91934313-12-Meridians
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Transcript of 91934313-12-Meridians
The 12 Primary Meridians
Page 1 of 83 5/1/2012
Medial Zang Yin Lateral Fu Yang
3 Factors : Organ, Location and Yin/Yang . Example; Lung meridian of the hand Tai Yin
Arm/hand
m/hand
Arm/hand
Arm/hand
Arm/hand
Leg/foo
t
Leg/foo
t
Leg/foo
t
Anterio
r
Posterior
Anterio
r
Posterior
Middl
e Middl
e
The 12 Primary Meridians
Page 2 of 83 5/1/2012
Yin Arm Channels
(HT) ·Heart
(PC) ·Pericardium
(LU) ·Lung
Yin Leg Channels
(SP) ·Spleen
(LV) ·Liver
(KD) ·Kidney
Extraordinary Channels
(CV) ·Conception Vessel
(GV) ·Governing Vessel
Others
Extraordinary Points
Yang Arm Channels
(SI) ·Small Intestine
(TH) ·Triple Heater
(LI) ·Large Intestine
Yang Leg Channels
(ST) ·Stomach
(GB) ·Gall Bladder
(UB) ·Urinary Bladder
The 12 Primary Meridians
Page 3 of 83 5/1/2012
Major Acupuncture Points Chart [ Blank Worksheet ]
Lung 11 10 9 8 5 9 7 6 LU-01 BL-13 — 9 5 1 7
Large Intestine 1 2 3 5 11 4 6 7 ST-25 BL-25 ST-37 11 2 4 20
Stomach 45 44 43 41 36 42 40 34 REN-12 BL-21 ST-36 41 45 1 42
Spleen 1 2 3 5 9 3 4 8 LIV-13 BL-20 — 2 5 1 21
Heart 9 8 7 4 3 7 5 6 REN-14 BL-15 — 9 7 1 9
Small Intestine 1 2 3 5 8 4 7 6 REN-4 BL-27 ST-39 3 8 1 19
Bladder 67 66 65 60 40 64 58 63 REN-3 BL-28 BL-40 67 65 1 67
Kidney 1 2 3 7 10 3 4 5 GB-25 BL-23 — 7 1 1 22
Pericardium 9 8 7 5 3 7 6 4 REN-17 BL-14 — 9 7 1 8
San Jiao 1 2 3 6 10 4 5 7 REN-5 BL-22 BL-39 3 10 1 22
Gall Bladder 44 43 41 38 34 40 37 36 GB-24 BL-19 GB-34 43 38 1 41
Liver 1 2 3 4 8 3 5 6 LIV-14 BL-18 — 8 2 1 14
Ren (Conception) — — — — — — 15 — — — — — — — —
The 12 Primary Meridians
Page 4 of 83 5/1/2012
Du (Governing) — — — — — — 1 — — — — — — — —
Command Points
Stomach & Abdomen ST-36
Head & Back of Neck LU-7
Lower Back (Lumbar) BL-40
Face & Mouth LI-4
Heart & Chest P-6
Fainting & Collapse DU-26
Hui Meeting Points (Influential Points)
Zang (Yin) Organs LIV-13
Fu (Yang) Organs REN-12
Qi REN-17
Blood BL-17
Sinews GB-34
Marrow GB-39
Bones BL-11
Vessels LU-9
Four Seas Points
Sea of Qi REN-17
Sea of Blood BL-11, ST-37,
ST-39
Sea of Water &
Grain ST-30,ST-36
Sea of Marrow DU-16, DU-20
The 12 Primary Meridians
Page 5 of 83 5/1/2012
LUNG MERIDIAN OF HAND TAIYIN
Pathway • originates in middle jiao, in region of Stomach • descends to connect w/ Large Intestine • returns upwards to pass cardiac orifice of Stomach & traverses diaphragm • penetrates Lung • ascends to throat region • passes obliquely downwards towards LU 1 where channel emerges • ascends one rib space to LU 2 in centre of hollow of delto-pectoral triangle • descends along antero-lateral aspect of upper arm, lateral to Heart &
Pericardium channels, to cubital fossa of elbow at LU 5 • passes along antero-lateral aspect of forearm towards styloid process of
radius • follows lateral border of radial artery to wrist at LU 9 • traverses thenar eminence to terminate at radial side of thumbnail at LU 11 • a branch separates from main channel at LU 7, at styloid process, & travels
directly to radial side of tip of index finger, where it links w/ Large Intestine channel at LI 1
• Connecting zangfu: ST, LI, LU • Crossing points: none External Symptoms • Fever, cold sweating, nasal congestion, headaches, chest pain, pain along arm
meridian pathway Internal Symptoms • Cough, asthma, chest fullness, parched or sore throat, irritability, bloody
sputum, hot palm, abdominal distention w/ loose stool, change in urine color
The 12 Primary Meridians
Page 6 of 83 5/1/2012
LUNG MERIDIAN OF HAND TAIYIN Point Location Actions Indications Method
LU 1 • Front-Mu pt. • Greater Yin mtg.
pt. (LU & SP)
6 cun lateral from midline in 1st ICS
• Regulates & stimulates descending of LU Qi • Stops cough • Resolves LU phlegm • Disperses chest fullness • Stops pain (esp. in shoulder)
• Cough or asthma • Chest, shoulder or back pain • Chest fullness • Acute cases & Excess patterns
Obliquely lateral 0.5”-0.8”
LU 2
6 cun lateral from midline superior to coracoid process of scapula
• Disperses chest fullness • Promotes descending of LU Qi • Stops cough
• Cough or asthma • Chest fullness • Chest, shoulder or back pain
Obliquely lateral 0.5”-0.8”
LU 3
3 cun below end of axillary fold, on radial side of biceps brachii
• Regulates the ascending & descending Qi • Stops bleeding • Opens the Mind's orifices & soothes Corporeal
Soul
• Asthma • Epistaxis • Pain in medial aspect of upper arm • Psychological & emotional probs (sadness,
depression, mental confusion) • Goiter
Perpendicular 0.5”-1.0”
LU 4 – seldom used 1 cun below LU 3 on radial side of biceps brachii
• None listed • Cough • Chest fullness • Pain in the medial aspect of upper arm
Perpendicular 0.5”-1.0”
LU 5 • He-Sea pt.
On cubital crease in depression of radial side of biceps tendon
• Clears LU heat & LU phlegm • Regulates water passages & benefits bladder • Sedates – relaxes sinews & bladder
• Cough, asthma or sore throat • Afternoon fever • Bloody sputum (hemoptysis) • Mastitis • Infantile convulsions • Spasmodic pain of elbow & arm • Excess patterns of internal LU heat
Perpendicular 0.5”-1.0” Avoid radial recurrent a. & cephalic v.
LU 6 • Xi-Cleft pt.
On line b/w LU 5 & LU 9, 5 cun below LU 5 or 7 cun above wrist crease
• Regulates & promotes descending of LU Qi • Clears heat • Stops acute bleeding
• Cough, asthma or sore throat • Chest pain • Bloody sputum • Spasmodic pain of elbow & arm • Pain along meridian • Acute excess patterns
Perpendicular 0.5”-1.0”
LU 7 • Luo-Connecting
pt. (to LI 1) • Confluent pt. (to
Ren meridian)
1.5 cun above wrist crease in depression above radial styloid process (interlock thumbs webs – index tip should fall above radial styloid process)
• Stimulates descending & dispersing of LU Qi • Circulates Wei Qi • Expels external wind • Opens the nose • Benefits head, neck & UB • Opens water passages • Communicates w/ Large Intestine meridian
• Cough, asthma or sore throat • Headache &/or migraine • Neck rigidity • Facial paralysis • Toothache • Wrist pain & weakness
Obliquely upward 0.3”-0.5”
LU 8 – seldom used • Jing-River pt.
1 cun above wrist crease lateral to radial artery
• Promotes descending of LU Qi • Cough, asthma or sore throat • Chronic throat problems
Perpendicular 0.1”-0.3”
The 12 Primary Meridians
Page 7 of 83 5/1/2012
LUNG MERIDIAN OF HAND TAIYIN Point Location Actions Indications Method
• Fever • Chest &/or wrist pain
Avoid radial a.
LU 9 • Shu-Stream pt. • Yuan-1° pt. • Influential Pt. of
Vessels
On wrist crease lateral to radial artery
• Resolves Phlegm • Promotes descending of LU Qi & stops cough • Tonifies LU Qi, LU Yin, & Gathering Qi • Promotes blood circulation & influences pulse • Clears LU & LV Heat
• Cough, asthma or sore throat • Chest, wrist or arm pain • Bloody sputum • HT palpitations
Perpendicular 0.2”-0.3” Avoid radial a.
LU 10 • Ying-Spring pt.
Midpt. of 1st
metacarpal bone where skin color changes from red to white
• Clears LU Heat • Promotes descending of LU Qi & stops cough • Benefits throat • Calms the Mind
• Couth or acute sore throat • Voice loss • Fever • Hot palm
Perpendicular 0.5”-0.8”
LU 11 • Jing-Well pt.
