Transcript Hand Shao-Yang San

Hand Shao-Yang San-Jiao
Channel
By: Dr. Chuanxin Wang, DAOM, AP
SJ-1, Guan-Chong
• Location: On the ulnal side of the distal
segment of the 4th finger, 0.1 cun from the
corner of the nail.
• Jin-Well point
• Metal point
• Indications: Headache, deafness, ear ringing, sorethroat, stiffness of the tongue, fever, irritability.
Method: Puncture superficially 0.1 cun, or prick with a
three-edged needle to cause bleeding. Moxibustion is
applicable.
Regional anatomy
Vasculature: The arterial and venous network formed
by the palmar digital
proprial artery and vein.
Innervation: The palmar digital proprial nerve derived
from the ulnar nerve.
SJ-2, Ye-Men
• Location: On the dorsum of the hand,
between the 4th and 5th fingers , at the
junction of the red and white skin, proximal to
the margin of the web.
• Ying-Spring point
• Water point
• Indications: Headache, conjunctival congerstion,
sore-throat, sudden deafness, malaria,
brachialgia.
Method: Puncture obliquely 0.3-0.5 cun towards
the interspace of the metacarpal bones.
Moxibustion is applicable.
Regional anatomy
Vasculature: The dorsal digital artery of the ulnar
artery.
Innervation: The dorsal branch of the ulnar
nerve.
SJ-3, Zhong-Zhu
• Location: On the dorsm of the to the 4th
metacarpophalangeal joint ,in the depression
between the 4th and 5th metacarpal bones.
• Shu-Stream point
• Wood point
• Indications: Headache, conjunctival congestion,
sore-throat, deafness, tinnitus, fever, brachialgia,
stiffness of the fingers.
Method: Puncture perpendicularly 0.3-0.5 cun.
Moxibustion is applicable.
Regional anatomy
Vasculature: The dorsal venous network of hand
and the fourth dorsal metacarpal artery.
Innervation: The dorsal branch of the ulnar
nerve.
SJ-4, yang-Chi
• Location: At the midpoint of the dorsal crease
of the wrist ,in the depression on the ulnal
side of the tendon of the extensor muscle of
the fingers.
• Yuan-Source point
• Indications: Pain in the shoulder and arm, pain in
the wrist, malaria, deafness, diabetes.
Method: Puncture perpendicularly 0.3-0.5 cun.
Moxibustion is applicable.
Regional anatomy
Vasculature: The dorsal venous network of the
wrist and the posterior carpal
artery.
Innervation: The terminal branch of the posterior
antebrachial cutaneous
nerve and the dorsal branch of the ulnar nerve.
SJ-5, Wai-Guan
• Location: On the dorsal side of the forearm
and on the line connection Yangchi(SJ4) and
the tip of the olecranon, 2 cun proximal to the
dorsal crease of the wrist, between the radius
and ulna.
• Luo-Connecting point
• Master point of Yang-Wei
(Linking) Vessel
• Indications: Fever, headache, pain in the cheek, stiff
neck, deafness, tinnitus, pain in the hypochondriac
region, dyscinesia of the elbow, pain in the fingers,
tremor of the hand.
Method: Puncture perpendicularly 0.5-1.0 cun.
Moxibustion is applicable.
Regional anatomy
Vasculature: Deeper, the posterior and anterior
antebrachial interosseous atteries and veins.
Innervation: The posterior antebrachinal cutaneous
nerve; deeper, the posterior interosseous nerve and
the anterior interosseous nerve.
SJ-6, Zhi-Gou
• Location: On the dorsal side of the forearm
and on the line connecting Yangchi(SJ4) and
the tip of the olecranon, 3 cun proximal to the
dorsal crease of the wrist, between the radius
and ulna.
• Jing-Spring point
• Fire point
• Indications: Deafness, tinnitus, pain in the
hypochondriac region, vomiting, constipation, fever,
soreness and heaviness sensation in the shoulder and
back, sudden loss of voice.
Method: Puncture perpendicularly 0.8-1.2 cun.
Moxibustion is applicable.
Regional anatomy
Vasculature: Deeper, the posterior and anterior
antebrachial interosseous atteries and veins.
Innervation: The posterior antebrachinal cutaneous
nerve; deeper, the posterior interosseous nerve and
the anterior interosseous nerve.
SJ-7, Hui-Zong
• Location : On the dorsal side of the forearm,
3 cun proximal to the dorsal crease of the
wrist, on the ulnar side of Zhigou(SJ6) and on
the radial border of the ulna.
• Xi-Cleft point
• Indications: Deafness, otalgia, epilepsy,
brachialgia.
