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The Channel
Colin Chan
THE SMALL INTESTINE CHANNEL
OF HAND-TAIYANG
PART 1
The Small Intestine Channel of Hand-TaiYang
General Information of the Small Instestine (TCM)
1.
It is located in the abdomen, connected with the
stomach at the pylorus in the upper and the large
intestine at the ileocecal junction at the lower abdomen.
Physiological functions of the Small Intestine (TCM)
1.
To receive the chyle.
2.
To separate lucid from turbid.
Relationship of the Small Intestine to other organs (TCM)
1.
Internal-External related with the Heart.
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The Small Intestine Channel of Hand-TaiYang
Route
Surface pathway
4
The Small Intestine channel starts from the tip
of the little finger, runs upwards along the ulnar
side of the hand, along junction of the red and
white skin and reaches the wrist.
It continues from the styloid process of the ulnar,
ascends upward along the posterior border of
the ulnar aspect of the forearm.
3
It passes between the olecranon of the ulnar
and the medial epicondyle of the humerus and
climbs along the posterior border of the lateral
aspect of the upper arm to the shoulder join.
2
1
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The Small Intestine Channel of Hand-TaiYang
Route
5
4
It continues to zig-zag along the scapula region,
reaches the superior aspect of the shoulder and
turns anteriorly downwards to the SC fossa;
enters the thoracic cavity and connects with the
heart.
It continues to descend along the esophagus,
through the diaphragm, reaches the stomach
and enters the Small Intestine where it
pertains.
6
7
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Route-Branch
10
11
9
8
A branch arises from the SC fossa, moves
upwards along the neck to the cheek, reaches
the outer canthus and goes into the ear.
Another branch arises from the cheek region,
runs upwards to the zygoma bone reaching the
lateral aspect of the nose and ends at the inner
canthus (Joins with the Bladder channel).
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Principal Syndrome
1.
Sore-throat, stiff and pain of the neck.
2.
Swelling of chin and cheek.
3.
Severe pain of shoulder and posterior
aspect of the upper extremity.
4.
Deafness, tinnitus.
Commonly used acupoint
SI 1 Shaoze 少泽
Location : On the ulnar aspect of the distal
phalanx of the little finger,
acupoint is located 0.1 cun
distance from the corner of the nail.
Classification: Jing-Well point.
少为小, 泽为 经起之初
Approach: shallow insertion technique,
prick to bleed.
故为少泽
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Commonly used acupoint
SI 2 Qiangu 前谷
Location : On the ulnar aspect of the
hand, acupoint is located distal
to the 5th MCP joint, at the end
of (distal to) the transverse
crease of the MCP joint, at the
junction of red and white skin
when a loose fist is made.
穴在第五指掌关节之前,
Classification: Ylng-Spring point.
形凹陷如山谷
Approach: perpendicular insertion
technique, 0.2-0.3 cun.
故为前谷
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Commonly used acupoint
SI 3 Houxi 后溪
Location : On the ulnar aspect of the hand,
acupoint is located proximal to
the 5th MCP, at the top of the
transverse crease of the palm, at
the junction of red and white skin
when a loose fist is made.
穴在小指本节之后的凹线,
形如小溪
故为后溪
Classification: Shu-Stream point and one
of the 8 confluent point
linking with the GV.
Approach: perpendicular insertion
technique, 0.5-0.8 cun.
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Commonly used acupoint
SI 4 Wangu 腕骨
Location : On the ulnar aspect of the
hand, acupoint is located in the
depression between the 5th
metacarpal bone and the
hamate bone at the junction of red
and white skin.
Classification: Yuan-Source point.
穴即因其近于腕骨而得名
故为腕骨
Approach: perpendicular insertion
technique, 0.3-0.5 cun.
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Commonly used acupoint
SI 5 Yanggu 阳谷
Location : On the ulnar aspect of the wrist,
acupoint is located in the
depression between the styloid
process of the ulnar and the
triquetral bone.
Classification: Jing-River point.