On radial side of thumb, 0.1 cun posterior to corner of nail
• Expels exterior wind & extinguishes interior wind
• Stimulates diffusing/descending of LU Qi • Benefits throat • Opens the orifices & promotes resuscitation
• Cough, asthma or sore throat • Epistaxis • Fever • Loss of consciousness • Mania • Spasmodic pain in thumb
Puncture 0.1” or prick to bleed
The 12 Primary Meridians
Page 8 of 83 5/1/2012
LARGE INTESTINE MERIDIAN OF HAND YANGMING Pathway • begins at radial side of tip of index finger • runs proximally along radial side of index finger & passes thru interspace b/w
first & second metacarpal bones at LI 4 • reaches anatomical snuff-box where LI 5 is situated, continues along lateral
aspect of forearm to lateral aspect of elbow at LI 11 • rises along lateral aspect of upper arm to shoulder joint at LI 15 • crosses behind shoulder to depression b/w scapular spine & lateral extremity
of clavicle (LI 16) • travels in a medial direction, passing thru SI 12 (in centre of suprascapular
fossa) to DU 14 (just below spinous process of C7) where it meets w/ other five yang channels of hand & foot
• from DU 14 it enters supraclavicular fossa in region of ST 12 & connects w/ Lung before descending thru diaphragm to join w/ Large Intestine, continuing down onto leg to ST 37 (lower He-Sea pt. of Large Intestine)
• another branch ascends from supraclavicular fossa along lateral aspect of neck, passes thru cheek, & enters lower gums
• from gums, channel passes thru ST 4 (which branches to meet REN 24 in chin), curves around upper lip & crosses to opposite side of body at DU 26, at philtrum
• from DU 26, left channel travels to right & right channel travels to left to terminate either side of nose at LI 20, where the Large Intestine channel joins w/ Stomach channel
• Connecting zangfu: LI, LU • Crossing points:
- ST 4, ST 12 - SI 12 - DU 14 (mtg. pt. of all Yang meridians), DU 26 - REN 24
External Symptoms • Fever, sore throat, thirst, toothache, epistaxis (nose bleed), eye pain, neck
swelling Internal Symptoms • Abdominal pain, borborygmus (intestinal noises), loose stools sometimes
accompanied by shortness of breath, belching
The 12 Primary Meridians
Page 9 of 83 5/1/2012
LARGE INTESTINE MERIDIAN OF HAND YANGMING Point Location Actions Indications Method
LI 1 • Jing-Well pt.
On radial side of index finger, 0.1 cun posterior to corner of nail
• Relieves & clears heat • Benefits throat • Calms mind • Expels wind • Scatters cold • Relieves swelling
• Toothache • Sore throat • Febrile diseases w/o sweating • Swelling of submandibular region • Finger numbness • Mental disorders • Loss of consciousness
Puncture 0.1” or prick to bleed
LI 2 • Ying-Spring pt.
Flex finger; in depression on radial side just distal to 2
nd
MCPJ where color changes
• Clears heat • Expels wind-heat • Removes obstruction from channel
• Toothache • Sore throat • Blurry vision • Epistaxis • Febrile diseases
Perpendicular 0.2”-0.3”
LI 3 • Shu-Stream pt.
Make loose fist; on radial side of index finger in depression proximal to head of 2
nd metacarpal
bone
• Expels exterior wind • Brightens the eyes • Benefits the throat • Regulates the intestines
• Toothache • Sore throat • Ophthalmalgia (eye pain) • Bi syndrome, especially hand arthritis • Redness & swelling of fingers, back of hand
Perpendicular 0.5”-0.8”
LI 4 • Yuan-1° pt.
(command pt. of head, neck & nape)
• Contraindicated in pregnancy
On back of hand b/w 1st
& 2
nd metacarpal bones, in
middle of 2nd
metacarpal bone on radial side (put thumb IP jt. on edge of web & fold over – where thumb tip falls)
• Harmonizes descending & ascending of LU Qi • Releases the exterior & dispels external wind • Regulates Wei Qi & sweating • Stops pain • Removes obstructions from channel • Benefits the eyes, nose, ears, & mouth • Promotes labor • Calms the mind • Has an anti-spasmodic effect
• Headache or neck pain • Sore throat • Eye redness, swelling & pain • Nasal obstruction, rhinorrea or epistaxis • Parotitis (parotid gland inflammation) • Trismus (spasm of mastication muscles) • Facial swelling or paralysis • Toothache • Deafness • Febrile diseases w/ & w/o sweating • Abdominal pain, constipation or dysentery • Amenorrhea • Delayed labor • Infantile convulsions • UL pain, weakness & motor impairment
Perpendicular 0.5”-1.0”
LI 5 • Jing-River pt.
Anatomical snuffbox • Expels wind & releases the exterior • Stops pain • Clears heat • Calms the mind & opens the mind’s orifices • Benefits the nose, ears, & eyes
• Headache • Eye redness, swelling & pain • Toothache • Sore throat • Wrist pain
Perpendicular 0.3”-0.5” Avoid radial a. & cephalic v.
LI 6 • Luo-Connecting
pt.
On line b/w LI 5 & LI 11, 3 cun above wrist crease
• Regulates LU’s water passages • Removes obstructions from channel
• Sore throat • Eye redness • Tinnitus or deafness
Perpendicular or Oblique 0.5”-0.8”
The 12 Primary Meridians
Page 10 of 83 5/1/2012
LARGE INTESTINE MERIDIAN OF HAND YANGMING Point Location Actions Indications Method
• Epistaxis • Edema • Aching of hand & arm
LI 7 • Xi-Cleft pt.
On line b/w LI 5 & LI 11, 5 cun above wrist crease
• Clears heat • Regulates the intestines • Opens the mind’s orifices • Removes obstructions from channel
• Sore throat • Headache • Swelling of face • Abdominal pain • Borborygmus • Aching of shoulder & arm
Perpendicular 0.5”-1.0”
LI 8 On line b/w LI 5 & LI 11, 4 cun below cubital crease
• Harmonizes Small Intestine • Expels wind & clears heat • Clears yangming fire & calms the spirit
• Abdominal pain • Borborygmus • Pain in elbow & arm, UL motor impairment
Perpendicular 0.5”-1.0”
LI 9 On line b/w LI 5 & LI 11, 3 cun below cubital crease
• Harmonizes Large Intestine • Activates the channel & alleviates pain
• Abdominal pain • Borborygmus • Shoulder & arm ache • Hand & arm numbness, UL motor
impairment
Perpendicular 0.5”-1.0”
LI 10 On line b/w LI 5 & LI 11, 2 cun below cubital crease
• Removes obstructions from channel • Regulates the intestines • Tonifies Qi
• Abdominal pain • Diarrhea • Toothache • Swelling of cheek • UL motor impairment • Pain in shoulder & back
Perpendicular 0.8”-1.2”
LI 11 • He-Sea pt.
Lateral end of elbow crease, midway b/w LU 5 & lateral epicondyle of humerus
• Clears heat & cools blood • Removes obstructions & heat from channel • Resolves dampness • Regulates the intestines • Benefits the sinews & joints
• Sore throat • Toothache • Redness & pain of eye • Scrofula (a form of TB) or urticaria (hives) • UL motor impairment • Abdominal pain or diarrhea • Vomiting • Febrile diseases
Perpendicular 1.0”-1.5”
LI 12 Lateral side of upper arm, 1 cun above LI 11
• Removes obstructions from channel • Elbow & arm pain, numbness & contracture Perpendicular 0.5”-1.0”
LI 13 Lateral side of upper arm, on line b/w LI 11 & LI 15, 3 cun above LI 11
• Activates the channel & alleviates pain • Alleviates coughing • Regulates Qi, drains damp & transforms
phlegm
• Elbow & arm contracture & pain • Scrofula
Perpendicular 0.5”-1.0” Avoid radial collateral a.
LI 14 Lateral side of upper arm, on line b/w LI 11 & LI 15, 7
• Removes obstructions from channel • Brightens the eyes
• Shoulder & arm pain • Neck rigidity
Perpendicular or Oblique
The 12 Primary Meridians
Page 11 of 83 5/1/2012
LARGE INTESTINE MERIDIAN OF HAND YANGMING Point Location Actions Indications Method
cun above LI 11 (at insertion of deltoid)
• Resolves phlegm & dissipates nodules • Scrofula 0.8”-1.5”
LI 15 Anteroinferior to acromion on upper part of deltoid, in depression at anterior border of AC jt. when arm is abducted
• Removes obstructions from channel • Expels wind & dampness • Resolves phlegm & dissipates nodules
• Shoulder & arm pain • UL motor impairment • Rubella • Scrofula
Perpendicular or Oblique 0.8”-1.5”
LI 16 In depression b/w acromial end of clavicle & spine of scapula
• Moves blood locally • Good for shoulder pain • Removes obstructions from channel • Dissipates nodules
• UL pain & motor impairment • Shoulder & back pain
Perpendicular 0.5”-0.7” Avoid suprascapular a. & lateral supraclavicular n.
