoulder) Pain in shoulder & arm/ restricted movement Disperses congealed blood Blood stasis in chest LI 18 (NECK-FUTU) Point of reunion of Large Intestine and Lung divergent meridians (jing bie) Benefits the throat Regulates Qi & Blood wheezing, cough, asthma, sore throat, hoarse voice, sudden loss of voice, phlegm in throat, dysphagia, goitre, scrofula LI 19 (NOSE-HELIAO) Diffuses LU Qi & clears Heat from LU epistaxis, nasal ulcer Clears the nose nasal obstruction, anosmia, rhinitis, rhinorrhoea, epistaxis, nasal polyp Revives the Shen cadaveric syncope LI 20 (YINGXIANG) Yingxiang – Welcome fragrance: for nose Opens nasal passages anosmia, nasal obstruction, rhinitis, rhinorrhoea, nasosinusitis, epistaxis, nasal polyps Local point for face facial itching & swelling, facial paralysis This is very rare example of a facial point with an abdominal indication - round worms in bile duct 71 LARGE INTESTINE MERIDIAN POINT INDICATIONS SUMMARY INDICATIONS HEAD, NECK & FACE Headache Stiff neck Scrofula Goitre Swelling of submandibular region & cheek Submandibular swelling / mumps Facial swelling Facial itching & swelling Facial paralysis Facial neuralgia EYES Eye diseases Corneal opacity (mu yi) Eyes red, swollen, painful Eyes red & painful Keratoleukoma Green blindness (qing mang) EAR Tinnitus Deafness NOSE Nasal obstruction/ anosmia Nasosinusitis Epistaxis Rhinitis Rhinorrhoea Nasal polyps Nasal ulcers THROAT, MOUTH Sore throat Tonsillitis (throat bi) Loss of voice Sounds in the throat (like duck, cock or frog) Toothache Trismus Pain in root of tongue Dysphagia SHEN DISORDERS & NEUROLOGICAL DISORDERS Psychosis (dian kuang) Wind-stroke (CVA) Wind-stroke coma Syncope/ Loss of consciousness Cadaveric syncope Epilepsy Infantile convulsions 1 4 5 10 11 4 5 10 11 10 11 11 12 14 15 14 14 15 15 16 18 16 16 18 18 19 20 10 1 4 4 10 4 10 4 4 4 19 20 20 20 20 14 5 5 11 4 1 1 1 1 1 1 4 4 5 5 4 4 4 19 4 19 19 19 4 4 4 5 5 4 4 5 10 11 11 18 18 18 10 10 11 15 19 5 18 5 11 1 1 19 4 16 16 20 20 20 20 20 20 72 LARGE INTESTINE MERIDIAN POINT INDICATIONS SUMMARY INDICATIONS CARDIOVASCULAR DISORDERS Hypertension RESPIRATORY DISORDERS Cough Asthma Dyspnoea Common cold GASTROINTESTINAL DISORDERS Abdominal pain Vomiting and diarrhoea Cholera (huo luan) Diarrhoea Dysentery Constipation Round worms in the bile duct Vomiting Haematemesis Dysphagia GENITOURINARY & SEXUAL DISORDERS Seminal emission GYNAECOLOGICAL & OBSTETRIC DISORDERS Menstrual disorders Amenorrhoea Delayed labour Abortion CHEST, RIBS & SIDES Fullness in chest Blood stasis in chest ABDOMEN Abdominal pain FOUR LIMBS Hemiplegia UPPER LIMB Paralysis of upper limb Pain & swelling of upper limb SHOULDER & BACK Pain in shoulder & back SHOULDER & ARM Pain in shoulder & arm; cannot abduct arm Cannot abduct arm Pain in shoulder & arm Bi syndrome in shoulder & arm ARM Arm pain 1 4 5 10 5 11 12 14 11 15 16 18 19 20 15 4 4 18 18 20 4 4 10 10 10 11 11 11 11 4 4 20 11 10 16 18 15 11 11 4 4 4 1 16 4 10 11 4 10 11 4 10 11 11 15 12 14 15 4 16 14 5 10 4 16 11 12 14 14 14 16 15 15 16 16 16 16 73 LARGE INTESTINE MERIDIAN POINT INDICATIONS SUMMARY INDICATIONS ELBOW & ARM Elbow & arm pain Elbow & arm pain, contracture & numbness Elbow & arm swelling & pain Bi syndrome in elbow & arm Weakness of elbow & arm WRIST Wrist pain HAND Hand spasms Numb fingers Contracture of fingers SWELLING/OEDEMA 1 4 5 10 11 12 14 11 12 12 14 15 19 20 12 11 5 15 1 4 20 20 20 4 Submandibular swelling/ mumps Swelling of submandibular region & cheek Scrofula Goitre FEBRILE DISEASES & PERSPIRATION 1 Febrile diseases Fever with rashes Measles Rubella Fever without sweating Chills & fever Excessive sweating Malaria 1 10 10 10 4 1 4 1 4 4 11 11 11 11 11 14 15 15 14 15 15 15 14 SKIN 4 4 PAIN Pain (in general) 18 11 Subcutaneous oedema Facial swelling Facial itch & swelling Skin disorders Urticaria (feng zhen) Eczema Dry skin 16 4 5 5 5 11 11 11 11 15 15 16 16 18 18 74 LARGE INTESTINE MERIDIAN POINT ACTIONS SUMMARY ACTIONS ON SIX PERVERSE QI (LIU XIE) Wind Dispels Wind Removes obstruction from jing-luo Soothes the joints LI 15 shoulder & arm pain, motor impairment of upper limbs, hemiplegia, urticaria, hypertension Disperses Wind Relieves Exterior LI 4 Febrile diseases without sweating, nasosinusitis, headache, cough, swelling & pain of pharynx & larynx, tonsillitis, mumps; redness, swelling & pain in eyes; facial paralysis, hemiplegia, trusmus, urticaria Dispels Wind-Cold LI 4 Taiyang Shanghan – febrile diseases without sweating, nasosinusitis, headache, cough Wind-Cold facial paralysis Dispels Wind and Clears Heat (WindHeat) LI 4 Febrile diseases, swelling & pain of pharynx & larynx, tonsillitis, mumps, cough, headache; redness, swelling & pain in eyes LI 1 Febrile diseases, swelling & pain of pharynx & larynx, tonsillitis, mumps LI 11 Febrile diseases, sore throat, urticaria, measles LI 20 epistaxis, nasosinusitis, facial itching & swelling Heat Wind-Heat See above under Wind Clears Heat LI 11 high fever Clears Heat in Blood LI 11 urticaria, eczema, febrile disease with rash, menstrual disorders Clears Heat & Alleviates Dampness LI 11 Damp-Heat diarrhoea & dysentery, eczema 75 LARGE INTESTINE MERIDIAN POINT ACTIONS SUMMARY ACTIONS ON SIX PERVERSE QI (LIU XIE) Dampness Alleviates Dampness LI 11 Damp Bi syndrome of elbow & arm, scrofula Clears Heat & Alleviates Dampness LI 11 Damp-Heat diarrhoea & dysentery, eczema ACTIONS ON ZANG FU LUNGS Activates the dispersing function of Lungs LI 4 (with LU 7) Taiyang Shanghan – common cold, cough, febrile disease without sweating, nasosinusitis LARGE INTESTINE Relieves stagnation in intestines LI 4 constipation, dysentery ACTIONS ON QI & BLOOD QI Regulates circulation of Qi & Blood LI 11 hypertension, Wind-stroke sequelae, paralysis, pain or swelling of upper limb; circulatory disorders of upper limb (eg: Buerger’s disease, Raynaud’s syndrome) BLOOD Regulates circulation of Qi & Blood See above under Qi Regulates Blood LI 11 hypertension, menstrual disorders Clears Heat in Blood LI 11 urticaria. eczema, febfile disease with rash, menstrual disorders Disperses congealed Blood LI 16 haemoptysis 76 LARGE INTESTINE MERIDIAN POINT ACTIONS SUMMARY ACTIONS ON JING-LUO Clears the channels LI 4 arm pain, finger contracture, pain in shoulder & back, trismus, facial paralysis, facial swelling, toothache, headache, sore throat LI 14 pain in shoulder & arm, spasms of neck muscles, scrofula LI 15 shoulder & arm pain, shoulder joint disorders, motor impairment of upper limbs, hemiplegia, scrofula LI 16 shoulder & arm pain & motor impairment, scrofula, goitre REGIONAL ACTIONS MOUTH & FACE For mouth and face Hegu is ace (Si Zong Xue Ge) Face LI 4 facial paralysis, facial swelling, trismus Eyes LI 4 redness, swelling & pain in eyes, keratoleukoma, myopia, cataracts LI 14 eye diseases Ears LI 4 deafness, tinnitus Nose LI 4 epistaxis, polyps LI 20 anosmia, nasal obstruction, rhinitis, rhinorrhoea, nasosinusitis, epistaxis, nasal polyps LI 4 toothache, mouth ulcers, gingivitis, facial paralysis with deviated mouth, trismus Clears the vision Opens the nasal passages Mouth nasosinusitis, nasal GENERAL ACTIONS Stops pain LI 4 Toothache, headache, eye pain, sore throat, arm pain, pain in shoulder & back, abdominal pain LI 4 & ST 44 were used for the first ever acupuncture surgical analgesia for dental extraction 77 LI 1 SHANGYANG MARKET YANG LOCATION On the radial side of the index finger , about 0.1 cun (1 fen) posterior to the corner of the nail. CHARACTERISTICS Jing-Well Point of Large Intestine meridian Opens the orifices and revives the Shen (for resuscitation) Clears Heat from the Lungs and benefits the throat (bleed for sore throat) Clears Heat from the Exterior Clears heat from Yangming INDICATIONS Deafness Deafness (J,Sh,NVN,Ch,FCA), Hardness of hearing (CYM) Toothache Toothache (CYM) Submandibular swelling/ mumps Swelling of submandibular region (J,Ess,CAM,FCA) , Swelling of the chin (Ch), Pain & swelling of maxilla (NVN), Mumps (Ch), Parotitis [mumps] (CYM) Sore throat / Tonsillitis (throat Bi) Sore throat (Ess,CAM,Sh,O), Sore, swollen throat (FCA), Pharynx & larynx swollen & painful (J), Tonsillitis (CYM,K), Throat bi preventing speech (FCA) Syncope/ Loss of consciousness/ Wind-stroke coma Syncope (K), Loss of consciousness (Ess,CAM), Wind-stroke coma (J), Apoplectic coma (Sh), Cerebral haemorrhage (CYM), Shock (CYM), Clouding inversion (FCA), Stupor (O) Febrile diseases/ Fever without sweating/ Malaria Febrile diseases (J,Ess), Heat diseases (FCA), Febrile diseases without sweating (J,CAM), Fever without sweating (Ch), Heat disease with sweating (FCA), Fever (K,O), High fever (Sh), Diseases due to Cold with fever & delirium (NVN), Malaria (Ch), Cold and Heat malaria (FCA), Diarrhoea accompanied by flu with fever (O) Green blindness (qing mang) Green blindness (qing mang) (J), Glaucoma (CYM), Night blindness (Ch), Achromatopsia (complete absence of colour vision) (Ch), Blindness (FCA) (J,Ess,CAM,Sh,NVN,Ch,FCA), Lower toothache 78 LI 1 SHANGYANG MARKET YANG INDICATIONS (Cont.) Finger numbness Finger numbness (J,Ess,CAM,Sh,FCA) Tinnitus Tinnitus (CYM,NVN,Ch,FCA) Chest fullness Fullness of the chest (Ch), Thoracic Qi fullness (FCA), Oppression (Ch), Angina pectoris (K) Shoulder & back pain Pain in back & shoulders (Ch), Shoulder & back pain reaching into the clavicle (FCA), Pain in the shoulder girdle (Ch), Rheumatic pains of shoulder & upper arm (CYM) Other indications Headache (K), Stomatitis (K), Facial acne (NVN), Eye-dizziness & eye pain (NVN), Facial neuralgia due to disorders of the Muscle meridians (NVN), Diarrhoea accompanied by flu with fever (O), Vomiting & diarrhoea in children (K), Cough (Ch), Dry mouth (Ch), Swelling of the arm (Ch), Swelling of the four limbs (Ch) 79 LI 4 HEGU MERGING VALLEY LOCATION Between the first & second metacarpals, in the middle of the radial side of the second metacarpal bone CHARACTERISTICS Yuan-Source Point of Large Intestine meridian One of Ma Dan Yang’s 12 Star Points For mouth and face Hegu is ace from Four Dominant Points Song (Ming Dynasty) Special regional actions on face, mouth, nose, eyes and ears Dispels Wind & Clears the Exterior; Eliminates Wind-Cold & Wind-Heat Strictly contraindicated during pregancy (due to its oxytocic action) Regulates perspiration (stimulates perspiration in Wind-Cold common cold but also stops excessive sweating) Relieves pain Relieves stagnation in the intestines Activates the dispersing function of Lungs Together with LR 3 known as the Four Gates (from the Ode to Elucidate Mystery – Biao You Fu): modern use is to Calm the Shen Clears the meridians • • Research findings • • • • Dental analgesia for surgical procedures Oxytocic action which promotes uterine contraction (hence used for delayed labour, retained placenta and abortion) Regulates blood pressure Regulates body temperature (mainly for fever) Regulates peripheral vasoconstriction and vasodilation and promotes peripheral microcirculation (especially in hands) Inhibits peristalsis of the stomach, relaxes its spasms and pyloric sphincter 80 LI 4 HEGU MERGING VALLEY INDICATIONS Headache Headache (J,Ess,CAM,Sh,CYM,NVN,FCA), Neuralgia of the head (Ch), Migraine (Ch), Unilateral or ambilateral headache (FCA), Headache and rigid spine (FCA) Epistaxis Epistaxis (J,Ess,CAM,Sh,CYM,NVN,FCA), Continual epistaxis (Ch) Deafness/ tinnitus Deafness (J,Sh,CAM,Ch), Hardness of hearing (CYM), Tinnitus (CYM), Ringing in the ears (O) Toothache Toothache (J,Ess,CAM,Sh,CYM,K,O), Dental abscess (Ch), Toothache & facial swelling (J) Facial swelling/ mumps Facial oedema (Sh,CAM,FCA), Toothache & facial swelling (J), Mumps (J), Parotitis (CAM) Facial paralysis Facial paralysis (J,Ess,CAM,Sh,K,CYM), Mouth & face awry (Sh,FCA), Lips flaccid (Ch), Hemiplegia (Sh,K,Ch) Sore throat/ Tonsillitis (throat Bi)/ Loss of voice Sore throat (Ess,CAM,Ch,O), Sore, swollen throat (FCA), Pharynx & larynx swollen & painful (J), Throat blockage (Sh), Tonsillitis (CYM,K), Paediatric sore throat with white spots (Ch), Child throat moth (FCA), Cannot talk (Ch), Aphonia (NVN), Loss of voice (FCA) Febrile diseases/ Fever without sweating/ Malaria Febrile diseases (J), Febrile diseases without sweating (J), Febrile diseases with anhidrosis (Ess,CAM), Sweating or absence of it in Heat diseases (FCA), Malaria without sweating (Ch), Malaria (NVN), Malaria with fever & chills (FCA), Tidal fevers (Sh), Fever after catching cold with great thirst & superficial pulse (Ch), Common cold (Sh,CYM), Chills (Ch), Great thirst, fever & aversion to cold in cold damage [shang han](FCA) Excessive sweating Excessive sweating (J), Abundant sweating (Ch), Hidrosis (Ess,CAM) Eye pain, redness, swelling Redness, swelling & pain of eye (J,Ess,CAM), Pain in the eyes (Sh,CYM) Contracture of fingers Contracture of fingers (J,Ess), Hypertonicity of the fingers (FCA), Diseases of back of hand & fingers (O) Arm pain Pain in arm (J,Ess,FCA), Pain, weakness & motor impairment of the upper limbs (CAM), Pain or discomfort in arm (Ch) 81 LI 4 HEGU MERGING VALLEY INDICATIONS (Cont.) Trismus Trismus (J,Ess,CAM,Ch), Lockjaw due to stroke (Sh), Windstroke trismus (FCA) Amenorrhoea Amenorrhoea (J,Ess,CAM,CYM), Menstrual block (FCA) Delayed labour Delayed labour (J,Ess,CAM,FCA) Abortion Abortion (Sh), Aborting dead foetus (Sh) Pain (in general) Pain in general (Sh,K) Abdominal pain Abdominal pain (J,Ess,CAM), Acute & chronic gastritis (K) Constipation Constipation (J,Ess,CAM) Dysentery Dysentery (J,Ess,CAM,FCA) Common cold Common cold (Sh,CYM) Nasal polyps Nasal polyps (CYM,Ch) Nasosinusitis Nasosinusitis (J), Nasal obstruction (CAM), Rhinorrhoea (CAM) Skin disorders/ Urticaria (feng zhen) All sorts of skin disorders with itching (Ch), Wind rash (Sh,J), Wind papules (FCA), Scabies (Sh), Deep-rooted boil (ding chuang) (J) Corneal opacity (mu yi) Membrane on the eye (Sh), White membrane on conjunctiva (Ch,NVN), Keratoleukoma (CYM), Visual problems (NVN,Ch) Pain in shoulder & back Pain in shoulder & back (Ch), Neuralgia of shoulder (CYM), Pain inside spinal column and in renal region (Ch), Pain in spine (Ch), Stiffness in the back (Ch) Infantile convulsions Infantile convulsions (J,CAM) Hemiplegia Hemiplegia (Sh,K,Ch), Quadraplegia (K), Pain, weakness & motor impairment of the upper limbs (CAM) Asthma Asthma (CYM), Dyspnoea (K) Other indications Cough (J), Cardiac pain (FCA), Acute & chronic gastritis (K), Infection of face (O), Neuraesthenia (Sh), Mania (FCA), Insomnia (CYM), Pain in gums & tongue (Ch), Thick coating covering tongue (Ch), Visual problems (NVN,Ch), Pain, weakness & motor impairment of the upper limbs (CAM), Diseases of back of hand & fingers (O), Pain in the neck (CAM) 82 LI 5 YANGXI YANG CREEK LOCATION When the thumb is extended , this point is found in the centre of the depression between the tendons of extensor pollicis longus and extensor pollicis brevis. This depression is also called the “anatomical snuff box”. CHARACTERISTICS Jing-River Point of Colon meridian Dispels Wind and Clears Fire Clears Heat from Yangming INDICATIONS Headache Headache (J,Ess,CAM,Sh,K,Ch,O,FCA) Eye redness, swelling, pain Redness, swelling & pain of eye (J,Ess,CAM,FCA), Eyes red & painful (Sh), Ophthalmalgia (Sh), Pain in eyes which are red & have lesions on the edge of the eyelid (Ch) Deafness Deafness (J,Sh,Ch,FCA) Toothache Toothache (J,Ess,CAM,Sh,O,FCA) Tinnitus Tinnitus (J,Sh,Ch,K,O,FCA) Sore throat / Tonsillitis (throat Bi) Sore throat (Ess,CAM,Ch,O), Sore, swollen throat (FCA), Pharynx & larynx swollen and painful (J), Throat blockage (Sh), Throat Bi (Ch,FCA) Corneal opacity (mu yi) Corneal opacity (mu yi) (J) , Membrane on the eye (Sh) Wrist pain Pain of the wrist (J,Ess,CAM,Sh,O,FCA), Diseases of soft tissue of the wrist joint (Sh) Skin disorders All skin disorders: pruritus, urticaria, prurigo, ezcema (NVN), Skin disease with itching (Ch) Psychosis (dian kuang) Mental disorder (K), Madness."Sees the devil" (Ch), Divagation (Ch), Irritability (Heart malaise) (Ch), Vexation (FCA) Inability to raise the arm Inability to raise the arm (Ch,FCA), Hemiplegia (K) Pain in root of tongue Pain in root of tongue (Sh,FCA) 83 LI 5 YANGXI YANG CREEK INDICATIONS (Cont.) Other indications Hypertension (K), Inability to flex arm at elbow (Sh), All disorders of muscles & back (contractures, pains) (NVN), Hemiplegia (K), Infantile indigestion (Sh), Fever with sensation of cold (Ch), Fever with irritability (Heart malaise)(Ch), Malaria (Ch), Heat in the palm (FCA), Protrusion of the tongue (FCA), Convulsions with fear (Ch), Syncope (Ch), Divagation (Ch), Fullness of chest (Ch), Oppression (Ch), Cough with abundant expectoration of saliva (Ch), Difficulty in breathing (Ch) 84 LI 10 SHOUSANLI HAND THREE LI LOCATION On the forearm, 2 cun distal to LI 11 CHARACTERISTICS Dispels Wind and frees up the Luo-mai (Collaterals) Harmonizes the Stomach and Benefits the intestines INDICATIONS Swelling of submandibular region & cheek/ mumps Swelling of submandibular region & cheek (J), Swelling of mandible & cheek (Sh), Swelling of chin & cheek (Ch), Swelling of the cheek (CAM), Parotitis (mumps) (CYM), Pain in the cheek & submandibular region (FCA), Inflammation of the submaxillary glands(O) Upper limb paralysis (Wei syndrome) Upper limb paralysis (J,Sh,FCA), Motor impairment of upper extremities (Ess,CAM), Insensitivity of upper limb (Ch), Stubborn numbness of hand & arm (FCA) Haematemesis Haematemesis (tu xue) (J), Ulcer (Sh) Abdominal pain Abdominal pain (J,Sh,Ess,CAM,FCA), Stomach-ache (Sh), Indigestion (Sh), Abdominal pain, vomiting & diarrhoea (J) Vomiting & diarrhoea/ cholera (huo luan) Vomiting & diarrhoea (J,Ess,Sh,FCA), Cholera (huo luan) (Ch,FCA,O), Abdominal pain, vomiting & diarrhoea (J), Haematemesis (tu xue) (J), Diarrhoea (CAM) Toothache Toothache (J,CAM,Sh,K,Ch,FCA) Shoulder & arm pain Shoulder & arm pain (J), Pain in shoulder & arm (Sh,NVN), Aching in the shoulder & upper arm (FCA), Pain in shoulder region (Ess), Pain in shoulder & back (Ch,CAM), Pain radiating from shoulder to navel (Ch), Brachial neuralgia (K) Scrofula Scrofula (Sh,CYM,Ch), Scofulous lumps (FCA) Facial paralysis Facial paralysis (CYM,K,O), Apoplexy with deviation of mouth & eyes (Ch), Wind-stroke wryness of the mouth (FCA), Hemiplegia (Sh,CYM,NVN,FCA,K) Hemiplegia Hemiplegia (Sh,CYM,NVN,FCA,K), (CYM), Apoplexy (O) Sore throat/ loss of voice Sore throat (O), Loss of voice (Sh), Laryngitis (Ch) Cerebral haemorrhage 85 LI 10 SHOUSANLI HAND THREE LI INDICATIONS (Cont.) Headache Migraine (K), Headache (K), Head wind (Ch) Other indications Hypertension (K), Indigestion (Sh), Ulcer (Sh), Mastitis (CYM), Neuraesthenia (CYM), Ding boil (CYM), Elbow cannot be extended (Ch), Pain radiating from shoulder to navel (Ch), Pain control (K), Faecal incontinence (FCA), Periodic cold in the intestines (FCA), Vacuity weakness due to the five taxations (FCA), Pain in the back & lumbar region (FCA) 86 LI 11 QUCHI CROOKED POND LOCATION When the elbow is flexed, the point is found in the depression at the lateral end of the transverse cubital crease, midway between LU 5 and the lateral epicondyle of the humerus CHARACTERISTICS He-Sea Point of the Large Intesine meridian Although LI 11 does have some actions on the Large Intesine, for disorders of the Large Intesine organ the Lower He-Sea Point for the Large Intesine, namely ST 37 is generally preferred. 12th of Sun Simiaio’s 13 Ghost Points for the treatment of psychosis and epilepsy. Also known as Guitui (Ghost Leg) One of Ma Dan Yang’s 12 Star Points Clears Heat – reduces fevers Clears Heat from the Blood (skin problems, rashes) Dispels Wind & Clears the Exterior Clears Wind-Heat Removes obstruction from joints Harmonizes Qi & Blood Eliminates Dampness Reinforcing point of Large Intestine meridian (Mother/Son) • Research findings • Regulates blood pressure (especially lowers high blood pressure) Lowers temperature in fevers INDICATIONS Sore throat / Tonsillitis (throat Bi) Sore throat (Ess,CAM,Ch), Pharynx & larynx swollen & painful (J), Sore, swollen throat (FCA), Sore throat. Cannot talk (Ch), Throat blockage (Sh), Tonsillitis (CYM) Upper limb paralysis (Wei syndrome) Upper limb paralysis (J,FCA), Paralysis (Sh), Motor impairment of upper extremities (Ess,CAM), Pain & paralysis of upper extremities (O), Pain in arm with muscular flaccidity. Cannot extend or flex arm (Ch), Hand & elbow weakness (J), Thin, weak elbows (FCA) 87 LI 11 QUCHI CROOKED POND INDICATIONS (Cont.) Febrile diseases/ Febrile disease with rashes Febrile diseases with rashes (J), Generalized exanthem due to Wind (Measles) (Ch), Measles (Sh), Febrile diseases (J,Ess,CAM), Heat diseases (FCA), Fever (NVN), High fever (Sh), Prolonged fever or with severe sore throat (Ch), Nonabatement of residual fever in cold damage (FCA) Pain & swelling of upper limb Swelling & pain in hand & arm (J), Arthritic pain in upper limb (Sh), Rheumatic pain at shoulder, elbow & wrist joints (CYM), Neuralgia of arm & shoulder (Ch), Wind in the arm (Ch), Pain in the elbow with difficulty in bending and stretching (FCA), Pain of the limbs (K) Swelling & pain in elbow & arm Swelling & pain in elbow & arm (NVN), Pain of elbow & arm (Ess,FCA), Swelling, redness & pain in elbow (Ch), Tennis elbow (O) Skin disorders: Urticaria Eczema Dry skin Skin disorders (Sh,CYM,Ch), Urticaria (Wind rash) (J,Ess,CAM,Sh,CYM,NVN,O), Hives (Sh), Wind papules (FCA), Allergies (Sh), Dormant papules (FCA), Eczema (CYM,Ch), Erysipelas (J), Abscess in the process of formation (Ch), Dry, parched skin (Sh), Dry skin (FCA), Itching on the skin (K) Amenorrhoea Amenorrhoea (Sh,FCA) , Little menstrual flow (Ch), Irregular menstruation (J) Scrofula Scrofula (J,Ess,CAM), Scrofulous lumps (FCA), Nodular growths in the neck (Sh) Abdominal pain Abdominal pain (J,Ess,CAM,FCA) Vomiting & diarrhoea Vomiting & diarrrhoea Diarrrhoea (CAM,O) Dysentery Dysentery (J,Ess,FCA) Hemiplegia Hemiplegia (Sh,CYM,K,NVN,Ch,FCA) Wind-stroke Apoplexy (Ch), Cerebral haemorrhage (CYM), Hemiplegia (Sh,CYM,K,NVN,Ch,FCA) Hypertension Hypertension (Sh,CYM,O) Toothache Toothache (CAM,Sh,K), Toothache & throat bi (FCA) Eyes red & painful Eyes red & painful (Sh,CAM), Painful reddening of the eyes (FCA) (J,Ess), Vomiting (FCA,CAM), 88 LI 11 QUCHI CROOKED POND INDICATIONS (Cont.) Headache Headache (K,FCA,O) Other indications Constipation (K), Haemorrhoid (O), Goitre (Sh), Anaemia (Sh), Allergies (Sh), Common cold (CYM), Pleurisy (CYM), Vexation & fullness in the chest (FCA), Wrist joint pain (K), Rheumatism of the knee (Ch), Convulsions (Ch), Madness with pain & itching "like insects biting" (Ch), Lax sinews (FCA), Swelling of the head (FCA), Impaired hearing (K) 89 LI 12 ZHOULIAO ELBOW FORAMEN LOCATION When the elbow is flexed , the point is superior to the lateral epicondyle of the humerus, on the medial border of the humerus, about 1 cun superior and lateral to LI 11. CHARACTERISTICS Activates the circulation in the meridians & connecting vessels Removes obstruction from joints INDICATIONS Elbow & arm pain Pain, contracture & numbness of elbow & arm (J,Ess,CAM,FCA), Pain in elbow & arm (J,Sh), Elbow joint pain (K), Inflammation of lateral epicondyle of humerus (Sh), Pain or stiffness in the arm (O) Bi syndrome in arm Wind Bi in elbow joint (J,FCA), Bi in the arm; insensitivity, rheumatism of the elbow (Ch), Spasm or numbness of arm (Sh), Pain in the arm which cannot be raised or bent (Ch) Shoulder pain & restricted movement Pain in the shoulder (K), Pain in the arm which cannot be raised or bent (Ch) Other indications Paralysis of the elbow & shoulder (K), Weakness & convulsion of the shoulder (K), Lassitude (Sh) 90 LI 14 BINAO ARM & SCAPULA LOCATION On the