Transcript ACR-517-Handout

Channel Pathways
ACR class 9
Hand Taiyin Lung
Channel
The Lung primary
channel connects
with the Stomach,
Large Intestine,
and Lung.
ascends to the throat
a branch separates
from LU-7 and
travels to the tip of
the index finger at
L.I.-1
originates in the middle
jiao and descends to the
Large Intestine
Lung: from LU-7 the
luo-connectingchannel
travels to the palm
and thenar eminence.
The Lung divergent channel
ascends across the throat
connects with the Lung
and dispersesin the
Large Intestine
THE LUNG SINEW CHANNEL
emerges in the region of ST-12 and travels
laterally to the shoulder, anterior to L.I.-15,
originates on the thumb at LU-11
returns to the ST-12 region
and descends into the
chest,spreads over the
diaphragm and converges in
the region of the floating ribs.
Hand Yangming Large
Intestine Channel
passes through SI-12 to DU-14
The Large
Intestine
primary
channel
connects with
the Large
Intestine &
Lung.
connects withthe Lung anddescends to
theLarge Intestine
descends to the lower he-seapoint of the Large Intestine at ST-37
Large Intestine:
from L.I.-6 the
luo-connecting
channel travels to
the jaw, teeth and
ear.
The Large Intestine Divergent channel
travels medially to the
spinal column,descends
to the thorax, breast,
Lung and Large
Intestine and ascends
along the throat
The Large Intestine sinew channel
crosses over the top of the head
toconnect with the opposite
mandiblebinds at the side of the nose
attaches to theupper
thoracic spine
begins at the tip of the
index finger at L.I.-1
Foot Yangming
Stomach Channel
The Stomach
primary channel
connects with
the following
zangfu: Stomach
and Spleen.
meets with BL-1, L.I.-20,
DU-26, DU-28, REN-24,
GB-3, GB-6, GB-5, GB-4,
DU-24 and DU-14
meets with the
Conception vessel at
REN-13 and REN-12
a branch connectswith the middle toe
a branch connects
withthe big toe at SP-1
THE STOMACH LUO-CONNECTING
CHANNEL
• originates on the lateral side of the
lower leg at ST-40,
• travels to the medial aspect of the
lower leg to join with the Spleen
channel,
• ascends to the nape of the neck
where it converges with the other
yang channels,
• then travels internally to terminate at
the throat.
THE STOMACH DIVERGENT
CHANNEL
• branches from the primary
channel in the thigh,
• ascends and enters the
abdomen,
• travels to the Stomach and
disperses in the Spleen,
• ascends to penetrate the Heart,
• ascends along the esophagus
and emerges at the mouth,
• continues along the nose to
connect with the eye and then
unites with the primary Stomach
channel.
The Stomach sinew channel
joins with the
Bladder sinew
channel to form a
muscular net
around the eye
binds in front of the ear
binds at the hip and connects with the spine
binds above the genitals
begins on the middle three toes
Foot Taiyin Spleen
Channel
The Spleen primary channel
connects with the following
zangfu: Spleen, Stomach,
Heart.
spreads over the lower
surface of the tongue
passes through GB-24, LIV-14 and LU-1
links with the Heart
intersects the Conception
vessel at REN-3, REN-4and
REN-10
at 8 cun superior to the
medialmalleolus, crosses and then
runsanterior to the Liver channel
enters the Spleen andconnects
with the Stomach
THE SPLEEN LUO-CONNECTING
CHANNEL
• originates at Gongsun SP-4,
• connects with Stomach channel,
• enters the abdomen and connects with the
intestines and Stomach.
THE SPLEEN
DIVERGENT CHANNEL
• branches from the
primary channel in the
middle of the anterior thigh,
• follows the Stomach
divergent channel to the
throat where it penetrates
the tongue.
