Transcript Commonly used acupoint PC 8 Laogong 劳宫

The Channel
17/4/16
Colin Chan
THE PERICARDIUM CHANNEL
OF HAND-JUEYING
PART 1
Copy right: Dr. Colin Chan
The Pericardium Channel of Hand-Jueyin
General Information of the Pericardium (TCM)
1.
It is the tissue that surrounds and protects the heart.
2.
In the Zangxiang theory 脏象学说, pathogenic factors would have to
attack the pericardium first before invading the heart.
3.
The symptoms of high fever, coma and delirium in exogenous febrile
diseases are described as invasion of pathogenic factors into the
pericardium (TCM).
Relationship of the Pericardium to other organs (TCM)
1.
Internally-Externally related to the Triple.
Energizer 心包与三焦相表理
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Principal Symptoms
1.
Feverish sensation in the palm.
2.
Spasm and contracture of the arm and
elbow.
3.
Swelling of the axilla.
4.
Chest and hypochondriac congestion.
5.
Palpitations with irritabilities.
6.
Flushed face.
7.
Mania.
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The Pericardium Channel of Hand-Jueyin
Route
There are 9 acupoints in the surface pathway of the
heart channel.
Inner pathway:
1
2
3
1. Originates at the chest, where it serves its
organ, the pericardium.
1
2. The channel descends through the diaphragm
to the abdomen and …
2
3. Connects with the upper, middle and lower
energizer.
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3
The Pericardium Channel of Hand-Jueyin
Route: Main
The surface pathway :
1.Emerges from the chest near the nipple at point
PC 1 Tianchi 天池.
4
5
6
7
2.From here the channel ascends to the axilla and
follows the central aspect of the palmer side of the
upper arm into the cubital fossa.
3.The channel then continue to flow along the
central aspect of the palmer side of the forearm,
between the tendons of the palmaris longus and
flexor carpi radialis…
4.To the palm of the hand and to the tip of the
middle finger.
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4
5
6
7
The Pericardium Channel of Hand-Jueyin
Route: Branch
Inner pathway:
8. A branch leads from point PC 8 Laogong 劳宫
to the tip of the ring finger and connects with
the Triple Energizer channel.
8
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Commonly used acupoint
PC 1 Tianchi 天池
Location :
1.
On the chest
2.
Located in the 4th intercostal space, 1 cun
lateral to the nipple or 5 cun lateral to the
anterior midline.
Classification:
The Crossing point of PC channel and GB channel.
穴处肋间隙,形凹如池,
腰以上为天,
Approach:
Oblique / subcutaneous insertion technique, 0.5-0.8
cun.
故为天池
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Commonly used acupoint
PC 3 Quze 曲泽
Location :
1.
On the transverse crease of the elbow.
2.
Located on the ulnar aspect of the tendon m.
biceps brachii.
Classification:
穴为心包之合穴, 属水, 正当肘内,
微曲肘得其穴, 又与尺泽并列
故为曲泽
He-Sea point.
Approach:
Perpendicular insertion technique, 0.8-1.0 cun.
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Commonly used acupoint
PC 4 Ximen 郗门
Location :
1.
On the palmar aspect of the forearm.
2.
Located 5 cun above the transverse crease of the
wrist, on the line joining PC 3 Quze 曲泽 and PC 7
Daling 大陵, between the tendons m. palmaris
longus and m. flexor carpi radialis.
郗为孔隙, 为 人体气脉出入之处,
Classification:
穴在前臂两筋之间,
Xi-Cleft point.
形貌有如两扇大门, 故为郗门
Approach:
Perpendicular insertion technique, 0.5-1.0 cun.
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Commonly used acupoint
PC 5 Jianshi 间使
Location :
1.
On the palmar aspect of the forearm.
2.
Located 3 cun above the transverse crease of
the wrist, on the line joining PC 3 Quze 曲泽
and PC 7 Daling 大陵 between the tendons m.
palmaris longus and m. flexor carpi radialis.
