study notes - exam 1

Course: Point Location 2 Date: Jan 17, 2008Study Notes – Exam 1

Heart Channel

What is Mu Xi and how does it relate to the Heart Channel?

Mu Xi is translated as 1) the eye system or 2) the tissues connecting the eyes to the brain. Heart Channel ascends to the face and connects to Mu Xi. (Condition of Heart is expressed in the inner and outer canthus of the eyes.)

What other channel is related to eyes?

Liver. Liver and Heart have yang aspects and are the only two yin channels traveling to the face.

What are the yang-like aspects of the Heart Channel?

1) Heart has fire2) Goes to the face – eyes and tongue.

Where does the Heart channel begin?

Heart organ.

What are the branches of the primary channel? Branches:

1) Descends from Heart through diaphragm to Small Intestine organ2) From Heart, ascends next to esophagus, to face/cheek/eye.3) Heart to Lung to axilla…

Some books say heart to lung, descends, then goes to axilla...down medial aspect of arm to terminate at the radial corner of the nail on the pinkie.

Where on the tongue can you find Heart expressed?

Heart travels to root of tongue, upper surface of tongue (not lower surface! That’s spleen.)

of 8

Point Categories Location Needling Caution/ContraHT 1 Depression at center of axilla.

To locate: Method 1

Find deepest point of armpit (hollow of axilla)

Method 2 (more accurate) Find anterior and posterior ends of

the axillary fold. Use a measure to get the distance

between the 2 and divide it in half.

Perpendicular 0.5 – 1 cun

Avoid the axillary artery.

Medial insertion towards chest may = pneumothorax.

Beware the axillary artery!

HT 2 3 cun proximal to the medial end of the transverse cubital crease, in the groove between the medial side of the biceps brachii and the humeral shaft.

To locate: Locate with elbow flexed Find the medial end of the transverse

cubital crease. Measure proximally 3 cun using hand

measure (or measuring tool, dividing axillary crease end to med cub crease end into 3rds).

Locate the point at this line in the groove between the humeral shaft and the medial border of the biceps brachii.

Note: LU 3-4 and LI 13 are on the lateral border of the biceps brachii. Also, this is generally in line between HT 3 and HT 1, but more important to locate the point in the


Great point for blurry vision due to the cnx between heart and eyes.

of 8

Point Categories Location Needling Caution/Contragroove between humerus and biceps.

HT 3 He Sea point Medial end of the transverse cubital crease when the elbow is fully flexed.

To locate: Elbow slightly flexed:

Midway between end of cubital crease and the bump of the humeral epicondyle.

Elbow fully flexed: Medial edge of the transverse cubital

crease.


HT 4 Jing River point Radial side of the flexor carpi ulnaris, 1.5 cun proximal to HT 7.

To locate, first find HT 7, measure proximally 1.5 cun.

Note: Ht 4-7 are all located inline. 1.5 cun total between Ht 4 and Ht 7.

Perpendicular 0.3 – 0.5 cun

HT 5 Luo Connecting point Radial side of the flexor carpi ulnaris, 1 cun proximal to HT 7.

To locate, find HT 7 first, measure proximally by 1 cun.



HT 6 Xi Cleft point Radial side of the flexor carpi ulnaris, 0.5 Perpendicular 0.3 – 0.5 cun

of 8

Point Categories Location Needling Caution/Contracun proximal to HT 7.

To locate, find HT 7 first, measure proximally by 0.5 cun.


HT 7 Shu-Stream and Yuan-Source point

At the wrist joint on the transverse crease that runs through the pisiform bone. On the radial side of the flexor carpi ulnaris in the depression at the proximal border of the pisiform bone.

Perpendicular 0.3 – 0.5 cun Caution: ulnar nerve and artery lie adjacent to this point.

HT 8 Ying Spring point Between the 4th and 5th metacarpal bones where the tip of the pinkie rests when you make a fist.

Usually located between the two transverse palmar creases.


HT 9 Jing-Well point Dorsal aspect of pinkie on the radial corner of the fingernail.


Small Intestine

Where does the Small Intestine channel begin?

Ulnar side of little finger on corner of fingernail.

What is the path of the SI primary channel?

of 8

Ascends along the ulnar (yang) side of the arm, to medial side of elbow (but still on the yang aspect), to shoulder then to Du 14. Goes over shoulder to anterior side of body, up neck to cheek below eye, around and into ear.

One branch descends to the lower he-sea point at ST 39.

To what organs does the SI channel connect?

Heart, Stomach, Small intestine.

Point Categories Location Needling Caution/ContraSI 1 Jing-Well point Ulnar corner of pinkie fingernail, opposite

side from HT 9. Perpendicular 0.1 – 0.2 cun

SI 2 Ying-Spring point Ulnar border (where skin changes color/txture) of little finger in a depression just distal to the metacarpo-phalangeal joint.