The Spleen sinew channel
binds at the ribs and
spreads inthe chest
adheres to the spine
converges at the genitalsand
binds at the umbilicus
begins at SP-1
Hand Shaoyin Heart
Channel
The Heart primary
channel connects with the
following zangfu: Heart,
Lung and Small Intestine.
ascends alongside the
esophagus, crosses the face and
cheek and connects with the
tissues surrounding the eye
originates in the Heart, emerges from the
blood vessels surrounding the Heart,
enters the Lung and emerges from the
axilla
descends to connect with the Small Intestine
THE HEART LUOCONNECTING CHANNEL
separates from the Heart
channel at HE-5 and
connects with the Small
Intestine channel, follows the
Heart channel to the Heart
zang then continues to the
root of the tongue and the
eye.
The Heart divergent
channelseparates from the
primary channel at the axilla,
connects with the Heart,connects
with the Small Intestine channel at
the inner canthus
The Heart sinew channel
enters the axilla, intersects the Lung
sinew channel and travels medially
across the breast region to the center
of the chest,
terminates atthe umbilicus
originates at the radial
aspect of the little finger
Hand Taiyang Small
Intestine Channel
The Small
Intestine primary
channel connects
with the following
zangfu: Heart,
Stomach and
Small Intestine.
meets the
LargeIntestine
channelat L.I.-14
meets withGB-1, SJ20,SJ-22, GB-11and BL-1
descendsthrough
ST-12, then
throughthe Heart,
Stomach and
Small Intestine
begins on the ulnarside of the little fingerand
ascends along theulnar side of the arm
descends to thelower he-seapoint of theSmall
Intestine atST-39
The Small Intestine luoconnecting channel
separates from the Small
Intestine channel at SI-7 and
connects with the Heart channel,
connects with the shoulder at L.I.15
The Small Intestine divergent
channel
separates from the primary
channel at the shoulder, enters
the axilla, crosses the Heart and
descends to the abdomen where
it connects with the Small
Intestine
The Small Intestine sinew channel
binds at the mastoid process, the mandible,the
outer canthus and corner of the heada sub-branch
enters the ear
surrounds the scapula
originates on the dorsum of the little finger
Foot Taiyang Urinary
Bladder Channel
The Bladder primary channel
connects with the following
zangfu: Kidneys, Bladder.
enters the brain and
then meets with DU-17,
DU-14 and DU-13
meets with GB-30
connects with the Kidneysand links with the Bladder
meets with DU20, DU-24 and
GB-15
meets with GB-7, GB8, GB-9, GB-10, GB11 and GB-12
THE BLADDER LUO-CONNECTING
CHANNEL
separates from the primary channel at BL58 and connects with the Kidney channel.
THE BLADDER DIVERGENT
CHANNEL
diverges from the primary channel in
the popliteal fossa and ascends to a
point five cun inferior to the sacrum,
then winds round the anus,
connecting with the Bladder and
dispersing in the Kidneys,
ascends alongside the spine and
disperses in the cardiac region, then
emerges at the neck to rejoin the
Bladder primary channel.
The Bladder sinew channel
penetrates to bind at the root of the tonguebinds at
the cheekbone and the bridge of the nose
binds at the lateral and medial aspect of the popliteal fossa
begins at BL-67
Foot Shaoyin Kidney
Channel
The Kidney
primary
channel
connects with
the following
zangfu: Kidney,
Bladder, Liver,
Lung, Heart.
meets with
REN-3,
REN-4 and
REN-7
ascends through the
Liver and diaphragm,
enters the Lung, joins
with the Heart and
links with the
Pericardium channel
and REN-17
threads through the spine,
enters the Kidney and
connects with the Bladder
meets with DU-1
intersects the
Spleen
channel at
SP-6
begins
beneath the
little toe
THE KIDNEY LUO-CONNECTING
CHANNEL
• begins at KID-4 on the posterior
aspect of the medial malleolus,
• encircles the heel and enters
internally to connect with the
Bladder channel,
• ascends along with the Kidney
primary channel from KID-4 to a
point below the Pericardium where
it travels posteriorly to and spreads
into the lumbar vertebrae.
THE KIDNEY DIVERGENT
CHANNEL
• separates from the Kidney primary
channel in the popliteal fossa,
• intersects the Bladder divergent
channel on the thigh,
• ascends to connect with the
Kidneys,
• crosses the Girdling vessel in the
region of the second lumbar
vertebra,
• ascends to the root of the tongue,
• continues upwards to emerge at
the nape of the neck and converge
with the Bladder primary channel.