radial side of the humerus, in the posterior margin of the deltoid muscle, on the line between LI 11 and LI 15. CHARACTERISTICS Activates the circulation in the meridians & collaterals Clears the vision Relieves pain INDICATIONS Shoulder & arm pain Pain in shoulder & arm (Ess,CAM,Sh,FCA), Rheumatic pains in upper arm & shoulder (CYM), Shoulder pain (O,K), Neuralgia of arm (O), Arm pain (J), Diseases of shoulder joints (O) Arm pain & restricted abduction Pain in elbow & arm; arm cannot be raised (J), Arthritis of shoulder; arm cannot be raised (NVN), Upper part of arm painful; cannot raise arm (Ch), Pain in shoulder & upper back inhibiting the lifting of the shoulder (Sh,FCA), Diseases of shoulder joints (O) Stiff neck Contracture & rigidity of neck (J,CAM), Contractures of neck (Ch,FCA), Torticollis (Ch), Spasms of neck muscles (CYM) Scrofula Scrofula (J,Ess,CAM,Sh,CYM,Ch,FCA), Cervical adenitis (K) Eye diseases Eye diseases (Sh,CYM), Myopia (CYM) Chills & fevers Chills & fever (Sh), Fever or chills (Ch) Upper limb paralysis (Wei syndrome) Paralysis of upper limb (Sh), Thin, weak arms (FCA) Other indications Sore throat (K), Rheumatoid arthritis (K), Spasms of head (Ch) 91 LI 15 JIANYU SHOULDER CLAVICLE LOCATION When the arm is in full abduction, the point is in the anterior depression of the two depressions appearing at the anterior border of the acromioclavicular joint. CHARACTERISTICS Dispels Wind Clears Heat Activates the circulation in the meridians & collaterals Removes obstruction from the joints (especially shoulder) Harmonizes Qi & Blood INDICATIONS Shoulder & arm pain Pain in shoulder & arm (J,Ess,CAM,Ch,FCA), Neuralgia of the arm & shoulder (O), Pain in shoulder joint (Sh) Bi syndrome of shoulder Pain in arm & shoulder due to Wind-Damp (NVN), WindDampness in shoulder (Sh), Wind & Damp contending in both shoulders (FCA), Shoulder wind (FCA), Rheumatism in shoulders with pain, redness & swelling (Ch), Shoulder joint rheumatic pains (CYM), Perifocal inflammation of shoulder joint (Sh), Yang (Heat) in the arms & shoulders (Ch), Heat in the shoulder (FCA) Upper limb paralysis (Wei syndrome) Upper limb paralysis (J,K,FCA), Motor impairment of the upper extremities (Ess,CAM), Paralysis of the four limbs (Ch), Atrophy of the upper limb (Ch), Arm lacks strength (Sh), Inability to move hand (Ch), Hemiplegia (Sh,CYM,NVN,Ch), Thin, weak arms (FCA) Skin diseases: Urticaria Rubella Eczema Wind-Heat rash (Feng re yin zhen) (J), Wind rash (urticaria) (Sh), Wind papules (FCA), Urticaria (CYM), Rubella (Ess,CAM), Generalized exanthem due to Wind (measles) (Ch), Dermatoses in general (NVN,CYM), Eczema (CYM) Scrofula Scrofula (J,Ess,CAM), Scrofulous lumps (FCA), All swellings of the neck (Ch), Ganglia in the neck (Ch), Goitre (Sh) Hemiplegia Hemiplegia (Sh,CYM,NVN,Ch,O), hemiplegia (FCA), Apoplexy (Ch) Hypertension Hypertension (Sh,K) Hemilateral wind & 92 LI 15 JIANYU SHOULDER CLAVICLE INDICATIONS (Cont.) Toothache Toothache (CYM,FCA) Seminal emission Spermatorrhoea (Ch), Seminal discharge due to taxation (FCA) Hand spasms Spasms of hand & arm (CYM), Spasms in the hand (K), Bi of the fingers (FCA) Stiff / painful neck Torticollis (Ch), Pain of the cervicale & shoulder (K) Other indications Excessive sweating (Sh), Goitre (Sh), Ganglia in the neck (Sh), Eczema (CYM), Arthritis (K), Syncope (K), Apoplexy (Ch), Paralysis of the four limbs (Ch), Prolonged fever after catching cold (Ch), Complexion lacks brightness (Ch) 93 LI 16 JUGU GREAT BONE LOCATION In the upper aspect of the shoulder, in the depression between the acromial extremity and the scapular spine CHARACTERISTICS Activates the circulation in the meridians & connecting vessels Removes obstruction from the joints INDICATIONS Pain in shoulder & arm/ restricted movement Pain in shoulder & arm (J), Diseases of shoulder joint & soft tissues of the shoulder (Sh), Shoulder joint pain (K), Pain in shoulder (Ess,FCA), Brachial neuralgia (K), Pain in shoulder & back (CAM), Pain in shoulder, back & upper arm (O), Pain in shoulder, back, elbow & arm with inability to flex or extend the arm (J), Pain in arm preventing bending & stretching (FCA), Pain & motor impairment of the upper extremities (Ess,CAM), Pain in arm & shoulder inhibiting movement (Sh), Pain in arm & upper part of shoulder with atony (Ch), Inability to raise or extend arm (Ch) Scrofula Scrofula (J,Sh), Scrofulous lumps (FCA) Goitre Goitre (FCA), Soft goitre (ying qi) (J), Nodular growths on the neck (Sh) Haematemesis Vomiting blood (O), Vomiting blood in cardiac patients (Ch), Spitting blood (Sh) Convulsions Infantile convulsions (Ch,O), "Frightened convulsions" (Sh), Fright epilepsy (FCA), Epilepsy (Ch,K) Blood stasis in chest Static blood in the chest (FCA), Post-traumatic bad blood (clots) in the chest (Ch), Other indications Excitement (K), Pain in upper teeth (Ch) 94 LI 18 FUTU SUPPORT PROMINENCE LOCATION On the lateral side of the neck, level with the hyoid bone, between the sternal & clavicular head of sternocleidomastoid muscle CHARACTERISTICS Regulates Qi & Blood Benefits the throat INDICATIONS Sudden loss of voice Sudden loss of voice (J,CAM), Suddenly becomes mute (Ch), Laryngitis (K), Loss of voice (FCA), Hoarseness of voice (Ess,O), Hoarse voice (Sh), Aphasia (NVN) Sore throat Sore throat (Ess,CAM), Pain & swelling of throat (O), Pharynx & larynx swollen & painful (J), Sore, swollen throat (FCA), Distension & soreness in the throat (Sh), Laryngitis (K) Cough Cough (J,Ess,CAM,K,O,FCA), Coughing & wheezing (Sh), Cough with oppression (Ch) Asthma Asthma (J,Ess,CAM,K,O,FCA), Wheezing (Sh), Coughing & wheezing (Sh), Sounds in the throat "like a duck" (Sh), Throat makes a gurgling sound "like a cockcrow" (Ch), Frog rattle in the throat (FCA) Throat sounds Sounds in the throat "like a duck" (Sh), Throat makes a gurgling sound "like a cockcrow" (Ch), Frog rattle in the throat (FCA) Scrofula Scrofula (J,Ess,CAM), Cervical adenitis (K), Scrofulous lumps (FCA) Goitre Goitre (Ess,CAM), Simple goitre (O), Soft goitre (ying qi) (J), Qi goitre (FCA) Dysphagia Difficulty in swallowing (Sh), Laryngeal spasm (K), Inhibited throat (FCA) Other indications High blood pressure (O), Stomatitis (K), Excessive mucus (Sh), Anaesthesia for thyroid operations (Sh) 95 LI 19 HELIAO GRAIN CREVICE LOCATION Directly below the lateral margin of the nostril , level with GV 26 CHARACTERISTICS Diffuses Lung Qi & Clears Heat from Lung Clears the nose Revives the Shen (for resuscitation) INDICATIONS Nasal obstruction/ anosmia Nasal obstruction (J,Ess,CAM,K,Ch), Nasal congestion (FCA), Closed nose (O), Anosmia (K), Rhinitis (Sh), Runny nose with clear snivel (FCA) Epistaxis Epistaxis (J,Ess,CAM,Sh,K,O,FCA), Incessant epistaxis (Ch) Facial paralysis Facial paralysis (Sh,O), Paralysis of mouth & eyes (K), Deviation of mouth (J,Ess,CAM,FCA) Trismus Lockjaw (J,Sh), Patient cannot open mouth (Ch), Clenched jaws (FCA), Trismus (K,Ch) Nasal polyp Nasal polyp (J,Ch), Extra tissue in nose (Sh), Nasal sores & polyps (FCA) Nasal ulcer Ulceration of nose (Sh), Abscess of nose (Ch), Nasal sores & polyps (FCA) Cadaveric syncope Cadaveric syncope (Ch), Death-like inversion (FCA) Other indications Dyspnoea (K) 96 LI 20 YINGXIANG WELCOME FRAGRANCE LOCATION In the nasolabial groove, at the level of the midpoint of the ala nasi CHARACTERISTICS For all nose disorders Opens the nasal passages Dispels Wind-Heat INDICATIONS Nasal obstruction/ anosmia Nasal obstruction with loss of smell (J,Ess,CAM,CYM,NVN), Nasal obstruction; cannot smell even stinking,odours (J), Nasal obstruction with diminution or complete loss of smell (Ch), Closed nose (O), Nasal congestion (FCA), Inability to distinguish odours (Sh), Anosmia (K) Nasosinusitis Nasosinusitis (J,Sh,O) Epistaxis Epistaxis (J,Ess,CAM,Sh,CYM,K,NVN,Ch,FCA) Facial paralysis Facial paralysis (Sh,CYM,K,O), Deviation of mouth & eyes (J), Mouth & eyes awry (Sh), Deviation of mouth (Ess,CAM,Ch,FCA), Hemiplegia with deviation of mouth (Ch) Facial itching & swelling Facial itching & swelling (J,Ess,CAM,Sh), Swelling or itching of face (Ch,FCA) Itching of face (NVN,K,FCA), Prickling sensation like insects crawling on the face (Ch), Swelling of lips (Ch), Inflammation of facial structures (CYM) Subcutaneous oedema Subcutaneous oedema (J), Oedema of the surface (NVN) Rhinitis Rhinitis (Sh,K,O), Acute & chronic rhinitis (CYM), Allergic rhinitis (NVN), Sneezing (NVN) Rhinorrhoea Rhinorrhoea (Ess,CAM), Rhinorrhoea of incessantly flowing clear liquid (Ch), Runny nose (Sh,NVN) Nasal polyps Nasal polyps (NVN,Ch,FCA), Tissue in the nose (Sh) Dyspnoea Dyspnoea (K), Difficulty in breathing (Ch), Oppression (Ch), Stridor (CYM) Facial neuralgia Trigeminal neuralgia (O), Facial neuralgia (O), Facial muscle spasticity (O) 97 LI 20 YINGXIANG WELCOME FRAGRANCE INDICATIONS (Cont.) Round worm in the bile duct Round worm in the bile duct (Sh), Parasite in bile duct & gall bladder (O) Other indications Pus in the nose (Ch), Sensation of wound in the nose (Ch), All nose disorders (Ch), Dermatoses (NVN), Empyema (K), Deafness (Ch), Heat & redness of the eye (FCA) 98 HAND SHAOYANG TRIPLE ENERGIZER (SANJIAO) MERIDIAN SHOU SHAOYANG SANJIAO JING 99 TRIPLE ENERGIZER MERIDIAN MAJOR POINTS SUMMARY TE 1 (GUANCHONG) Jing-Well Point of Energizer meridian Jing-Well Point of Triple Energizer meridian Triple loss of consciousness, syncope Dispels Wind headache, sore throat, laryngitis, tonsillitis, febrile diseases Clears Heat & Fire sore throat, laryngitis, tonsillitis, febrile diseases, headache, red eyes, irritability, thirst, dry mouth Activates the circulation of Qi in the jing-luo TE 2 (YEMEN) Ying-Spring Point of the Triple Energizer meridian Ying-Spring Point of the Triple Energizer meridian Clears Heat from the Triple Energizer red eyes, sore throat, laryngitis, red eyes, headache, tinnitus, red face, manic raving, gingivitis, toothache Activates the circulation of Qi in the jing-luo Reduces swelling & relieves pain headache, arm & hand pain & swelling, sore throat, pain & redness of eyes TE 3 (ZHONGZHU) Shu-Stream point of the Triple Energizer meridian Shu-Stream point of the Triple Energizer meridian stiff fingers Clears Wind-Heat Sore throat, red eyes, tinnitus, febrile diseases Benefits the ear (Major distal point for the ears) tinnitus, deafness, deaf-mutism Clears the head & the eyes headache, red eyes Activates the circulation of Qi in the jing-luo Research findings • • acute sprain of lower lumbar (needle on same side) stiff neck with restricted rotation 100 TRIPLE ENERGIZER MERIDIAN MAJOR POINTS SUMMARY TE 4 (YANGCHI) Yuan-Source Point of Triple Energizer meridian Dispels Wind & Clears Heat tonsillitis, common cold, redness pain & swelling of eyes Activates circulation of Qi in the jing-luo Relaxes the tendons wrist pain, injury or weakness, shoulder & arm pain TE 5 (WAIGUAN) Luo-Connecting Point of Triple Energizer meridian Confluent Point of Yangweimai Luo-Connecting Point of Triple Energizer meridian Bi syndrome of elbow & arm “Spasms or flaccidity of elbow joint” (Ling Shu Ch 10) Confluent Point of Yangweimai “Shivering with sensations of hot & cold” (Nanjing Difficulty 29) Dispels Wind & Relieves the Exterior Clears Heat (External or Internal) common cold, febrile diseases, influenza, mumps, headache, tinnitus Activates circulation of Qi in the jing-luo Relaxes the tendons Bi syndrome of elbow & arm, stiff neck, hewmiplegia, finger pain, hand tremor TE 6 (ZHIGOU) Jing-River Point of Triple Energizer meridian Jing-River Point of Triple Energizer meridian sudden loss of voice, febrile diseases Spreads stagnant Liver Qi Specific point for "plum-pit Qi" in Liver Qi Stagnation plum pit Qi/ plumstone throat For ribs and sides Zhigou presides from additional vereses to Si Zong Xue Ge pain in ribs, chest & sides Removes obstruction from the intestines constipation with KI 6 (Ode of the Jade Dragon) Wandering/nomadic/migratory Bi syndrome (xing bi) with GB 39 101 190 TRIPLE ENERGIZER MERIDIAN MAJOR POINTS SUMMARY TE 8 (SANYANGLUO) Activates circulation of Qi in the jing-luo Opens the sensory orifices (for resuscitation) prostrate exhaustion Traditionally contraindicated to needle Research findings Needled through to PC 4 in acupuncture analgesia for pulmonary lobectomy TE 9 (SIDU) Activates circulation of Qi in the jing-luo Benefits the throat sudden loss of voice, plum-stone throat/plum-pit Qi, Regulates the waterways nephritis TE 10 (TIANJING) He-Sea Point of the Triple Energizer meridian He-Sea Point of the Triple Energizer meridian For disorders of the Triple Energizer, use the Lower He-Sea Point for the Triple Energizer, BL 39 Transforms Phlegm-Damp in the jing-luo Special point for scrofula scrofula, goiter; cough with expectoration, epilepsy, psychosis (dian kuang) TE 14 (JIANLIAO) Major local point for the shoulder joint pain & motor impairment in shoulder (Wind-Damp Bi syndrome, paralysis of upper limb Dispels Wind-Damp (treats Bi syndrome) pain & motor impairment in shoulder (Wind-Damp Bi syndrome) TE 17 (YIFENG) Benefits the hearing & vision tinnitus, deafness, deaf-mutism, ear infection, corneal opacity, poor vision Major point for facial paralysis facial paralysis, trismus Dispels Wind and Clears Heat cheek swelling (mumps), tinnitus Activates the circulation of Qi in the jing-luo 102 TRIPLE ENERGIZER MERIDIAN MAJOR POINTS SUMMARY TE 21 (ERMEN) Opens the ear and improves the hearing tinnitus, deafness, otitis, otorrhoea (ear discharge) Ancient books prohibit the use of moxibustion when treating patients with pus in the ear otorrhoea (ear discharge) TE 23 (SIZHUKONG) Dispels Wind & Clears Fire from the head (This point may be bled) headache, eye redness, swelling & pain Clears the vision & relieves pain eye redness, swelling & pain, blurred vision, corneal opacity, ingrown eyelash Ancient books prohibit moxibustion at this point 103 TRIPLE ENERGIZER MERIDIAN POINT INDICATIONS SUMMARY INDICATIONS HEAD, NECK & FACE Headache Unilateral headache/ migraine Headache with stiff neck Stiff neck Scrofula Goitre Pain in neck, nape, shoulder & arm Red face Facial paralysis Cheek swelling Mumps (parotitis) Cheek pain Trismus EYES Eye diseases Corneal opacity (mu yi) Red eyes Eyes red & painful/ eye inflammation Pain in external canthus Poor vision Blurred vision Visual dizziness Twitching eyelid Ingrown eyelash EAR Tinnitus Deafness Deaf-mutism Otitis/ otorrhoea THROAT, MOUTH Sore throat Tonsillitis (throat bi) Sudden loss of voice/ laryngitis Plum-pit qi (plum-stone throat) Toothache Gingivitis Stiff tongue Stiff lips Aphasia/ mutism Dry mouth/ thirst Diabetes/ thirst (xiao ke) 1 2 3 1 2 3 4 5 6 8 5 9 10 9 10 10 14 17 21 23 21 23 23 5 10 10 10 17 2 17 17 17 5 5 23 17 1 1 23 23 23 23 17 2 2 3 4 4 10 17 17 3 3 3 2 2 1 1 1 2 3 3 3 4 5 5 6 6 8 3 9 9 4 2 3 6 2 2 8 8 9 9 9 10 23 23 23 23 17 17 17 17 21 21 17 21 21 10 10 10 1 21 17 1 4 4 23 104 TRIPLE ENERGIZER MERIDIAN POINT INDICATIONS SUMMARY INDICATIONS 1 2 3 4 5 6 8 9 10 14 17 21 23 SHEN DISORDERS & NEUROLOGICAL DISORDERS Psychosis (dian kuang) Depressive psychosis/Withdrawal (dian ji) Manic psychosis (kuang ji) Manic raving (kuang yan) Irritability (xin fan) Lassitude Plum-pit qi (plum-stone throat) Loss of consciousness/ syncope Epilepsy Infantile convulsions CARDIOVASCULAR DISORDERS Cardiac pain Chest pain Hypertension RESPIRATORY DISORDERS Cough Pleurisy GASTROINTESTINAL DISORDERS Constipation Vomiting and diarrhoea Cholera (huo luan) Nausea Vomiting Dysphagia Diabetes/thirst (xiao ke) GYNAECOLOGICAL & OBSTETRIC DISORDERS Post-partum vertigo CHEST, RIBS & SIDES Pain in sides & ribs Pain in chest & sides Intercostal neuralgia FOUR LIMBS Hemiplegia UPPER LIMBS Paralysis of upper limb SHOULDER Shoulder & arm ache/pain Pain & motor impairment of shoulder & arm Shoulder & back pain Pain in neck, nape, shoulder & arm ELBOW & ARM Elbow & arm pain Elbow & arm Bi syndrome Forearm pain 10 10 23 23 23 10 23 23 2 1 8 9 1 6 6 10 10 3 14 10 6 5 1 1 1 6 6 6 6 4 6 5 6 6 2 1 2 14 5 14 3 4 6 3 4 6 3 1 5 5 5 5 10 10 10 8 10 10 8 9 14 14 105 TRIPLE ENERGIZER MERIDIAN POINT INDICATIONS SUMMARY INDICATIONS FOUR LIMBS Hemiplegia UPPER LIMBS Paralysis of upper limb SHOULDER Shoulder & arm ache/pain Pain & motor impairment of shoulder & arm Shoulder & back pain Pain in neck, nape, shoulder & arm ELBOW & ARM Elbow & arm pain Elbow & arm Bi syndrome Forearm pain WRIST Wrist pain Wrist, shoulder & arm pain Wrist weakness Wrist sprain Wrist arthritis (bi syndrome) HAND Hand tremor Hand & arm pain Finger pain Stiff fingers SWELLING/OEDEMA Scrofula Goitre Cheek swelling Mumps (parotitis) FEBRILE DISEASES & PERSPIRATION Febrile disease Febrile disease without sweating Malaria Common cold 1 2 3 4 2 1 6 9 10 14 14 5 14 4 6 3 4 6 10 14 14 10 10 8 8 9 4 4 4 4 4 2 5 5 5 3 8 3 10 10 5 17 17 17 5 1 2 3 3 3 5 4 4 6 6 5 SKIN Urticaria 17 10 10 5 5 5 2 8 5 3 3 1 5 10 14 21 23 106 TRIPLE ENERGIZER MERIDIAN POINT ACTIONS SUMMARY ACTIONS ON SIX PERVERSE QI (LIU XIE) Wind & Heat Dispels Wind, clears heat & Fire TE 1 red eyes, sore throat, tonsillitis, headache, febrile diseases Clears Heat from Triple Energizer; reduces swelling & relieves pain TE 2 red eyes, headache, tinnitus, sore throat, laryngitis, gingivitis, red face, manic raving, malaria Clears Wind-Heat Clears the head & eyes Benefits the ears TE 3 tinnitus, red eyes, sore throat, tonsillitis, headache, febrile diseases Dispels Wind & clears Heat TE 4 redness, swelling & pain of eyes, common cold, tonsillitis, malaria Dispels Wind-Heat TE 5 Wind-heat common cold (Wei level syndrome), febrile diseases, mumps, tinnitus, headache Dispels Wind & clears Heat TE 17 tinnitus, facial paralysis, trismus, mumps Dispels Wind & clears Heat (from head) TE 23 headache, dizziness, blurred vision, epilepsy, facial paralysis, twitching eyelid, eye inflammation TE 14 Wind-Damp Bi syndrome in shoulder; pain & motor impairment in shoulder Wind & Dampness Dispels Wind-Damp ACTION ON ZANG-FU TRIPLE ENERGIZER Eliminates Heat from Triple Energizer TE 6 Sudden loss of voice, febrile disease, tinnitus, pleurisy, intercostal neuralgia, constipation 107 TRIPLE ENERGIZER MERIDIAN POINT ACTIONS SUMMARY ACTIONS ON ZANG FU TRIPLE ENERGIZER Reinforces the Triple Energizer TE 4 diabetes (xiao ke), dry mouth, thirst Harmonizes the Triple Energizer TE 6 sudden loss of voice, pain in chest & sides; vomiting; constipation TE 6 constipation (with KI 6 – Song of the Jade Dragon) LARGE INTESTINE Opens the intestines ACTIONS ON QI & BLOOD QI Activates circulation of Qi in the jing-luo Spreads stagnant Liver Qi TE 1, TE 2, TE 3, TE 4, TE 5, TE 8, TE 9, TE 17 TE 6 plum-stone throat, pain in chest & sides, constipation (due to LR Qi stagnation) ACTIONS ON JING-LUO Yangweimai Confluent point of Yangweimai TE 5 alternating chilles & fevers TE 4 retroversion of uterus Renmai & Chongmai Promotes function of Renmai (Conception Vessel) & Chongmai (Penetrating Vessel) 108 TRIPLE ENERGIZER MERIDIAN POINT ACTIONS SUMMARY REGIONAL ACTIONS Eyes Clears the vision TE 23 eye disorders, redness, swelling & pain in eyes, blurred vision, corneal opacity, visual dizziness Benefits the vision TE 17 corneal opacity TE 3 tinnitus, deafness, deaf-mutism TE 17 tinnitus, deafness, deaf-mutism, otitis, otorrhoea TE 21 deafness, tinnitus, otitis, otorrhoea, TE 3 shoulder & scapula pain, torticollis, acute lumbar sprain (on one side) TE 6 pain in chest & sides, intercostal neuralgia, pleurisy TE 4 Wrist pain, injury or weakness, shoulder & arm pain TE 5 finger pain, Bi syndrome in elbow & arm, hand tremor Ears Benefits the hearing Opens the ear & improves hearing Back & shoulders “Rules” disorders of back & shoulders Sides/ ribs For ribs and sides Zhigou presides (additional verses to Si Zong Xue Ge) Tendons Relaxes the tendons 109 TE 1 GUANCHONG GATE RUSHING LOCATION On the ulnar side of the ring finger , about 0.1 cun ( 1 fen ) posterior to the corner of the nail CHARACTERISTICS Jing-Well Point of Triple Energizer meridian Dispels Wind Clears Heat & Fire Activates the circulation of Qi in the jing-luo INDICATIONS Headache Headache (J,Ess,CAM,Sh,CYM,NVN,Ch,K,FCA,O) Red eyes Redness of eyes (J,Ess,CAM,FCA), Conjunctivitis (Sh) Sore throat / laryngitis/ tonsillitis (throat Bi) Sore throat (Ess,CAM,NVN,Ch,K), Pharynx & larynx swollen & painful (J), Sore swollen throat (FCA), Laryngitis (Sh,K), Throat Bi (Ch,FCA) Febrile diseases Febrile diseases (J,Ess,CAM), Heat diseases (FCA), Fever (Sh), Absence of sweating in Heat diseases (FCA), Pathogenic Heat in the Sanjiao (FCA), Common cold (K) Stiff tongue Stiff tongue (J,Ess,CAM,FCA), Tongue flaccid preventing speech (Ch) Curled tongue (FCA), Pain at root of tongue (FCA) Irritability (xin fan) Irritability (xin fan) (J,Ess,CAM), Vexation (FCA) Corneal opacity (mu yi) Eye screens (FCA), Keratoleukoma (CYM), White membrane on conjunctiva (NVN), White membrane covering conjunctiva; cannot see clearly (Ch) Thirst / dry mouth Thirst (CYM), Drv mouth (Ch,FCA) Nausea/ vomiting Vomiting (K), Stomach retching (CYM), Nausea, loss of appetite(Ch), Cholera (Ch) Arm/ elbow pain Arm & elbow very painful (Ch), Neuralgia of arm & elbow (O), Forearm neuralgia (CYM), Pain in shoulder & arm (FCA), Pain of fingers (CYM) Dysphagia Difficult ingestion (FCA), Paralysis of the suprahyoid muscle (K) Loss of consciousness/ syncope Syncope (K), Emergency care (K) 110 TE 1 GUANCHONG GATE RUSHING INDICATIONS (Cont.) Other indications Torticollis (CYM), Wasting disease in infants with parasitosis & malnutrition (CYM), Angina pectoris (K), Disorders due to Wind (NVN), Tinnitus (FCA), Deafness (FCA), Pain at root of tongue (FCA), Cholera (Ch), Common cold (K) 111 TE 2 YEMEN FLUID DOOR LOCATION When the fist is clenched, this point is proximal to the margin of the web betwen the ring and little fingers and distal to the fourth and fifth metacarpophalangeal joints. CHARACTERISTICS Ying-Spring Point of the Triple Energizer meridian Clears Heat from the Triple Energizer Activates the circulation of Qi in the jing-luo Reduces swelling & Relieves pain INDICATIONS Headache Headache (J,Ess,CAM,Sh,K,Ch,FCA), (CYM) Red eyes Redness of eyes (J,Ess,CAM,K,FCA), Inflammation of eyes which are very red (Ch), Pain & redness of the eyes (K), Dry eyes (FCA) Deafness/ tinnitus Deafness (J,Ess,Sh,CYM,FCA), Sudden deafness (Ch,CAM), Tinnitus (CYM,FCA) Sore throat/ laryngitis Sore throat (Ess,CAM,K), Sore throat with inflammation of interior of throat (Ch), Pharynx & larynx swollen and painful (J), Sore , swollen throat (FCA), Laryngopharyngitis (Sh), Laryngitis (CYM,K) Anaemic headache Arm & hand pain / swelling Pain in arm & hand (J,Ess,Sh,FCA), Pain in the arm (CAM), Pain & inability to raise arm (Ch), Inflammation of dorsum of hand (CYM), Pain at the back of the hand (FCA), Arthritis of wrist joint (CYM), Pain & swelling of fingers (Sh), Arm swollen & red up to hand (Ch) Malaria Malaria (J,Ess,CAM,Sh,FCA), Malaria with cough, attack of Cold or Yang (Ch) Upper limb paralysis (Wei syndrome) Spasms & paralysis of upper arm and forearm (CYM), Paralysis & spasm of the arm (K), Paralysis of the fingers (K), Hemiplegia (CYM) Gingivitis/ toothache Gingivitis (CYM), Pain in gums & teeth (Ch), Aching among the upper teeth (FCA) Manic raving (kuang yu) Divagation (Ch), Fright palpitations and raving (FCA), Fear (Ch) Red face Red complexion & tearing (FCA), Congestion in the face (O) 112 TE 2 YEMEN FLUID DOOR INDICATIONS (Cont.) Other indications Spasms & paralysis of upper arm and forearm (CYM), Hemiplegia (CYM), Four limbs icy cold due to Yin (Ch), Vertigo (CYM), Fainting from bad odours (CYM), Ear pain (FCA), Dry eyes (FCA), Wind-Heat & Wind-Cold (FCA), Shortness of breath (FCA), Chilblains (O), Angina (O) 113 