Method: Puncture perpendicularly 0.5-1.0
icun. Moxibustion is applicable.
Regional anatomy
Vasculature: The posterior antebrachial
interosseous artery and vein.
Innervation: The posterior and medial
antebrachial cutaneous nerves; deeper,the
posterior and anterior interosseous nerves.
SJ-8, San-Yang-Luo
• Location: On the dorsal side of the forearm, 4
cun proximal to the dorsal crease of the wrist,
between the radius
and the ulna.
• Indications: Deafness, sudden loss of voice, pain
in the chest and hypochondriac region,
brachialgia, toothache.
Method: Puncture perpendicularly 0.5-1.0 cun.
Moxibustion is applicable.
Regional anatomy
Vasculature: The posterior antebrachial
interosseous artery and vein.
Innervation: The posterior and medial
antebrachial cutaneous nerves; deeper,
the posterior and anterior interosseous nerves.
SJ-9, Si-Du
• Location: On the dorsal side of the forearm
and on the line connecting Yangchi(SJ4) and
the tip of the olecranon, 5 cun distal to the tip
of the olecranon, between the radius and
ulna.
• Indications: Deafness, toothache, migraine,
sudden loss of voice, pain in the forearm.
Method: Puncture perpendicularly
0.5-1.0 cun. Moxibustion is applicable.
Regional anatomy
Vasculature: The posterior antebrachial
interosseous artery and vein.
Innervation: The posterior and medial
antebrachial cutaneous nerves; deeper,
the posterior and anterior interosseous nerves.
SJ-10, Tian-Jin
• Location: On the lateral side of the upper arm,
in the depression 1 cun proximal to the tip of
the olecranon when
the elbow is flexed.
• He-Sea point
• Earth point
• Indications: Migraine, pain in the neck, nape,
shoulders and arms, epilepsy, scrofula, goiter due
to Qi disorder
Method: Puncture perpendicularly
0.3-0.5 cun. Moxibustion is applicable.
Regional anatomy
Vasculature: The arterial and venous network of
the elbow.
Innervation: The posterior brachial cutaneous
nerve and the muscular branch of the radial
nerve.
SJ-11, Qing-Leng-Yuan
• Location: With the elbow flexed, on the lateral
side of the upper arm, 2 cun above the tip of
the olecranon and 1
cun above Tianjing(SJ10).
• Indications: Inability to raise arm due to pain in
the shoulder and arm, migraine.
Method: Puncture perpendicularly 0.3-0.5 cun.
Moxibustion is applicable.
Regional anatomy
Vasculature: The terminal branches of the
median collateral artery and vein.
Innervation: The posterior brachial cutaneous
nerve and the muscular branch of the radial
nerve.
SJ-12, Xiao-Luo
• Location: On the lateral side of the upper arm,
at the midpoint of the line connecting
Qinglengyuan(SJ11)
and Naohui(SJ13).
• Indications: Headache, stiffness of the neck and
nape, inability to raise arm due to brachialgia.
Method: Puncture perpendicularly 0.5-0.7 cun.
Moxibustion is applicable.
Regional anatomy
Vasculature: The median collateral artery and
vein.
Innervation: The posterior brachial cutaneous
nerve and the muscular branch of the radial
nerve.
SJ-13, Nao-Hui
• Location: On the lateral side of the upper arm
and on the line connecting the tip of the
olecranon and Jianliao (SJ14), 3 cun below
Jianliao(SJ14) , and on the posteroinferior
border of the deltoid muscle.
• Indications: Goiter due to Qi disorders, aching
pain in the shoulder and arm.
Method: Puncture perpendicularly 0.5-0.8 cun.
Moxibustion is applicable.
Regional anatomy
Vasculature: The median collateral artery and
vein.
Innervation: The posterior brachial cutaneous
nerve, the muscular branch of the radial nerve;
deeper, the radial nerve.
SJ-14, Jian-Liao
• Location: On the shoulder, posterior to
Jianyu(LI15), in the depression inferior and
posterior to the acromion when the arm is
abducted.
• Indications: Inability to raise arm due to pain in
the shoulder and arm, flaccidity of the upper
limb.
Method: Puncture perpendicularly 0.7-1.0 cun.
Moxibustion is applicable.
Regional anatomy
Vasculature: The muscular branch of the
posterior circumflex humeral artery.
Innervation: The muscular branch of the axillary
nerve.
SJ-15, Tian-Liao
• Location: On the scapula, at the midpoint
between Jianjing(GB21) and Quyuan(SI13), at
the superior angle of the scapula.