The Kidney sinew channel
binds at the occipital bone
ascends the inner
aspect of the spine
binds at the genitals
begins beneath the little toe
Hand Jueyin
Pericardium Channel
The Pericardium
primary channel
connects with the
following zangfu:
Sanjiao.
originates in thecenter of the chest andconnects with the Pericardium
descends through thediaphragm
passing throughthe upper, middle and
lower jiao
a branch followsthe radial side
ofthe ring finger to its tip
THE PERICARDIUM LUOCONNECTING CHANNEL• begins
at P-6,• ascends along with the
Pericardium primary channel to the
Pericardium and then connects
with the Heart.
THE PERICARDIUM DIVERGENT
CHANNEL• separates from the
primary channel on the arm, at the
level of a point below the axilla and
3 cun inferior to GB-22,• enters the
chest and communicates with the
three jiao,• a branch ascends
across the throat and emerges
behind the ear to converge with the
Sanjiao channel.
The Pericardium sinew channel
disperses in thechest and
bindsat the diaphragm
disperses over the anterior and
posterior aspects of the ribs
originates at the tip of the middle finger
Hand Shaoyang
Sanjiao Channel
connects with SI12, BL-11, DU-14
and GB-21
connects with GB11, GB-6, GB-5,
GB-4, GB-14, SI18, SI-19, GB-3
and GB-1
descends to
connect with
the lower hesea point of the
Sanjiao at BL39
disperses at
REN-17,
connects with
the Pericardium
and descends
viaREN-12
through the
upper, middle
and lower jiao
The Sanjiao primary
channel connects with
the following zangfu:
Sanjiao (upper, middle
& lower), Pericardium.
THE SANJIAO LUO-CONNECTING
CHANNEL
• separates from the Sanjiao
primary channel at SJ-5,
• proceeds up the posterior aspect
of the arm and over the shoulder,
converging with the Pericardium
channel in the chest.
THE SANJIAO DIVERGENT
CHANNEL
• separates from the primary channel
on the head and branches to the
vertex,
• descends into the supraclavicular
fossa and across the three jiao,
dispersing in the chest.
The Sanjiao sinew channel
branches to the outer
canthus and binds at the
corner of the forehead
begins at the ulnar side of the ring finger
links with the root of the tongue
Foot Shaoyang Gall
Bladder Channel
meets with SJ-17,
SI-19, ST-7, BL-1
and ST-9, and
passes close to ST-5
and ST-6
begins near the outer
canthus at GB-1meets
with SJ-22, SJ-20 and
ST-8
meets with SJ15, DU-14, BL11, SI-12 and ST12
encircles the
genitals, enters
deeply and
emerges on the
sacrum
The Gall Bladder
primary channel
connects with the
following zangfu:
Gall Bladder and
Liver.
enters
thesupraclavicular
fossa and meets with
P-1
connects with the Liver
and Gall Bladder
descends through
points BL-31 to BL-34
and to DU-1 and then
emerges at GB-30
a branch
separates
from GB-41
and
meetsthe
Liver
channel on
the big toe
THE GALL BLADDER LUOCONNECTING CHANNEL
• separates from the primary
channel at GB-37,
• connects with the Liver channel,
• descends and disperses over the
dorsum of the foot.
THE GALL BLADDER
DIVERGENT CHANNEL
• diverges from the primary
channel on the thigh,
• converges with the Liver
divergent at the pubic hairline,
• enters the flank between the
lower ribs,
• connects with the GB and
Liver,
• crosses the Heart and
esophagus,
• emerges at the jaw, disperses
in the face, connects with the
eye and rejoins the GB primary
channel at the outer canthus.