TE 3 ZHONGZHU MIDDLE ISLAND LOCATION With the hand in pronation ( palm downwards ), this point is on the dorsum of the hand between the fourth and fifth metacarpal bones in the depression proximal to the metacarpophalangeal joints CHARACTERISTICS Shu-Stream point of the Triple Energizer meridian Clears Wind-Heat Benefits the ear (Major distal point for the ears) Clears the head & the eyes Activates the circulation of Qi in the jing-luo Research findings • • For acute sprain of lower lumbar (needle on the same side) For stiff neck with restricted rotation INDICATIONS Headache Headache (J,Ess,CAM,Sh,K,NVN,Ch,FCA), Frontal headache (CYM) Red eyes Redness of eyes (J,Ess,CAM,FCA) Deafness/ deaf-mutism Deafness (Sh,K) Tinnitus Tinnitus (J,Ess,CAM,Sh,CYM,NVN,FCA) Sore throat Sore throat (Ess,CAM,CYM,NVN), Sore and swollen throat (Ch,FCA), Pharynx & larynx swollen and painful (J) Pain in elbow & arm Pain in elbow & arm (J,Ess,CAM,FCA), Pain in shoulder, back, elbow & arm (Sh), Pain in elbow & arm, fingers stiff, the five fingers cannot be extended (Ch), Upper arm neuralgia (CYM), Upper arm myositis (CYM) Stiff fingers Inability to flex or extend fingers (J,FCA), Inability to bend fingers (Sh), Finger arthritis (CYM,O), Finger paralysis (CYM), Motor impairment of fingers (Ess,CAM), Pain in arm & elbow, fingers stiff, the five fingers cannot be extended (Ch) Febrile diseases/ fever without sweating/ malaria Febrile diseases (J,Ess,CAM), Heat diseases (FCA), Fever without sweating (Ch,FCA) , Chronic malaria (Ch,FCA) (J,Ess,CAM,Sh,NVN,Ch,K,O,FCA), Deaf-mutism 114 TE 3 ZHONGZHU MIDDLE ISLAND INDICATIONS (Cont.) Shoulder & back pain Pain in shoulder & back (Sh), Pain in shoulder, back, elbow & arm (Sh), Neuralgia & paralysis of shoulder & scapula (K), Pain in the middle of the spine or in the back at the level of the heart (Ch), Pain in the spine (FCA) Dizziness Dizziness (O), Eye-dizziness (Ch), Vertigo (CYM) Other indications Blurred vision (Sh), Hypertension (K), Angina (O), White membrane covering conjunctiva (Ch), Intercostal neuralgia (Sh), Neuralgia & paralysis of shoulder & scapula (K), Paralysis of the extremities & the bowels (K) 115 TE 4 YANGCHI YANG POOL LOCATION At the junction of the ulna and carpal bones, in a depression lateral to the tendon of muscle extensor digitorum communis CHARACTERISTICS Yuan-Source Point of Triple Energizer meridian Dispels Wind & Clears Heat Activates the circulation of Qi in the jing-luo Relaxes the tendons INDICATIONS Wrist pain/ injury/ weakness Wrist pain (J,FCA), Dull pain in wrist (NVN), Pain & diseases of soft tissues of wrist (Sh), Rheumatic pain of wrist (CYM), Wrist joint arthritis (K), Pain in wrist, shoulder & arm (Ess,CAM,FCA), Pain or paralysis of arm (O), Contusion or sprain of wrist or hand (Ch), Fracture or dislocation of wrist (CYM), Pain & weakness of wrist (Sh), Weak wrist (FCA) Shoulder & arm pain Shoulder & arm pain (J,FCA), Pain in arm & shoulder, preventing raising the arm (Ch), Pain in wrist, shoulder & arm (Ess,CAM,FCA), Pain in shoulder & back (J), Scapula neuralgia (K) Malaria Malaria (J,Ess,CAM,Sh,K,FCA), Yin or Yang malaria (Ch), Tidal fevers (Sh), Intermittent fever (O) Deafness Deafness (J,Ess,CAM,Sh,K,FCA), Tinnitus (FCA) Thirst/ dry mouth Thirst & dry mouth (J,Sh), Thirst (CAM), Dry mouth; the more one drinks the thirstier one gets. Diabetes (Ch), Diabetes (CYM,O), Wasting thirst & dry mouth (FCA) Diabetes (xiao ke) Diabetes (CYM,Ch,O), Wasting thirst & dry mouth (FCA) Common cold Common cold (Sh,CYM) Tonsillitis Tonsillitis (Sh,K), Throat Bi (FCA) Eye inflammation: Eye redness/pain/swelling Painful swelling of the eyes (FCA), Eyes red & swollen (Sh) Other indications Displacement of uterus (CYM), Cold fingers (CYM), Weak wrist (FCA), Nervous spasms & paralysis of forearm muscles (CYM), Degenerative diseases (Ch), Absence of sweating in Heat diseases (FCA), Vexation & oppression (FCA), Swelling of the neck (FCA) 116 TE 5 WAIGUAN OUTER GATE LOCATION On the dorsal surface of the forearm, 2 cun above the transverse wrist crease, between the radius and the ulna CHARACTERISTICS Luo-Connecting Point of Triple Energizer meridian Confluent Point of Yangweimai Dispels Wind & Relieves the Exterior Clears Heat (External or Internal) Activates the circulation of Qi in the jing-luo Relaxes the tendons INDICATIONS Headache Headache (J,Ess,CAM,Sh,K,NVN,Ch,O,FCA), headache (Sh) Tinnitus Tinnitus (J,Ess,CAM,Sh,K,NVN,FCA) Deafness Deafness ( J,Ess,CAM,Sh,CYM,NVN,Ch,FCA) Finger pain Pain in fingers (J,Ess,CAM,FCA), Pain in fingers inhibiting grasping (Sh,Ch), Finger neuralgia or sprains (CYM), Writer's cramp (CYM) Bi syndrome in elbow & arm Motor impairment of elbow & arm (J,Ess,CAM), Contracture of elbow impairing flexion & extension (Ch), Inhibited bending & stretching of the arm (FCA), Forearm neuralgia (CYM), Joint pains of upper limb (CYM,Sh), Arthitis (O), Pain or paralysis of upper extremities (O) Hand tremor Hand tremor (J,Ess,CAM,Sh,FCA) Febrile diseases Febrile diseases (J,Ess,CAM,Sh), Heat diseases (FCA), Fever (NVN), High fever (Sh), Influenza (K), Common cold (Sh,Ch,K), Mumps (Parotitis) (Sh,K), Pneumonia (Sh) Common cold Common cold (Sh,Ch,K), Influenza (K) Cheek pain Pain in cheek (J,CAM,FCA), Pain in cheek and hypochondriac region (Ess) Mumps (parotitis) Mumps (Parotitis) (Sh,K) Migraine 117 TE 5 WAIGUAN OUTER GATE INDICATIONS (Cont.) Pain in sides & ribs Pain in sides/ribs (J,Sh), Pain in hypochondriac region (CAM), Lateral costal pain (FCA), Pain in cheek and hypochondriac region (Ess), Hemiplegia/ paralysis (Wei syndrome) Hemiplegia (Sh,CYM), Paralysis (Sh), Pain or paralysis of upper extremities (O) Constipation Constipation (Sh,CYM), Abdominal pain & constipation (FCA) Stiff neck Stiff neck (Sh), Strained neck (CAM) Other indications Swollen throat (Sh), Adenitis (scrofula) (CYM), Enuresis (Sh), Paralysis (Sh), Inflammation of eyes (CYM), Wind hyperlacrimation (CYM), Cataract (CYM), Leukoma (CYM), Placenta does not descend (Ch) 118 TE 6 ZHIGOU BRANCH DITCH LOCATION On the dorsal surface of the forearm, 3 cun above the transverse wrist crease, between the radius and the ulna CHARACTERISTICS Jing-River Point of Triple Energizer meridian Spreads stagnant Liver Qi Specific point for "plum-pit Qi" in Liver Qi Stagnation For ribs and sides Zhigou presides from Eight Dominant Points Song, a variant of Four Dominant Points Song Removes obstruction from the intestines For constipation Zhigou (TE 6) and Zhaohai (KI-6) from Ode of the Jade Dragon Zhigou (TE 6) is combined with Xuanzhong (GB 39) for Wandering Bi syndrome INDICATIONS Sudden loss of voice Sudden loss of voice (J,Ch,FCA), Sudden hoarseness of voice (Ess,CAM), Swollen throat (Sh), Sore pharynx (FCA) Shoulder & arm ache & heaviness Aching of shoulder & arm (J,Sh,O), Aching of shoulder & arm with heavy sensation (Sh,Ch), Aching & heavy sensation of shoulder & back (J,Ess,CAM,FCA) Pain in chest & sides/ intercostal neuralgia/ cardiac pain Pain in chest & sides (J,NVN), Pain in hypochondriac region (CAM), Acute pain in ribs & axilla (Sh), Acute pain in lateral costal or axillary region (Sh), Intercostal neuralgia (Sh,CYM,K), Rib pain (K), Pain in axilla & sides of chest (Ch), Pleurisy (Sh,CYM), Angina pectoris (Sh), Sudden cardiac pain (FCA), Chest pain (Sh,O), Carditis (CYM) Febrile diseases/ Fever without sweating Febrile diseases (J,CAM), Fever (NVN), Fever without sweating (Ch,FCA) Constipation Constipation (Sh,K) Tinnitus Tinnitus (J,Ess,CAM,K,FCA) Deafness Deafness (J,Ess,CAM,K,FCA) Vomiting Vomiting (J,Ess,CAM,K,FCA), Nausea & vomiting (NVN), Vomiting & diarrhoea (Sh), Cholera with vomiting (Ch,FCA) (J,Ess,CAM,Sh,FCA,O), Habitual constipation 119 TE 6 ZHIGOU BRANCH DITCH INDICATIONS (Cont.) Post-partum vertigo Post-partum vertigo (CYM,Ch), Post-partum blood dizziness (FCA) Other indications Painful or red eyes (FCA), Sudden influenza (NVN), Apical pulmonary catarrh (CYM), Insufficient lactation (Sh), Amenorrhoea (Ch), Belching (Sh), Epigastric pain (K), Skin diseases (Ch), Trismus (Ch), Sabre lumps (FCA), Jie & xian (FCA), Ghost attacks (FCA), Cough (FCA), Hot face (FCA), Counterflow Qi (FCA), Inability to turn the head (FCA) 120 TE 8 SANYANGLUO THREE YANG LUO LOCATION On the dorsal surface of the forearm, 4 cun above the transverse wrist crease, between the radius and the ulna CHARACTERISTICS Activates the circulation of Qi in the jing-luo Opens the sensory orifices (for resuscitation) Traditionally contraindicated to needle Needled through to Ximen (PC-4) in acupuncture anaesthesia for pulmonary lobectomy INDICATIONS Sudden loss of voice/ aphasia Sudden loss of voice (J,FCA), Sudden hoarseness of voice (Ess,CAM), Sudden muteness (Sh,Ch), Mutism (K), Aphasia (Sh) Deafness Deafness (J,Ess,CAM,Sh,K,Ch,O,FCA), Tinnitus (K) Hand & arm pain Hand & arm pain (J,Ess,CAM), Pain in the arm (FCA), Pain in forearm inhibiting movement (Sh), Brachial neuralgia (K), Upper arm & forearm neuralgia (CYM) Toothache Toothache (CAM,J), Tooth decay (FCA) Lassitude/ exhaustion Lassitude (Sh), Likes to lie down & sleep (Ch), Does not want to budge the four limbs (Ch), Lack of desire to move the four limbs (Ch), Prostration (O), Prostrate exhaustion (FCA) Shoulder & back pain Pain & heaviness of shoulder & back (FCA), Pain in shoulder & scapula (K) Other indications Post-operative pain associated with pneumonectomy (Sh), Pain in chest & hypochondriac region (CAM), Eye disorders (O), Intestinal worms (O), Gastritis (K), Inability to move the hand & arm (FCA) 121 TE 9 SIDU FOUR RIVERS LOCATION When the hand is supine, this point can be found 5 cun below the olecranon, between the radius and the ulna CHARACTERISTICS Activates the circulation of Qi in the jing-luo Benefits the throat Regulates the waterways INDICATIONS Sudden loss of voice Sudden loss of voice (J,FCA), Sudden hoarseness of voice (Ess,CAM), Loss of voice (Sh), Pharyngitis (K), Obstructed pharynx (Sh), Sore throat (O) Deafness Deafness (J,Ess,CAM,Sh,FCA,O), Sudden deafness (Sh), Sudden deafness due to disturbance of energy (Ch), Tinnitus (K) Toothache Toothache (J,Ess,CAM,Sh,K,FCA,O), Toothache in lower jaw (Sh,O), Pain in gums of lower jaw (Ch) Forearm pain Forearm pain (J,Ess,CAM,Sh,FCA), Wrist joint arthritis (K) Plum-stone throat Blocked sensation in the throat (FCA), Obstructed pharynx (Sh) Headache Headache (Sh), Migraine (CAM) Other indications Vertigo (Sh), Neuraesthenia (Sh), Paralysis of upper limb (Sh), Wrist joint arthritis (K), Nephritis (Sh), Dyspnoea (K) 122 TE 10 TIANJING HEAVENLY WELL LOCATION When the elbow is flexed, this point can be found in a depression about 1 cun superior to the olecranon. CHARACTERISTICS He-Sea Point of the Triple Energizer meridian NB: For disorders of the Triple Energizer , use the Lower HeSea Point for the Triple Energizer , BL 39 Transforms Phlegm-Damp in the meridians and collaterals Special point for scrofula INDICATIONS Unilateral headache Unilateral headache (J,Ess,NVN,FCA), Migraine headache (Sh,CAM), Headache (Sh) Pain in neck, nape, shoulder & arm Pain in costal & hypochondriac region neck, nape, shoulder & arm (Ess), Pain in lateral costal region, neck, shoulder & arm (FCA), Pain in neck, shoulder & arm (CAM), Painful spasms of neck & upper back (CYM), Pain in neck & nape (NVN), Pains in the back of the neck (O), Pain in arm & elbow (NVN,Ch), Arthritis of elbow & wrist (CYM), Elbow joint arthritis (K), Diseases of the soft tissues of the elbow (Sh) Epilepsy Epilepsy (J,Ess,CAM,FCA), "5 types of epilepsy" (Ch), Convulsions (Ch), Clonic spasm (FCA) Psychosis (dian kuang) Depressive psychosis (dian ji) (Sh), Madness (Ch), Psychopathy (CYM), Schizophrenia (K), Sorrow (FCA) Scrofula/goitre Scrofula (J,Ess,CAM,Sh,CYM,Ch), Scrofulous lumps (FCA), Goitre (NVN,CAM), Simple goitre (J), Cervical adenitis (K), Lymphadenitis (K) Urticaria Urticaria (Sh,CYM,K) Sore throat Sore throat (Ch,O), Laryngitis (CYM,Ch) Tonsillitis Tonsillitis (Sh,K), Throat blockage (Throat Bi) (Sh,FCA) Deafness Deafness (Sh,CYM,NVN,Ch,FCA) Eye pain Pain in external canthus of eyes (Sh,FCA) Cough / expectoration Cough (O), Cough with sensation of Qi rising (Ch), Qi ascent cough (FCA), Bronchitis (CYM), Spitting of mucus (O), Spitting of pus (FCA), Purulent expectoration (Ch) Chest pain/ cardiac pain Pain in heart & chest (Ch), Cardiac pain (FCA), Thoracic Bi (FCA) (NVN,Ch), Pain in eyes 123 TE 10 TIANJING HEAVENLY WELL INDICATIONS (Cont.) Other indications Loss of appetite (Ch), Post-traumatic pain in renal region which prevents lying down (Ch), Pain behind the ears (Ch), Abundant sweating (Ch), Fright palpitations (FCA), Numbness of the flesh at the shoulder (FCA), Malarial disease (FCA) 124 TE 14 JIANLIAO SHOULDER CREVICE LOCATION Posterior and inferior to the acromion, in the depression about 1 cun posterior to LI 15. CHARACTERISTICS A major local point for the shoulder joint Dispels Wind-Damp (treats Bi syndrome) INDICATIONS Pain & motor impairment in shoulder (Wind-Damp Bi syndrome) Pain & motor impairment of shoulder & upper arm (CAM), Heavy sensation of the shoulder with pain in the arm (J,Ess,Ch,FCA), Neuralgia of shoulder & scapula (K), Pain in the shoulder joint (Sh,K), Arm cannot be raised (Ch), Shoulder feels heavy with motor impairment (J), Wind-Dampness in shoulder (Sh), Perifocal inflammation of the shoulder joint (Sh) Paralysis of upper limb (Wei syndrome) Paralysis of shoulder & scapula (K), Hemiplegia (Sh), Arm lacks strength (Sh), Other indications Stiff neck (J), Hypertension (Sh), Urticaria (Sh), Headache (K), Excessive sweating (Sh), Goitre (Sh), Intercostal neuralgia (O), Tics (O) 125 TE 17 YIFENG WIND SCREEN LOCATION Posterior to the earlobe, in the depression between the mastoid process and the mandible. CHARACTERISTICS Benefits the hearing & vision The main point for facial paralysis Dispels Wind and Clears Heat Activates the circulation of Qi in the jing-luo INDICATIONS Tinnitus Tinnitus (J,Ess,CAM,Sh,CYM,NVN,K,FCA,O) Deafness/ deaf-mutism Deafness (Sh,K) Facial paralysis Facial paralysis (J,Ess,CAM,Sh,CYM,K,O), Mouth & eyes awry (Sh,FCA), Deviation of mouth & eyes (Ch), Lack of sensation in face (Ch) Cheek swelling / mumps Swelling of the cheeks (J,Ess,CAM,Sh,NVN,Ch,FCA), Parotitis (mumps)(Sh,K), Enlargement of the parotid (CYM) Trismus Trismus (Ess,CAM,Ch), Lockjaw (J,Sh), Clenched jaw (FCA), Clenched jaw preventing speech (FCA), Temperomandibular arthritis (Sh), Jaw pain (FCA) Mutism Mutism (NVN,O), Deaf-mutism (Sh,K), Sudden mutism (Ch) Corneal opacity (mu yi) Red & white eye screens (FCA), Membrane over the eye (Sh) Poor vision Blurred vision (Sh), Poor eye sight (FCA), Optic nerve atrophy (O), Cataract (O), Near-sightedness (O) Ear infection Otitis media (O), Otorrhoea (CAM) Scrofula Scrofula (CAM,J,Ch) Toothache Toothache (CAM,Sh,Ch) Other indications Sore eyes (Sh), Stammering (O), Convulsions (generally with headache and an arched and rigid back) (Sh), Paralysis of upper & lower extremities (K), Neuralgia of shoulder & scapula (K), Neck & shoulder pain (O), Temperomandibular arthritis (Sh), Ptosis of lower jaw (Ch), Frequent yawning in infants (Ch), Mania (FCA), All Wind diseases (FCA) (J,Ess,CAM,Sh,CYM,NVN,K,FCA,O), Deaf-mutism 126 TE 21 ERMEN EAR DOOR LOCATION In the depression anterior to the supratragic notch and slightly superior to the condyloid process of the mandible, when the mouth is open. CHARACTERISTICS Opens the ear and improves the hearing Ancient books prohibit the use of moxibustion when treating patients with pus in the ear INDICATIONS Deafness Deafness (J,Ess,Sh,CYM,K,FCA,O,CAM), Deaf-mutism (Sh), Muteness (K), Poor auditory acuity (Ch) Tinnitus Tinnitus (J,Ess,Sh,CYM,FCA,O,CAM), Tinnitus like cicada song (Ch,FCA) Toothache Toothache (J,Ess,Sh,CYM,K,FCA,O,CAM), Toothache in upper jaw (Sh,Ch), Pain in teeth & gums (Ch), Upper tooth decay (FCA) Otitis media Otitis media (Sh,K), Purulent otitis (Ch), Inflammation of auricular canal (CYM), Otorrhoea (Ess), Pus in the ear (Sh), Earache (O) Otorrhoea Otorrhoea (Ess,CAM), Pus in the ear (Sh), Purulent otitis (Ch), Purulent discharge from the ear (FCA), Otitis media (Sh), Inflammation of auricular canal (CYM) Headache Headache (K), Migraine (K), Pain in the jaw and headache (Sh) Lip stiffness Stiffness of the lip (CAM), Lips stiff & in contracture (Ch) Other indications Temperomandibular arthritis (Sh), Pain in neck & submandibular region (J), Submandibular swelling (FCA), Polyps in ear (Ch), Epistaxis (Ch) 127 TE 23 SIZHUKONG SILKEN BAMBOO HOLLOW LOCATION In the depression at the lateral end of the eyebrow CHARACTERISTICS Dispels Wind & Clears Fire from the head (This point may be bled) Clears the vision & relieves pain Ancient books prohibit moxibustion at this point. INDICATIONS Headache Headache (J,Ess,Sh,CYM,NVN,Ch,K,FCA,CAM), Lateral & midline headaches (Sh), Unilateral & bilateral headaches (FCA), Hemicrania (NVN), Nervous headache (K), Intolerable migraine (Ch), Cerebral hyperemia (K) Eye disorders Eye diseases (J,Sh), Ear & eye disorders (O) Eye inflammation: Eye redness/pain/swelling Inflammation of eyeballs (CYM), Inflammation & congestion of eyes (Ch), Redness & pain of eye (J,Ess,NVN,K,CAM), Pain & swelling of the eyes (FCA), Congestion of the eyeball (CYM,K), Trachoma (CYM) Blurred vision Blurred vision (Ess,Sh,CAM), Unclear vision (FCA), Visual dizziness (FCA), Eye-dizziness (J,Ch), Vision dazzling (CYM), Vision not clear but hazy (Ch), Trachoma (CYM), Corneal opacity (mu yi) Leukoma (CYM), White membrane on conjunctiva (Ch) Ingrown eyelash Ingrown eyelash (Sh,CYM,Ch,FCA) Twitching of eyelid Twitching of eyelid (J,Ess,FCA,CAM) Facial paralysis Facial paralysis (Sh,K,CYM,CAM) Toothache Toothache (J,Ch,FCA,CAM) Visual dizziness (mu xuan) Visual dizziness (Sh,Ch) Epilepsy Epilepsy (J,FCA), Epilepsy with eyes rolled back (Ch), Seizures (Sh), Convulsions (O), Infantile convulsions (CYM,Ch) Depressive psychosis (dian ji)/ manic psychosis (kuang ji) Insanity (dian ji) (Sh,O), Madness (Ch), Periodic attacks of mania with foaming at the mouth (FCA) Other indications Fear of Wind & Cold (Ch), Vomiting of mucoid sputum (Ch), Vexation thirst (FCA) (FCA), Eye-dizziness (J,Ch), Vertigo 128 HAND TAIYANG SMALL INTESTINE MERIDIAN SHOU TAIYANG XIAOCHANG JING 129 SMALL INTESTINE MERIDIAN MAJOR POINTS SUMMARY SI 1 (SHAOZE) Jing-Well Point of Small Intestine meridian Jing-Well Point of Small Intestine meridian Opens the orifices (for resuscitation) loss of consciousness, Wind-stroke coma Clears Heart Fire irritability Facilitates the flow of milk insufficient lactation (moxa); mastitis (bleed) Dispels Wind & Heat sore throat, tonsillitis, pharyngitis, febrile diseases SI 3 (HOUXI) Shu-Stream Point of Small intestine meridian Confluent Point of Governing Vessel Shu-Stream Point of Small intestine meridian Confluent Point of Governing Vessel headache with stiff neck Clears the Shen psychosis (dian kuang) Relaxes the tendons & muscles headache with stiff neck, contracture of elboe, arm & fingers, paralysis of upper limbs, low back pain Regulates sweating (reduce to stop sweating; reinforce to induce sweating) night sweats, febrile diseases, malaria Often combined with either LI 4 or KI 7 for regulating sweating or HT 6 for night sweats Eliminates Wind headache with stiff neck, epilepsy, febrile diseases For all disorders of head, face, nape & neck (Zhen Jing Zhi Nan) Reinforcing Point of Small Intestine meridian (Mother/Son) SI 4 (WANGU) Yuan-Source Point of Small Intestine meridian Yuan-Source Point of Small Intestine meridian Disperses Damp-Heat from the Small Intestine Special effects on Yang Jaundice (Damp-Heat type) jaundice, cholecystitis 130 SMALL INTESTINE MERIDIAN MAJOR POINTS SUMMARY SI 6 (YANGLAO) Xi-Cleft Point of Small Intestine meridian Xi-Cleft Point of Small Intestine meridian shoulder, back, elbow & arm pain Yanglao - Nourish the Old Brightens the eyes (clears the vision) (especially for failing vision in the elderly) blurred vision, failing eyesight Clears the jing-luo shoulder, back, elbow & arm pain Relaxes the tendons (jin) shoulder & arm pain with inability to raise arm; low back pain with restricted movement SI 7 (ZHIZHENG) Luo-Connecting Point of Small Intestine meridian Luo-Connecting Point of Small Intestine meridian elbow contracture (Ling Shu Ch 10) Clears Heat from the Upper Jiao headache, styes, febrile diseases Clears the Shen psychosis (dian kuang), neurasthenia, fear Major distal point for neck stiffness stiff neck, torticollis SI 8 (XIAOHAI) He-Sea Point of Small Intestine meridian He-Sea Point of Small Intestine meridian For disorders of the Small Intestine organ, use the Lower He-Sea Point for the Small Intestine, ST 39 Clears the Shen psychosis (dian kuang) SI 9 (JIANZHEN) Local, point for upper limb, shoulder & scapula scapula & shoulder pain, Wei & Bi syndromes of upper limbs SI 10 (NAOSHU) Local, point for upper limb, shoulder & scapula & neck shoulder & arm pain, weakness and restricted movement; hemiplegia, shoulder swelling & pain, neck swelling & pain SI 11 (TIANZONG) Spread Qi stagnation in chest & sides fullness & pain in chest & sides Specific point for lactation disorders insufficient lactation, mastitis 131 SMALL INTESTINE MERIDIAN MAJOR POINTS SUMMARY SI 14 (JIANWAISHU) Local point for shoulder, scapula, upper back & neck shoulder, scapula & back pain; stiff neck & nape, Cold Bi in shoulder & arm SI 17 (TIANRONG) For throat, neck & ears; Local point for tonsillitis Plum-stone throat, neck swelling, sore throat, tonsillitis, cheek swelling; tinnitus, deafness SI 19 (TINGGONG) Tinggong - Hearing Palace Improves hearing & opens the ears Tinnitus, deafness, deaf-mutism, otitis media & externa For auditory hallucinations in depressive psychosis or schizophrenia depressive psychosis/withdrawal (dian ji) 132 SMALL INTESTINE MERIDIAN POINT INDICATIONS SUMMARY INDICATIONS HEAD, NECK & FACE Headache Headache with stiff neck Stiff neck/ torticollis Neck swelling Neck pain Pain in nape & submandibular region Swelling in submandibular region Cheek swelling Cheek pain EYES Eye diseases Corneal opacity (mu yi) Red eyes Styes Blurred vision Visual dizziness Excessive lacrimation EAR Tinnitus Deafness Deaf-mutism Otitis Otorrhoea NOSE Epistaxis THROAT, MOUTH Sore throat Tonsillitis (throat bi) Toothache Stomatitis Trismus Stiff tongue Diabetes/ thirst (xiao ke) 1 3 4 1 3 3 3 4 4 4 1 6 7 8 9 7 8 9 10 11 14 17 19 14 7 14 8 8 8 10 10 9 17 14 11 11 11 8 17 6 1 3 4 7 6 7 8 4 3 3 4 8 8 9 9 17 17 19 19 19 19 19 17 17 19 3 1 1 4 8 9 19 1 17 1 4 SHEN DISORDERS & NEUROLOGICAL DISORDERS Psychosis (dian kuang) Depressive psychosis/Withdrawal (dian ji) Manic psychosis (kuang ji) Mental disorders Panic/Fear/Fright Plum-pit qi (plum-stone throat) Wind-stroke (CVA) Loss of consciousness/ syncope Epilepsy Hypertension 7 7 7 7 7 3 3 3 8 19 17 1 1 10 3 4 7 8 10 133 SMALL INTESTINE MERIDIAN POINT INDICATIONS SUMMARY INDICATIONS CARDIOVASCULAR DISORDERS Chest pain Pain in chest & abdomen RESPIRATORY DISORDERS Cough Dyspnoea/ shortness of breath Asthma GASTROINTESTINAL DISORDERS Vomiting Jaundice GYNAECOLOGICAL & OBSTETRIC DISORDERS Insufficient lactation Mastitis CHEST, RIBS & SIDES Chest pain Pain in sides Fullness/pain in chest & ribs Intercostal neuralgia Pain in suprclavicular fossa LOW BACK Low back pain ABDOMEN Lower abdominal pain Pain in chest & abdomen FOUR LIMBS Hemiplegia UPPER LIMBS Paralysis of upper limbs Wei & Bi of upper limbs Pain and/or paralysis of arms Cold Bi in shoulder & arm Shoulder, back, elbow & arm pain Shoulder, elbow & arm pain Pain in neck, shoulder, scapula & arm Pain in scapula & shoulder Aching & weakness of shoulder & arm ELBOW & ARM Elbow & arm pain Elbow & arm