LI 17 Posterior border of SCM, 1 cun below laryngeal prominence
• Benefits the throat & voice • Dissipates nodules
• Sudden voice loss • Sore throat • Scrofula • Goiter
Perpendicular 0.3”-0.5” Avoid external jugular v.
LI 18 Lateral side of neck, level w/ laryngeal prominence, b/w sternal & clavicular heads of SCM
• Benefits the throat & voice • Subdues rebellious qi & relives coughing &
wheezing • Resolves phlegm & dissipates nodules
• Cough, asthma or sore throat • Sudden voice loss • Scrofula • Goiter
Perpendicular 0.3”-0.5”
LI 19 Right below lateral margin of nostril
• Eliminates wind & opens the nasal passages • Nasal obstruction or epistaxis • Deviation of mouth
Oblique 0.2”-0.3”
LI 20 Nasolabial groove, at level of midpoint of lateral border of ala nasi
• Expels exterior wind • Opens the nose • Removes obstructions from the channel
• Nasal obstruction, epistaxis or rhinorrea • Hyposmia (reduced ability to smell) • Deviation of mouth • Itching & swelling of face
Oblique or Subcutaneous 0.2”-0.3”
The 12 Primary Meridians
Page 12 of 83 5/1/2012
STOMACH MERIDIAN OF FOOT YANGMING Pathway • begins at lateral side of nose at LI20, ascends to medial canthus where it meets
UB1, then descends laterally along infraorbital ridge to ST1, down cheeks to ST5 & to ST6 at angle of mandible
• ascends anterior to ear to ST7 via GB3, ascends within hairline of temporal region at ST8 via GB 4, GB 5, GB 6, & follows hairline to meet Governing channel at DU24
• a branch at ST5 descends along anterior border of SCM in throat region to enter the supraclavicular fossa at ST12, where it gives off 2 branches: - one branch travels posteriorly to the upper back where it meets Governing
channel at DU14 - another descends internally thru the diaphragm, linking w/ REN12 & REN13
to enter ST & connect w/ SP • the main meridian continues descending from ST12 along the mamillary line, 4
cun lateral to midline as far as ST18, then passes 2 cun lateral to midline & descends alongside umbilicus to ST30 in inguinal region
• a further branch originates internally from the pyloric orifice of the ST, descends w/in the abdomen & meets w/ ST30
• from inguinal region at ST30 the channel travels laterally to ST31 on anterolateral aspect of thigh, descends along lateral margin of femur to patella & alongside lateral margin of tibia to dorsum of foot, terminating at lateral side of tip of 2
nd
toe at ST 45 • a further branch separates from the main channel at ST 36 & terminates at
lateral aspect of middle toe • a further branch separates on dorsum of foot at ST 42 & terminates at medial
side of tip of big toe at SP 1 where it links w/ SP channel • Connecting zangfu: ST, SP, HT(?) • Crossing points:
- DU 14, 24, 26, 28 - GB 3, 4, 5, 6, 14 (in front b/w eyebrows), 21 (at highest pt. of shoulder) - REN 12, 13 , 17, 24 - UB 1
External Symptoms • Parched throat, tidal fever, flushed face, sweating, malaria, sensitivity to cold,
eye pain, dry nostrils, swelling of neck, facial paralysis, fever blisters, any pain along meridian pathway
Internal Symptoms • Abdominal distention/fullness, edema, seizures, persistent hunger, yellow urine
The 12 Primary Meridians
Page 13 of 83 5/1/2012
STOMACH MERIDIAN OF FOOT YANGMING Point Location Actions Indications Method
ST 1 • Yang Heel pt.
Below pupil when patient looks fwd, b/w eyeball & infraorbital ridge
• Expels wind • Brightens eyes • Clears heat
• Facial paralysis • Eyelid twitching or eye redness/pain/itching • Lacrimation (tearing) • Night blindness
Perpendicular 0.5”-1.0” Push eyeball up NO MOXA
ST 2 • Yang Heel pt.
Below ST 1, in depression below infraorbital ridge
• Expels wind • Brightens eyes • Clears heat
• Facial paralysis or pain • Eyelid twitching or eye redness/pain/itching • Night blindness • Sinus
Perpendicular 0.2”-0.3” NO MOXA
ST 3 • Yang Heel pt.
Below pupil, at level of lower border of ala nasi
• Expels internal & external wind • Relieves swelling, esp. facial • Removes obstructions from channel
• Epistaxis • Toothache • Lip & cheek swelling • Facial paralysis • Eyelid twitching
Perpendicular 0.3”-0.5”
ST 4 • Yang Heel pt. • ST & LI mtg. pt. • Ren pt.
Below ST 3 in corner of mouth, lateral to corner of mouth
• Expels wind • Benefits muscles
• Facial paralysis • Deviation of mouth • Salivation • Eyelid twitching
Subcutaneously towards ST 6 1.0”-1.5” Avoid facial a. & v.
ST 5 Anterior to angle of mandible, on anterior border of masseter in groove w/ puffed cheeks
• Eliminates wind & reduces swelling • Facial paralysis or pain • Trismus • Swelling of cheek • Toothache
Oblique 0.3”-0.5” Avoid facial a. & v.
ST 6 One middle finger-breadth anterosuperior to angle of mandible where masseter is prominent when teeth are clenched
• Expels wind • Removes obstructions from channel
• Mumps • Facial paralysis • Toothache • Swelling of cheek & face • Trismus
Perpendicular 0.3”-0.5” or Subcutaneously towards ST 4
ST 7
Only locate w/ mouth closed – anterior to ear, in depression b/w zygomatic arch & mandibular notch
• Removes obstructions from channel • Benefits the ear • Expels wind
• TMJ or motor impairment of jaw • Tinnitus, deafness or otorrhea • Toothache • Facial paralysis or pain
Perpendicular 0.3”-0.5”
ST 8 • ST & GB mtg. pt. • Yang Linking pt.
0.5 cun above anterior hairline at corner of forehead & 4.5 cun lateral to midline of head
• Expels wind • Clears heat • Relieves pain • Brightens the eyes
• Blurry vision • Opthalmagia • Headache • Lacrimation
Subcutaneous 0.5”-1.0” NO MOXA
ST 9 • Sea of Qi pt.
Anterior border of SCM, level w/ laryngeal prominence
• Benefits throat • Regulates ascending & descending of qi to &
from head • Subdues rebellious qi • Dissipates nodules
• Flushed face • Sore throat • Asthma • Goiter
Perpendicular 0.3”-0.5” Avoid common carotid a.
The 12 Primary Meridians
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STOMACH MERIDIAN OF FOOT YANGMING Point Location Actions Indications Method
ST 10 Midway b/w ST 9 & ST 11, on anterior SCM border
• Benefits the throat & neck • Descends lung qi
• Cough, asthma or sore throat Perpendicular 0.3”-0.5”
ST 11 Superior border of clavicle b/w 2 heads of SCM
• Benefits the throat & neck & descends qi • Goiter • Hiccups, asthma or sore throat • Local pain/rigidity in neck
Perpendicular 0.3”-0.5” Avoid anterior jugular v.