The Gall Bladder sinew channel
meets with its bilateral counterpart at the vertex
binds at the side of the nose and the outer canthus
a branch links with the breast
a branch binds at the sacrum
begins at the fourth toe
Foot Jueyin Liver
Channel
The Liver
primary
channel
connects with
the following
zangfu: Liver,
Gall Bladder,
Lung,
Stomach.
ascends to the vertex to meet with DU-20
ascends along the neck
and throat to the
nasopharynx and the
tissues surrounding the
eye
curves around
the Stomach,
enters the Liver
and connects
with the Gall
Bladder
meets with REN-2, REN-3 and REN-4
runs anterior to the Spleen channel to the
area 8 cun superior to the medial
malleolus, then runs posterior to it
intersects the Spleen channel at SP-6
descends
through the
cheek and
encircles the
inner surface of
the lips
spreads in the Lung
and meets with P-1
meets with SP-12
and SP-13 and
encircles the
genitals
THE LIVER LUOCONNECTING CHANNEL
• separates from the primary
channel at LIV-5
on the medial aspect of the
lower leg,
• connects with the Gall
Bladder channel,
• ascends to the genitals.
THE LIVER DIVERGENT
CHANNEL
• separates from the primary
channel on the dorsum
of the foot,
• ascends to the pubic region
where it converges with the
Gall Bladder primary channel.
The Liver sinew channel
connects with the other sinew channels at the genitals
originates on the dorsum of the big toe
PENETRATING VESSEL•
originates inside the lower
abdomen• emerges at the
perineum (REN-1)
•ascends inside the spinal
columnCoalescent points: REN-1,
REN-7, ST-30, KID-11, KID-12,
KID-13, KID-14, KID-15, KID-16,
KID-17, KID-18, KID-19, KID-20,
KID-21.
Pathological symptoms of the Penetrating
vessel:Counterflow qi, abdominal urgency, dyspnea,
gynaecological disorders, atrophy disorder of the leg.
GIRDLING VESSEL• originates in the region of
LIV-13,• circles round just below the
hypochondriac region,• runs obliquely downwards
through GB-26, GB-27 and GB-28, encircling the
waist like a belt.
Pathological symptoms of the Girdling
vessel:Abdominal fullness, a sensation at the
waist as though sitting in water, pain around the
umbilicus, abdomen, waist and lumbar spine,
red and white leukorrhoea, irregular
menstruation, infertility, insufficient sperm, shan
disorder.
YANG MOTILITY VESSELCoalescent points: BL62, BL-61, BL-59, GB-29, SI-10, L.I.-15, L.I.-16,
ST-4, ST-3, ST-1, BL-1 and GB-20.
Enters the brain “at the occiput between the two
tendons”.
Pathological symptoms of the Yang Motility
vessel:Daytime epilepsy, eye diseases, loss of
consciousness,aversion to wind, hemiplegia,
chronic painful obstruction, rigidity of the body,
lumbar pain, contracted sinews, flaccidityof the
muscles of the medial leg and tightness of the
muscles of the lateral leg.
YIN MOTILITY
VESSELCoalescent points: KID-6,
KID-8 and BL-1 (where it enters
the brain).
Pathological symptoms of the Yin Motility
vessel:Night-time epilepsy, eye diseases, chills and
fever, painful obstruction of the skin due to dampheat, hypogastric pain, internal urgency, pain of the
genitals, contracted sinews, shan disorder, uterine
bleeding, leukorrhea, flaccidity of the muscles of
the lateral leg and tightness of the muscles of the
medial leg.
YANG LINKING VESSELCoalescent
points: BL-63, GB-35, SI-10, SJ-15, GB21, ST-8, GB-13, GB-14, GB-15, GB16, GB-17, GB-18, GB-19, GB-20, DU16 and DU-15.
Pathological symptoms of the Yang Linking
vessel:Visual dizziness, dyspnea, acute and
sudden pain and swelling of the lumbar region,
chills and fever, dyspnea with raised shoulders,
fever and chills.
YIN LINKING VESSELCoalescent
points: KID-9, SP-12, SP-13, SP-15,
SP-16, LIV-14, REN-22 and REN-23.
Pathological symptoms of the Yin Linking
vessel:Heart pain, pain of the chest, fullness
and pain of the lateral costal region, lumbar
pain.