Make a loose fist and palpate for the depression – it’s usually right at the end of the crease.

(You locate LI 2 this same basic way.)


SI 3 Shu-Stream pointConfluent pt of Du vessel

Du = Governing

Ulnar border of hand where skin changes color in a big depression proximal to the head of the 5th metacarpal bone.

Make a loose fist and it’s easier to find.


Needle it with hand in a loose fist also.

SI 4 Yuan-Source point Ulnar border of the hand where the skin changes colors in a depression between the base of the 5th metacarpal bone and the triquetral bone.

Just distal to triquetral bone.

Perpendicular 0.3 – 0.5 cun.

of 8

Point Categories Location Needling Caution/ContraSI 5 Jing-River point On the transverse crease of the wrist in the

depression between the head of the ulna and the triquetral bone.


SI 6 Xi Cleft point

KNOW: Indicated for—

1) eye degeneration due to aging.

2) Headaches3) Acute lower back

pain4) Shoulder joint

pain such as bursitis or tendonitis.

Dorsal aspect of the head of the ulna in a cleft level with and to the radial side of the high point of the styloid process of the ulna.

To locate: 1) lie hand flat on table. 2) Place point of finger on the styloid

high point of the ulna. 3) Have patient rotate the wrist toward

their own body and the finger will fall into a depression.

4) Be sure to locate the point on the distal side of this depression, not the proximal side.


SI 7 Luo-connecting point Inline with SI-5 and SI-8, 5 cun proximal to SI-5.

(5 to 5…just like LI 7 is 5 to 7. Both are 5 cun proximal to transverse crease of wrist.)


SI 8 He-Sea point Funny bone point…In depression between the tip of the olecranon process of the ulna and the tip of the medial epicondyle of the humerus.

Perpendicular 0.3 – 0.5 cun Ulnar nerve lies deep to the point.

“Zap” isn’t Qi here! It’s the ulnar nerve! Pull out a bit, change direction and no damage if you do it quick.

of 8

Point Categories Location Needling Caution/ContraSI 9 1 cun superior to the posterior tip of the

axillary crease when the shoulders are dropped and the arms are at the sides normally.

Perpendicular 1-1.5cun

SI 10 Meeting of SI and BL with Yin Linking and Yang Motility

Depression directly below the acromion on the lateral side of the scapular spine. This point should be directly above the posterior tip of the axillary crease.

Perpendicular 1-1.5cun

SI 11 In a depression on the infrascapular angle line. To find this point:

1. Locate the mid point of the lower border of the scapular spine

2. Locate the posterior border of the scapula.

3. Draw a line between these two points and divide into thirds. SI 11 is located at the meeting point of the upper 1/3 and the lower 1/3.

Perpendicular or oblique toward manifestation .5-1.5 cun

SI 12 Meeting of SI, LI, SJ, GB In the suprascapular fossa at the mid point of the upper border of the scapular spine. Locate the point just above the bone.

Perpendicular 0.5-1cun Risk of pneumothorax with deep puncture!

SI 13 Depression at the medial end of and superior to the scapular spine. To locate, find the medial border of the scapula. Should be about midway between SI 10 and the spinous process of T2.

Perpendicular or oblique toward the scapula 0.5-0.8 cun

Risk of pneumothorax if point is angled to medially.

SI 14 3 cun lateral to the lower border of the spinous process of T1 (Du 13) on or near the medial border of the scapula.

Oblique scapula 0.5-1 cun

Risk of pneumothorax

of 8

Point Categories Location Needling Caution/ContraSI 15 2 cun lateral to Du 14 (lower border of C7

spin processOblique scapula 0.5-1 cun

Risk of pneumothorax

SI 16 Window of Sky On lateral aspect of neck level with laryngeal prominence. Locate the point on this level on posterior border of SCM. (in horizontal line with ST 9 on anterior border and LI 18 between the two heads of the SCM)

Perp 0.3-0.8 cun

SI 17 Window of Sky In a depression between the angle of the jaw and the anterior border of the SCM. Point is level with the angle of the jaw/mandible

Perp 0.3-0.8

SI 18 Meeting of SI and SJ Directly below the outer canthus of the eye and on the inferior border of the zygomatic bone.

Perp 0.3-0.5 cun Contra: moxa

SI 19 Meeting of SI, SJ, GB Just anterior to the tragus of the ear (or the lower tragus if the pt has 2 of them) and posterior to the condyloid process of the mandible/jaw.

Note: with the mouth open there’s a depression. Locate and needle with the mouth open, then pt can close jaw.

Perp 0.5-1cun

of 8

study notes - exam 1

Documents