穴即因其在腕关节阳侧凹陷中
故为阳谷
Approach: perpendicular insertion
technique, 0.3-0.5 cun.
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Commonly used acupoint
SI 6 Yanglao 养老
Location : On the dorsal ulnar aspect of
the forearm, acupoint is
located in the depression on
the radial aspect of the
proximal end of the
capticulum (小头) of the ulnar.
穴属小肠经, 小肠能吸水谷, 转化成
精以养身抗老
故为养老
Classification: Xi-Cleft point.
Approach: perpendicular insertion
technique, 0.5-0.8 cun.
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Commonly used acupoint
SI 7 Zhizheng 支正
Location : On the dorsal ulnar aspect of
the forearm, acupoint is
located 5 cun above the dorsal
transverse crease of the wrist,
on the line joining SI 5 Yanggu
阳谷and SI 8 Xiaohai 小海.
Classification: Luo-Connecting point.
Approach: perpendicular / oblique
insertion technique, 0.5-0.8 cun
支指离, 正指正经
小肠之络在此络于心经
故为支正
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The Collateral route of SI
channel
SI 7 Zhizheng 支正
Zhizheng: Is assigned as the Luo-Connecting
point of the SI channel.
•
Its route as a collateral starts from 5 cun
above the wrist and it disperse into the
forearm to link with the HT channel.
•
A branch runs upwards along the ulnar
aspect of the forearm, crosses the elbow
region and has a connection relationship with
LI 15 at the shoulder/scapular region.
(A branch of the BL channel runs along the
shoulder and scapular region).
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Commonly used acupoint
SI 8 Xiaohai 小海
Location : On the elbow region, acupoint
is located in the depression
between the olecranon of the
ulnar and the medial
epicondyle of the humerus
when the elbow is flexed.
Classification: He-Sea point.
穴在肘内大骨外凹陷中, 曲肘乃得
其处凹陷如海, 穴属小肠之合穴
Approach: perpendicular technique, 0.30.5 cun.
故为小海
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SI 9 Jianzhen 肩贞
Commonly used acupoint
Location : On the posterior aspect of the
upper arm, acupoint is located
posterior and inferior to the
shoulder joint, 1 cun above the
posterior end (top) of the
axillary fold.
Classification: -
贞, 指正. 穴当夹臂缝中
Approach: perpendicular technique, 1.01.5 cun
举手与垂手皆不移其陷中, 清静而贞
故为肩贞
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Commonly used acupoint
SI 10 Naoshu nao俞
Location : On the posterior aspect of the
shoulder, acupoint is located
directly above the posterior end
(top) of the axillary fold, in the
depression inferior to the
scapular spine.
Nao, 为肉不着骨, 俞为通透之意
此穴有透骨通筋之功
故为 nao俞
Classification: Crossing point of SI
channel, BL channel,
Yang Link, Yang Heel
vessels.
Approach: perpendicular technique, 0.51.2 cun.
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Commonly used acupoint
SI 11 Tianzhong 天
宗
T4
上部为天, 遵属为宗.
穴治颊额肩臂上
肢之疾, 宗此针之而愈
故为天宗
Location : In the region of the scapula,
acupoint is located in the
depresssion in the center of the
sub-scapular fossa (at the junction of
the upper 1/3 and lower 2/3 on the
line between the lower border of the
scapular spine and the inferior
angle of the scapular) at the
level with spinous process of T4.
Classification: Approach: perpendicular / oblique
insertion technique, 0.5-1.0 cun.
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Commonly used acupoint
SI 12 Bingfeng 秉风
Location : In the region of the scapular, acupoint
is located in the center of the
suprascapular fossa, directly above SI
11Tianzhong 天宗 , in the
depression when the arm is lifted.
Classification: Crossing point of the 3
Yang channels of the
hand and GB channel.
秉主掌握
穴治风邪之疾
Approach: perpendicular / oblique
insertion technique, 0.3-0.5 cun.
故为秉风
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SI 13 Quyuan 曲垣
Commonly used acupoint
T2
Location : In the region of the scapular,
acupoint is located on the
medial end of the
supra-scapular fossa, midpoint
between the SI 10 Naoshu and
the spinous process of T2.