contracture Contracture of elbow, arm & fingers Bi syndrome of elbow, arm & fingers Arm pain 1 3 4 6 7 8 9 10 11 14 17 19 1 19 1 1 11 17 4 4 1 17 1 1 11 1 4 11 1 9 3 6 8 19 4 10 3 8 9 9 9 14 14 6 11 8 9 7 7 3 3 4 1 7 8 10 10 10 11 14 14 134 SMALL INTESTINE MERIDIAN POINT INDICATIONS SUMMARY INDICATIONS 1 WRIST Wrist pain HAND Writer’s cramp Finger pain Stiff fingers ABNORMAL PERSPIRATION Night sweats FEBRILE DISEASES & PERSPIRATION Febrile disease Malaria Chills & fever 3 4 6 7 8 9 8 9 10 4 4 4 7 7 4 7 3 1 3 3 10 11 14 17 19 135 SMALL INTESTINE MERIDIAN POINT ACTIONS SUMMARY ACTIONS ON SIX PERVERSE QI (LIU XIE) Wind & Heat Dispels Wind Dispels Wind & Heat (Wind-Heat) SI 1 Wind-stroke coma, stiff tongue, stiff neck, headache SI 3 Headache with stiff neck, contractures of elbow, arm & fingers; paralysis of upper limbs. Febrile diseases, malaria, red eyes , epistaxis SI 1 corneal opacity, sore throat, febrile diseases, headache SI 4 jaundice, cholcystitis Damp-Heat Dispels Damp-Heat ACTIONS ON ZANG FU Gall Bladder Major point for Bladder disorders Gall SI 4 jaundice, cholcystitis ACTIONS ON JING-LUO Clears the meridians SI 6 Aching of shoulder, back, elbow & arm, stiff neck, eyeball pain “Opens the Governor Vessel” SI 3 aching of shoulder, back, elbow & arm, stiff neck Relaxes the Jing jin (Tendinomuscular meridians) SI 3 stiff neck, contracture of elbow, arm & fingers 136 SMALL INTESTINE MERIDIAN POINT ACTIONS SUMMARY ACTIONS ON REGIONS Eyes SI 6 blurred vision, failing (especially in elderly) Relaxes the tendons SI 6 aching of shoulder, back, elbow & arm, stiff neck Relaxes the Jing jin (Tendinomuscular meridians) SI 3 stiff neck, contracture of elbow, arm & fingers SI 1 insufficient lactation, mastitis Clears the vision vision Tendons Breast Facilitates lactation ACTIONS ON SHEN Eyes Clears the Shen Sedative effect SI 6 psychosis (dian kuang), epilepsy SI 7 psychosis (dian kuang), epilepsy, neurasthenia, fear SI 1 irritability GENERAL ACTIONS Sweating Regulates sweating SI 3 febrile sweats diseases, malaria; night 137 SI 1 SHAOZE LESSER MARSH LOCATION On the ulnar side of the little finger , about 0.1 cun (1 fen) posterior to the corner of the nail CHARACTERISTICS Jing-Well Point of Small Intestine meridian Opens the orifices (for resuscitation) Clears Heart Fire (sedative effect) Facilitates the flow of milk Dispels Wind & Heat INDICATIONS Corneal opacity (mu yi) Corneal opacity (mu yi) (J), Eye screens (FCA), Cloudiness of cornea (Ess,CAM), Membrane on the eye (Sh), Pterygium (Sh), "A veil covers the pupil" (NVN,Ch) Sore throat Sore throat (Ess,Ch,CAM), Sore, swollen throat (FCA), Pharynx & larynx swollen and painful (J), Pharyngitis (K), Throat disorders (pain and swelling without tonsillitis) (NVN), Tonsillitis (K,O), Throat bi (FCA) Wind-stroke coma/ loss of consciousness Wind-stroke coma (J,FCA), Loss of consciousness (Ess,CAM), Emergency care (K), Cerebral haemorrhage (CYM) Febrile diseases Febrile diseases (J,Ess,K,FCA,CAM), Fever & chills with no sweating (Sh,FCA), Malaria without sweating but with fever & chills (Ch), Malaria without sweating (O) Insufficient lactation Insufficient lactation (J,Ess,Sh,O,CAM), Hypogalactia (K), Scant breast milk (FCA), Postpartum absence of milk (FCA) Mastitis Mastitis (Sh,K,O), Inflammation of the breast (Ch), Swollen breast (Sh,FCA), Galactophoritis (NVN) Headache Headache (Sh,CYM,K,NVN,Ch,O,FCA,CAM) Chest pain Chest pain (Sh), Angina pectoris (CYM) Rib pain Pain in ribs (Sh), Intercostal neuralgia (CYM) Arm pain Pain in arm (Ch), Forearm neuralgia (CYM) Torticollis Torticollis (Ch), Nervous spasms of neck (CYM) 138 SI 1 SHAOZE LESSER MARSH INDICATIONS (Cont.) Stiff tongue Stiff tongue (Ch), Paralysis of lingual muscles (CYM), Curled tongue (FCA) Cough Cough (Ch.O), Shortness of breath Shortness of breath (Sh,FCA) Jaundice Jaundice (Sh,FCA) Stomatitis Stomatitis (K), Heat in the mouth and vexation (FCA), Dry mouth (Ch) Other indications Redness of the eyes (CAM), Deformation of eyes (Ch), Nosebleed (FCA), Dry pharynx (FCA), Hypersalivation (Ch), Acute gastritis (K), Acute disorders caused by Wind (NVN), Muscular contractures (Ch), Yin (Cold) symptoms with vomiting (Ch), Quivering from cold (FCA), Cardiomegalia (CYM), "Heart malaise"(irritability) (Ch), Convulsions (Ch), Schizophrenia (K), Loss of use of the little finger (FCA) 139 SI 3 HOUXI BACK CREEK LOCATION With the fist loosely clenched , this point can be found proximal to the head of the 5th metacarpal at the end of the transverse palmar crease on the junction of the palmar and dorsal skin. CHARACTERISTICS Shu-Stream Point of Small intestine meridian Confluent Point of Governing Vessel Clears the Shen Relaxes the tendons & muscles Regulates sweating (Reducing technique to stop sweating; Reinforcing to create sweating) Eliminates Wind For all disorders of head, face, nape & neck Reinforcing Point of Small Intestine meridian (Mother/Son) INDICATIONS Headache with stiff neck Headache with stiff neck (J), Headache & neck pain (FCA), Headache (Ess,K,FCA), Pain in neck & head; torticollis (Ch), Pain & rigidity of the neck (CAM), Pain in the back of the neck or occipital region (O), Spasms of neck (CYM,K), Stiff neck (Sh,NVN,K,FCA), Neck rigidity (Ess) Red eyes Red eyes (J,NVN,FCA), Eyes red & painful (Sh), Red eyes with veil before the eyes (Ch), Congestion of the eye (Ess), Keratitis (CYM) Deafness Deafness (J,Ess,Sh,CYM,NVN,Ch,O,FCA,CAM), Deaf-mutism (Sh), Hearing difficulty (O), Tinnitus (Sh,O,CAM) Contracture of elbow, arm & fingers Contracture of elbow, arm & fingers (J), Contracture & twitching of elbow, arm & fingers (Ess), Contracture of elbow & arm (Ch), Hypertonicity of elbow, arm & fingers (FCA), Muscle disorder around the elbow joint (O), Pain in the shoulder & elbow (CAM), Contracture & numbness of the fingers (CAM), Finger spasm (Sh), Pain in all the fingers (NVN) Epilepsy Epilepsy (J,Ess,NVN,Ch,O,FCA), Seizures (Sh) Malaria Malaria (J,Ess,Sh,NVN,Ch,FCA,CAM), Tidal fevers (Sh) Febrile diseases Febrile diseases (J,Ess,K,FCA,CAM) Night sweats Night sweats (Ess,Sh,FCA,CAM), Abundant night sweats (Ch) 140 SI 3 HOUXI BACK CREEK INDICATIONS (Cont.) Psychosis (dian kuang) Mania & withdrawal (FCA), Psychosis (dian kuang) (Sh), Mania (CYM,CAM), Madness (kuang ji: manic psychosis) (Sh), Madness (NVN), Great madness with Yin or Yang signs (Ch), Mental disorder (K), Hysteria (Sh) Epistaxis Epistaxis (CYM,NVN,Ch,O) Paralysis of upper limbs Paralysis of upper extremities (K), Pain & paralysis of upper arm (CYM) Low back pain Low back pain (Sh), Lumbar pain (O), Acute lumbar sprain (CAM) Other indications Hypertension (K), Syncope (K), Hysteria (Sh), Membrane on the eye (Sh), Intercostal neuralgia (Sh), Lower limb neuralgia (CYM), Jaundice (Sh), Dark-coloured urine (FCA), Fullness in the chest (Ch), Small intestinal disorder (O), Gastric reflux (FCA), Pain in the shoulder & elbow (CAM), Hand tremor (CYM), Common cold (CYM), Sore throat (CAM), Plague (Ch), Skin disease with itching (Ch), Cold abscess (Ch), Cardiac pain (FCA) 141 SI 4 WANGU WRIST BONE LOCATION With the fist clenched, this point can be found on the dorsal side of the hand on the ulnar aspect , in the depression between the base of 5th metacarpal bone and the triquetral bone. CHARACTERISTICS Yuan-Source Point of Small Intestine meridian Disperses Damp-Heat from the Small intestine Special effects on Yang Jaundice (Damp-Heat type) Major point for Gall Bladder problems INDICATIONS Headache with stiff neck Headache with stiff neck (J), Headache (Ess,CAM,Sh,CYM,K, FCA,NVN,Ch,O), Stiff neck (K,FCA), Neck rigidity (Ess,CAM), Spastic neck (O), Infantile meningeal syndrome (Ch) Tinnitus Tinnitus (J,Sh,CYM,NVN,Ch), Ringing in the ears (O) Corneal opacity (mu yi) Corneal opacity (mu yi) (J), Eye screens (FCA), Cloudiness of cornea (Ess), Yin (Cold) symptoms of the eyes with constant lacrimation and a veil before the eyes (Ch) Bi syndrome of elbow, arm Arthritis of wrist, elbow & fingers (Sh), Arthritis of wrist, elbow & fingers & finger joints (CYM), Arthritis of elbow & wrist joint (K), Pain & heat in wrist, forearm & arm (NVN), Pain of arm, elbow & finger joint (O), Pain in the forearm (FCA), Wrist joint arthritis (K), Cannot bend elbow (Ch) Finger stiffness Finger contracture & arm pain (J), Inhibited movement of fingers (Sh), Stiff, painful fingers (Ch), Contracture of fingers (CAM), Hypertonicity of the fingers (FCA), Writer’s cramp (O) Wrist pain Pain in the wrist (CAM), Weak, aching wrist (FCA), Wrist joint arthritis (K), Pain & heat in wrist, forearm & arm (NVN) Jaundice Jaundice (J,Ess,CAM,Sh,CYM, FCA,NVN), Cholecystitis (Sh) Febrile diseases Febrile diseases (J,Ess,K), Heat diseases (FCA), Febrile diseases without sweating (J,CAM), Hot condition without sweating (Sh), Absence of sweating in heat diseases (FCA), Cold & fever without sweating (Ch), Malaria (Ch), Infantile meningeal syndrome (Ch) Pain in the sides Pain in the ribs (Sh), Pain in the hypochondriac region (Ess), Pain in the lateral costal region (FCA), Difficult respiration with pain in the sides, discomfort in the chest (Ch) Tonsillitis (throat bi) Throat blockage (throat Bi) (Sh), Throat bi (FCA) 142 SI 4 WANGU WRIST BONE INDICATIONS (Cont.) Diabetes (xiao ke); thirst with emaciation Diabetes (Sh), Emaciation & thirst (Sh), Wasting thirst (xiao ke) (FCA) Excessive lacrimation Hyperlacrimation (CYM), Watery eyes (O) Hemiplegia Hemiplegia (K,Ch,O) Epilepsy Epilepsy (K), Convulsions (Ch,O) Vomiting Vomiting (O), Gastritis (Sh) Other indications Nasal congestion (FCA), Clear, runny snivel (FCA), Nosebleed (FCA), Cholecystitis (Sh), Hand tremor (CYM), Weak wrists (NVN), Madness & fear (Ch), Swelling of neck & chin (Ch), Infantile meningeal syndrome (Ch), Coldness & pain on shoulder & upper back (CYM), Lumbar pain (O) 143 SI 6 YANGLAO NOURISH THE OLD LOCATION With the palm facing the chest , this point can be found in the bony cleft on the radial side of the styloid process of the ulna. CHARACTERISTICS Xi-Cleft Point of Small Intestine meridian Brightens the eyes (clears the vision) (especially for failing vision in the elderly hence the point’s name - Nourish the Old) Clears the meridians and collaterals Relaxes the tendons (jin) INDICATIONS Blurred vision Blurred vision (J,Ess,CAM,Sh,FCA), Eye diseases (Sh), Eye problems; does not see clearly (Ch), Eyeball pain (K), Failing eyesight (O), Atrophy of optic nerve (K) Shoulder, back, elbow & arm pain Aching of shoulder, back, elbow & arm (J,Ess), Pain in shoulder, elbow & arm (CAM,FCA,O), Pain in shoulders & back (Sh), Pain in shoulders & arm (Sh), Pain in shoulder & arm; pain is very violent as if stabbed & arm cannot be raised (Ch), Wrist joint pain (K), Brachial neuralgia (K), Arthritis of upper limb (Sh) Low back pain Low back pain (Sh), Restriction of movement in lumbar area (Sh), Lumbar pain preventing turning over (FCA) Other indications Hypertonicity of the sinews and bi of the foot (FCA), Redness & swelling of the outer face of the elbow (FCA), Hemiplegia (Sh), Stiff neck (Sh), Pain of hernia (Sh), Wrist drop (Sh), Belching (Sh), Eyeball pain (K), Dizziness (K) 144 SI 7 ZHIZHENG STRAIGHTEN THE LIMBS LOCATION On a line connecting SI 5 & SI 8, 5 cun proximal to the wrist CHARACTERISTICS Luo-Connecting Point of Small intestine meridian Clears Heat from the Upper Jiao Clears the Shen Major distal point for neck stiffness INDICATIONS Stiff neck Stiff neck (J,Ess,K,FCA), Neck rigidity (Ess,CAM), Stiffness of neck (torticollis) (NVN), Spastic neck (O), Great thirst & stiffness of the neck (torticollis) (Ch) Elbow contracture Contracture of elbow (J,NVN), Contracture & twitching of elbow (Ess), Contractures of arm & elbow which cannot be flexed (Ch), Hypertonicity of the elbow (FCA), Pain of elbow or arm (Sh), Spasmodic pain in elbow & fingers (CAM) Finger pain; restricted finger flexion Pain in fingers (J,Ess,FCA), Pain in all ten fingers (Ch), Pains in the fingers & upper arms (O), Cannot make a fist (Ch), Loss of grasping ability of the fingers (FCA), Spasmodic pain in elbow & fingers (CAM) Febrile diseases Febrile diseases (J,Ess,CAM), Heat diseases (FCA), Intermittent fever (K), Fever & chills (FCA), Fever with pain in the neck (Ch), Heat diseases with sweating (FCA) Psychosis (dian kuang) Psychosis (dian kuang) (J), Mania & withdrawal (dian kuang) (FCA), Insanity (dian ji: Depressive psychosis) (Sh), Mania (CAM), Madness (NVN,Ch,K,FCA), Mental disorders (Ess), Mental illness (O) Neuraesthenia; fear Neuraesthenia (Sh,K), Fear (NVN,Ch), Fright, fear, sorrow & anxiety (FCA), Groaning (Ch) Visual dizziness Eye-dizziness (NVN,Ch), Headache with eye-dizziness (J), Dizziness (CAM) Headache Headache (CAM,K,FCA), Headache with eye-dizziness (J) Epilepsy Epilepsy (K) 145 SI 7 ZHIZHENG STRAIGHTEN THE LIMBS INDICATIONS (Cont.) Arm pain Pain of elbow or arm (Sh), Brachial neuralgia (K) ), Pains in the fingers & upper arms (O) Styes Styes (O), Small tumour of the eyes (chalazion) (Ch) Other indications Four limbs weak (Ch), Groaning (Ch), All sorts of tuberculosis (Ch), Swelling of the jaws (NVN), Quivering from cold (FCA), Lumbar pain (FCA) 146 SI 8 XIAOHAI LESSER SEA LOCATION With the arm flexed , this point can be found between the olecranon of the ulna and the medial epicondyle of the humerus CHARACTERISTICS He-Sea Point of Small Intestine meridian NB: For disorders of the Small Intestine organ, use the Lower He-Sea Point for the Small Intestine, ST 39 Clears the Shen INDICATIONS Cheek swelling Swelling of the cheek (J,Ess,CAM,FCA), Swelling of chin to cheeks (Ch) Pain in nape & submandibular region Pain in nape & submandibular region (J), Pain in chin, neck, shoulder, arm and elbow (Ch), Pain in nape & lateroposterior aspect of shoulder & arm (Ess,FCA), Pain in the nape, shoulder, arm & elbow (CAM) Pain in neck, shoulder, scapula & arm Pain in shoulder, scapula, elbow and lateroposterior aspect of arm (J), Pain in chin, neck, shoulder, arm and elbow (Ch), Pain in nape & lateroposterior aspect of shoulder & arm (Ess), Pain in the nape, shoulder, arm & elbow (CAM), Pain of back of the shoulder (Sh), Neuralgia or paralysis of ulnar nerve (Sh), Pain in shoulder & scapula (K), Diseases or pain of shoulder joint (O), Spasms & paralysis of upper arm & neck (CYM), Elbow joint arthritis (K), Epicondylitis (K), Pain or paralysis of upper arms (O), Neck pain (FCA) Epilepsy Epilepsy (J,Ess,CAM,CYM,Ch,FCA), Epilepsy called “Sheep epilepsy" because the patient bleats like a sheep. One must observe these patients who seek out water-courses & drown themselves (Ch), Seizures (Sh), Convulsions (Ch) Visual dizziness Eye-dizziness (Ch), Wind-dizziness with headache (J), Dizziness (FCA) Tinnitus/ deafness Tinnitus/deafness (J), Deafness (NVN,Ch,O) Toothache Toothache (NVN), Tooth decay (FCA), Pain in gums & teeth (Ch), Gingivitis (O) Psychosis (dian kuang) Psychosis (dian kuang) (Sh), Madness. Patient runs like a madman (Ch), Madness (FCA), Schizophrenia (K) Febrile diseases Heat diseases without sweating (FCA), Aversion to cold (FCA), Fever with sensation of cold (Ch) 147 SI 8 XIAOHAI LESSER SEA INDICATIONS (Cont.) Neck swelling and pain Swelling of neck (NVN), Painful tumour of neck with shivering (Ch), Neck pain (FCA) Arm paralysis Neuralgia or paralysis of ulnar nerve (Sh), Spasms & paralysis of upper arm & neck (CYM), Pain or paralysis of upper arms (O), Insensitivity of arm (Ch) Lower abdominal pain Lower abdominal pain (NVN,FCA), Pain below the navel (Ch), Hypogastric pains (O), Pain in axilla & lower abdomen (Ch) Headache Headache (CAM), Wind-dizziness with headache (J) Other indications Chorea (St. Vitus' Dance) (Sh), Swelling of elbow & arm (NVN), Rheumatism (Bi syndrome) (Ch), Neuralgia of lumbar region (CYM), Yellow sclera (Ch), Blepharitis (CYM), Vexation in the heart (xin fan – often translated as irritability or vexation)(FCA) 148 - SI 9 JIANZHEN SHOULDER FAITHFUL LOCATION With the arm adducted , this point can be found 1 cun above the posterior end of the axillary fold CHARACTERISTICS INDICATIONS Scapula & shoulder pain Pain in the scapular region (J,Ess,CAM), Pain in the shoulder blades (Sh,FCA), Pain in shoulder & scapula (K), Diseases of the shoulder and shoulder joint (Sh), Diseases of shoulder joint & surrounding tissue (K), Sensation of cold & pain in the scapular region (Ch) Wei & Bi of upper limbs Pain & motor impairment of hand & arm (J,Ess,FCA), Motor impairment of hand & arm (CAM), Paralysis of upper limbs (Sh,K), Paralysis or pain of the upper arms (O), Arthritis & neuralgia of upper limbs (CYM), Wind Bi with insensitivity of arms & legs, which cannot be mobilized (Ch), Pain in arm inhibiting movement (Sh), Numbness due to wind (K) Febriles diseases Cold damage fever & chills (FCA), Fever after catching cold, the patient presents with deafness, tinnitus, and sensation of cold and pain in the scapular region (Ch) Tinnitus Tinnitus (Sh,CYM,K,Ch,FCA) Deafness Deafness (Sh,CYM,ChFCA,O) Toothache Toothache (Sh,FCA,K), Headache Headache (CYM,K) Scrofula; neck swelling Scrofula (J), Swelling of the submandibular region (FCA) Pain in supraclavicular fossa Pain in supraclavicular fossa (J,FCA) Other indications Swelling of the mandible (Sh), Excessive perspiration in armpit (Sh), Paralysis of lower extremities (K) 149 SI 10 NAOSHU SCAPULA SHU LOCATION With the arm adducted , this point can be found directly above Jianzhen ( SI-9 ) in the depression inferior and lateral to the scapular spine CHARACTERISTICS INDICATIONS Shoulder/ arm pain, weakness and restricted movement Aching & weakness of shoulder & arm (J,Ess,CAM), Pain & lack of strength in shoulder & arm (FCA), Pain in shoulder blade and in the upper arms at lateral posterior side (O), Neuralgia of shoulder (K), Pain in shoulder & scapula (Ch), Soreness & lack of strength in arm (Sh), Pain in the shoulder joint (Sh), Arm without force, very weak (Ch), Pain & swelling of shoulder, scapula & neck (NVN), Shoulder pain that extends to scapula (FCA), Neuralgia of deltoid region (CYM), Inability to raise the arm (Sh, Inability to move the shoulder & arm (FCA), Perifocal inflammation of the shoulder joint (Sh), Frozen shoulder (O), Arthritis (K) Shoulder swelling/ pain Swelling of shoulder (J,CAM), Pain & swelling of shoulder, scapula & neck (NVN) Neck swelling/ pain Cervical scrofula (J), Pain & swelling of neck (Ch), Pain & swelling of shoulder, scapula & neck (NVN), Swelling or spasticity of the neck (O) Hypertension Hypertension (Sh,CYM,K,O) Hemiplegia Hemiplegia (Sh,CYM,K), Chills & fever Chills & fever (Sh,FCA,K), Wind-stroke (C.V.A.) Cerebral haemorrhage (K), Stroke (O) Other indications Excessive sweating (Sh), Occipital pain (O) 150 SI 11 TIANZONG HEAVENLY ANCESTOR LOCATION In the centre of the infraspinous fossa , at the junction of the upper & middle third of the distance between the lower border of the scapular spine and the inferior angle of the scapula CHARACTERISTICS Spreads Qi stagnation in chest and sides INDICATIONS Shoulder & scapula pain Pain in the scapular region (J,Ess,CAM), Neuralgia of shoulder & scapula, (K) Pain in shoulder & arm (Ch), Pain in the shoulder & shoulder blade (Sh), Pain in the shoulder, upper arm & shoulder blade (Sh), Pain in the shoulder blade and lateroposterior aspect of the arm & elbow (FCA), Rheumatic neuralgia of shoulder joint; arm cannot be raised or flexed backwards (CYM), Frozen shoulder (O) Pain in shoulder/ elbow/ arm Pain in lateroposterior aspect of elbow and arm (J,Ess,CAM), Pain in the shoulder blade and lateroposterior aspect of the arm & elbow (FCA), Pain in shoulder & arm (Ch), Pain in elbow (Ch), Brachial neuralgia (K) Cheek & submandibular swelling & pain Swelling & pain of cheek & submandibular region (J), Swelling of lateral cheek & submandibular region (FCA), Swelling in cheek & jaw (Sh,NVN), Pain in cheeks & chin (Ch) Asthma Asthma (J,CAM), Cough counterflow (FCA) Insufficient lactation Insufficient lactation (Sh,CYM) Fullness/ pain in chest & ribs Intercostal neuralgia (O), Branching fullness in the chest & lateral costal region (FCA), Fullness in chest & ribs (Sh), Pleuritis (O), Chest pain (O) Other indications Mastitis (Sh), Headache (K), Pain in the neck (K), Body in opisthotonos (Ch), Severe painful hiccoughs (Sh) 151 SI 14 JIANWAISHU SHOULDER OUTER SHU LOCATION 3 cun lateral to the lower border of the spinous process of the first thoracic vertebra CHARACTERISTICS INDICATIONS Shoulder, scapula & back pain Aching of shoulder & back (J,Ess,CAM,FCA), Sensation of cold or pain in the shoulder & back (NVN), Neuralgia of shoulder & scapula (K), Pain in shoulder & scapula (Ch), Sharp pain in shoulder, shoulder blade, back or neck (O), Soreness & pain of the back of the shoulder (Sh), Rheumatic neuralgia of shoulder & scapula region (CYM), Bi syndrome of the shoulder with sensation of icy cold up to the elbow (Ch) Stiff neck & nape Stiffness & spasms of nape (J), Spasm of neck muscles (K), Stiffness of nape & neck (NVN), Rigidity of neck (Ess,FCA), Pain & rigidity of the neck (CAM), Sharp pain in shoulder, shoulder blade, back or neck (O), Occipital neuralgia (K) Cold Bi in the shoulder & arm Upper limb cold & painful (J), Bi syndrome of the shoulder with sensation of icy cold up to the elbow (Ch), Sensation of cold or pain in the shoulder & back (NVN), Generalized Bi (FCA), Cold in the elbow (FCA) Headache Occipital neuralgia (K), Temporal headache (O) Other indications Hemiplegia (CYM), Paralysis of the upper extremities (K), Pleurisy (CYM), Generalized Bi (FCA) 152 SI 17 TIANRONG HEAVENLY APPEARANCE LOCATION Posterior & inferior to the angle of the mandible at the anterior margin of the sternocleidomastoid muscle CHARACTERISTICS INDICATIONS Tinnitus Tinnitus (J,Ess,CAM,Sh,K,Ch,FCA) Deafness Deafness (J,Ess,CAM,Sh,Ch,O,FCA), Impaired hearing (K) Sore throat Sore throat (Ess,CAM,K,Ch), Sore, swollen throat (FCA), Pharynx & larynx swollen and painful (J), Pharyngitis (Sh), Laryngitis (K), Hoarseness (O), Tonsillitis (Sh,O), Throat constricted & difficulty in swallowing (Sh) Plum-stone throat Obstruction sensation in throat (Ch,FCA), Foreign body sensation in throat (Ess,CAM), Pharynx swollen as if blocked (J), Cheek swelling Swelling of cheek (J,Ess,CAM,FCA) Neck swelling/ soreness Simple goitre (J), Goitre (CAM), Cervical adenitis (Ch), Swelling & soreness of the neck (Sh), Distension & soreness of the neck (Sh), Neck abscess preventing turning of the head & speech (Ch) Asthma Asthma (Sh), Pain & fullness in chest preventing breathing (Ch), Thoracic fullness hampering respiration (FCA), Severe coughing (Sh) Trismus Trismus (Ch), Clenched teeth (FCA) Vomiting Nausea & vomiting (Ch), Vomiting (O), Retching counterflow and ejection of foam (FCA) Other indications Severe coughing (Sh), Stomatitis (K), Stiff tongue with inability to speak (Ch), Angina (O), Pleurisy (O) 153 SI 19 TINGGONG HEARING PALACE LOCATION When the mouth is open , this point can be found in the depression anterior to the middle of the tragus CHARACTERISTICS Improves hearing and opens the ears: Used for auditory hallucinations in depressive psychosis or schizophrenia INDICATIONS Tinnitus Tinnitus (J,Ess,CAM,Sh,CYM,K,NVN,O,FCA), Cicada song in ear (Ch) Deafness Deafness (J,Ess,CAM,Sh,CYM,NVN,Ch,FCA), Impaired hearing (K,O), Ear blocked (Ch), Becoming deaf with sensation of something obstructing the ear (Ch), Polyp of auditory canal (Ch) Deaf-mutism Deaf-mutism (Sh,CYM,K), Mutism (J) Ear discharge Otorrhoea (J,Ess,CAM), Pus in the ear (Sh,Ch), Purulent ear discharge (FCA) Otitis media & externa Otitis media (Sh,CYM.K), Inflammation of external ear canal (otitis externa) (Sh,K) Depressive psychosis (dian ji) Depressive psychosis (dian