ST 12 • Contraindicated
in pregnancy
Midpt. right above clavicle, 4 cun lateral to midline
• Subdues rebellious Qi • Removes obstructions from channel
• Cough, asthma or sore throat • Pain in supraclavicular fossa
Perpendicular 0.3”-0.5”
ST 13 Midpt. right below clavicle, 4 cun lateral to midline
• Descends rebellious Qi & unbinds the chest • Fullness & pain in chest & hypochondrium • Cough, asthma or hiccups
Oblique 0.3”-0.5”
ST 14 4 cun lateral to midline in 1
st ICS
• Descends rebellious Qi & unbinds the chest • Fullness & pain in chest • Cough
Oblique 0.3”-0.5”
ST 15 4 cun lateral to midline in 2
nd ICS
• Descends rebellious Qi & unbinds the chest • Benefits the breasts • Alleviates pain & itching of the skin
• Mastitis • Fullness & pain in chest/costal region • Cough or asthma
Oblique 0.3”-0.5”
ST 16 4 cun lateral to midline in 3
rd ICS
• Alleviates cough & wheezing • Benefits the breasts
• Mastitis • Fullness/pain in chest & hypochondrium • Cough or asthma
Oblique 0.3”-0.5”
ST 17 – nipples 4 cun lateral to midline in 4
th ICS
• n/a – landmark only • n/a – landmark only NO NEEDLE NO MOXA
ST 18 Below ST 17, 4 cun lateral to midline in 5
th ICS
• Dispels stagnation • Regulates ST Qi & lactation • Benefits the breasts & reduces swelling • Moves Qi in the chest & stops coughing
• Mastitis • Insufficient lactation • Chest pain • Cough or asthma
Oblique 0.3”-0.5”
ST 19 2 cun lateral to midline, 6 cun above umbilicus
• Harmonizes the Middle Burner & subdues rebellious Stomach-Qi
• Subdues Rebellious Lung-Qi
• Abdominal distention or gastric pain • Vomiting • Anorexia
Perpendicular 0.5”-0.8”
ST 20 2 cun lateral to midline, 5 cun above umbilicus
• Harmonizes the Middle Burner & Subdues rebellious Stomach-Qi
• Subdues Rebellious Lung-Qi
• Abdominal distention or gastric pain • Vomiting • Anorexia
Perpendicular 0.5”-1.0”
ST 21 2 cun lateral to midline, 4 cun above umbilicus
• Subdues rebellious ST Qi & moves ST Qi • Stops pain & vomiting • Used for Excess patterns • Clears Stomach-Heat • Raises Qi & stops diarrhea
• Abdominal distention or gastric pain • Diarrhea • Vomiting • Anorexia
Perpendicular 0.8”-1.0”
ST 22 2 cun lateral to midline, 3 cun above umbilicus
• Moves Stomach-Qi • Regulates the water passages • Regulates the Intestine & Urination
• Abdominal pain/distention • Edema • Anorexia
Perpendicular 0.8”-1.0”
The 12 Primary Meridians
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STOMACH MERIDIAN OF FOOT YANGMING Point Location Actions Indications Method
• Diarrhea • Borborygmus
ST 23 2 cun lateral to midline, 2 cun above umbilicus
• Transforms phlegm & calms the spirit • Harmonizes the middle jiao
• Irritability or mania • Indigestion or gastric pain
Perpendicular 0.7”-1.0”
ST 24 2 cun lateral to midline, 1 cun above umbilicus
• Transforms phlegm & calms the spirit • Harmonizes the stomach & alleviates vomiting
• Vomiting • Mania • Gastric pain
Perpendicular 0.7”-1.0”
ST 25 • Front-Mu pt. of
LI
2 cun lateral to center of umbilicus
• Clears heat in ST & Intestines • Regulates the SP. ST, & Intestines • Regulates & moves the Qi • Invigorates blood • Resolves Dampness • Calms the Mind & opens the Mind’s orifices
• Constipation, diarrhea, or dysentery • Food retention or weight loss • Edema • Abdominal or para-umbilical pain, distention • Borborygmus • Irregular menstruation
Perpendicular 0.7”-1.2”
ST 26 2 cun lateral to midline, 1 cun below umbilicus
• Regulates Qi & alleviates pain • Abdominal pain or hernia • Dysmenorrhea
Perpendicular 0.7”-1.2”
ST 27 2 cun lateral to midline, 2 cun below umbilicus
• Regulates ST Qi • Regulates the Intestines • Resolves Dampness & benefits urination • Firms the Essence
• KD Qi or KD Yang deficiency • Premature ejaculation • Dysuria • Lower abdominal distention or hernia
Perpendicular 0.7”-1.2”
ST 28 2 cun lateral to midline, 3 cun below umbilicus
• Helps urination • Opens water passages esp. in • Relieves pain • Regulates the menses • Moves Qi in the Lower Burner • Opens the water passages & benefits urination
• Sterility • Urine retention • Edema • Hernia • Lower abdominal distention • Dysmenorrhea
Perpendicular 0.7”-1.2”
ST 29 2 cun lateral to midline, 4 cun below umbilicus
• Invigorates blood in the Uterus & Lower Jiao • Lifts Qi & firms the Essence
• Irregular menstruation (amenorrhea, dysmenorrhea)
• Leukorrhea • Prolapse of uterus • Abdominal pain or hernia
Perpendicular 0.7”-1.2”
ST 30 • Chong meridian
pt.
2 cun lateral to midline, 5 cun below umbilicus (superior to pubic symphysis)
• Regulates ST Qi, Chong Vessel & blood • Regulates Qi in the Lower Burner • Promotes KD Essence • Subdues rebellious Qi
• Abdominal problems or hernia • External genital problems • Impotence • Borborygmus • Dysmenorrhea or irregular menstruation
Perpendicular 0.5”-1.0” Avoid branches of superficial epigastric a. & v,
ST 31 Lines connecting ASIS to lower border of pubic symphysis, in depression lateral to sartorius
• Removes obstruction from channel • Removes obstructions from the channel • Expels wind & dampness
• LE pain, numbness & motor impairment • Stroke – needle right away! • Muscular atrophy
Perpendicular 1.0”-1.5”
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STOMACH MERIDIAN OF FOOT YANGMING Point Location Actions Indications Method
ST 32 Line connecting ASIS to lateraosuperior border of patella, 6 cun above patella
• Removes obstructions from the channel • Expels wind & dampness
• “knees always cold” – Bi syndrome of legs • Pain in lumbar/iliac region • LE paralysis, motor impairment or pain • Beriberi (Vit. B1 deficiency)
Perpendicular 1.0”-1.5”
ST 33 Flex knee – line connecting ASIS to lateraosuperior border of patella, 3 cun above patella
• Activates the channel & alleviates pain • Dispels wind-damp
• Local knee probs like numbness, soreness, motor impairment
Perpendicular 0.7”-1.0”
ST 34 • Xi-Cleft pt.
Flex knee – line connecting ASIS to lateraosuperior border border of patella, 2 cun above patella
• Clears ST fire • Subdues rebellious Stomach-Qi • Removes obstructions from the channel • Expels Dampness & wind
• Acute gastric pain • Damp &/or wind-cold • Mastitis • Knee pain/numbness; LE motor impairment
Perpendicular 0.5”-1.0”
ST 35 Flex knee – lower border of patella, in depression lateral to patellar lig.
• Relieves swelling & pain • Removes obstructions from the channel
• Knee pain, numbness & motor impairment • Beriberi
Perpendicular 0.7”-1.0”
ST 36 • He-Sea pt. • Major
tonification pt. • Commonly used
like LV 3, SP 6
3 cun below ST 35 on lateral border of tibia, one middle finger-breadth from anterior border of tibia
• Generates Qi for whole body • Regulates Wei Qi & Ying Qi • Raises Yang Qi • Tonifies Original Qi & Blood • Expels wind-cold & damp • Brightens eyes • Regulates intestines • Benefits ST & SP • Resolves edema • Rescues Yang & promotes resuscitation
• Digestive probs: gastric pain, enteritis, abdominal distention, borborygmus
• Mastitis • Knee & leg ache • Edema • Cough, asthma or hiccups • Emaciation due to general deficiency • Beriberi • Hemiplegia • Dizziness, insomnia or mania
Perpendicular 0.5”-1.2” Avoid anterior tibial a. & v.
ST 37 • Lower He-Sea pt.
of LI • Sea of Blood pt.
3 cun below ST 36 • Regulates functions of ST & intestines, esp. LI • Relieves damp-heat • Soothes asthma • Resolves food retention • Subdues Rebellious Qi
• Food retention • Enteritis or abdominal pain • Borborygmus • Constipation, diarrhea or dysentery • Beriberi • Paralysis due to stroke
Perpendicular 0.5”-1.2”
ST 38 2 cun below ST 37 (on same line as ST 40)
• Expels wind & dampness • Removes obstruction from the channel
• Shoulder probs • Knee numbness/soreness/pain • Foot weakness & motor impairment • Abdominal pain
Perpendicular 0.5”-1.0”
ST 39 • Lower He-Sea pt.
of SI • Sea of Blood pt.
3 cun below ST 37 • Regulates functions of ST & intestines, esp. SI • Relieves damp-heat & wind-damp • Stops pain, esp. lower abdominal pain
• Back pain which refers to testes • Mastitis • Lower abdominal pain • LE numbness/paralysis
Perpendicular 0.5”-1.0”
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STOMACH MERIDIAN OF FOOT YANGMING Point Location Actions Indications Method
ST 40 • Luo-Connecting
pt.
8 cun above lateral malleolus, 2 middle finger-breadths lateral to anterior border of tibia (on same line as ST 38)
• Calms the asthma • Clears the mind • Opens the chest & subdues rebellious Qi • Clears heat • Resolves phlegm & damp • Promotes the descending of Lung-Qi & stops
cough • Calms the mind & opens the mind’s orifices
• Excess patterns • Phlegm in Middle or Lower Jiao – cough or
asthma • Epilepsy, dizziness, vertigo or headache • Muscular atrophy • LE motor impairment, pain, swelling • Chest pain • Constipation • Mania
Perpendicular 0.5”-1.0”
ST 41 – seldom used • Jing-River pt.