• Indications: Pain in the shoulder and elbow,
stiffness of the neck and nape.
Method: Puncture perpendicularly 0.3-0.5 cun.
Moxibustion is applicable.
Regional anatomy
Vasculature: The descending branch of the
transverse cervical artery; deeper, the muscular
branch of the suprascapular artery.
Innervation: The accessory nerve and the branch
of the suprascapular nerve.
SJ-16, Tian-You
• Location: On the lateral side of the neck,
directly below the posterior border of the
mastoid process, on the level of the
mandibular angle, and on theposterior border
of the sternocleidomastoid muscle.
• Indications: Headache, stiffness of the nape,
edema of face, blurred vision, sudden
deafness.
Method: Puncture perpendicularly 0.3-0.5
cun. Moxibustion is applicable.
Regional anatomy
Vasculature: The posterior auricular artery.
Innervation: The lesser occipital nerve.
SJ-17, Yi-Feng
• Location: Posterior to the ear lobe. in the
depression between the mastoid process and
mandibular angle.
• Indications: Tinnitus, deafness, otitis media
suppurariva, facial hemiparalysis, toothache,
swelling of the cheek. scrofula, dyscinesia of
maxillary joint.
Method: Puncture perpendicularly 0.5-1.0 cun.
Moxibustion is applicable.
Regional anatomy
Vasculature: The posterior auricular artery and
vein, the external jugular vein.
Innervation: The great auricular nerve; deeper,
the site where the facial nerve perforates out of
the stylomastoid foramen.
SJ-18, Chi-Mai
• Location: On the head. at the centre of the
mastoid process, and at the junction of the
middle third and lower third of the line
connecting Jiaosun(SJ20) and Yifeng(SJ17)
along the curve of the ear helix.
• Indications: Headache, tinnitus, deafness,
infantile convulsion and epilepsy.
Method: Puncture subcutaneously 0.3-0.5 cun or
prick with a three-edged needle to cause
bleeding. Moxibustion is applicable.
Regional anatomy
Vasculature: The posterior auricular artery and
vein.
Innervation: The posterior auricular branch of
the great auricular nerve.
SJ-19, Lu-Xi
• Location: On the head. at the junction of the
upper third and middle third of the line
connecting Jiaosun(SJ20) and Yifeng(SJ17)
along the curve of the ear helix.
• Indications: Headache. tinnitus, otalgia,
deafness, infantile convulsion and epilepsy.
Method: Puncture obliquely 0.3-0.5 cun.
Moxibustion is applicable.
Regional anatomy
Vasculature: The posterior auricular artery
and vein.
Innervation: The anastomotic branch of the
great auricular nerve and the lesser occipital
nerve.
SJ-20, Jiao-Sun
• Location: On the head. above the ear apex
within the hairline.
• Indications: Tinnitus, conjunctivtis, gingival
swelling pain, toothache, mumps.
Method: Puncture subcutaneously 0.3-0.5
cun. Moxibustion is applicable.
Regional anatomy
Vasculature: The branches of the superficial
temporal artery and vein.
Innervation: The branches of the
auriculotemporal nerve.
SJ-21, Er-Men
• Location: On the face, anterior to the
supratragic notch, in the depression behind
the posterior border of the condyloid process
of the mandible.
• Indications: Tinnitus, deafness, otitls media
suppurativa, toothache.
Method; Puncture perpendicularly 0.3-0.5
cun. Moxibustion is applicable.
Regional anatomy
Vasculature: The superficial temporal artery
and vein.
Innervation: The branches of the
auriculotemporal nerve and facial nerve.
SJ-22, He-Liao
• Location: On the lateral side of the head. on
the posterior margin of the temples, anterior
to the anterior border of the root of the ear
auricle and posterior to the superficial
temporal artery.
• Indications: Migraine. tinnitus, lockjaw.
Method: Avoid puncturing the artery, puncture
obliquely 0.1-0.3 cun. Moxibustion is applicable.
Regional anatomy
Vasculature: The superficial temporal artery and
vein.
Innervation: The branch of the auriculotemporal
nerve, on the course of the temporal branch of
the facial nerve.
SJ-23, SI-Zhu-Kong
• Location: In the depression on the
supraorbtical margin, at the lateral end of the
eyebrow.
• Needling: transverse 0.5-1.0 cun
• Indications: Headaches, eye swelling, eye
redness, toothache, dizziness, visual dizziness,
tetany, epilepsy, blurred vision
• Methods: Sit or pronate, exterior margin of
the angular process of frontal bone, in the
depression at the lateral side of the eyebrow,
then select the point.