ji) (J), Seizures & insanity (Sh), Madness (Ch,FCA) Toothache Toothache (J,CAM,Sh,CYM,FCA) Pain in chest & abdomen Pain in chest & abdomen (Sh), Fullness in abdomen & heart (Ch), Cardioabdominal pain (FCA) Sore throat Laryngitis (Ch), Pharyngitis (K) Other indications: Headache (K), Polyp of auditory canal (Ch), Ear blocked (Ch), Motor impairment of the mandibular joint (CAM), Arm pain (FCA) 154 CONCEPTION VESSEL RENMAI 155 CONCEPTION VESSEL MAJOR POINTS SUMMARY CV 3 (ZHONGJI) Front-Mu point of the Bladder Front-Mu point of the Bladder: Benefits the bladder; Assists the transforming function of Qi (qi hua) {the action of Kidney Yang in concentration of urine during urine production} nephritis, oedema, urinary retention, urine too scanty or too abundant, enuresis Regulates the uterus uterine prolapse, uterine bleeding, menstrual disorders, amenorrhoea, incessant post-partum lochia, female infertility, vaginal discharge, urinary retention with uterine bleeding Warms the Jing Palace female infertility Alleviates Damp-Heat & rectifies the lower jiao – uterus & bladder vaginal discharge, Lin syndrome, pruritus vulvae, orchitis, Shan qi (hernia) Point of intersection of Spleen, Liver & Kidney meridians with Conception Vessel CV 4 (GUANYUAN) Front-Mu point of the Small Intestine Front-Mu point of the Small Intestine haematuria (HT fire conducted down to SI); diarrhoea, dysentery Nourishes & stabilizes the Kidneys (reinforces Yin & Yang) Regulates the Qi & restores the Yang Yang Xu: cold menstrual disorders, cold uterus (infertility), cold sperm (male infertility), Yang Xu spermatorrhoea, Yang Xu enuresis, Yang Xu diarrhoea, impotence, Yang Xu nephritis, cold lower abdominal pain, Yang Collapse Yin Xu: Yin Xu menstrual disorders, nocturnal spermatorrhoea, Jing insufficiency infertility, emaciation with constant thirst (xiao ke – diabetes) Tonifies Yuan Qi Tonifies & strengthens the body Prolongs life general fatigue, for prolonging life According to some authors, Guanyuan corresponds to the location of the "Dantian" referred to in Daoist meditation & Qi Gong Point of intersection of Spleen, Liver & Kidney meridians with Conception Vessel Contraindicated point during pregnancy 156 CONCEPTION VESSEL MAJOR POINTS SUMMARY CV 6 (QIHAI) Reinforces Deficient Kidneys (mainly Ki Qi and Ki Yang) Cold menstrual disorders, Yang Xu spermatorrhoea, Yang Xu enuresis, cold uterus (infertility), retracted penis and scrotum, cold lower abdominal pain, Yang Xu diarrhoea, oedema, lumbago, cold Shanqi (hernia); Yang Collapse Regulates the Qi circulation Strengthens the body & prolongs life Regulates the Qi functions & Dispels Dampness oedema, urinary retention, nephritis; diarrhoea, dysentery; vaginal discharge; Damp Shanqi (hernia) Warms the Lower Jiao Cold menstrual disorders, Yang Xu spermatorrhoea, Yang Xu enuresis, cold uterus (infertility), retracted penis and scrotum, cold lower abdominal pain, Yang Xu diarrhoea, cold Shanqi (hernia) Contraindicated point during pregnancy CV 8 (SHENQUE) Warms and stabilizes the Yang; Cone moxibustion on salt is commonly used Yang Collapse; severe Spleen Yang Xu after severe or prolonged diarrhoea or dysentery Strengthens the transporting function of the Spleen and Stomach borborygmus, incessant diarrhoea, dysentery, abdominal pain Opens the orifices to restore consciousness Yang Collapse Transforms Cold - Damp stagnation incessant diarrhoea, dysentery, SP Xu oedema For Central Qi Sinking Rectal prolapse Contraindicated to needle (according to The Systematic Classic of Acupuncture & Moxibustion - Zhen Jiu Jia Yi Jing by Huangfu Mi – 282 AD) CV 9 (SHUIFEN) “Water Distribution” – promotes urination to resolve oedema, especially ascites ascites [shui zhong], abdominal distension, oedema Contraindicated to needle in ascites; moxibustion should be used instead Contraindicated for moxibustion during pregnancy 157 CONCEPTION VESSEL MAJOR POINTS SUMMARY CV 11 (JIANLI) Harmonizes the Stomach and disperses stagnation (Commonly used for Food Stagnation in the Stomach) epigastric pain, abdominal distension, anorexia, vomiting, indigestion, borborygmus; oedema Contraindicated for moxibustion during pregnancy CV 12 (ZHONGWAN) Front-Mu Point of the Stomach One of the Eight Meeting Points (ba hui): for the Fu (Yang organs) Regulates the Stomach Qi Harmonizes the Stomach Transforms & suppresses rebellious Qi (Ni Qi) vomiting, acid regurgitation, hiccoughs Relieves Food Retention stomach pain, abdominal distension, acid regurgitation, indigestion, vomiting food long after ingestion [Cold Stomach] Reinforces the Spleen abdominal pain, SP & ST Xu & weak anorexia; SP Xu jaundice; SP Xu diarrhoea & dysentery Eliminates Dampness diarrhoea, dysentery (especially Cold-Damp and SP Xu types); jaundice (Cold-Damp or SP Xu type); abdominal distension CV 14 (JUQUE) Front-Mu Point of the Heart Front-Mu of the Heart pain in heart and chest, palpitations Calms the Shen psychosis (dian kuang), palpiatations due to fright, fear, anxiety Regulates the Qi Pacifies the Stomach nausea, acid regurgitation, vomiting, dysphagia, hiccough, cough, gastric spasm, stomach pain, gastric ulcer Transforms Damp stagnation in the Middle Jiao cholera (huo luan), stomach pain, jaundice Disperses Phlegm in chest and diaphragm; Benefits the diaphragm hiccough, dysphagia, cough, chest fullness 158 CONCEPTION VESSEL MAJOR POINTS SUMMARY CV 17 (SHANZHONG) Front-Mu Point of the Pericardium One of the Eight Meeting Points (ba hui): for Qi Front-Mu point of Pericardium cardiac pain, palpitations Regulates & suppresses rebellious Qi Opens up the chest and benefits the diaphragm asthma, cough, hiccough, dysphagia Clears the Lungs asthma, cough, bronchitis, lung abscess Transforms Phlegm in the chest asthma, cough with abundant mucoid sputum Local point for breasts mastitis, breast lumps, insufficient lactation CV 22 (TIANTU) Major emergency point for acute asthmatic attack Stops coughing & soothes asthma cough, asthma, Cools throat & clears the voice Transforms Phlegm (in the throat/bronchi) sudden loss of voice, sore throat Facilitates and regulates the movement of Lung Qi cough, asthma, sudden loss of voice, dysphagia, hoccoughs • • Causes bronchodilation Reduces effusion from the bronchial mucosa CV 23 (LIANQUAN) Local point for tongue and throat Local point for tongue tongue stiff or flaccid, sublingual swelling Benefits the throat and transforms Phlegm Clears Fire (from throat) sore throat, sudden loss of voice, cough Counteracts upward contravecting Qi cough, dysphagia 159 CONCEPTION VESSEL MAJOR POINTS SUMMARY CV 24 (CHENGJIANG) 8th of Sun Simiao’s 13 Ghost Points also known as Guishi (Ghost City) 8th of Sun Simiao’s 13 Ghost Points for the treatment of psychosis and epilepsy psychosis (dian kuang), epilepsy (dian xian) For emergency resuscitation from syncope or coma syncope, coma, epilepsy Dispels Wind and frees the Luomai epilepsy Eliminates Wind and disperses swelling facial paralysis; facial swelling, gum swelling Relieves pain and alleviates tetany epilepsy 160 CONCEPTION VESSEL POINT INDICATIONS SUMMARY INDICATIONS 3 4 6 8 9 11 HEAD, NECK & FACE Headache 4 Dizziness/vertigo 4 Stiff neck Facial paralysis Trigeminal neuralgia Facial oedema Facial flushing Goitre Unclosed fontanelle 9 THROAT, MOUTH Sore throat Tonsillitis (throat bi) Sudden loss of voice Mouth ulcers Gum swelling Toothache Aphasia with stiff tongue Post-CVA aphasia Aphasia Flaccid tongue with salivation Excessive salivation Sublingual pain & swelling Dysphagia Diabetes/ thirst (xiao ke) Trismus SHEN DISORDERS & NEUROLOGICAL DISORDERS Psychosis (dian kuang) Mental disorders Neuraesthenia 6 Poor memory Wind-stroke (CVA) with 4 6 8 flaccid (open) signs Loss of consciousness 6 8 Collapse of Yang 6 8 Syncope in pregnancy Cadaveric syncope Heat-stroke 6 Epilepsy Fear CARDIOVASCULAR DISORDERS Cardiac pain 6 11 Palpitations 12 14 17 22 23 24 24 24 24 24 22 22 22 22 22 23 23 23 23 24 24 24 24 23 23 23 23 23 23 12 12 12 12 14 17 14 14 17 14 14 14 14 23 23 24 24 24 14 12 22 24 17 17 161 CONCEPTION VESSEL POINT INDICATIONS SUMMARY INDICATIONS 3 4 6 RESPIRATORY DISORDERS Cough Haemoptysis Asthma 6 Pleurisy Pulmonary tuberculosis 4 Expectorating pus & blood (pulmonary abscess) GASTROINTESTINAL DISORDERS Diarrhoea 4 6 Incessant diarrhoea Dysentery 6 Vomiting and diarrhoea Cholera (huo luan) Stools with undigested food Constipation 6 Borborygmus Appendicitis 6 Intestinal parasites Haemafaecia 4 Rectal prolapse Abdominal distension 6 Abdominal pain Lower abdominal pain 3 4 6 Epigastric pain Gastric spasms Gastric ulcer Gastric cancer Gastric haemorrhage Acute & chronic gastritis 6 Nausea Vomiting 6 Vomiting in infants Acid regurgitation Hiccough Indigestion ST & SP Xu weak Loss of appetite Hungry, cannot eat 3 Dysphagia Cold Stomach Diabetes/thirst (xiao ke) 4 Jaundice Emaciation 4 8 9 11 12 14 17 22 23 14 17 17 17 17 22 23 24 22 22 8 8 8 8 8 9 8 9 12 12 12 12 12 9 11 14 12 12 14 8 8 8 8 9 9 9 9 9 11 12 11 12 12 12 12 12 12 12 12 14 14 14 12 11 11 11 14 14 14 17 17 22 14 14 17 22 14 17 22 12 12 12 23 23 12 14 24 162 CONCEPTION VESSEL POINT INDICATIONS SUMMARY GENITOURINARY & SEXUAL DISORDERS Lin syndrome 3 4 6 8 Urinary incontinence 3 4 6 Urinary frequency 3 4 Urinary retention 3 4 9 Haematuria 4 Nephritis 3 4 9 Spermatorrhoea 3 4 6 Impotence 3 4 6 Nocturnal emissions 6 External genital pain 3 Orchitis 4 Retraction of 6 penis/scrotum Shanqi (hernia) 3 4 6 GYNAECOLOGICAL & OBSTETRIC DISORDERS Menstrual disorders 3 4 6 Irregular menstruation 3 4 6 Dysmenorrhoea 3 4 6 Amenorrhoea 3 4 Vaginal discharge 3 4 6 Uterine bleeding 3 4 6 Uterine prolapse 3 4 6 Endometritis 3 Vaginitis 3 Pruritus vulvae 3 Post-partum lochia 3 4 6 Female infertility 3 4 6 Retained placenta 3 Insufficient lactation Mastitis CHEST, RIBS & SIDES Pain in chest Fullness in chest Intercostal neuralgia BACK/LOW BACK Pain in low back 6 ABDOMEN Abdominal distension 6 8 9 11 Abdominal pain 8 9 Epigastric pain 11 Lower abdominal pain 3 4 6 Running piglet 3 4 Abdominal masses 4 Fox hernia FOUR LIMBS Cold limbs 6 Hemiplegia 17 17 14 14 17 17 17 22 12 12 14 14 24 163 CONCEPTION VESSEL POINT INDICATIONS SUMMARY INDICATIONS 3 4 6 8 SWELLING/OEDEMA Oedema 3 6 8 Ascites 3 8 Abdominal distension 6 8 Facial oedema Gum swelling Sublingual pain & swelling Goitre FEBRILE DISEASES & PERSPIRATION Cold injury (shang han) MISCELLANEOUS Fatigue 8 Fatigue with emaciation 4 6 Tetany 9 11 9 9 9 11 11 11 12 14 17 22 23 24 24 24 23 22 14 9 164 CONCEPTION VESSEL POINT ACTIONS SUMMARY ACTIONS ON SIX PERVERSE QI (LIU XIE) DAMP Dispels Damp CV 6 oedema, diarrhoea, dysentery, vaginal discharge CV 12 abdominal distension, borborygmus, diarrhoea, dysentery, jaundice CV 3 Dysuria, pain of external genitals, Shanqi (hernia), pruritus vulvae, vaginal discharge DAMP-HEAT Alleviates Damp-Heat ACTIONS ON ZANG FU LUNGS Clears Lung Regulates and represses rebellious Qi (ni qi) Expands the chest Benefits the diaphragm Resolves phlegm in the chest CV 17 asthma, chest pain Facilitates and regulates movement of Lung Qi Resolves phlegm Stops coughing Soothes asthma Cools throat and clears the voice CV 22 cough, asthma, loss of voice, sore throat Tonifies Spleen CV 12 abdominal distension, SP & ST Xu weak, diarrhoea, dysentery, borborygmus, stool with undigested food, jaundice Strengthens transporting function of SP & ST CV 8 diarrhoea, dysentery, oedema abdominal distension, borborygmus CV 12 gastric pain, nausea, vomiting, SP & ST Xu weak, abdominal distension SPLEEN with STOMACH Regulates ST Qi Relieves Food Retention 165 CONCEPTION VESSEL POINT ACTIONS SUMMARY ACTIONS ON ZANG FU STOMACH CV 14 nausea, acid regurgitation, vomiting, dysphagia, hiccough, gastric spasm, stomach pain, gastric ulcer Strengthens KI CV 6 spermatorrhoea, disorders Nourishes & stabilizes KI Tonifies Yuan Qi CV 4 urinary freequency, urinary retention, enuresis, spermatorrhoea, menstrual disorders, female infertility, general debility with emaciation Pacifies ST Regulates Qi KIDNEYS enuresis, menstrual ACTIONS ON QI & BLOOD Qi Regulates Qi See various aspects of Zang Fu Qi under Zang Fu above CV 4 CV 14 Regulates Qi functions CV 6 Regulates & supresses rebellious Qi CV 17 Assists transforming function of Qi Tonifies Yuan Qi CV 3 CV 4 asthma, cough, dysphagia urinary dysuria frequency, urinary retention, female infertility, general debility with emaciation ACTIONS ON YIN & YANG YANG Restores (warms & stabilizes) Yang CV 8 Yang Collapse with incessant diarrhoea, flaccid type Wind-stroke Restores Yang CV 4 Yang Collapse, flaccid type Wind-stroke 166 CONCEPTION VESSEL POINT ACTIONS SUMMARY ACTIONS ON SHEN Qi Regulates Qi See various aspects of Zang Fu Qi under Zang Fu above CV 4 CV 14 Regulates Qi functions CV 6 Regulates & supresses rebellious Qi CV 17 asthma, cough, dysphagia Assists transforming function of Qi CV 3 urinary frequency, urinary retention, dysuria Tonifies Yuan Qi CV 4 female infertility, emaciation general debility with REGIONAL ACTIONS Throat CV 22 sore throat, loss of voice, cough, asthma Expands chest & benefits diaphragm CV 17 asthma, chest pain Benefits diaphragm CV 14 hiccough, dysphagia CV 3 Uterine prolapse, incessant post-partum lochia, female infertility, vaginal discharge, urinary retention with uterine bleeding Cools throat & clears voice Chest & diaphragm Uterus Regulates uterus GENERAL Tonifies the whole body CV 6 167 CV 3 ZHONGJI MIDDLE POLE LOCATION On the midline of the abdomen, 4 cun below the umbilicus and 1 cun above the superior border of the pubic symphysis CHARACTERISTICS Front-Mu point of the Bladder Point of intersection of Spleen, Liver & Kidney meridians with Conception Vessel Regulates the uterus Warms the Jing Palace Benefits the bladder: Assists the transforming function of Qi (qi hua) {the action of Kidney Yang in concentration of urine during urine production} Alleviates Damp-Heat (lower jiao – uterus & bladder) Rectifies the lower jiao INDICATIONS Irregular menstruation Irregular menstruation (Ess,CAM,Sh,NVN,Ch,FCA), Menstrual disorders (J) Dysmenorrhoea Dysmenorrhoea (CAM,Sh), Menstrual disorders (J,K), Menstrual abnormality or pain (O), Poor genital blood circulation in women causing pains in the external genitals with dysuria & passing clots (Ch) Amenorrhoea Amenorrhoea (Ch), Lack of menses (Sh), Menstrual block (FCA), Menstrual disorders (J) Spermatorrhoea Spermatorrhoea (J,Sh,CYM,K), Seminal emission (Ess,FCA), Nocturnal emission (CAM) Urinary frequency Urinary frequency (J,Ess,CAM,Sh,Ch,FCA), Urine too scanty or too abundant (NVN), Urinary disorders in women (Ch), Genitourinary diseases & symptoms (O) Urinary retention Retention of urine (J,Ess,CAM,Sh), Urinary stoppage (FCA), Lack of urine (Sh), Oliguria (O), Anuria (CYM), Urine too scanty or too abundant (NVN), Urinary disorders in women (Ch), Urinary retention with uterine bleeding (J), Paralysis of bladder & sphincter muscle (K) Uterine prolapse Uterine prolapse (J,Ess,CAM,FCA), Displacement of womb (CYM), Uterine deviation causing sterility (Ch), Uterine spasms (CYM) 168 CV 3 ZHONGJI MIDDLE POLE INDICATIONS (Cont.) Enuresis Enuresis (J,Ess,CAM,Sh,K,FCA), Bedwetting (O), Paralysis of urethral sphincter (CYM), Paralysis of bladder & sphincter muscle (K) Impotence Impotence (J,CAM,Sh,O), Premature ejaculation (Sh), Sterility in men due to lack of sperm, lack of virility (Ch) Vaginal discharge Vaginal discharge (J,FCA), Leukorrhoea (Ess,Sh), Morbid leukorrhoea (CAM), White & red vaginal discharge(Ch,FCA), Vaginal discharge containing blood (Sh), Endometritis (CYM,K), Salpingitis (CYM) Uterine bleeding Uterine bleeding (J,CAM), Metrorrhagia (FCA), Profuse uterine bleeding (FCA), Excessive bleeding (Sh), Haemorrhage in gynaecology (Ch), Vaginal discharge containing blood (Sh), Poor genital blood circulation in women causing pains in the external genitals with dysuria & passing clots (Ch) Post-partum lochia Incessant postpartum lochia (J,FCA), Black blood not evacuated after childbirth (Ch), Disorders due to "black blood" (Ch) Retained placenta Retention of afterbirth (FCA), Placenta does not descend (Ch), Black blood not evacuated after childbirth (Ch), Disorders due to "black blood" (Ch) Female infertility Female infertility (J,Sh,FCA), Uterine deviation causing sterility; sterility from other causes (Ch) External genital pain Pain in external genitals (Ess), Genital pain (FCA), Vaginal pain (Sh), Orchitis (CYM), Poor genital blood circulation causing pains in the external genitals with dysuria & passing clots (Ch) Pruritus vulvae Pruritus vulvae (Ess,NVN), Sensation of heat with pruritus vulvae (Ch), Itching in the vagina (Sh), Genital itch (FCA) Lower abdominal pain with Lower abdominal pain (Ess,CAM,FCA), Peritonitis (CYM), cold or heat sensations/ Pelveoperitonitis (Sh), Salpingitis (CYM), Icy cold sensation in running piglet (ben tun) lower abdomen in women (Ch), Heat & pain in the abdomen (FCA), Sensation of heat with pruritus vulvae (Ch), Lower origin vacuity & cold (FCA), Cold Energy which accumulates in the lower part of the body & which assails the Heart from time to time (Ch), Sensation of heat in abdomen, of a hard mass below the umbilicus of "a piglet running around in the abdomen" (ben tun) (Ch), Running piglet rushing up to the heart (if severe causing respiratory difficulty) (FCA) Nephritis Nephritis (Sh,CYM,K) Oedema Oedema (Sh,Ch) 169 CV 3 ZHONGJI MIDDLE POLE INDICATIONS (Cont.) Ascites (shui zhong) Ascites (Ch), Water swelling [ascites](FCA) Endometritis Endometritis (CYM,K) Hernia (shan qi) Hernia (shan qi) (J,Ess,CAM,FCA) Vaginitis Vaginitis (CAM), Swelling and pain of the cervical canal (child gate) (FCA) Yang collapse; Cadaveric syncope Vacuity exhaustion of Yang Qi (FCA), Lack of Yang energy (Ch), Cadaveric syncope (Ch), Deathlike inversion (FCA), Aesthenia; general fatigue (Ch) Milky Lin (gao lin) White turbid urethral discharge (FCA), Gonorrhoea (K) Hungry, but does not want Hunger with inability to eat (FCA), Emaciation with hunger, but does not want to eat (in women) (Ch) to eat Other indications Genitourinary diseases & symptoms (O), Salpingitis (CYM), Pelveoperitonitis (Sh), Peritonitis (CYM), Uterine spasms (CYM), Sciatica (Sh), Yin Energy assails the Heart (Ch), Pain & vexation in the heart (FCA), Debauchery (Ch), Yin sweats, nocturnal & non-salty (Ch), Disorders due to sexual intercourse during menstruation (Ch), Rectal prolapse (NVN) 170 CV 4 GUANYUAN YUAN GATE LOCATION On the midline of the abdomen, 3 cun below the umbilicus and 2 cun above the superior border of the pubic symphysis CHARACTERISTICS Front-Mu point of the Small Intestine Nourishes & stabilizes the Kidneys Regulates the Qi & restores the Yang Tonifies Yuan Qi Tonifies & strengthens the body Prolongs life According to some authors, Guanyuan corresponds to the location of the "Dantian" referred to in Daoist meditation & Qi Gong Point of intersection of Spleen, Liver & Kidney meridians with Conception Vessel Contraindicated point during pregnancy INDICATIONS Irregular menstruation Irregular menstruation (Ess,CAM,Sh), Menstrual disorders (J,K,FCA) Dysmenorrhoea Dysmenorrhoea (J,K,FCA) Amenorrhoea Amenorrhoea (Ess,Ch), Lack of menses (Sh), Menstrual block (FCA), Menstrual disorders (J,K,FCA) Uterine bleeding Uterine bleeding (Ess,CAM,Sh), Scant metrorrhagia (FCA), Haemorrhage during pregnancy (Ch), Haemorrhage in gynaecology (Ch), Discharge, amenorrhoea or blood clots (Ch), Menstrual disorders (J,K,FCA) Vaginal discharge Vaginal discharge (J,Sh,Ch,FCA), Leukorrhoea (Ess,Sh,K), Morbid leukorrhoea (CAM), Bloody vaginal discharge (NVN), Metritis (CYM) Post-partum lochia/ haemorrhage Post-partum lochia (J), Incessant postpartum lochia (J), Persistent flow of lochia (FCA), Post-partum haemorrhage (Ess,CAM,FCA) Spermatorrhoea Spermatorrhoea (J,Sh,NVN), Seminal emission (Ess,FCA), Nocturnal spermatorrhoea (Ch), Nocturnal emission (CAM,K) Urinary frequency Urinary frequency (J,Ess,CAM,FCA), 5 types of urethritis (Lin syndrome) (Ch), Urethritis (NVN), Urogenital illnesses (CYM,K) (Ess,CAM,Sh,FCA), Menstrual disorders 171 CV 4 GUANYUAN YUAN GATE INDICATIONS (Cont.) Urinary retention Retention of urine (J,Ess,CAM), Anuria (CYM), Urinary stoppage (FCA) Enuresis Enuresis (J,Ess,CAM,Sh,NVN,K,FCA), Incontinence of urine (Ch), Urogenital illnesses (CYM,K) Hernia (shan qi) Hernia (shan qi) (J,Ess,CAM,FCA), Seven types of hernia (Ch) Female infertility Female infertility (J,Sh,Ch), Infertility (FCA) General fatigue with emaciation (xu lao) General fatigue with emaciation (J), All forms of vacuity detriment (FCA), Body fatigue (K), General aesthenia (CYM), General weakness (Sh), Weakness of the whole body (K), Emaciation & constant thirst (Sh) Flaccid Wind-stroke (tuo zheng) Flaccid Wind-stroke (tuo zheng) (J,Ess,CAM), "Abandoned" stroke (Sh), Sudden strike desertion pattern (FCA) Uterine prolapse Uterine prolapse (Ess,Sh,FCA), Uterine deviation (Ch), Uterine diseases (CYM,K,O) Lower abdominal pain Lower abdominal pain (Ess,CAM,NVN,FCA), All sorts of pain below umbilicus due to Yin (Cold) (Ch), Pain below & around umbilicus (Ch), Twisting pain below navel (Sh), Subumbilical gripping pain gradually extending to the gentials (FCA), Abdominal pain (Sh), Yin energy accumulation in lower part of the body & reaching abdomen & genital organs (Ch), Cold Qi entering the lower abdomen (FCA), Hernia (shan qi) (J,Ess,Ch) Diarrhoea Diarrhoea (Ess,CAM,Sh,Ch,FCA), Dysentery (Sh), Cholera (CYM), Acute & chronic enterocolitis (K) Pulmonary tuberculosis Tuberculosis (NVN,Ch), Fever of tuberculosis (Ch), Tidal fever accompanied by coughing blood (Sh) Impotence Impotence (Sh,CYM,K,FCA), Loss of virility (Ch) Haematuria Haematuria (Sh,CYM,NVN,Ch,FCA) Nephritis Nephritis (Sh,CYM) Lin syndrome "Gonorrhoea" (CYM), 5 types of urethritis (Ch), Urethritis (NVN), Urinary tract infection (Sh), Rough urination with darkcoloured urine (FCA), Urinary gravel (Stone Lin) (Ch), Haematuria (Blood Lin) (Sh,CYM,NVN,Ch,FCA),Urine white & difficult (Ch) Abdominal masses Conglomerations (jia) & gatherings (ju)(FCA), Bowstring & elusive masses (xian pi)(FCA), Subcostal tumours "like an inverted cup" (Ch) 172 CV 4 GUANYUAN YUAN GATE INDICATIONS (Cont.) Running piglet (ben tun) Running piglet pattern (FCA), Sensation of "a piglet running around in abdomen" & rising again to the Heart (ben tun) (Ch) Dizziness & headache Dizziness & headache (FCA), Headache & vertigo due to Wind (Ch), Kidney inversion headache (FCA) Orchitis Orchitis (CYM,K) Haemafaecia Blood in the stool (Sh), Haemafaecia (FCA) Diabetes (xiao ke) Wasting thirst disease (xiao ke) (FCA), Emaciation & constant thirst (Sh) Other indications Prolonging life (K), Mental disorders (K), Menopausal hot flushes (NVN), Uterine diseases (CYM,K), Excess of debauchery (Ch), Prostatitis (CYM), Abdominal distension (NVN), Subcutaneous oedema (NVN), Dyspnoea due to Chongmai disorder (NVN), Kidney vacuity dyspnoea (FCA), Pelveoperitonitis (Sh), Round worms in the intestinal tract (Sh), Cholera (Ch), Heart pains radiating to back (NVN), Lassitude in four limbs following traumatic haemorrhage or due to disease caused by Cold or Wind (NVN), Metritis (CYM), Diseases of the small intestine (O), Acute & chronic gastritis (K), Indigestion (CAM), Spasm & tension of rectus abdominis muscle (K), Acute rheumatoid arthritis (O), Summer Heat strike (FCA), Water swelling (shui zhong – ascites)(FCA), Fulminant disruption (FCA) 173 CV 6 QIHAI QI SEA LOCATION On the midline of the abdomen, 1.5 cun below the umbilicus and 3.5 cun above the superior border of the pubic symphysis CHARACTERISTICS Regulates the Qi functions Regulates the Qi circulation Reinforces Deficient Kidneys Strengthens the body