Dorsum of foot, midpt. of transverse crease of ankle jt in depression b/w EHL & EDL, at level of tip of lateral malleolus
• Clears the mind • Brightens the eyes • Eliminates wind • Clears ST heat • Removes obstructions from the channel
• Local ankle probs like pain in ankle jt. • Muscular atrophy • Epilepsy, dizziness or headache • Abdominal distention or constipation
Perpendicular 0.5”-0.7”
ST 42 • Yuan-1° pt.
Highest pt. of dorsum of foot b/w EHL & EDL
• Tonifies SP & ST • Calms mind & relieves obstruction • Regulates the Intestines
• Facial paralysis • Toothache in upper gum • Redness/swelling of dorsum of foot • Muscular atrophy, foot motor impairment
Perpendicular 0.3”-0.5” Avoid dorsalis pedis a.
ST 43 • Shu-Stream pt.
In depression distal to junction of 2
nd & 3
rd
metatarsal bones
• Clears wind & heat • Removes obstruction from the channel • Regulates the intestines • Resolves edema
• General edema • Abdominal pain • Borborygmus • Swelling & pain in dorsum of foot
Perpendicular 0.3”-0.5”
ST 44 • Ying-Spring pt. • Mir’s favorite pt. • Painful!
Proximal to the web margin b/w 2
nd & 3
rd toes, in
depression distal & lateral to 2
nd MTP jt. (or 1 cun
below ST 43)
• Clears heat • Regulates Qi • Stops pain • Relieves wind, esp. from face • Regulates the intestines & resolves Damp-heat • Calms the mind
• Foul breath or any digestive probs • Acid regurgitation (combine w/ LI 4) • Constipation, diarrhea or dysentery • Gastric pain or abdominal distention • Gum bleeding & toothache • Deviation of mouth • Epistaxis • Facial pain • Sore throat • Swelling & pain in dorsum of foot
Perpendicular 0.3”-0.5”
ST 45 • Jing-Well pt.
0.1 cun lateral to corner of 2
nd toenail
• Clears ST & HT fire • Calm the mind & opens the mind’s orifices • Relieves food retention • Brightens eyes • Promotes resuscitation
• Facial swelling • Deviation of mouth • Hoarse voice or sore throat • Dream-disturbed sleep or mania • Epistaxis • Toothache • Abdominal distention • Febrile disease
Puncture 0.1” or prick to bleed
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SPLEEN MERIDIAN OF FOOT TAIYIN Pathway • begins at medial side of tip of big toe at SP1, runs along medial aspect of
foot, following the border where the skin changes color • ascends in front of the medial malleolus at SP5, follows the posterior border
of the tibia up medial aspect of the leg to a point 8 cun superior to the medial malleolus where it crosses (and then travels anterior to) the LV channel
• ascends along the medial aspect of the knee & the anteromedial aspect of the thigh to the lower abdomen where it forks
• a superficial branch intersects the Conception vessel at REN3, REN4 & REN10 & ascends first at 4 cun lateral to the midline (REN meridian) then upon reaching the chest, the meridian becomes 6 cun lateral to the midline, passing thru GB24 & LV14 & ascends all the way up the chest to meet w/ LU1, & descends to terminate in the 7
th ICS on the mid-axillary line at SP21
• an internal branch (at the fork of the abdominal region) enters the body to meet w/ the SP then connects to the ST, its internally-externally related organ, ascends thru the diaphragm, runs alongside the esophagus & spreads over the lower surface of the tongue (note: KD meridian ends at ROOT of tongue)
• a further branch ascends from the ST, passes thru the diaphragm & flows directly to the HT
• Connecting zangfu: SP, ST, HT • Crossing points:
- LU 1 - GB 24 - REN 3, 4, 10, 17 - LV 14
External Symptoms • Heaviness of body, general fever sensation, fatigued limbs, emaciated
muscles, edema in foot or legs, stiffness of tongue, general cold sensation on medial aspect of leg along meridian pathway
Internal Symptoms • Abdominal pain, diarrhea, incomplete digestion, vomiting, intestinal noises,
hard lumps in abdomen, reduced appetite, constipation
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SPLEEN MERIDIAN OF FOOT TAIYIN Point Location Actions Indications Method
SP 1 • Jing-Well pt. • Painful!
Medial side of big toe, 0.1 cun posterior to corner of nail
• Calms the heart & spirit • Restores consciousness • Stops bleeding • Regulates the SP • Unbinds the chest
• For blood probs: uterine bleeding, bloody stool, menorraghia
• Mental disorders or dream-disturbed sleep • Abdominal distension • Convulsions
Puncture 0.1” or prick to bleed
SP 2 • Ying-Spring pt.
Medial side of foot, distal & inferior to 1
st MTP jt.
where skin color changes
• Regulates the SP • Resolves damp or damp-heat • Harmonizes Middle Jiao • Calms the mind
• Sudden swelling of 4 limbs • Heaviness in body • Febrile diseases w/o sweating • Abdominal distension or gastric pain • Constipation
Perpendicular 0.1”-0.3”
SP 3 • Yuan-1° pt. • Shu-Stream pt.
Proximal & inferior to 1st
MTP jt. where skin color changes
• Tonifies • Resolves damp • Strengthens SP & spinal muscles • Stimulates Intellect (Yi) • Regulates the intestines
• Constipation, diarrhea or dysentery • Sluggishness, confusion, head muzziness • Beriberi • Abdominal distension or gastric pain • Vomiting • Borborygmus
Perpendicular 0.3”-0.5” Avoid medial plantar a. & n.
SP 4 • Luo-Connecting
pt. • Confluent pt. to
Chong meridian • Most commonly
used pt., esp. for females
In depression distal & inferior to base of 1
st
metatarsal bone where skin color changes
• Stops bleeding • Dispels fullness • Removes or regulates masses • Harmonizes the Middle Jiao • Regulates the intestines • Regulates the Chong/Penetrating Vessel • Calms the mind & opens the mind’s orifices • Benefits feet & toes
• Menses • Infertility • Hemorrhoids • Vomiting • Abdominal pain/distension or gastric pain • Diarrhea or dysentery • Borborygmus
Perpendicular 0.5”-0.8” Avoid saphenous n.
SP 5 • Jing-River pt.
Anteroinferior to medial malleolus, midway b/w navicular tuberosity & medial malleolus
• Tonifies SP & intestines • Resolves damp • Benefits sinews & joints • Calms the mind & opens the mind’s orifices
• Hemorrhoids • Pain & rigidity of tongue • Abdominal distension or borborygmus • Constipation or diarrhea • Foot & ankle pain
Perpendicular 0.2”-0.3” Avoid great saphenous v.
SP 6 • Crossing pt. of 3
leg meridians – SP, LV, KD
• Contraindicated in pregnancy
• Commonly used
3 cun above medial malleolus
• Boosts immune system • Removes damp-heat, esp. in • Calms the mind • Cools the blood • Relieves pain • Disperses blood stagnation • Strengthens the spleen • Promotes Liver function & smooth flow of Liver-
Qi • Tonifies the Kidneys • Nourishes the Blood & Yin
• Irregular menstruation or dysmenorrhea • Nocturnal emission • Hernia • Enuresis (bedwetting) or dysuria • Uterine bleeding or prolapse of uterus • Morbid leukorrhea • Sterility or impotence • Pain in external genitalia • Delayed labor • Edema • Muscular atrophy or motor impairment
Perpendicular 0.5”-1.0” Avoid great saphenous v., posterior tibial a. & v., tibial n.
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SPLEEN MERIDIAN OF FOOT TAIYIN Point Location Actions Indications Method
• Benefits urination • Regulates the uterus & menstruation
• LE paralysis & pain • Headache, dizziness, vertigo or insomnia • Abdominal pain, borborygmus or diarrhea
SP 7
On line b/w SP 9 & SP 6, 3 cun above SP 6 (6 cun above medial malleolus)
• Fortifies SP & resolves dampness • Promotes urination & disperses swelling
• Coldness on medial aspect of leg/knee • Dysuria • Abdominal distention • Borborygmus • Knee/leg numbness & paralysis
Perpendicular 0.5”-1.0” Avoid great saphenous v., posterior tibial a. & v., tibial n.
SP 8 • Xi-Cleft pt.
On line b/w SP 9 & SP 6, 3 cun below SP 9
• Regulates Qi, blood & uterus • Stops pain & bleeding • Harmonizes the spleen & resolves dampness • Removes obstructions from the channel
• Acute probs, esp. acute bleeding • Dysmenorrhea or irregular menstruation • Edema • Dysuria • Nocturnal emission • Abdominal pain & distension • Diarrhea
Perpendicular 0.5”-1.0” Avoid great saphenous v., posterior tibial a. & v., tibial n.
SP 9 • He-Sea pt. • Commonly used • Tender on
women
In depression posterior & inferior to medial condyle of tibia
• Removes damp, esp. from Middle & • Regulates the spleen • Opens the water passages • Benefits urination
• Urination probs like incontinence or enuresis • Jaundice • Pain in external genitalia • Abdominal pain & distension • Diarrhea or dysentery • Edema • Dysmenorrhea • Knee pain
Perpendicular 0.5”-1.0” Avoid great saphenous v., posterior tibial a. & v., tibial n.