Classification:
间为空隙, 使为使令,
Jing-River point.
间使者, 君行之使道
Approach:
故为间使
Perpendicular insertion technique, 0.5-1.0 cun.
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Commonly used acupoint
PC 6 Neiguan 内关
Location :
1.
On the palmar aspect of the forearm.
2.
Located 2 cun above the transverse crease of
the wrist, on the line joining PC 3 Quze 曲泽
and PC 7 Daling 大陵 between the tendons m.
palmaris longus and m. flexor carpi radialis.
Classification:
内指内脏, 关是关联,
联络之意,
故为内关
Luo-Connecting point, one of the 8 convergent
point (linking with the Yin Link Vessel 通阴维
脉).
Approach:
Perpendicular insertion technique, 0.5-1.0 cun.
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The Collateral route of PC channel
PC 6 Neiguan 内关
Nei Guan: is assigned as the Luo-Connecting
point of the PC channel.
•
Its route as a collateral starts parallel, 2 cun
above the transverse crease of the wrist,
disperse between the two tendons and runs
along the PC channel to the pericardium
which is located in the chest / upper
energizer to link with the TE channel.
(A branch of the TE channel runs down the
chest where the pericardium lies and
continues its way to the lower energizer).
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Commonly used acupoint
PC 7 Daling 大陵
Location :
1.
In the middle of the transverse crease of the
wrist.
2.
Located between the tendons m. palmaris longus
and m. flexor carpi radialis.
Classification:
Yuan-Source point, Shu- Stream point.
大为崇高之意,
Approach:
穴在掌根部, 两骨结合点的陵下
Perpendicular insertion technique, 0.3-0.5 cun.
故为大陵
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Commonly used acupoint
PC 8 Laogong 劳宫
Location :
1.
In the palm.
2.
Located between the 2nd and 3rd metacarpal
bone, closer to the radial aspect of the 3rd
metacarpal bone, on the spot where the tip of
the middle finger touches when a fist is made.
Classification:
Ying-Spring point.
劳指操劳, 宫指要所,
Approach:
中央手任劳作, 穴在掌心
Perpendicular insertion technique, 0.3-0.5 cun.
故为劳宫
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Commonly used acupoint
PC 9 Zhongchong 中冲
Location :
1.
Acupoint is located in the center of the tip of
the distal phalanx of the middle finger.
Classification:
Jing-Well point .
Approach:
Perpendicular insertion technique, 0.1 cun, prick to
bleed.
本经之气, 中道而行
冲达手中指中端
故为中冲
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END OF PART 1
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THE PERICARDIUM CHANNEL OF
HAND-JUEYING
PART 2: TUITORIAL
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Tutorial
4
1
2
5
3
6
1
Starts:
chest (pericardium)
Pertain:
Pericardium
Runs:
along the central aspect of the palmer
side of the upper arm/forearm
Ends:
tip of the middle finger
4/
5/
6/
7
Communicates: Communicates with Triple
Energizer channel through
PC 8 Laogong 劳宫
Breaks/Joins: Channel breaks at PC 8
Laogong 劳宫 and join with
the TE channel at the tip of the ring
finger
Acupoint:
7
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total 9 acupoints
COMMON CLINICAL POINTS
PC 1 Tianchi 天池
PC 3 Quze 曲泽
PC 6 Neiguan 内关
PC 7 Daling 大陵
PC 8 Laogong 劳宫
PC 9 Zhongchong 中冲
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OVERVIEW OF MEDICAL CONDITION
POINTS ON
CHEST AND UPPER ARM
MAIN TX: CHEST AND HEART
LOWER ARM AND HAND
MAIN TX: CHEST, HEART, GASTRIC, PSYCH
AND HEAT
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PRECAUTIONS
POINTS ON
CHEST
SHALLOW APPROACH
NO THRUSTING
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END OF PART 2
Copy right: Physician Colin Chan SRN,CCRN