Prolongs life Dispels Dampness Warms the Lower Jiao Contraindicated point during pregnancy INDICATIONS Uterine bleeding Uterine bleeding (J,Ess,CAM,Ch), Metrorrhagia (FCA), Vaginal discharge with blood (Sh), Excessive bleeding (Sh) Vaginal discharge Vaginal discharge (J, FCA), Leukorrhoea (Ess,K), Morbid leukorrhoea (CAM), White vaginal discharge (NVN), Vaginal discharge with blood (Sh), White & red vaginal discharge (Ch), Metritis (CYM,NVN) Irregular menstruation Irregular menstruation Menstrual disorders (J,K) Dysmenorrhoea Dysmenorrhoea (CAM,Sh) , Menstrual disorders (J,K) Enuresis Enuresis (J,Ess,CAM,NVN,K,FCA), Incontinence (Sh), Atony of bladder sphincter (Ch), Urinary incontinence in children (Sh,CYM,Ch,FCA), Bed-wetting (O) Flaccid Wind-stroke (tuo zheng) Flaccid Wind-stroke (tuo zheng) (J,Ess,CAM), Wind-strike desertion paterns (FCA), "Abandoned" stroke (Sh) Abdominal pain Lower abdominal pain (J), Abdominal pain (Ess,CAM,Sh,FCA), Colic (Sh), Atrocious abdominal pain (NVN) Pain around navel (NVN), Yin energy in abdomen causing pains around the umbilicus (Ch), Hard lumps in the lower abdomen (Ch), Pain all around the umbilicus in women (Ch), Spasms of the uterus, pylorus or pelvic region (O) Spermatorrhoea Spermatorrhoea (J,Sh,NVN,K), Nocturnal emission (CAM,Ch) Hernia (shan qi) Hernia (shan qi) (J,Ess,CAM,CYM,FCA) (Ess,CAM,Sh,CYM,NVN,Ch,O,FCA), 174 CV 6 QIHAI QI SEA INDICATIONS (Cont.) Diarrhoea Diarrhoea (J,Ess,CAM,FCA), Dysentery (J,CAM), Enterorrhagia (CYM), Intestinal disorders (NVN), Acute & chronic enterocolitis (K) Infertility Infertility (FCA), Sterility in men & women (O), Female infertility (J,Sh) Constipation Constipation (Ess,CAM,NVN,Ch,FCA) Oedema / abdominal distension Oedema (Ess,CAM,FCA), Abdominal distension (Sh), (Lower) abdominal distension (O), Sudden abdominal distension with dyspnoea (Ch) Neuraesthenia Neuraesthenia (Sh,CYM,K,O), Aesthenia, general fatigue, emaciation (Ch,NVN), Psychopathy , fright & fear and being unable to lie down (CYM), Mental disorders (K), Fear. Insomnia (Ch), Good for nervous depression (personal experience - NVN), Shyness (O) Heat-stroke Heat-stroke (Sh), Sun stroke (CYM), Summerheat strike (FCA), Heat exhaustion (Sh), Coma (NVN,K) Low back pain Lumbago (NVN), Lumbar pain (FCA), "Remarkable effects" on "slipped disc" (CYM), Spasms of lumbar muscles (CYM), Pain in kidneys in women (Ch) Appendicitis Appendicitis (Ch,O), Chronic appendicitis (CYM), Repeated moxibustion is often effective for early appendicitis (O) Retracted male genitals Retracted penis & scrotum (Ch,NVN), Yin pattern testicular retraction (FCA) Asthma Asthma (CAM), Dyspnoea & pulmonary problems (Ch), Heart pain Cardialgia (FCA), Lack of Yang energy which manifests in icy sensation in four limbs, retracted scrotum & sudden heart pain (Ch), Yin energy assailing the abdomen & Heart (Ch), Sudden pain below the heart (Ch) Post-partum haemorrhage Post-partum haemorrhage (CAM,FCA) Yang Collapse Yang desertion (FCA), Lack of Yang energy which manifests in icy sensation in four limbs, retracted scrotum & sudden heart pain (Ch), Syncope because the lower energy cannot rise to the top of the body; the eyes are rolled upwards, perspiration is profuse. All these symptoms are acccompanied by an ample pulse, and are sometimes due to the patient, after having been seriously ill, abandoning himself to excess - to debauchery. In such a case, moxibustion of Qihai revives the patient immediately. (Ch), Coma (NVN,K), Shock (K) 175 CV 6 QIHAI QI SEA INDICATIONS (Cont.) General weakness (xu lao)/ Qi Xu Organ qi vacuity fatigue (FCA), Body weakness (K), Aesthenia, general fatigue, emaciation (Ch,NVN), Emptiness of the Five Zang (Ch,NVN), Lack of essential energy (Ch), All chronic dusorders due to energy problems (Ch), Insufficiency of true qi (zhen qi)(FCA), Energy centre (O) Impotence Impotence (CAM,K) Vomiting Vomiting all that one eats (NVN), Acute & chronic gastritis (K) Lin syndrome Five sorts of urethritis (Five Lin)(Ch), Male urinary problems (Ch), Inflamed urinary bladder (O), Rough micturition with dark urine (FCA), Dark yellow urine (Ch) Cold limbs (jue ni) Inversion frigidity of the limbs (jue ni)(FCA), Cold feet (O), Lack of Yang energy which manifests in icy sensation in four limbs, retracted scrotum & sudden heart pain (Ch) Other indications General disorders (O), Pain throughout the organs & viscera (FCA), Intestinal paralysis (Sh), Polyuria (Sh), Urinary retention (Sh), Nephritis (CYM), Duodenal ulcer ("remarkable effects) (CYM), Enterorrhagia (CYM), Uterine prolapse (J), Underdevelopment in children (CYM), Metritis (CYM,NVN), Amenorrhoea (CAM), Intestinal disorders (NVN), Yin energy assailing the abdomen & Heart (Ch), Yin symptoms with red face (Ch), Problems due to blood clots (Ch), Fear. Insomnia (Ch), Dyspnoea & pulmonary problems (Ch), Abdomen suddenly distended with dyspnoea (Ch), Hard lumps in the lower abdomen (Ch), Problems occuring after coitus during menstruation (Ch), Emaciation in women (Ch), Shyness (O), Dizziness (O), Spasms of the uterus, pylorus or pelvic region (O), Sensation of "a piglet running around in the abdomen"(ben tun) (Ch), Sudden strike desertion patterns (FCA) 176 CV 8 SHENQUE or QIZHONG SPIRIT PALACE or NAVEL CENTRE LOCATION In the centre of the umbilicus CHARACTERISTICS Warms and stabilizes the Yang Major point for Yang Collapse to Restore Yang Cone moxibustion on salt is commonly used Strengthens the transporting function of the Spleen and Stomach Opens the orifices to restore consciousness Transforms Cold-Damp stagnation Contraindicated to needle (according to The Systematic Classic of Acupuncture & Moxibustion - Zhen Jiu Jia Yi Jing by Huangfu Mi – 282 AD) INDICATIONS Borborygmus Borborygmus (J,Ess,CAM,CYM,NVN,FCA), Intestinal noises & pain (Sh) Abdominal pain Abdominal pain (J,Ess,CAM,K,NVN,FCA,O), Intestinal noises & pain (Sh), Peri-umbilical pains (Ch,FCA) Incessant diarrhoea Incessant diarrhoea (J,Ess,NVN,Ch,FCA), Continuous diarrhoea (Sh), Unchecked diarrhoea (CAM), Chronic diarrhoea (Sh), Diarrhoea (K,O), Acute & chronic enteritis (Sh,CYM), Acute & chronic enterocolitis (K), Vomiting & diarrhoea in cholera (CYM), Simultaneous vomiting & diarrhoea (Sh), Infantile cholera (Ch) , Infantile diarrhoea after breast-feeding (FCA) Dysentery Dysentery (J,NVN,O), Chronic dysentery (Ch), Infantile dysentery (CYM,Ch), Diarrhoea/dysentery with rectal prolapse (J) Flaccid Wind-stroke (tuo zheng) Flaccid Wind-stroke (tuo zheng) (J,Ess,CAM), Wind-strike desertion patterns (FCA), Apoplexy (Sh,NVN), Syncope in apoplexy (Ch), Unconsciousness from cerebral haemorrhage (CYM), Cerebral hyperaemia (K), Loss of consciousness (Sh) Yang Collapse Vacuity desertion (FCA) Loss of consciousness Loss of consciousness (Sh,CYM,Ch), Heat-stroke (or exhaustion) (Sh), Shock resulting from intestinal adhesions (Sh) Rectal prolapse Rectal prolapse (J,Ess,CAM,Sh,CYM,Ch,FCA), dysentery with rectal prolapse (J) Diarrhoea/ 177 CV 8 SHENQUE or QIZHONG SPIRIT PALACE or NAVEL CENTRE INDICATIONS (Cont.) Oedema / ascites/ abdominal distension Oedema with abdominal distension (J), Oedema (Sh,Ch), Tympanites (CYM), Ascites (CYM,Ch), Abdomen very distended (Ch), Water swelling & drum distension (FCA) Lin syndrome Heat-bind urinary stoppage (FCA), The five stranguries (Five Lin)(FCA) Vomiting & diarhoea; (huo luan) Acute & chronic enteritis (Sh,CYM), Acute & chronic enterocolitis (K), Vomiting & diarrhoea in cholera (CYM), Simultaneous vomiting & diarrhoea (Sh), Infantile cholera (Ch) , Acute gastritis (K), Vomiting (O) General weakness/ Qi Xu Body fatigue (K), Emptiness of energy (NVN) Other indications Dyspepsia (K), Intestinal tuberculosis (Sh), Neuraesthenia (CYM), Icy limbs (NVN), All acute gynaecological disorders (Ch), Yin in the abdomen & in the Five Zang (Ch), The patient hears water flowing in intestines (Ch), Chronic lesions of the intestines (Ch), Convulsions (Ch), Epilepsy with opisthotonos (Ch) 178 CV 9 SHUIFEN WATER DISTRIBUTION LOCATION In the midline of the epigastrium 1 cun above the umbilicus CHARACTERISTICS Governs water balance in the body (diuretic action to resolve oedema) – hence the name, “Water Distribution” Contraindicated to needle in ascites; moxibustion should be used instead Contraindicated for moxibustion during pregnancy INDICATIONS Borborygmus Borborygmus (J,Ess,CAM,CYM,NVN,Ch,O), Intestinal rumbling (FCA) Oedema/ ascites/ abdominal distension Oedema (Ess,CAM,K,NVN,Ch,O,FCA), Ascites (Sh,CYM,NVN,Ch), Abdominal swelling and pain (J), Ascites with abdomen distended and hard, distended like a drum with abdominal spasms and loss of appetite (Ch), Stomach & intestines distended due to Yin (Cold) (Ch), Tympanites (CYM), Oedema of lower extremities (O) Urinary retention Urinary retention (J,CAM), Dysuria (K), Oliguria (O), Inhibited defaecation and urination (FCA) Nausea/ vomiting Nausea & vomiting (J), Vomiting (Sh), Gastric reflux food vomiting (FCA) , Cholera (CYM) Abdominal pain Abdominal pain (J ,CAM, K,FCA), Peri-umbilical pain (NVN), Umbilical pains which affect the Heart (Ch), Intestinal colic (K), Choleraic cramps (FCA) Nephritis Nephritis (Sh,K) Diarrhoea Diarrhoea (Sh,CAM,O), Throughflux diarhoea (FCA), Enteritis (CYM,K), Cholera (CYM) Unclosed fontanelle Failure of the fontanelle to close (FCA), Sudden subsidence of anterior fontanelle in children (Ch) Rectal prolapse Rectal prolapse (CYM,FCA) Tetany Stiffness & contracture of renal region & the vertebral column (Ch), Tetany (FCA) Other indications Sudden epistaxis (Ch), Dysuria (K), Hernia (CYM), Chronic gastric cancer (CYM), Chronic lesions of the intestines (Ch) 179 CV 11 JIANLI BUILD INTERIOR LOCATION In the midline of the epigastrium 3 cun above the umbilicus CHARACTERISTICS Harmonizes the Stomach and disperses stagnation (Commonly used for Food Stagnation in the Stomach) Contraindicated for moxibustion during pregnancy INDICATIONS Vomiting Vomiting (J,Ess,CAM,CYM,K,Ch,FCA,O,K), Acute & chronic gastritis (Sh,K), Counterflow retching (FCA) Abdominal distension Abdominal distension (J,Ess,CAM,K,Ch,FCA,O,K), Ascites (Sh,CYM), Abdominal distension with counterflow Qi ascent (FCA), Fullness of the venter (FCA) Oedema Oedema (J,Ess,CAM,Ch,FCA,K), Generalized swelling of body (Ch) Epigastric pain Epigastric pain (J,CYM), Gastric pain (Ess), Stomach pain (FCA), Stomachache (CAM,O,K), Pain in intestines (Ch), Intestinal noises with abdominal pain (Sh), Abdominal pain and intestinal rumbling (FCA) Poor appetite Anorexia (J,Ess,CAM), Loss of appetite (Ch,FCA), No desire for food (FCA) Borboryygmus Borborygmus (J,CAM), Intestinal noises with abdominal pain (Sh), Abdominal pain and intestinal rumbling (FCA) Indigestion Poor digestion (Ch), Dyspepsia (CYM,O) Heart pain Angina pectoris (Sh), True cardiac pain (FCA), Pain in Heart with sensation of energy rising to upper body (Ch) Other indications Peritonitis (CYM), Lower abdominal spasms (Ch), Cholera (CYM), Acute and chronic gastritis(K) 180 CV 12 ZHONGWAN MIDDLE EPIGASTRIUM LOCATION In the midline of the epigastrium 4 cun above the umbilicus CHARACTERISTICS Front-Mu Point of the Stomach One of the Eight Meeting Points (ba hui): for the Fu (Yang organs) Regulates the Stomach Qi; Harmonizes the Stomach Transforms & suppresses rebellious Qi (Ni Qi) Relieves Food Retention Reinforces the Spleen Eliminates Dampness INDICATIONS Stomach pain Stomach pain (J,FCA,O), Stomachache (CAM,Sh), Pain in the stomach cavity (Sh), Gastric pain (Ess), Stomachaches in general (CYM), Distension & pain in abdomen and stomach (NVN), Pain in upper region of stomach (NVN), Abdominal pain (FCA,Ch), Pain in the spleen (Ch), Malaria with diarrhoea & abdominal pain (Ch) Abdominal distension Abdominal distension (J,Ess,CAM,Sh,FCA), Gastric dilatation (CYM,Ch), Distension & pain in abdomen and stomach (NVN), Sudden abdominal distension (Ch), Abdominal fullness (FCA), Dilatation of the stomach (K) Acid regurgitation Acid regurgitation (J,CAM,FCA), Regurgitation (Ess), Sour taste upon swallowing (Sh), Hyperacidity (NVN), Gastric reflux (FCA) Vomiting/ nausea Vomiting (J,Ess,CAM,Sh,NVN,Ch,FCA,O), Cholera with vomiting, nausea and diarrhoea (Ch), Nausea (CAM,Ch), Vomiting food long after ingestion (Sh), Vomiting & diarrhoea in cholera (CYM), Acute gastritis (Sh,CYM,K), Chronic gastritis (Sh,K) Spleen & Stomach Xu & Weak Spleen & Stomach Xu & Weak (J), Endogenous damage to Spleen and Stomach (FCA), Malfunctioning of Spleen and Stomach (K), Dysfunction of Spleen (Xu) (Ch), Inability to eat due to Spleen dysfunction with sensation like an inverted cup below the false ribs on the left side (symptom of Spleen Xu) (Ch), Jaundice due to Spleen Xu (Ch) 181 CV 12 ZHONGWAN MIDDLE EPIGASTRIUM INDICATIONS (Cont.) Diarrhoea Diarrhoea (J,Ess,CAM,Sh,FCA), Yin (Cold) diarrhoea, red or white (Ch), Cholera with vomiting, nausea and diarrhoea (Ch), Vomiting & diarrhoea in cholera (CYM), Malaria with diarrhoea & abdominal pain (Ch) Dysentery Dysentery (J,Ess,CAM,Sh,CYM,NVN), Red or white dysentery (Ch), Dysenteric disease (FCA) Jaundice Jaundice (J,CAM,Sh,CYM,FCA), Jaundice due to Spleen Xu (Ch) Indigestion Indigestion (CAM,Sh), Poor digestion (Ch), Dyspepsia (CYM,K) Poor appetite Anorexia (CYM), Loss of appetite (Ch), Lack of appetite (Sh) Gastric ulcer Gastric ulcer (Sh) Gastric haemorrhage Gastric haemorrhage (CYM,Ch), Spitting blood related to consumptive illnesses (Sh), Vacuity taxation and blood ejection (FCA) Constipation Constipation (Sh,NVN), Difficult defaecation (FCA) Acute & chronic gastritis Acute & chronic gastritis (Sh,K), Acute gastritis (CYM) Gastric spasms Gastric spasms (CYM,Ch), Spasm of the stomach (K) Gastric cancer Gastric cancer (CYM), Neoplasm of stomach (Ch) Borborygmus Borborygmus (J,CAM), Abdominal rumbling (FCA) Undigested food in stools Stool with undigested food (Ess), Untransformed digestate (FCA) Cholera (huo luan) Cholera (FCA), Cholera with vomiting, nausea and diarrhoea (Ch), Vomiting & diarrhoea in cholera (CYM) Gastric prolapse Prolapsed stomach (Sh), Gastroptosis (K), Atonic stomach (O) Cardiac pain Cardiac pain (FCA), Heart pain (NVN), "Nine types of heart pain" (Ch) Psychosis (dian kuang)/ mental disorders Mania and withdrawal [dian kuang] (FCA), Madness (kuang ji) (Sh), Mental diseases (Sh), Neuraesthenia (Sh), Damage due to preoccupation (FCA), Insomnia (CAM) 182 CV 12 ZHONGWAN MIDDLE EPIGASTRIUM INDICATIONS (Cont.) Other indications Gastrointestinal disorders and diseases (O), Diabetes mellitus (O), Generalized swelling (FCA), Acute intestinal obstruction (Sh), Hiccough (NVN), Hyperacidity (NVN), Uterine diseases (CYM), Postpartum blood dizziness (FCA), Hypertension (Sh), Fever from epidemic diseases (Ch), Malaria with diarrhoea & abdominal pain (Ch), Pains due to disorders of energy (Ch), Yellowish complexion (without jaundice) (Ch), Pain in the spleen (Ch), Discomfort in the diaphragm (Ch), Dyspnoea (Ch), Renal inflammation (Ch), Yellow or dark coloured urine (FCA), Scorched stench in the nose (FCA), Loss of taste (FCA), Running piglet pattern [ben tun qi] (FCA), Deathlike inversion [cadaveric syncope](FCA), Urgent or chronic fright wind (FCA), Insomnia (CAM) 183 CV 14 JUQUE GREAT PALACE LOCATION In the midline of the epigastrium 6 cun above the umbilicus CHARACTERISTICS Front-Mu Point of the Heart Calms the Shen Regulates the Qi Pacifies the Stomach Transforms Damp stagnation in the Middle Jiao Disperses Phlegm in chest and diaphragm; Benefits the diaphragm INDICATIONS Heart pain/ chest pain Pain in heart & chest (J,Ess), Pain in cardiac region and chest (CAM), Cardiothoracic pain (FCA), Heart pain (NVN), Angina pectoris (Sh), "Nine types of pain in heart and back", with sensation of cold (Ch), Pericarditis (CYM), Chest pain related to round worms (Sh), Chest pain (FCA), Chest pain extending to lateral costal region (FCA) Nausea Nausea (J,Ess,CAM,NVN,FCA) Dysphagia Dysphagia (ye ge) (J), Difficulty in swallowing (Ess,CAM), Eosophageal constriction (FCA), Stoppage glomus (FCA) Acid regurgitation Acid regurgitation (J,CAM), Regurgitation (Ess), Gastric reflux and acid regurgitation (FCA) Vomiting Vomiting (J,Ess,CAM,Sh,FCA,K,O), Incessant vomiting (Ch), Vomiting long after ingestion of food (Sh), Patient vomits all he eats (NVN), Phlegm-rheum water ejection [vomiting watery mucus] (FCA) Psychosis (dian kuang) Psychosis (dian kuang) (J), Mania and withdrawal [dian kuang](FCA), Schizophrenia (K), Mental disorders (Ess,CAM), Mental diseases (Sh), Psychopathy (CYM), Madness (NVN,Ch), Raving and manic rage (FCA) Epilepsy Epilepsy (J,Ess,CAM,Sh,FCA), Seizures (Sh), Clonic spasm accompanied by abdominal pain (FCA) Palpitations Palpitations (J,Ess,CAM,CYM,FCA,K,O), Palpitations due to fright (Sh), Fright palpitations (FCA) 184 CV 14 JUQUE GREAT PALACE INDICATIONS (Cont.) Fear/ anxiety Fear (NVN,Ch), Anguish (NVN) Gastric spasm Gastric spasm (CYM), Spasm of stomach (K), Spasm of stomach & abdomen (Ch) Hiccough Hiccough (Sh), Spasm of diaphragm (CYM,K) Stomach pain Gastralgia (NVN), Stomachache (Sh,O), Abdominal distension with fulminant pain (FCA) Cough Bronchitis (CYM), Coughing fits (Ch), Coughing due to rebellious ascension of Qi (Sh), Qi ascent counterflow cough (FCA), Pleurisy (CYM) Chest fullness Fullness in chest and shortnes of breath (FCA), Fullness in chest with sensation of malaise & heat (Ch) Jaundice Jaundice (Sh,CYM,Ch,FCA), Chronic hepatitis (Sh), Round worms in bile duct (Sh) Gastric ulcer Gastric ulcer (K), Haemorrhage in gastric ulcer (CYM) Pregnancy syncope Syncope in pregnancy (Ch,NVN), Syncope in pregnancy due to foetus “climbing too high” (Ch,NVN) Parasites in intestines or bile duct Round worms in bile duct (Sh), Chest pain due to round worms (Sh), Pains in lower abdomen due to intestinal parasitosis (Ch), Infantile parasitosis (CYM) Poor memory Impaired memory (FCA), Memory problems (NVN) Fox hernia (hernia which appears and disappears) Vulpine shan [fox hernia] (FCA), Hernia (Ch) Cholera (huo luan) Cholera (CYM,FCA), Cholera with abdominal distension (Ch) Cold injury (shang han) Shanghan (Cold Injury) (Ch), Vexation in cold damage [shang han] (FCA) Other indications Sensation of a bar in stomach (NVN), Rectus spasm (CYM), Pericarditis (CYM), Pleurisy (CYM), Anguish (NVN), Fear (Ch,NVN), Energy problems of the Five Zang (Ch), Pains due to Yin (Cold) (Ch), Cold in the stomach (FCA), Lack of energy (Ch), Plague (Ch), Syncope with four limbs icy, like a cadaver (Ch), Cadaveric syncope (Ch), Excess of mucoid sputum (Ch), Periodic spitting of blood (FCA), Drooling (Ch), Discomfort in the diaphragm (Ch), Stomach cancer (Ch), Intestinal tuberculosis with hard knots in the abdomen (Ch), Incessant dysentery (Ch), Loss of appetite (Ch), Back pain (FCA) 185 CV 17 SHANZHONG or TANZHONG PENETRATING ODOUR or CENTRE OF CHEST LOCATION In the midline of the sternum, between the nipples, level with the fourth intercostal space CHARACTERISTICS Front-Mu Point of the Pericardium One of the Eight Meeting Points (ba hui): for Qi Regulates & suppresses rebellious Qi Opens up the chest and benefits the diaphragm Clears the Lungs Transforms Phlegm in the chest INDICATIONS Asthma Asthma (J,Ess,CAM,Ch,NVN,O), Bronchial asthma (Sh,K), Wheezing (Sh), Panting (Sh), Dyspnoea (NVN,FCA), Dyspnoea preventing eating (Ch), Short respiration (NVN), Wheezing, dyspnoea and shortness of breath (FCA) Chest pain Chest pain (J,Ess,CAM,Sh,K,NVN,Ch,FCA,O), Pleurisy (CYM,K) Cardiac pain Cardiac pain (K,NVN,Ch), Angina pectoris (O), Myocardial infarct (O), Blood stasis in chest (CYM) Dysphagia (ye ge) Dysphagia [ye ge] (J), Difficulty in swallowing (CAM), Oesophageal stenosis or cancer (Ch), Difficulty or inability to swallow food (due to constriction or dryness in the oesophagus) (Sh) Insufficient lactation Insufficient lactation (J,Ess,CAM,Sh,NVN,Ch,FCA,K) Mastitis Mastitis (Sh,CYM,K) Cough / haemoptysis Cough (NVN,O), Cough with lots of mucoid sputum (Ch), Coughing fits (Ch), Bronchitis (Sh,CYM), Purulent expectoration (Ch), Lung abscess (Sh,Ch), Spitting & coughing blood (Sh), Cough and blood ejection (FCA), Spitting of blood (FCA), Pleurisy (CYM), Pneumonia (Ch) Hiccough Hiccough (Ess,CAM,FCA,O) Intecostal neuralgia Intercostal neuralgia (Sh,K) Pleurisy Pleurisy (CYM,K) 186 CV 17 SHANZHONG or TANZHONG PENETRATING ODOUR or CENTRE OF CHEST INDICATIONS (Cont.) Vomiting / vomiting watery phlegm (yin) Vomiting mucoid sputum & saliva (Ch), Vomiting of foamy drool (FCA), Vomiting all that is eaten (Ch) Paediatric vomiting Baby's milk vomiting (Ch), Vomiting in infants (O) Cadaveric syncope Deathlike inversion [cadaveric syncope](FCA), Unconsciousness (CYM) Palpitations Palpitations (CAM,CYM), Heart palpitations with sorrow and fear (FCA) Sensation of fullness in the chest Fullness in the chest (CAM), Sensation of Qi rising & assailing the upper part of the body (NVN,Ch), Sensation of obstruction in chest (NVN,Ch) Other indications Depression (O), Tumours on the neck (Sh), Blood stasis in chest (CYM), Gastric cancer (CYM), Cramps in cholera (CYM), Qi Xu (Ch), Pains due to Wind (Ch), "Singing" in the throat (Ch), Sudden pain and vexation (FCA) 187 CV 22 TIANTU HEAVEN PROMINENCE LOCATION In the centre of the suprasternal fossa CHARACTERISTICS Major emergency point for acute asthmatic attack Stops coughing & soothes asthma Transforms Phlegm (in the throat/bronchi) Cools the throat & clears the voice Facilitates and regulates the movement of Lung Qi Research findings • • Causes bronchodilation Reduces effusion from the bronchial mucosa INDICATIONS Cough / bronchitis Cough (J,Ess,CAM,CYM,K,NVN,FCA,O), Bronchitis (Sh,O), Coughing fits (Ch), Whooping cough (sound of cackling in the throat)(Ch), Sound of cackling in the throat (NVN) Asthma Asthma (J,Ess,CAM,K,NVN,O), Asthma & dyspnoea preventing sleep (Ch), Bronchial asthma (Sh), Heavy wheezing (Sh), Dyspnoea (CYM,FCA), Fulminant dyspnoea and counterfolw cough (FCA), Sensation of fullness in chest (NVN,Ch) Sudden loss of voice Sudden loss of voice (J,FCA), Sudden hoarseness of voice (Ess,CAM), Aphonia (NVN,Ch), Hoarse voice ("like the sound of a duck") (Sh), Frog rattle in the throat (FCA), Diseases of the vocal cords (Sh), Swollen larynx (J), Laryngitis (K), Pharyngitis (Sh,K), Pharyngeal swelling (FCA), Spasms of larynx (NVN,O), Contractures/spasms of larynx (Ch), Spasms of muscles of voice box (CYM) Sore throat / tonsillitis Sore throat (Ess,CAM,O), Sore, swollen throat (FCA), Swollen larynx (J), Laryngitis (K), Pharyngitis (Sh,K), Pharyngeal swelling (FCA), Tonsillitis (CYM,K), Throat Bi (J), Dry throat (J,CAM), Abscess in throat with fever and swollen neck & inability to speak (Ch) Dysphagia (ye ge) Dysphagia [ye ge] (J), Spasms of the oesophagus (Sh), Oesophogeal constriction (FCA), Difficulty in swallowing (CAM) Neck swellings / goitre Goitre or tumour (J), Goitre (Sh,CAM), Early stages of goitre (FCA), Early stages of tumours or nodular growths on the neck (Sh), Thyroid hypertrophy (CYM), Mumps (Ch), Cervical adenitis (Ch) 188 CV 22 TIANTU HEAVEN PROMINENCE INDICATIONS (Cont.) Hiccough Hiccough (Ess,CAM,Sh,FCA), Spasms of diaphragm (CYM) Facial flushing Facial blood congestion (CYM), Heat in the face with sensation of energy which rises to the upper part of the body (Ch), Face ruddy. Face very hot (Ch) Vomiting Vomiting (FCA), Nervous vomiting (Sh), Vomiting & diarrhoea in cholera (CYM) Pulmonary abscess (fei yong) Pulmonary yong (FCA), Expectoration of pus & blood (Ch,FCA), Coughing blood & pus in the sputum (Sh) Other indications Pain in the face (Ch), Tendency to sleep (Ch), Cerebral tumour (Ch), Mumps (Ch), Jaundice (Ch), Engorgement of sublingual veins (Ch), Intestinal parasites (Ch), Sensation of “acidity" at the level of