Classification: -
曲垣有墙之意
Approach: perpendicular / oblique
insertion technique, 0.5-0.8 cun.
穴在肩胛岗上窝凹曲处, 弯弯如墙
故为曲垣
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Commonly used acupoint
SI 14 Jianwaishu 肩外俞
T1
Location : On the back, acupoint is
located 3 cun lateral to the
lower border of the spinous
process of T1.
Classification: -
Approach: oblique insertion
technique, 0.5-0.8 cun.
穴在肩胛上廉, 主治肩胛外部疼痛
故为肩外俞
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SI 15 Jianzhongshu 肩中俞
Commonly used acupoint
Location : On the back, acupoint is located
2 cun lateral to the lower border
of the spinous process of C7.
Classification: Approach: oblique insertion
technique, 0.5-0.8 cun.
穴在肩井与大椎连线中点
主治肩胛疼痛
故为肩中俞
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Commonly used acupoint
SI 17 Tianrong 天容
Location : On the lateral aspect of the
neck, acupoint is located posterior
to the angle of the mandible, in the
depression of the anterior border of
the m. sternocleidomastoideus.
Classification: -
容, 容纳, 引申为治疗
Approach: oblique insertion technique, 0.5-0.8
cun.
穴居天部, 主治头项,耳部,口部疾病
故为天容
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SI 18 Quanliao 颧蓼
Commonly used acupoint
Location : On the face, acupoint is
located in the depression on
the lower border of the
zygoma, directly below the outer
canthus.
Classification: Crossing point of the TE
and SI channel.
颧为颧骨,蓼为骨之凹陷处
穴居颧骨尖处凹陷中
Approach: perpendicular insertion
technique, 0.3-0.5 cun.
故为颧蓼
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Commonly used acupoint
SI 19 Tinggong 听宫
Location : On the region of the face,
acupoint is located in the
depression anterior to the
tragus and posterior to the
condyloid process of the
mandible when the mouth is open.
宫指要处
穴居耳屏前方, 主治耳聋耳疾
故为 听宫
Classification: Crossing point of the TE,
GB and SI channel.
Approach: perpendicular insertion
technique, 1.0-1.5 cun.
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END OF PART 1
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THE SMALL INTESTINE CHANNEL
OF HAND-TAIYANG
PART 2: TUITORIAL
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The Small Intestine Channel of Hand-Taiyang
S.Intestine
(TaiYang)
Tutorial
4
Starts: Tip of the little finger
1
Pertain: Small Intestine
7
Runs:
5
3
6
Ends:
7
2
1
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along the ulnar aspect of the hand,
ulnar posterior border of the ulnar
aspect of the forearm, climbs along
the posterior border of the posterior
aspect of the upper arm to the
shoulder join, enters the SC fossa,
into the chest and down to the
small intestine
anterior to the tragus.
2
3
4
5
6
Tutorial
Communicates: Communicates with
Heart channel
through
SI 7 Zhizheng 支正
Breaks/Joins: channel breaks at the cheek
and joins the Bladder
channel at the inner canthus
Acupoints: total 19 acupoints.
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COMMON CLINICAL POINTS
SI 1 Shaoze 少泽
SI 3 Houxi 后溪
SI 4 Wangu 腕骨
SI 7 Zhizheng 支正
SI 11 Tianzhong 天宗
SI 18 Quanliao 颧蓼
SI 19 Tinggong 听宫
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OVERVIEW OF MEDICAL CONDITION
POINTS ON
HAND, ARM AND ELBOW
MAIN TX: HEAD, NECK, EYE, EAR, THROAT, FEBRILE DISEASE
SHOULDER AND SCAPULAR
MAIN TX: REGIONAL ILLNESS
NECK
MAIN TX: THROAT AND EAR
FACE
MAIN TX: MOUTH, TOOTH AND EAR
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PRECAUTIONS
POINTS ON
NECK AND FACE
NO THRUSTING
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END OF PART 2
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