SP 10 • Major blood pt. • Use w/ caution
in pregnancy
2 cun above mediosuperior border of patella w/ knee flexed
• Strongly moves & cools the blood • Invigorates blood & eliminates stasis • Stops bleeding • Regulates menstruation • Nourishes blood • Subdues rebellious Qi
• Blood stagnation, blood heat or anemia • Blood deficiency – don’t use in severe cases • Urticaria, eczema, or erysipelas (acute
bacterial skin infection) • Irregular menstruation, dysmenorrhea,
amenorrhea or uterine bleeding • Pain in medial thigh
Perpendicular 0.5”-1.2”
SP 11 – seldom used On line b/w SP 12 & SP 10, 6 cun above SP 10 (on sartorius)
• Regulates urination • Drains damp • Clears heat
• Local probs: LE numbness, paralysis • Dysuria or enuresis • Pain & swelling in inguinal region • Muscular atrophy or motor impairment
Perpendicular 0.5”-1.0” Avoid femoral VAN
SP 12 – seldom used • SP & LV mtg. pt.
w/ Yin Linking meridian
Inguinal groove, lateral to femoral a. – level w/ upper border of pubic symphysis, 3.5 cun lateral to midline
• Tonifies Yin • Moves Qi & invigorates blood • Subdues rebellious Qi of the Penetrating Vessel • Resolves damp & benefits urination
• Hernia • Abdominal pain • Dysuria
Perpendicular 0.5”-1.0” Avoid femoral a.
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SPLEEN MERIDIAN OF FOOT TAIYIN Point Location Actions Indications Method
SP 13 – seldom used 4 cun below umbilicus, 4 cun lateral to midline
• Regulate Qi & alleviates pain • Hernia • Abdominal pain • Dysuria
Perpendicular 0.5”-1.0”
SP 14 – seldom used
1.3 cun below umbilicus, 4 cun lateral to midline
• Warms & benefits Lower Jiao • Regulates Qi • Descends rebellion
• Local probs: abdominal pain, distension • Hernia • Diarrhea or constipation
Perpendicular 0.5”-1.0”
SP 15 • Yin Linking pt.
4 cun lateral to center of umbilicus (2 cun lateral to ST 25)
• Strengthen SP & limbs • Helps function of Large Intestine • Stops pain • Relieves damp • Regulates Qi
• Abdominal pain & distension • Constipation, diarrhea or dysentery
Perpendicular 0.7”-1.2”
SP 16 3 cun above umbilicus, 4 cun lateral to midline
• Regulates intestines • Indigestion probs • Abdominal pain, constipation or dysentery
Perpendicular 0.5”-1.0”
SP 17 6 cun lateral to midline in 5
th ICS
• Dissipates food & fluid accumulation • Promotes digestion
• Hypochondriac pain, fullness • Pain & fullness in chest
Oblique 0.3”-0.5” Avoid thoracoegastric v.
SP 18 6 cun lateral to midline in 4
th ICS
• Regulates & descends Qi • Benefits breast & promotes lactation
• Insufficient lactation • Hiccups & cough • Fullness & pain in chest/hypochondrium • Mastitis
Oblique 0.3”-0.5” Avoid thoracoegastric v.
SP 19 6 cun lateral to midline in 3
rd ICS
• Regulate & descends Qi • Unbinds chest
• Local probs • Fullness & pain in chest/hypochondrium
Oblique 0.3”-0.5” Avoid lateral thoracic a. & v.
SP 20 6 cun lateral to midline in 2
nd ICS
• Regulate & descends Qi • Unbinds chest
• Hiccups & cough • Fullness in chest & hypochondrium
Oblique 0.3”-0.5” Avoid lateral thoracic a. & v.
SP 21 • Major Luo-
Connecting pt. of SP
Midaxillary line, midway b/w axillary fold & tip of 11
th rib – about 6
th or 7
th
ICS
• Removes pain • Moves blood from all parts of body • Benefits the sinews • Regulates Qi in the chest
• Fibromyalgia • General aching, weakness or itching • Pain in chest & hypochondrium • Asthma
Oblique 0.3”-0.5” Avoid thoracodorsal a. & v.
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HEART MERIDIAN OF HAND SHAOYIN Pathway • only organ that originates from its own organ, the HT • emerges from the system of blood vessels surrounding the HT & descends thru
the diaphragm to connect w/ the SI, • a branch separates from the HT, ascends alongside the esophagus & then crosses
the face & cheek to connect w/ the tissues surrounding the eyes, • another branch travels directly from the Heart to the LU & descends to emerge
from the axilla fossa at HT1, then travels along the medial aspect of the upper arm (medial to the LU & PC channels) to the elbow at HT3,
• descends along the antero-medial aspect of the lower arm to the pisiform bone across the palm of the wrist at HT7,
• travels thru the palm & along the radial side of the little finger to terminate at the radial corner of the nail at HT9.
• Connecting zangfu: HT, SI, LU (& KD thru muscle meridian) • Crossing points: none External Symptoms • General feverishness, headache, eye pain, dry throat, thirst, hot, sweaty or
painful palms Internal Symptoms • Mental disorders, pain or fullness of chest, pain & fullness below the ribs,
shortness of breath (OK when sitting down, but can’t lay back)
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HEART MERIDIAN OF HAND SHAOYIN Point Location Actions Indications Method
HT 1 – seldom used Center of axilla w/ arm abducted on medial side of axillary a.
• Nourishes HT yin • Clears empty fire • Calms the mind • Removes obstructions from the channel
• Dry throat • Pain in costal & cardiac regions • Scrofula • Cold pain of elbow/arm
Perpendicular 0.5”-1.0” Avoid axillary a., median n. & ulnar n.
HT 2 – seldom used 3 cun above medial end of cubital crease w/ arm flexed, medial to biceps tendon
• Activates the channel & alleviates pain • For local pain, if at all Perpendicular 0.3”-0.5” Avoid basilic v. & superior ulnar collateral a.
HT 3 • He-Sea pt.
Midway b/w cubital crease & medial epicondyle of humerus w/ arm flexed
• Calms the mind • Clears the heat • Removes obstructions form the channel
• Local problems & hand tremors • Parkinson’s disease • Spasmodic pain/numbness of hand & arm • Scrofula • Pain in chest, axilla & hypochondrium
Perpendicular 0.5”-1.0” Avoid basilic v. & inferior ulnar collateral a.
HT 4 • Jing-River pt.
On line b/w HT 3 & pisiform, 1.5 cun above wrist crease, radial side of FCU tendon
• Calms the mind • Subdues rebellious Qi • Relaxes the sinews
• Aphasia or sudden voice loss • Cardiac pain • Spasmodic pain of elbow & arm
Perpendicular 0.3”-0.5” Avoid ulnar a. & n.
HT 5 • Luo-Connecting
pt.
1 cun above wrist crease, radial side of FCU tendon
• Tonifies HT Qi • Calms the mind • Opens into the tongue • Benefits the bladder, eyes & head • Regulates the uterus
• Aphasia w/ stiff tongue (better than HT 4) • Palpitation • Dizziness & blurring of vision • Sore throat • Pain in wrist & elbow
Perpendicular 0.3”-0.5” Avoid ulnar a. & n.
HT 6 • Xi-Cleft pt.
0.5 cun above wrist crease, radial side of FCU tendon
• Nourishes HT yin • Clears heat • Calms the mind • Stops sweating • Invigorates Heart-Blood • Subdues rebellious Qi
• Cardiac pain • Hysteria • Night sweating • Hemoptysis • Epistaxis • Sudden voice loss
Perpendicular 0.3”-0.5” deep Avoid ulnar a. & n.
HT 7 • Yuan-1° pt. • Shu-Stream pt.
On wrist crease, radial side of FCU tendon
• Opens orifices • Calms the mind • Nourishes the HT blood
• Mental disorders, esp. when due to underlying deficiency
• Dementia, irritability, hysteria, mania • Insomnia or amnesia • Epilepsy • Palpitation • Yellowish sclera • Cardiac pain • Feverish sensation of palm
Perpendicular 0.3”-0.5” (Go under tendon w/ needle pointed towards PC 7 so horizontal to wrist crease) Avoid ulnar a. & n.
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HEART MERIDIAN OF HAND SHAOYIN Point Location Actions Indications Method
HT 8 • Ying-Spring pt. • PAINFUL!
Palm of hand – when you make a loose fist, tip of pinky falls b/w 4
th & 5
th
metacarpal bones (b/w 2 transverse palmar creases)
• Any kind of HT heat/fire, esp. when phlegm is involved
• Clears empty fire/heat (false heat, yin deficiency heat)
• Calms the mind • Benefits the bladder • Regulates the uterus & lifts sinking Qi
• Angina (HT 8 & PC 8) • Better for urination probs • Palpitation • Spasmodic pain of little finger • Feverish sensation of palm • Enuresis or dysuria • Pruritus of external genitalia
Perpendicular 0.3”-0.5”
HT 9 • Jing-Well pt.