the heart (Ch) [“suan” may he translated as "acidity" or "soreness"], Pain from back to heart (Ch), Shanghan or Heat attack (Ch), Swelling at the back of the neck and shoulder pain (FCA), Dormant papules (FCA), General insensitivity of the flesh (FCA) 189 CV 23 LIANQUAN CORNER SPRING LOCATION In the depression between the pharyngeal prominence and the lower margin of the hyoid bone CHARACTERISTICS Benefits the throat and transforms Phlegm Clears Fire (from the throat) Counteracts upward contravecting Qi INDICATIONS Stiff tongue (post –CVA) with aphasia Tongue stiffness (J,K), Wind stroke tongue stiffness with aphasia (J), Aphasia with stiffness of tongue [caused] by apoplexy (CAM), Aphasia with stiffness of tongue (Ess), Stiffness of the tongue with inability to speak (FCA), Aphasia (K,O), Paralysis of hypoglossal muscle (Sh), Sublingual swelling and speech is difficult; sensation of contracture of tongue and cannot eat (Ch), Contraction of the root of the tongue (FCA) Sublingual swelling / pain Sublingual swelling (J,Ess,NVN,K), Subglossal swelling (FCA), Sublingual swelling and speech is difficult; sensation of contracture of tongue and cannot eat (Ch), Swelling of the subglossal region with difficulty in speech (FCA), Sublingual pain & swelling (J), Swelling and pain of the subglossal region (CAM) Flaccid tongue with salivation Flaccid tongue with salivation (J), Salivation with glossoplegia (Ess,CAM), Paralysis of hypoglossal muscle (Sh), Sluggish tongue and drooling (FCA), Sublingual swelling and speech is difficult; tongue relaxed with drooling; hypersalivation (Ch), Excessive salivation (K), Drooling (FCA) Dysphagia Difficulty in swallowing swallowing food (J) Sudden loss of voice Sudden loss of voice (J,FCA), Sudden hoarseness of voice (Ess,CAM), Aphonia (NVN,Ch), Loss of voice (Sh), Pharyngitis (Sh,K), Laryngitis (K,O), Spasm of the vocal cords (K) Sore throat Sore throat (K,Ch), Pharyngitis (Sh,K), Tonsillitis (Sh) Cough Cough (NVN), Bronchitis (Sh,Ch), Cough with sensation of Qi rising to upper part of the body (Sh), Cough and Qi ascent (FCA) Mouth ulcers Mouth ulcers (Ch), Mouth sores (FCA) Diabetic thirst (xiao ke) Wasting thirst [xiao ke] (FCA), Thirst (NVN) Other indications Hemiplegia (K), Asthma (K), Dyspnoea (Ch), Vomiting saliva (Ch), Dyspnoea and retching of foam (FCA), Clenched jaws (FCA) (Ess,CAM,FCA), Difficulty in 190 CV 24 CHENGJIANG HOLD SYRUP LOCATION In the depression in the centre of the mentolabial groove CHARACTERISTICS 8th of Sun Simiao’s 13 Ghost Points for the treatment of psychosis and epilepsy. Also known as Guishi (Ghost City) For emergency resuscitation from syncope or coma Dispels Wind and frees the Luo-mai Eliminates Wind and disperses swelling Relieves pain and alleviates tetany INDICATIONS Facial paralysis Facial paralysis (J,Ess,Sh,CYM,K,NVN), Facial nerve paralysis (K,O), Trigeminal nerve paralysis (K), Deviation of mouth & eye (J,CAM,Sh,NVN,Ch,K,FCA), Facial swelling Facial swelling (J,Ess,Sh,CYM,NVN,Ch,FCA), Facial puffiness (CAM) Gum swelling Gum swelling (J,Ess,CAM,FCA), Gingivitis (K), Alveodental pyorrhoea (Ch), Pyorrhoea (NVN) Toothache Toothache (J,Ess,CAM,Sh,K,NVN,O,FCA), Dental neuralgia (CYM,NVN), Dental caries (NVN,Ch) Excessive salivation Excessive salivation (J,Ess,CAM,Sh,K), Drooling (FCA) Sudden loss of voice Sudden loss of voice (J,Ch,FCA), Mutism & deafness (NVN) Psychosis (dian kuang) Psychosis [dian kuang] (J,Ch,K), Mania and withdrawal [dian kuang] (FCA), Mental disorders (Ess,CAM), Madness (K) Stiff neck Stiff neck (Ch,NVN), Torticollis (Ch,NVN), Contracture of nape of neck (CYM) Diabetic thirst (xiao ke) Diabetes (CYM), Wasting thirst [xiao ke] (FCA), Emaciation & thirst (Sh), The more he drinks the thirstier he gets (Ch) Hemiplegia Hemiplegia (Sh), Hemiplegia due to cerebral haemorrhage (CYM), Hemilateral Wind (FCA) Mouth ulcers Mouth ulcers (Sh,Ch) Trismus Trismus (Ch,NVN,K) Trigeminal neuralgia Trigeminal neuralgia (K,O) Other indications Hernia (CYM), Uterine spasms (CYM), Anuria (CYM), Colic (K), Coma (NVN), Epilepsy (K) 191 GOVERNING VESSEL DUMAI 192 GOVERNING VESSEL MAJOR POINTS SUMMARY GV 1 (CHANGQIANG) Luo-Connecting Point of Governing Vessel Opens the Conception Vessel and Governing Vessel Regulates the intestines and stops diarrhoea diarrhoea, constipation, haemorrhoids, haemafaecia Supports the rectal contraction action rectal prolapse GV 3 (YAOYUANGUAN) Regulates the Kidney Qi spermatorrhoea, impotence, low back pain Benefits the lower back & knees low back pain, knee pain Eliminates Cold Dampness in the Lower Jiao diarrhoea, dysentery, vaginal discharge, Lin syndrome [dysuria] Warms the blood chamber & the jing palace menstrual disorders, impotence GV 4 (MINGMEN) Nourishes Yuan Qi & strengthens the Kidneys impotence, spermatorrhoea, enuresis, tinnitus, low back pain & stiffness Benefits the lumbar vertebrae low back pain & stiffness Consolidates Jing (stops spermatorrhoea) spermatorrhoea Stops vaginal discharge vaginal discharge GV 6 (JIZHONG) Reinforces the Spleen and Dispels Damp loss of appetite, abdominal distension, diarrhoea, jaundice, infantile rectal prolapse 193 GOVERNING VESSEL MAJOR POINTS SUMMARY GV 9 (ZHIYANG) Specific point for jaundice Transforms Damp-Heat & Eases the Liver & Gall Bladder jaundice, hepatitis,cholecystitis Regulates the Qi functions Expands the chest & diaphragm asthma, cough, pain in chest & back, pleurisy GV 12 (SHENZHU) Clears Heat Specific point for carbuncles furuncles, clove sores, Ding boil GV 14 (DAZHUI) Relieves Exterior conditions & opens the Yang Qi common cold, Shang Han [cold injury], throat Bi [tonsillitis], cough, asthma, stiff neck Clears Heat & reduces fever [GV 14 with LI 11 (Quchi)] fever, febrile diseases, malaria Clears the Heart & calms the Shen hysteria, psychosis Regulates the Yang meridians Clears Heat from the Lungs cough, pulmonary tuberculosis, asthma GV 15 (YAMEN) One of the Nine Needles to Return Yang: from the Ming Dynasty Song of Nine Needles to Return Yang in Zhen Jiu Ju Ying by Gao Wu (1529) Clears the orifices (senses) and the consciousness aphasia, sudden loss of voice, wind-stroke, epilepsy, psychosis Point of intersection Governing Vessel Yangweimai of & NB: Needling this point at the incorrect angle or depth is extremely dangerous. 194 GOVERNING VESSEL MAJOR POINTS SUMMARY GV 16 (FENGFU) 6th of Sun Simiao’s 13 Ghost Points also known as Guizhen (Ghost Pillow) 6th of Sun Simiao’s 13 Ghost Points for the treatment of psychosis and epilepsy psychosis, epilepsy Eliminates Wind & Cold common cold, stiff neck, headache Clears the Shen wind-stroke, psychosis, epilepsy GV 20 (BAIHUI) Clears the orifices (senses) & Calms the Shen loss of consciousness, wind-stroke, psychosis, epilepsy, loss of memory Extinguishes Liver Wind wind-stroke, headache, visual dizziness Subdues Rising Liver Yang headache, visual dizziness, hypertension Raises Sinking (treats prolapses) Central Qi rectal prolapse, uterine prolapse, vaginal prolapse GV 23 (SHANGXING) 10th of Sun Simiao’s 13 Ghost Points also known as Guitang (Ghost Hall) 10th of Sun Simiao’s 13 Ghost Points for the treatment of psychosis and epilepsy psychosis, epilepsy Specific point for nose and eyes nasosinusitis, rhinitis, epistaxis, nasal polyps, anosmia; eye pain, eye inflammation, keratitis, myopia Dispels Wind and clears the vision eye pain, eye inflammation, keratitis Clears Heat and stops bleeding (nosebleed) epistaxis 195 GOVERNING VESSEL MAJOR POINTS SUMMARY GV 26 (RENZHONG) 1st of Sun Simiao’s 13 Ghost Points also known as Guigong (Ghost Palace) “For coma state Renzhong is great“ (Variant additional verse to Si Zong Xue Ge) 1st of Sun Simiao’s 13 Ghost Points for the treatment of psychosis and epilepsy psychosis, epilepsy Promotes resuscitation (Opens the orifices and Clears the Shen) coma, syncope, unconsciousness, shock, epilepsy Acupressure with thumb nail for coma was described in Zhou Hou Bei Ji Fang (Emergency Prescriptions to Keep Up Your Sleeeve) by Ge Hong (~341 AD) Benefits the lumbar spine (particularly for restricted flexion) low back pain & stiffness Eliminates Internal Wind epilepsy, infantile convulsions, wind-stroke, facial paralysis, trismus Clears Internal Heat diabetes, thirst 196 GOVERNING VESSEL POINT INDICATIONS SUMMARY INDICATIONS 1 3 4 6 9 12 HEAD, NECK & FACE Headache 4 Dizziness/vertigo Visual dizziness (mu xuan) Stiff neck Facial paralysis Trigeminal neuralgia Facial oedema Facial flushing Scrofula 3 EYE Eye pain Keratitis Myopia EAR Tinnitus 4 Deafness NOSE Nasal congestion Nasosinusitis Rhinitis Nasal polyps Epistaxis THROAT, MOUTH Sore throat Throat bi/tonsillitis Trismus Trismus with CVA Aphasia with stiff tongue Post-CVA aphasia 12 Aphasia 12 Sudden loss of voice Loss of taste Bad breath Lip tremor SHEN DISORDERS & NEUROLOGICAL DISORDERS Psychosis (dian kuang) 1 6 12 Mental disorders 12 Poor memory Irritability (xin fan) Wind-stroke (CVA) Loss of consciousness Epilepsy 1 6 12 Infantile convulsions 1 4 12 Aesthenia 9 Fear Myelitis 3 Meningitis 14 14 15 16 20 23 15 16 16 16 20 20 20 23 23 23 15 16 26 26 23 23 26 23 23 23 20 20 20 14 15 16 23 23 23 23 23 16 14 20 15 15 15 15 16 16 16 26 26 20 20 26 26 14 14 14 15 15 16 16 23 23 16 20 20 20 20 20 15 15 16 20 23 20 15 26 26 26 26 26 26 197 GOVERNING VESSEL POINT INDICATIONS SUMMARY INDICATIONS 1 3 4 6 9 12 CARDIOVASCULAR DISORDERS Pain in heart & abdomen Palpitations Hypertension RESPIRATORY DISORDERS Cough 9 12 Asthma 9 12 Pulmonary tuberculosis 12 Common cold Cold Injury (shang han) GASTROINTESTINAL DISORDERS Diarrhoea 1 3 4 6 Dysentery Chronic enteritis 3 Constipation 1 Intestinal pain 4 Intestinal haemorrhage 4 Haemafaecia 1 Haemorrhoids 1 4 6 Rectal prolapse 1 4 Infantile rectal prolapse 6 Loss of appetite 6 Abdominal distension 6 Borborygmus 9 Cold Stomach 9 Diabetes/thirst (xiao ke) Jaundice 6 9 Continuous vomiting 3 Emaciation 9 GENITOURINARY & SEXUAL DISORDERS Lin syndrome 1 4 Urinary incontinence 4 Spermatorrhoea 1 3 4 Impotence 1 3 4 Nocturnal emissions 3 4 Retraction of testicles 1 GYNAECOLOGICAL & OBSTETRIC DISORDERS Menstrual disorders 3 Irregular menstruation 3 4 Vaginal discharge 3 4 Uterine bleeding 4 Uterine prolapse Vaginal prolapse CHEST, RIBS & SIDES Pain in chest & back 9 Fullness in chest & ribs 9 Intercostal neuralgia 9 14 15 16 20 23 26 26 20 20 14 14 14 14 14 16 20 20 20 14 26 26 16 20 20 14 198 GOVERNING VESSEL POINT INDICATIONS SUMMARY INDICATIONS 1 3 4 6 9 12 14 15 16 20 23 26 BACK/LOW BACK Pain in back Stiffness in back Pain & stiffness in back 4 Pain in back & low back 1 6 Pain in low back 1 3 4 6 Pain & stiffness in low 1 6 back Pain in chest & back Pain in low back & 4 abdomen Sciatica 3 4 ABDOMEN Abdominal distension 6 Pain in heart & abdomen FOUR LIMBS Heaviness/ pain in four limbs Cold limbs 4 Wei & Bi of lower limbs 3 Sciatica 3 4 Hemiplegia Numbness of legs 3 Leg pain 3 Knee pain 3 SWELLING/OEDEMA Oedema Facial oedema Scrofula 3 SKIN Furuncles FEBRILE DISEASES & PERSPIRATION Febrile diseases 4 Malaria 4 MISCELLANEOUS Anaemia 9 14 12 12 26 9 26 9 16 16 20 23 12 12 9 14 14 23 23 20 26 26 199 GOVERNING VESSEL POINT ACTIONS SUMMARY ACTIONS ON SIX PERVERSE QI (LIU XIE) GV 14 common cold, Shang Han [cold injury], throat Bi [tonsillitis], cough, asthma, stiff neck Eliminates Internal Wind GV 26 epilepsy, infantile convulsions, windstroke, facial paralysis, trismus Dispels Wind and clears the vision GV 23 eye pain, eye inflammation, keratitis Eliminates Wind & Cold GV 16 common cold, stiff neck, headache Clears Heat GV 12 furuncles, clove sores, Ding boil Clears Heat & reduces fever GV 14 fever, febrile diseases, malaria the GV 14 cough, pulmonary tuberculosis, asthma Clears Heat and stops bleeding (nosebleed) GV 23 epistaxis Clears Internal Heat GV 26 diabetes, thirst GV 6 loss of appetite, abdominal distension, diarrhoea, jaundice, infantile rectal prolapse GV 3 diarrhoea, dysentery, vaginal discharge, Lin syndrome [dysuria] Relieves Exterior conditions & opens the Yang Qi WIND HEAT Clears Lungs Heat from DAMP Reinforces the Spleen and Dispels Damp COLD DAMP Eliminates Cold Dampness in the Lower Jiao 200 GOVERNING VESSEL POINT ACTIONS SUMMARY DAMP HEAT Transforms Damp-Heat & Eases the Liver & Gall Bladder GV 9 jaundice ACTIONS ON ZANG FU LUNGS GV 14 cough, pulmonary tuberculosis, asthma GV 14 hysteria, psychosis Regulates the Kidney Qi GV 3 spermatorrhoea, impotence, low back pain Nourishes Yuan Qi & strengthens the Kidneys GV 4 impotence, spermatorrhoea, enuresis, tinnitus, low back pain & stiffness GV 6 loss of appetite, abdominal distension, diarrhoea, jaundice, infantile rectal prolapse Transforms Damp-Heat & Eases the Liver & Gall Bladder GV 9 jaundice, hepatitis,cholecystitis Subdues Rising Liver Yang GV 20 headache, visual dizziness, hypertension Extinguishes Liver Wind GV 20 wind-stroke, headache, visual dizziness GV 1 diarrhoea, constipation, haemorrhoids, haemafaecia Clears Lungs Heat from the HEART Clears the Heart & calms the Shen KIDNEYS SPLEEN Reinforces the Spleen and Dispels Damp LIVER GALL BLADDER INTESTINES Regulates the intestines and stops diarrhoea 201 GOVERNING VESSEL POINT ACTIONS SUMMARY ACTIONS ON QI, BLOOD & JING QI Regulates the Kidney Qi GV 3 Regulates the Qi functions GV 9 Raises Sinking Central Qi (treats prolapses) GV 20 rectal prolapse, uterine prolapse, vaginal prolapse GV 4 spermatorrhoea spermatorrhoea, impotence, low back pain JING Consolidates Jing ACTIONS ON YIN & YANG Relieves Exterior conditions & opens the Yang Qi GV 14 ACTIONS ON JING-LUO GV 15 Point of intersection of Governing Vessel & Yangweimai CV & GV Opens the Conception Vessel and Governing Vessel GV 1 Regulates the Yang meridians GV 14 ACTIONS ON REGIONS Chest & diaphragm GV 9 asthma, cough, pain in chest & back, pleurisy Supports the rectal contraction action GV 1 rectal prolapse Raises Sinking Central Qi (treats prolapses) GV 20 rectal prolapse, uterine prolapse, vaginal prolapse Expands the diaphragm chest & Prolapses 202 GOVERNING VESSEL POINT ACTIONS SUMMARY Low back & knees Benefits the lower back & knees GV 3 low back pain, knee pain Benefits the lumbar vertebrae GV 4 low back pain & stiffness Benefits the lumbar spine (particularly for restricted flexion) GV 26 low back pain & stiffness Specific point for nose and eyes GV 23 nasosinusitis, rhinitis, epistaxis, nasal polyps, anosmia; eye pain, eye inflammation, keratitis, myopia Dispels Wind and clears the vision GV 23 eye pain, eye inflammation, keratitis Nose and eyes ACTIONS ON SHEN Calms the Shen GV 14 hysteria, psychosis & GV 20 loss of consciousness, wind-stroke, psychosis, epilepsy, loss of memory Promotes resuscitation (Opens the orifices and Clears the Shen) For coma state Renzhong is great GV 26 coma, syncope, unconsciousness, shock, epilepsy One of the Nine Needles to Return Yang: Clears the orifices (senses) and the consciousness GV 15 aphasia, sudden loss of voice, wind-stroke, epilepsy, psychosis Clears the Heart & calms the Shen Resuscitation Clears the orifices Calms the Shen 203 GOVERNING VESSEL POINT ACTIONS SUMMARY Ghost Points: Psychosis, epilepsy 1st of Sun Simiao’s 13 Ghost Points for the treatment of psychosis and epilepsy GV 26 psychosis, epilepsy 6th of Sun Simiao’s 13 Ghost Points: Clears the Shen GV 16 psychosis, epilepsy, wind-stroke 10th of Sun Simiao’s 13 Ghost Points GV 23 psychosis, epilepsy ACTIONS IN GYNAECOLOGY/OBSTETRICS Warms the blood chamber & the palace of essence (FCA) GV 3 menstrual disorders, impotence Stops vaginal discharge GV 4 vaginal discharge GENERAL ACTIONS Specific pont for carbuncles/boils GV 12 furuncles, clove sores, Ding boil 204 GV 1 CHANGQIANG LONG STRONG LOCATION Midway between the tip of the coccyx and the anus CHARACTERISTICS Luo-Connecting Point of Governing Vessel Opens the Conception Vessel and Governing Vessel Regulates the intestines and stops diarrhoea Supports the rectal contraction action INDICATIONS Haemafaecia (blood in stools) Haemafaecia (J,Ess,CAM,Sh,Ch,FCA), Intestinal haemorrhage (CYM,O,NVN,Ch), Chronic enteritis (K), Enteritis (CYM), Red & white dysentery (FCA), Vomiting & diarrhoea in cholera (CYM) Haemorrhoids Haemorrhoids (J,Ess,CAM,Sh,K,O,CYM,NVN,FCA), Five types of haemorrhoids (Ch,FCA), Chronic haemorrhoids (Ch) Low back pain/stiffness Pain in thoracolumbar back (J), Pain in lower back (Ess,CAM), Lumbago (K,CYM), Pain in lumbar spine (FCA), Low back pain and stiffness of the spine (FCA), Pain in vertebral column & renal region; inability to bend forwards or backwards (NVN,Ch), Muscle spasm or pain in lumbar sacral area (O) Diarrhoea Diarrhoea (J,Ess,CAM,Sh,NVN,Ch,FCA), Throughflux diarrhoea (FCA), Vomiting & diarrhoea in cholera (CYM), Chronic enteritis (K), Enteritis (CYM), Red & white dysentery (FCA) Rectal prolapse Rectal prolapse (J,Ess,CAM,Sh,K,CYM,NVN,Ch,FCA) Constipation Constipation (J,Ess,CAM,K,NVN,FCA), Difficult defaecation and urination (FCA) Lin syndrome Dysuria (Ch), Five types of urethritis (Lin zheng) (Ch), Urethritis (NVN), Cloudy & turbid urine (Sh), "Gonorrhoea" (Lin zheng) (CYM), Turbid strangury (FCA), Difficult defaecation and urination (FCA) Retracted testicles/penis Retraction of testicles (NVN,Ch), Retraction of penis (CYM) Impotence Impotence (Sh), Loss of virility (Ch) Spermatorrhoea Spermatorrhoea (NVN,CYM,Sh,FCA), Abundant spermatorrhoea (Ch) 205 GV 1 CHANGQIANG LONG STRONG INDICATIONS (Cont.) Psychosis (dian kuang) Epilepsy Psychosis (Diankuang) (Sh,NVN,Ch), Mania & withdrawal (dian kuang) (FCA), Madness (Kuangji) (Sh), Psychopathy (CYM) , Fright epilepsy (FCA), Clonic spasm (FCA) Infantile convulsions Infantile convulsions (Sh,CYM,Ch), Infantile convulsions with concave temples (Ch) Other indications Coccygeal pain (O), Eczema of scrotum (Sh), Inducing labour (Sh), Chronic enteritis (K), Enteritis (CYM), Red & white dysentery (FCA), Vomiting & diarrhoea in cholera (Ch), Feng (wind) in Large Intestine (NVN, Ch - from Bian Que), Heavy head (Ch), Brain disorder (O), Vomiting blood (Ch), Subsidence of anterior fontanelle (Ch), Children who squint or are afraid (Ch) 206 GV 3 YAOYANGGUAN WAIST YANG GATE LOCATION Below the spinous process of the 4th lumbar vertebra CHARACTERISTICS Regulates the Kidney Qi Benefits the lower back & knees Eliminates Cold Dampness in the Lower Jiao Warms the blood chamber & the palace of essence (FCA) INDICATIONS Menstrual disorders Menstrual disorders (J,K), Irregular menstruation (Ess,CAM,Sh,FCA), Metritis (CYM), Metrorrhagia (NVN) Spermatorrhoea Spermatorrhoea (J,Sh,NVN,K), Seminal emission (Ess,FCA), Nocturnal emission (CAM) Low back pain Pain in lumbosacral region (J,Ess,CAM,FCA), Lumbar pain (O), Low back pain (Sh), Pain in renal region and vertebral column (Ch), Neuralgia of the lumbar vertebrae (K), Pain in renal region (NVN), Sciatica (CYM) Wei syndrome (flaccid paralysis) Wei & Bi syndromes of lower limbs (J), Muscular atrophy, motor impairment and numbness & pain of lower extremities (Ess,CAM), Paralysis of lower limbs (Sh), Loss of locomotive ability of the lower limbs (FCA), Pain or paralysis of lower extremities (O), Lower limb aesthenia (CYM), Numbness of legs (NVN,Ch), Numb & stiff lower limbs (Sh), Numbness & insensitivity in the lower limbs (FCA) Bi syndrome Wei & Bi syndromes of lower limbs (J), Muscular atrophy, motor impairment and numbness & pain of lower extremities (Ess,CAM), Arthritis of knee (CYM,Ch), Pain in knees (Sh), Inability to flex leg (Ch), Contractures of lower limbs preventing walking (Ch), Cramps of lower limbs (NVN), Sciatica (CYM) Impotence Impotence (J,Ess,CAM,Sh,FCA) Numbness of legs Numbness of legs (NVN,Ch), Numb & stiff lower limbs (Sh), Numbness & insensitivity in the lower limbs (FCA) Leg pain Pain or paralysis of lower extremities (O), Muscular atrophy, motor impairment and numbness & pain of lower extremities (Ess,CAM), Pain in knees (Sh), Knee pain (FCA), Arthritis of knee (CYM,Ch), Sciatica (CYM) Diarrhoea Diarrhoea (Sh), Enteritis (K), Chronic enteritis (CYM,Sh), Dysentery (FCA) 207 GV 3 YAOYANGGUAN WAIST YANG GATE INDICATIONS (Cont.) Scrofula Scrofula (Sh,CYM) Vaginal discharge White vaginal discharge (NVN), Vaginal discharge with blood (Sh), Red & white vaginal discharge (FCA) Myelitis Myelitis (CYM,K) Continuous vomiting Continuous vomiting (Sh), Incessant vomiting (FCA) Other indications Lower abdominal distension (Sh), Intestinal shan pain (FCA), Hernia (CYM), Copious drool (FCA), Turbid strangury (FCA), Hypofunction of genitourinary systems (O), 208 GV 4 MINGMEN LIFE DOOR LOCATION Below the spinous process of the second lumbar vertebra CHARACTERISTICS Nourishes Yuan Qi & strengthens the Kidneys Benefits the lumbar vertebrae Consolidates Jing (stops spermatorrhoea) Stops vaginal discharge INDICATIONS Vaginal discharge Leukorrhoea (Ess,CAM,Sh,K,FCA), Red or white vaginal discharge (Ch,FCA), Vaginal discharge with blood (Sh), Endometritis (Sh,CYM,K), Uterine bleeding (Sh,Ch) Spermatorrhoea Spermatorrhoea (J,Sh,CYM,K), Seminal emission (Ess,FCA), Nocturnal emission (CAM,Ch), Ejaculation in coitus does not stop in elderly persons (CYM) Impotence Impotence (J,Ess,CAM,Sh,K,FCA) Stiff & painful back Stiffness of back & lumbago (J,Ess,CAM), Stiffness of the spinal column (FCA), Lumbago (J,Ess,CAM,CYM,K), Lumbar pain (FCA,O), Low back pain or sprain (Sh), Neuralgia of the lumbar vertebrae (K), Sciatica (Sh), Lumbar & abdominal pain (FCA) Diarrhoea Diarrhoea (J,Ess,CAM,FCA), Dysentery (Ch) Haemorrhoids Haemorrhoids (CYM,Ch), Bleeding haemorhoids & fistulae (FCA) Cold limbs Coldness of limbs (CYM), Four limbs icy (NVN), Four limbs icy or flaccid (Ch) Rectal prolapse Rectal prolapse (Sh,Ch,FCA) Uterine bleeding Uterine bleeding (Sh,Ch), Profuse uterine bleeding (FCA) Infantile convulsions Infantile convulsions (Sh,Ch), Epilepsy in children (FCA), Clonic spasm (FCA), Infantile epilepsy with mouth open & head moving incessantly and body arched (Ch) Low back pain radiating to abdomen Related pain in lower back & abdomen (Sh), Pain in renal region radiating to abdomen (Ch,NVN), Lumbar & abdominal pain (FCA) Intestinal pain Intestinal colic pain (Sh), Pain in intestines (Ch), Intestinal shan pain (FCA), Acute gastrointestinal pain (O), Peritonitis (Sh) Headache Headache (Sh,FCA), Headache like a hatchet blow (Ch), Headache & tinnitus (NVN) 209 GV 4 MINGMEN LIFE DOOR INDICATIONS (Cont.) Enuresis Enuresis (Sh,K), Incontinence of urine (CYM) Febrile diseases High fever (NVN), Aversion to cold & fever without sweating (FCA), Tidal fevers (Sh), Malarial disease (FCA), Yin or Yang malaria with cough; body burning like a fire with very high temperature but no sweating (Ch), Heat in the bones; osseous tuberculosis (Ch), Yang in the five Zang (Ch) Lin syndrome White turbid urethral discharge (FCA), Inhibited urination (FCA), "Gonorrhoea" (Lin syndrome) (CYM), Urethritis in women (Ch), Nephritis (Sh), Kidney diseases generally (CYM) Tinnitus Tinnitus (FCA,Ch), Headache & tinnitus (NVN) Intestinal haemorrhage Intestinal haemorrhage (CYM), Intestinal wind bleeding (FCA), Dysentery (Ch) Irregular menstruation Irregular menstruation (CAM,FCA) Other indications No food intake (FCA), Indigestion (CAM), Vomiting (O), Dysentery (Ch), Peritonitis (Sh), Spinal myelitis (Sh), Sequelae of infantile paralysis (Sh), Nephritis (Sh), Kidney diseases generally (CYM), Diseases of genital organ system (K), Diseases of adrenal gland (O), Haemorrhage (O), Cerebral congestion (CYM), Myelitis (K), Sciatica (Sh) 210 GV 6 JIZHONG SPINE MIDDLE LOCATION Below the spinous process of the eleventh thoracic vertebra CHARACTERISTICS Reinforces the Spleen and Dispels Damp INDICATIONS Jaundice Jaundice (J,Ess,CAM,Ch,K,FCA), Hepatitis (Sh) Diarrhoea Diarrhoea (J,Ess,CAM,NVN,Ch,FCA), Dysentery (Ch) Epilepsy Epilepsy (J,Ess,CAM,K,Ch,O,FCA), Seizures (Sh) Haemorrhoids Haemorrhoids (J,NVN,K), Five types of haemorrhoids (Ch,FCA), Blood in stools (Ch) Infantile rectal prolapse Infantile rectal prolapse (J,Ch,K,FCA) Low back pain/stiffness Low back pain (Sh), Lumbago (K), Pain in vertebral column (NVN), Stiffness & pain of the back (CAM), Pain & stiffness in loins & back (K), Back & lumbar pain (O) Loss of appetite Loss of appetite (NVN), Loss of appetite with abdominal fullness (Ch) Abdominal distension Drum distension (FCA), Meteorism (K), Loss of appetite with abdominal fullness (Ch) Psychosis (dian kuang) Psychosis (dian kuang) (K), Madness; Possessed by demon (Ch) Other indications Pain in the epigastric region (CAM), Paralysis of lower limbs (Sh), Dysentery (Ch), Blood in stools (Ch) 211 GV 9 ZHIYANG REACHING YANG LOCATION Below the spinous process of the seventh thoracic vertebra, approximately at the level of the inferior angle of the scapula CHARACTERISTICS Specific point to treat jaundice Transforms Damp-Heat & Eases the Liver & Gall Bladder Regulates the Qi functions Expands the chest & diaphragm INDICATIONS Cough, asthma Cough, asthma (J,Ess,CAM,NVN,O), Cough (Sh,J,Ess,CAM,K,O,FCA), Panting (Sh), Dyspnoea (FCA), Dyspnoea & fullness of chest (Ch), Bronchial asthma (Sh), Pleurisy (Sh) Jaundice Jaundice (J,Ess,CAM,Sh,Ch,NVN,K,O,FCA), Hepatitis (Sh,K), Cholecystitis (Sh,K), Round worm in the bile duct (Sh) Pain in chest & back Pain in chest & back (J,Ess,CAM,Sh,O,FCA), Pain & stiffness of vertebral column & sides (NVN), Intercostal neuralgia (Sh,K), Fullness in chest (Sh), Branching fullness in chest & lateral costal region (FCA), Pleurisy (Sh), Back pain (Sh), Lumbago (K), Violent pain in heart & chest (NVN), Violent pain in heart & chest as if "attacked by a demon" (Ch) Heaviness/pain in four limbs Heaviness & pain in four limbs (J), Four limbs painful & swollen (Ch), Aching in lower legs (FCA), Fatigued limbs (FCA) Back stiffness Stiffness of back (J,CAM), Stiffness of spinal column (Ess,FCA), Pain & stiffness of vertebral column & ribs (NVN), Pain in renal region & vertebral column (Ch), Back pain (Sh), Lumbago (K) Lack of energy/emaciation Lack of energy, aesthenia (NVN), Diminished Qi with difficulty in speaking (FCA), Marked emaciation (FCA), Lack of energy, does not want to speak; aesthenia, severe emaciation; Qi in the back feels like it is rising & descending (Ch), Body curled up & lethargic (Sh), Fatigued limbs (FCA) Borborygmus Borborygmus (Ch), Intestinal noises (Sh,FCA) Stomachache (due to Cold) Cold Stomach (Sh,FCA), Yin in the Stomach causing anorexia (Ch), Stomachache (Sh,O) Chills & fever/Malaria Fever & chills (FCA), Malaria (Sh) Other indications Impotence (K), Pleurisy (Sh), Yin or Yang rheumatism (Ch), Discomfort in ankle (Ch) 212 GV 12 SHENZHU BODY PILLAR LOCATION Below the spinous process of the 3rd thoracic vertebra CHARACTERISTICS Clears Heat Specific pont for carbuncles/boils INDICATIONS Cough/ asthma Cough, asthma (J,Ess,CAM,NVN,K,O), Cough (J,Ess,CAM,NVN,K,Ch,O,FCA), Dyspnoea (FCA), Wheezing cough associated with a consumptive condition (Sh), Bronchitis (Sh,CYM,K), Pneumonia (Sh), Asthma (J,Ess,Sh,NVN,K) Low back pain/ stiffness Pain & stiffness of lower back (J,Ess), Stiffness & pain in lumbar region (Sh), Pain & stiffness of the lumbar spinal column (FCA), Pain & stiffness in the back (K,CAM), Pain in renal region, spine & back (Ch), Back and lumbar pain (O), Stiffness in dorsal spine (NVN) Epilepsy Epilepsy (J,Ess,CAM,K,FCA), Seizures (Sh,NVN), Convulsions with fever, divagation & visions (Ch), Clonic spasm (FCA), Infantile epilepsy (Ch,NVN), Infantile convulsions (CYM,Sh) Furuncles Furuncles (Ess,CAM), Clove sores (FCA), Ding boil (CYM), Abscess (Ch), Cold abscess (Ch) Febrile diseases Fever (K,CYM), Body fever with raving (FCA), Fever with divagation; sees ghosts (Ch) Infantile convulsions Infantile convulsions (CYM,Sh), Convulsions after high fever in children (K), Infantile epilepsy (Ch,NVN) Pulmonary tuberculosis (xu lao) Pulmonary tuberculosis (Sh,Ch,NVN,CYM), Vacuity taxation (xu lao) cough (FCA), Wheezing cough associated with a consumptive condition (Sh) Mental disorders Mental diseases (Sh), Psychopathy (CYM), Hysteria (Sh), Madness (NVN), Neuraesthenia (Ch), Aesthenia (NVN), Madness; patient "short in every sense" (court en tous sens) (Ch), Homicidal tendencies (Ch) Post-apoplectic aphasia Aphasia due to apoplexy (Sh), Wind-strike with inability to speak (FCA) Other indications Night fright (CYM), Infantile malnutrition (CYM), Diarrhoea (K), Common cold (CYM), Gastric cancer (CYM), Chest & back pain (Sh) , Diseases of central nervous system (O), Heat in chest (FCA), Upper portal bleeding (FCA) 213 GV 14 DAZHUI GREAT VERTEBRA LOCATION Between the spinous process of the 7th cervical vertebra and the lst thoracic vertebra, approximately at the level of the shoulder CHARACTERISTICS Relieves Exterior conditions & opens the Yang Qi Clears Heat & reduces fever Clears the Heart & calms the Shen Regulates the Yang meridians Clears Heat from the Lungs INDICATIONS Cough Cough (J,Ess,CAM,Sh,K,FCA), Bronchitis (Sh,K), Whooping cough (NVN), Pulmonary emphysema (Sh,CYM) Stiff neck Neck stiffness (J,FCA), Nape of neck & head stiff & painful (J), Neck rigidity (Ess), Neck pain & rigidity (CAM), Torticollis (Ch), Spasm of neck muscles (K), Stiffness of cervical spine (NVN), Contracture of neck muscles (CYM) Epilepsy Epilepsy (J,Ess,CAM,CYM,K,O,FCA), Seizures (Sh) Infantile convulsions Infantile convulsions (CYM), Acute & chronic infantile fright wind (FCA) Malaria Malaria (J,Ess,CAM,Sh,NVN,Ch,O,FCA), Chills & (NVN,Sh,FCA), Tidal fevers (Sh), Intermittent fever (K) Febrile diseases Febrile diseases (J,Ess,CAM), Acute febrile diseases (K), Fever (Sh,O), Heat disease (re bing) (FCA) Pulmonary tuberculosis (xu lao) (bone steaming fever) Pulmonary tuberculosis (Sh,CYM,NVN), 5 types of tuberculosis (Ch), Five taxations & Seven forms of damage (FCA), Tuberculosis due to Wind (Ch), Wind taxation (FCA); Steaming bone tidal fever (FCA), Bone-steaming fever night sweats (J), Hot sensations in bones with recurrent fever (associated with Yin Deficiency conditions) (Sh), Afternoon fever (Ess,CAM) Asthma Asthma (J,Ess,CAM,Sh,O), Dyspnoea (FCA), Qi fullness & dyspnoea (FCA), Fullness in Lungs (Ch) Chest & rib fullness Fullness of chest & ribs (Ch), Fullness in Lungs (Ch), Qi fullness & dyspnoea (FCA), Constricted feeling in chest and soreness in ribs (Sh), Pulmonary distension & pain in lateral costal region (FCA) Stiff back Stiffness of back (Ess,CAM), Tension & stiffness of the spinal column (FCA), Pain & stiffness in loins and back (K), Spasm of back & arm (Ch) fever 214 GV 14 DAZHUI GREAT VERTEBRA INDICATIONS (Cont.) Common cold Common cold (Ess,CAM,CYM,FCA), Cold Injury (shang han) Cold-induced diseases (Sh), Vexation & retching in cold damage [shang han] with pronounced fever (FCA) Epistaxis Epistaxis (CYM,NVN) Tonsillitis (throat bi) Congested throat (Sh), Throat bi (FCA) Jaundice Jaundice (CYM), Hepatitis (Sh) Lack of energy/ aesthenia Lack of energy, aesthenia (NVN,Ch), Aesthenia with lack of energy; does not want to speak; sometimes vomiting & sensation of energy rising to the upper part of body (Ch) Other indications Depression (O), Heat stroke (Sh), Psychosis (Sh), Hysteria (Ch), Headache (NVN), Blood diseases (Sh), Eczema (Sh), Hemiplegia (Sh), Pain in back of shoulder (Sh), 7 types of contusion (Ch), Teeth of upper jaw especially the incisors are always very dry (Ch), Vacuity perspiration (FCA), Osseous tuberculosis with Yang symptoms & dryness of upper incisors (Ch), Diseases of head, neck and throat (O) 215 GV 15 YAMEN MUTE DOOR LOCATION Between the spinous processes of the lst & 2nd cervical vertebrae, in the depression 0.5 cun within the hairline at the midpont of the nape and 0.5 cun below Fengfu (GV 16) CHARACTERISTICS Clears the orifices (senses) and the consciousness One of the Nine Needles to Return Yang: from the Ming Dynasty Song of Nine Needles to Return Yang in Zhen Jiu Ju Ying by Gao Wu (1529) Point of intersection of Governing Vessel & Yangweimai NB: Needling this point at the incorrect angle or depth is extremely dangerous. INDICATIONS Aphasia Aphasia (K), Sudden loss of voice (J), Aphasia - Sudden loss of speech (mutism); stiffness & swelling of tongue; swelling of sublingual region (NVN), Speech disturbance (O), Stiffness of the tongue & aphasia (CAM), Stiffness of tongue preventing speech; tongue swollen; sublingual region swollen, giving the impression of a . second tongue" (Ch), Stiffness of tongue & post-apoplexy aphasia (Ess), Wind-strike with stiffness of tongue with loss of speech (FCA), Stiff tongue inhibiting speech (Sh), Sluggish tongue with loss of speech (FCA), Sudden mutism due to Wind (Ch), Deaf-mutism (Sh,CAM,CYM,K), Paralysis of lingual muscles (CYM), Paralysis of suprahyoid muscle (K), Flaccid tongue & inability to speak (Sh), Tongue paralysis (K) Sudden loss of voice Sudden loss of voice (J,FCA), Aphonia - Sudden hoarseness of voice (Ess,CAM), Pharyngitis (CYM) Epilepsy Epilepsy (J,Ess,CAM,Ch,K.FCA), Seizures (Sh), Convulsions (Sh), Convulsions, back arched (Ch,NVN), Clonic spasm (FCA) Psychosis (dian kuang) Psychosis (dian kuang) (J), Mania & withdrawal (dian kuang) (FCA), Mental disorders (Ess,CAM), Madness (Ch,K), Insanity (dian ji) (Sh), Hysteria (Sh) Windstroke (zhong feng) Windstroke (J), Wind-strike (FCA), Apoplexy (Sh,CAM,NVN), Unconsciousness due to cerebral haemorrhage (CYM), Windstrike with stiffness of tongue with loss of speech (FCA), Stiff neck Neck stiffness (Sh,Ch,FCA), Stiffness of cervical spine (NVN), Neck rigidity (CAM), Meningitis (CYM,K) Meningitis Meningitis (CYM,K) 216 GV 15 YAMEN MUTE DOOR INDICATIONS (Cont.) Headache Headache (Sh,CYM), Occipital headache (Sh,CAM,FCA), Heaviness of head (Ch,NVN), Headache due to Wind (NVN) , Meningitis (CYM,K) Epistaxis Epistaxis (Sh,CYM,NVN,FCA), Incessant epistaxis (Ch) Other indications Hemiplegia (K), Stiffness of vertebral column (NVN), Cerebral paralysis (Sh), Incomplete maturation of brain (Sh), Dizziness (FCA), Deathlike inversion (FCA), Large scrofulous lumps (FCA), Phlegm nodules (FCA), Hysteria (Sh), No sweating despite Yang symptoms (Ch), All fullnesses due to Yang (Ch,NVN) 217 GV 16 FENGFU WIND MANSION LOCATION Directly below the external occipital protruberance in the 1.0 cun depression between the bilateral origins of the trapezium muscle, within the hairline CHARACTERISTICS 6th of Sun Simiao’s 13 Ghost Points for the treatment of psychosis and epilepsy. Also known as Guizhen (Ghost Pillow) Eliminates Wind & Cold Clears the Shen INDICATIONS Wind-stroke (zhong feng) with aphasia Wind-stroke with aphasia (J,Ch), Wind-strike with loss of speech (FCA), Post-apoplexy aphasia (Ess,CAM), Cerebral haemorrhage (CYM), Apoplexy (NVN,Ch), Stroke (Sh,O), Stiffness of tongue preventing speech (NVN), Tongue relaxed, cannot speak (Ch), Suddenly mute (Ch) Headache Headache (J,Ess,CAM,Sh,CYM,Ch,O,FCA), Nervous headache (K), All disorders of the head (NVN,Ch), Headache with aversion to cold (FCA), Head wind and dizziness (FCA) Stiff neck Neck stiffness (J,Sh,NVN,FCA), Neck rigidity (Ess,CAM), Neuralgia of the neck (K), Paralysis of nape of neck (CYM), Rigor of entire body (CYM) Visual dizziness Visual dizziness (FCA), Eye-dizziness (J), Vertigo (CYM,K), Blurring of vision (Ess,CAM), Head wind and dizziness (FCA) Epistaxis Epistaxis (J,Ess,CAM,CYM,Ch,FCA) Sore throat Sore throat (CAM,Ch), Sore swollen throat (FCA), Pharynx & larynx swollen & painful (J), Throat swollen & painful (Ch), Laryngitis (CYM) Epilepsy Epilepsy (J,Ch), Rigor of entire body (CYM) Psychosis (dian kuang) Psychosis (dian kuang) (J), Mania & withdrawal [dian kuang] (FCA), Mental illness (Sh,O), Mental disorders (Ess,CAM), Schizophrenia (K), Madness due Shanghan (Cold Injury) (NVN), Patient "short in every sense" (court en tous sens) ie: short memory, poverty of thought: wants to suicide (Ch), Running amok (FCA), Fear (Ch) 218 GV 16 FENGFU WIND MANSION INDICATIONS (Cont.) Hemiplegia Hemiplegia (J,Ess,CAM,CYM,NVN,FCA) Common cold Common cold (Sh,CYM,O), Wind-Cold exterior patterns (FCA), Influenza (K), Fear of cold, chills with abundant sweating & sensation of heavy body (Ch) Numbness of limbs Numbness of limbs (Sh), Loss of sensation in the legs (FCA) Jaundice Jaundice (Ch,FCA) Other indications Hypertension (O), All disorders of head (NVN,Ch), Rigor of entire body (CYM), Beriberi (CYM), Fevers (CYM), Fear (Ch), Toothache (Ch) 219 GV 20 BAIHUI HUNDRED MEETINGS LOCATION At the vertex of the head in a depression in the midline of the the cranium on the line which joins the tip of one ear to the other. This point is 7 cun above the posterior hairline, and 5 cun above anterior hairline CHARACTERISTICS Clears the orifices (senses) & Calms the Shen Extinguishes Liver Wind Subdues Rising Liver Yang Raises Sinking Central Qi (treats prolapses) INDICATIONS Headache/ vertex headache Headache (J,Ess,CAM,Sh,CYM,K,O,FCA), Headaches with sensation of "heavy brain" (Ch), Headache due to Wind with sensation of very heavy head (NVN), Wind dizziness & heavyheadedness (FCA), Vertex headache (FCA), Pain at the vertex (Sh), Nervous headache (K) Visual dizziness Visual dizziness (FCA), Eye-dizziness (J,Ch), Vertigo (CAM,CYM), Dizziness (Ess,Sh,O), Blurring of vision (Ess), Wind dizziness & heavy-headedness (FCA) Nasal obstruction Nasal obstruction (J,Ess,CAM,CYM,Ch,NVN,O), congestion (Sh,FCA), Rhinitis (K) Tinnitus/ deafness Tinnitus (J,Ess,CAM,Sh,CYM,NVN,K,O,FCA), (CYM,Sh,FCA) Psychosis (dian kuang) Psychosis (dian kuang) (J), Mania & withdrawal (dian kuang) (FCA), Mental disorders (Ess,CAM), Madness (kuang ji) (Sh) Wind-stroke (zhong feng) Wind-stroke with aphasia (J,CAM,Ch), Wind-strike (FCA), Apoplexy (Ess,NVN), Stroke (Sh), Sudden apoplexy (Ch), Paralysis of lingual muscles due to cerebral haemorrhage (CYM), Brain haemorrhage (O), Cerebral hyperaemia (K) Rectal prolapse Rectal prolapse (J,Ess,CAM,Sh,Ch,NVN,O,FCA), Haemorrhoids with rectal prolapse (CYM), Rectal prolapse in children (Ch) Uterine prolapse/ vaginal prolapse Uterine prolapse (J,CAM,Sh), Uterus "augmented in volume" (Ch), Vaginal protrusion (FCA) Haemorrhoids Haemorrhoids (Sh,K,O,Ch,FCA), Haemorrhoids with rectal prolapse (CYM) Hemiplegia Hemiplegia (Sh,NVN,Ch,FCA) Loss of memory Loss of memory (Ch,NVN), Impaired memory (FCA) Nasal Deafness 220 GV 20 BAIHUI HUNDRED MEETINGS INDICATIONS (Cont.) Trismus Lockjaw (CYM,Sh), Clenched jaws (FCA), Epilepsy with trismus (Ch), Tetany (FCA) Epilepsy Epilepsy (CYM,K,O,FCA), Epilepsy with trismus; speech difficulty; body arched backwards; fear and groaning. "bleats like a sheep", speech raving and incoherent; hypersalivation, Seizures (Sh), Infantile epilepsy (CYM) Loss of consciousness Coma (CAM), Shock (Sh), Deathlike inversion (FCA) Anaemia Anaemia (Ch,K), Cerebral anaemia (Ch,K) Irritability/ vexation (xin fan) "Heart malaise" (xin fan) (Ch), Vexation & oppression in the heart (FCA) Fear Fear (Ch), Trembling with fear (NVN), Neurosis (O), Fright palpitations (FCA) Palpitations Palpitations (Ch), Fright palpitations (FCA) Hypertension Hypertension (Sh,O) Loss of taste Loss of sense of taste (Ch,FCA) Other indications Blindness (FCA), Constipation (K), Insomnia (Sh), Neurosis (O), Aesthenia (Ch), "One hundred diseases" (All sorts of diseases) (Ch), Scatterbrained (Ch), Distracted (Ch), Debility of the nervous system (Ch), Epistaxis (Ch), Sore throat (Ch), Vomiting glairy mucus (Ch), Vomiting with abundant sweating (Ch), Dysentery (Ch), Chronic diarrhoea (Ch), Four limbs icy (Ch), Wind symptoms in women before or after childbirth (Ch) 221 GV 23 SHANGXING UPPER STAR LOCATION On the midline of the cranium, 1.0 cun behind the anterior hairline CHARACTERISTICS 10th of Sun Simiao’s 13 Ghost Points for the treatment of psychosis and epilepsy. Also known as Guitang (Ghost Hall) Specific point for nose and eyes Dispels Wind and clears the vision Clears Heat and stops bleeding (nosebleed) INDICATIONS Headache Headache (J,Ess,CAM,Sh,K,O,FCA), Forehead neuralgia (CYM), Neuralgia of the frontal cranium (K), Supraorbital neuralgia (O), Severe headache (Sh), Headache due to Wind (NVN), Head Wind (FCA), Wind in the head (Ch), Wind & pain in the head which is swollen (Ch) Eye pain Eye pain (J,Ch,NVN,FCA), Ophthalmalgia (Ess,CAM), Sore eyes (Sh), Keratitis (Sh,CYM,K), Inflammation of eyeball (CYM) Nasosinusitis/ rhinitis Nasosinusitis (J), Blocked nose (CYM,NVN) Deep source nasal congestion (bi yuan) (FCA), Rhinitis (Sh,CYM,K,O), Rhinorrhoea (CAM), Nose blocked with inflammation of turbinate bones (Ch), Coryza (Ch) Epistaxis Epistaxis (J,Ess,CAM,Sh,CYM,NVN,FCA), bleeding incessantly (Ch) Febrile diseases/ malaria Febrile diseases (J), Febrile diseases in which there is no sweating (Sh,Ch), Absence of sweating in heat diseases (FCA), Fever (O), Coryza (Ch), Intermittent fever (CYM), Malaria (J), Malaria with chills during crisis (Ch) Psychosis (dian kuang) Psychosis (dian kuang) (J), Mania & withdrawal (dian kuang) (FCA), Mental disorders (Ess,CAM,O) Nasal polyps Nasal polyps (Sh,CYM,NVN,Ch,FCA), Extra tissue in nose (Sh) Swelling of face & head Vacuity swelling of head & face (FCA), Facial oedema (Sh), Wind & pain in head which is swollen (Ch), Swollen scalp (CYM) Myopia Myopia (Sh), Near-sightedness (FCA), Cannot see at a distance (Ch) Eye inflammation Keratitis (Sh,CYM,K), Veil before the eyes (Ch), Inflammation of eyeball (CYM) Red face Ruddy face (Ch), Facial blood congestion (CYM) Mouth & nose 222 GV 23 SHANGXING UPPER STAR INDICATIONS (Cont.) Epilepsy Epilepsy (K), Seizures (Sh) Other indications Visual dizziness (FCA), Loss of smell (FCA), Coryza (Ch) 223 GV 26 RENZHONG MAN CENTRE (PHILTRUM) or SHUIGOU WATER MERIDIAN LOCATION At the midpoint of the nasal philtrum midline CHARACTERISTICS 1st of Sun Simiao’s 13 Ghost Points for the treatment of psychosis and epilepsy. Also known as Guigong (Ghost Palace) Promotes resuscitation (Opens the orifices and Clears the Shen) For coma state Renzhong is great (Variant additional verse to Four Dominant Points Song) Acupressure with thumb nail for coma was described in Zhou Hou Bei Ji Fang (Emergency Prescriptions to Keep Up Your Sleeeve) by Ge Hong (~341 AD) Benefits the lumbar spine (particularly for restricted flexion) Eliminates Internal Wind Clears Internal Heat INDICATIONS Facial paralysis Facial paralysis (J,Ess,NVN,Ch), Facial nerve paralysis (K,O), Trigeminal nerve paralysis (K), Mouth & eyes awry (CAM,Sh,K), Spasms & paralysis of buccal and extraoccular muscles (CYM), Spasms of muscles of region of the mouth & eyes (Sh), Trismus with apoplexy, deviation of mouth (Ch), Hemiplegia (K) Facial oedema Facial swelling (J,Ess,Sh,NVN,FCA), Puffiness of the face (CAM), Facial swelling without oedema with lip tremor (Ch) Psychosis (dian kuang) Psychosis [dian kuang] (J,Sh), Mania & withdrawal [dian kuang] (FCA), Mental disorders (Ess,CAM), Madness (NVN), Schizophrenia (K), Seizures & insanity [dian ji](Sh), Epilepsy with madness during crisis, patient laughs or cries (Ch), Patient believes himself to be hit by blows from ghosts (Ch) Epilepsy Epilepsy (J,Ess,CAM,NVN,K,O,FCA), Seizures (Sh), Convulsions (Sh), Seizures & insanity (Dianji) (Sh), Epilepsy with madness during crisis. patient laughs or cries (Ch) 224 GV 26 RENZHONG MAN CENTRE INDICATIONS (Cont.) Coma/ syncope Coma (J,CAM,Sh,K), Wind-stroke coma (J), Syncope (K), Fainting (O), Stupor (FCA), Apoplexy-faint (CAM), Unconsciousness (Sh,FCA), Shock (Sh,CYM,K), Inversion counterflow [jue ni] (FCA), Apoplexy (NVN), Cerebral haemorrhage (CYM), Cerebral hyperaemia (K), Heat exhaustion (Sh) Infantile convulsions Infantile convulsions (J,Ess,CAM,CYM,K), Infantile fright wind (FCA) Low back pain/ stiffness Lumbar pain (O), Stiffness & pain of lower back (J,Ess,CAM), Pain & stiffnes of lumbar spinal column (FCA), Stiffness & pain of vertebral column after exercise (Ch), Acute lower back sprain (Sh), Spasms of lumbar muscles (CYM), Rigor of back muscles (CYM), Deviations of vertebral column (Ch), Inability to stand erect (FCA) Trismus/ Apoplectic trismus Trismus (J,Ess,CAM,K,NVN), Clenched jaws (FCA), Spasms of muscles in region of mouth & eyes (Sh), Wind-strike with clenched jaws (FCA), Apoplectic lockjaw (Sh), Trismus with apoplexy, deviation of mouth (Ch), Spasms & paralysis of buccal and extraoccular muscles (CYM) Diabetes (xiao ke)/ Thirst Diabetes (CYM), Thirst (Diabetes) (NVN), Abundant thirst, the more the patient drinks the more thirsty he becomes (diabetes) (Ch), Emaciation & thirst, even after drinking (Sh), Wasting thirst [xiao ke](FCA), Thirst with dyspnoea (Ch) Jaundice Jaundice (Sh,CYM,Ch) Oedema Oedema (Sh,CYM) Bad breath Bad breath (CYM), Halitosis (Sh) Lip tremor Lip tremor (Sh), Trembling lips (FCA) Pain in heart & abdomen Twisting pain in the vicinity of the heart & abdomen (Sh), Gripping pain in the heart & abdomen (FCA) Other indications Torpor due to fright (CYM), Hysteria (Sh), Aphasia (NVN), Plague (Ch), Motion sickness (Sh), Nose diseases (Sh), Trigeminal neuralgia (K), Hemiplegia (K), Red, itchy, painful eye wind (FCA), Clear, runny snivel (FCA), Loss of smell (FCA), Water swelling [shui zhong - ascites](FCA), Headache (FCA), Qi surging into the heart & chest (FCA) Acupuncture Point Dynamics Vol. II “A compendium for acupuncture point specificity, and clinical excellence rather than a manual for learning point location and function. The summaries represent a lifetime of analytics, and critical appraisal. This book is a must have for all acupuncturists keen to develop and implement high-quality acupuncture services for their patients.” —Lianne Aquilina MSc, BSc Hons, MBAcC, DipAyt, Acupuncturist, Researcher for British Acupuncture Council, Trustee for Research Council for Complementary Medicine, Guest Lecturer at City College of Acupuncture, London, Supervisor for MSc Research at Northern College of Acupuncture, York “A pitfall of learning acupuncture is an unspoken fallacy in which we often regard points as kinds of “buttons” that perform reliable functions when needled. Combining his twin passions for history and research, Dr. McDonald clarifies the relationship between traditional point indications and functions, and identifies the danger of taking point functions out of context (i.e. without reference to the traditional indications). By meticulously analyzing how many texts agree on specific indications, he provides a “weighting” to indicate the strength of evidence for each indication for each point. Ultimately, this approach indicates how confident we can be that a point will treat a specific indication, and provides valuable clinical context to help acupuncturists achieve better and more reliable results.” —Phil Settels L.Ac. Dean of Academics, Academy of Chinese Culture and Health Sciences “First of all, I need to mention that Dr John McDonald is a great professional and an important representative of the best we have in promoting high-level information for practitioners of Chinese Medicine. His book on acupoints is a great contribution for our whole profession, including precious traditional information in the description of the acupoints, highlighting their characteristics and functions, in addition to a broad and in-depth analysis of the indications described in the main contemporary reference texts in our field. In short, I highly recommend this book to all students and professionals on acupuncture. You will all love it!” —Dr Reginaldo Filho PhD, President of Brazilian College of Chinese Medicine (EBRAMEC) Author of ‘Método de Três Agulhas’ and ‘Acupunctura Abdominal’