0.1 cun lateral (radial side) to corner of the pinky nail
• Clears fire • Relieves wind • Restores consciousness • Opens HT’s orifices • Relieves fullness • Calms the mind • Benefits the tongue & eyes
• Excess patterns • Palpitation • Cardiac pain • Pain in the chest & hypochondrium • Mania • Febrile disease • Loss of consciousness
Puncture 0.1” or prick to bleed
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SMALL INTESTINE MERIDIAN OF HAND TAIYANG Pathway • originates at ulnar side of tip of little finger at SI1, • ascends along ulnar aspect of hand to reach wrist where it emerges at ulnar styloid
process at SI6 • follows ulna to medial aspect of elbow, where it passes b/w olecranon process &
medial epicondyle of humerus at SI8, • runs along posterior aspect of upper arm (intersecting Large Intestine channel at
LI14) to posterior aspect of shoulder joint at SI10, • zig-zags from inferior fossa to superior fossa of scapula thru SI11 & SI12, & then to
medial aspect of scapular spine at SI13, • crosses via SI14 & SI15 to DU14 under C7 SP (mtg. pt. of yang meridians), where it
intersects w/ BL41 & BL11, then it descends & dips into supraclavicular fossa at ST12 • one branch goes & connects w/ HT & descends along esophagus, intersects
Conception vessel at REN17 & passes thru diaphragm to Stomach, intersects Conception vessel at REN13 & REN12 & enters the small intestine (pertaining organ); from there a branch continues to ST channel & meets w/ ST39 (the lower he-sea point of small intestine)
• A branch (more superficial) ascends from supraclavicular fossa to cross neck to face & cheek & goes to outer canthus of eye, where it meets GB1, then travels posteriorly on top of & behind ear, where it intersects GB11, SJ20 & SJ22 & enters ear at SI19.
• Another branch separates from previous branch on cheek & ascends to infra-orbital region (SI18) then along lateral aspect of nose to enter inner canthus of eye where it meets w/ BL1.
• Connecting zangfu: SI, HT, ST • Crossing points:
- ST12 - LI 14 - DU14 - UB 1, UB 11, UB 41 - REN 12, REN 13, REN 17, - GB 1, GB 11 - SJ 20, SJ 22
External Symptoms • Numbness of mouth & tongue, neck pain, sore throat, pain along the lateral aspect of
the arm Internal Symptoms • Abdominal pain & distention; lower abdominal pain that radiates to the waist, groin,
& genitals; diarrhea, constipation
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SMALL INTESTINE MERIDIAN OF HAND TAIYANG Point Location Actions Indications Method
SI 1 • Jing-Well pt.
Ulnar side of little finger, 0.1 cun lateral to corner of nail
• Expels wind-heat • Subdues wind • Opens orifices • Promotes lactation (least invasive pt. for this) • Promotes resuscitation • Removes obstructions from channel • Subdues rebellious Qi
• Insufficient lactation • Mental probs • Eye cloudiness of cornea & eye redness • Headache • Febrile diseases • Loss of consciousness • Sore throat
Subcutaneous 0.1” or prick to bleed
SI 2 • Ying-Spring pt.
Ulnar side of little finger, distal to MCP jt. where skin color changes – make loose fist
• Clears internal & external heat • Expels Wind-Heat • Benefits eyes, nose, & ears • Removes obstructions from the channel
• Insufficient lactation (but SI 1 better) • Febrile diseases • Tinnitus • Local probs: pain/numbness of fingers, jts. • Headache • Reddish urine
Perpendicular 0.3”-0.5”
SI 3 • Shu-Stream pt. • Confluent pt. to
Du meridian
Ulnar side of little finger, proximal to MCP jt. where skin color changes – make loose fist
• Expels wind-heat • Benefits tendons/sinews • Resolves damp • Clears jaundice or damp-heat • Clears the mind (b/c SI connects to HT & Du
meridian enters brain) • Alleviates low back pain (b/c connected to Du) • Regulates the Governing Vessel & extinguishes
interior & exterior wind • Benefits the eyes, nose, & ears
• Acute lumbar pain • Night sweating or hot flashes – combine w/
UB 62, which is on Yang Heel meridian • Pain & rigidity of neck • Tinnitus or deafness • Sore throat • Mania • Febrile diseases like malaria • Contracture & numbness of fingers • Pain in shoulder & elbow
Perpendicular 0.5”-0.7” Avoid dorsal digital a. & v.
SI 4 • Yuan-1° pt.
Ulnar side of palm, in depression b/w base of 5
th
metacarpal & hamate on
• Clears damp-heat • Removes obstructions from the channel
• Febrile diseases w/o sweating • Jaundice • Headache or rigidity of neck • Contracture of fingers or pain in wrist
Perpendicular 0.3”-0.5”
SI 5 • Jing-River pt.
Depression b/w ulnar styloid process & triquetrium
• Clears heat • Calms the mind • Benefits ears & eyes
• Submandibular region toothache • Febrile diseases • Swelling of neck & submandibular region • Pain of hand & wrist
Perpendicular 0.3”-0.5” Avoid posterior carpal a.
SI 6 • Xi-Cleft pt.
Hand on chest & slightly turned – on radial side of bony cleft of ulnar styloid process
• Benefits eyes & tendons/sinews • Removes obstructions from channel
• Blurry vision, esp. when due to degeneration • Pain in the shoulder/elbow/arm
Perpendicular 0.3”-0.5”
SI 7 – seldom used • Luo-Connecting
pt.
On line b/w SI 5 & SI 8, 7 cun distal from SI 8
• Calms mind • Expels Wind-Heat • Subdues rebellious Qi • Removes obstructions from channel
• Mania • Febrile diseases • Neck rigidity, headache or dizziness • Spasmodic pain in elbow/fingers
Perpendicular 0.5”-0.8”
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SMALL INTESTINE MERIDIAN OF HAND TAIYANG Point Location Actions Indications Method
SI 8 – seldom used • He-Sea pt.
Flex elbow – b/w medial epicondyle of humerus & olecranon process
• Clears damp-heat • Calms the mind • Sedates • Removes obstructions from channel
• Tennis or golf elbow • Epilepsy • Headache • Swelling of the cheek • Pain in the nape/shoulder/arm/elbow
Perpendicular 0.3”-0.5” Avoid ulnar n.
SI 9
Upper shoulder, 1 cun above posterior axillary fold
• Removes obstructions from channel • Local pain • Motor impairment of hand/arm
Perpendicular 0.5”-1.0”
SI 10 • Crossing pt. of
Yang Linking & Yang Heel meridians
Above SI 9, under scapular spine
• Removes obstructions from channel • Shoulder probs – usually tender in basketball & baseball players
• Swelling
Perpendicular 0.5”-1.0”
SI 11
Depression of center of infrascapular fossa, a 1/3 down from superior border to inferior angle
• Clears wind • Removes obstructions from channel • Opens the chest • Benefits the breast
• Pain in scapular region • Pain in lateroposterior aspect of elbow/arm • Asthma
Perpendicular or Oblique 0.5”-1.0”
SI 12 – seldom used • SI, LI, SJ & GB
mtg. pt.
Lift arm – center of suprascapular fossa above SI 11
• Removes obstructions from channel • Local probs • Pain in scapular region • Motor impairment of shoulder/arm
Perpendicular 0.5”-0.7”
SI 13 – seldom used Midway b/w T2 SP & SI 10 • Expels wind • Removes obstructions from channel
• Pain & stiffness of scapular region Perpendicular 0.3”-0.5”
SI 14 3 cun lateral to lower border of T1 SP
• Expels wind • Removes obstructions from channel
• Aching of shoulder & back • Pain & rigidity of neck
Oblique 0.3”-0.7”
SI 15 2 cun lateral to C7 SP or Du 14
• Promotes the descending of Lung-Qi • Removes obstructions from channel
• Cough & asthma • Hemoptysis • Pain in the shoulder/back
Oblique 0.3”-0.6”
SI 16 At level of laryngeal prominence, posterior border of SCM
• Subdues rebellious Qi • Extinguishes internal wind • Calms the mind • Benefits the ears
• Sore throat • Sudden voice loss • Tinnitus or deafness • Stiffness & pain of neck
Perpendicular 0.3”-0.7”
SI 17 Posterior to angle of mandible, anterior border of SCM
• Gets rid of fire poison • Subdues rebellious Qi • Resolves Dampness • Expels toxic heat • Benefits the ears
• Acute deafness or tinnitus • Plum pit syndrome • Goiter • Sore throat • Swelling of cheek
Perpendicular 0.5”-0.7” Avoid int. & ext. jugular vv., internal carotid a., great auricular n., facial n. branch
SI 18 • SI & SJ mtg. pt.
Below outer canthus on lower border of zygomatic
• Relieves wind & pain • Clears heat & resolves swelling
• Facial paralysis • Yellowish sclera
Perpendicular 0.5”-0.8”
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SMALL INTESTINE MERIDIAN OF HAND TAIYANG Point Location Actions Indications Method
arch • Toothache • Twitching of eyelids • Swelling of cheek
SI 19 Depression formed when mouth is open, anterior to tragus & posterior to condyloid process of mandible
• Benefits the ears • Acute deafness or tinnitus • TMJ • Otorrhea • Toothache
Perpendicular 0.5”-1.0” (open mouth to needle then close slowly) Avoid temporal a. & v., facial n.
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URINARY BLADDER MERIDIAN OF FOOT TAIYANG Pathway • begins at the inner canthus of the eye at BLl and ascends along the forehead to the vertex, where a branch (1) travels diagonally and intersects with GB15, DU24 and DU20, • from the vertex, a branch descends to the temples in the region above the ear, intersecting the GB channel at points GB7-12, • from the vertex, another branch enters and goes through the brain, meets the Governing channel and emerges at DU17 to descend the nape of the neck (posterior to head) and crosses DU14 & 13, where the channel splits into two branches that travel down the spine. The first (medial) branch: the 1.5 cun has all back shu pts on it – mostly right on organs/close to organs they are related to • descends alongside the spine, 1.5 cun lateral to the midline, all the way down to the lumbar region, • penetrates deep into the interior via the paravertebral muscles to connect with the KD and link with the BL • a sub-branch separates in the lumbar region, descends along the sacrum, crosses the buttock & gluteal region and descends to the popliteal fossa of the knee at BL40 (meets the 2
nd branch).
The second (lateral) branch: mostly sensory – emotional ex. anger (LV); sadness (LU)) • separates at the nape of the neck and descends to the medial border of the scapula and then parallel to the spine, 3 cun lateral to the midline, to the gluteal region, • crosses the buttock to intersect at GB30, then descends along the postero-lateral aspect of the thigh to meet with the previous branch of the channel in the popliteal fossa at BL40 (meets the previous branch), • descends the medial gastrocnemius muscle and emerges posterior to the lateral malleolus at BL60, then follows along the fifth metatarsal bone (where the skin color changes) to temrinate at BL67 o the lateral side of the tip of the fifth toe, where it meets with the KD channel. related zangfu: KD, BL, (goes on the GB channel) + HT (but not main branch) crossing points: DU20, DU24, GB15, GB7-12, DU17, DU14, DU13, GB 15, GB30 **Note: although not mentioned in the classical pathway described above, the following points are also traditionally said to be meeting points with the Bladder channel: LI14, SI10 and GB23. External Symptoms • Chills & fever, headache, stiff neck & back, nasal congestion, eye probs Internal Symptoms • Any urinary probs (urine retention, lower abdominal pain, dysuria), mental
disorders
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URINARY BLADDER MERIDIAN Point Location Actions Indications Method
UB 1 • Mtg. pt. of Yin
Heel, Yang Heel, ST & SI meridians
0.1 cun medial to inner canthus
• Expels wind • Clears heat • Stops pain • Stops itching • Brightens the eyes • Stops pain •
• Lacrimation • Itching of eyes • Any eye probs
Perpendicular 0.3”-0.7” Puncture slowly & leave alone! NO MOXA Avoid: angular artery and vein; ophthalmic VAN; supratrochlear and infratrochlear nerves; oculomotor nerve
UB 2 Medial end of eyebrow, on supraorbital notch
• Soothes the liver • Expels wind • Brightens the eyes • Clears heat • Subdues Liver-Yang
• Eye probs: blurry vision, lacrimation • Eyelid twitching • Headaches, esp. stress headaches
Subcutaneously Laterally 0.3”-0.5” NO MOXA Avoid: frontal VAN (medial nerve)
UB 3 Above UB 2, 0.5 cun w/in hairline
Expels wind • Clears the head • Alleviates pain • Benefits the eyes and nose
• Nasal obstruction • Epilepsy
Subcutaneously Laterally 0.3”-0.5” Same as UB 2
UB 4 0.5 w/in hairline, 1.5 cun lateral to midline
• Expels wind • Clears the head • Alleviates pain • Benefits the eyes and nose
• Eye probs • Local probs • Nasal congestion
Subcutaneously 0.3”-0.5” Avoid: frontal VAN (lateral nerve)
UB 5 1.5 cun lateral to midline, 0.5 cun posterior to UB 4 – 1.0 cun w/in hairline, 1.5 cun lateral to midline
• Relieves internal wind • Restores consciousness • Extinguishes internal wind • Subdues Liver-Qi
• Rigidity of spine • Opisthotones • Epilepsy • Tetany • Vertigo • Headache • Dizziness • Pain in the eye
Subcutaneously 0.3”-0.5” Same as UB 4
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URINARY BLADDER MERIDIAN Point Location Actions Indications Method
UB 6 – seldom used 1.5 cun posterior to UB 5 & 1.5 cun lateral to midline – 2.5 w/in hairline
• Eliminates wind • Clears hear • Clears the head • Benefits the eyes and nose
• Vertex headache, wind dizziness, superficial visual obstruction, blurred vision, short sightedness, copious clear nasal discharge, nasal congestion, inability to distinguish the fragrant from the foul, deviation of the mouth.
• Vomiting, agitation of the Heart with vomiting, febrile disease with absence of sweating
Subcutaneously 0.3”-0.5” Avoid: frontal VAN; Superficial temporal artery; occipital artery and vein; great occipital nerve
UB 7 1.5 cun posterior to UB 6 & 1.5 cun lateral to midline - 4.0 cun to ant. hairline
• Subdues wind • Clears the nose • Brightens the eyes • Opens the orifices • Stops convulsions • Subdues Liver-Yang • Benefits the nose
• Headache, deviation of eye and mouth, stiff neck, a feeling of heaviness of the head, loss of consciousness
• Nasal congestion and discharge, loss of sense of smell, nosebleed, nasal sores
Subcutaneously 0.3”-0.5” Avoid: Superfician artery and vein; occipital artery and vein; great occipital nerve
UB 8 1.5 cun posterior to UB 7 & 1.5 cun lateral to midline – 5.5 cun to ant. hairline
• Benefits the sense organs • Pacifies wind • Transforms phlegm • Calms the spirit
• Tinnitus • Mania
Subcutaneously 0.3”-0.5” Avoid: occipital artery and vein; great occipital nerve
UB 9 1.3 cun lateral to Du 17 – posterior border of EOP
• Subdues Liver-Yang • Brightens the eyes • Expels exterior wind • Extinguishes interior wind • Open’s the minds orifices
• Eye probs b/c almost above vision area of brain
Subcutaneously 0.3”-0.5” Avoid: Occipital artery and vein; great occipital nerve
UB 10 – seldom used
1.3 cun lateral to midline, level w/ Du 15, which is same level as C1
• Clears brain • Brightens eyes • Expels wind • Soothes the sinews • Opens the orifices • Invigorates “tight” lower back • Extinguishes wind • Subdues Liver-Yang • Strengthens the Greater Yang channels
• Speech probs • Headache • Throat probs
Perpendicular 0.5”-0.8” Avoid: brainstem – avoid occipital VAN
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URINARY BLADDER MERIDIAN Point Location Actions Indications Method
UB 11 • Influential bone
pt. • Sea of blood pt. • UB & SI mtg. pt.
1.5 cun lateral lower border of T1 SP
• Nourishes blood • Expels wind • Soothes the sinews • Releases the exterior • Subdues Liver-Yang • Strengthens bones
Restores the descending of Lung-Qi
• Fracture • Bone growth probs in kids • Blood diseases, anemia • Aversion to cold, fever, invasions of Wind,
chronic rhinitis, propensity to catching colds • Bone diseases, rigidity of the neck and spine,
pain in the back and scapula, lower backache, collapse, inability to stand for long periods
• Cough, a feeling of fullness of the chest, breathlessness
Oblique – towards spine 0.5”-0.7” Avoid: Intercostal AV; cutaneous branches of posterior rami of 1
st and 2
nd
thoracic nerves
UB 12 Level w/ T2, 1.5 cun lateral • Dispels wind • Releases exterior • Stimulates dispersing function of Lung • Regulates Wei Qi & Ying Qi • Consolidates the space between skin and
muscles • Stimulates the descending of Lung-Qi • Strengthens the back • Benefits the nose
• Common cold • Lumbar pain, stiff neck • Urticaria on back, carbuncles on back • Abundant nasal discharge, nasal congestion,
nosebleed
Oblique – towards spine 0.5”-0.7” Avoid: Intercostal AV; cutaneous branches of posterior rami of 2
nd and 3rd
thoracic nerves
UB 13 • Back shu pt. of
LU
1.5 cun lateral to T3 • Helps dispersing & descending function of Lung • Regulates Lung Qi • Regulates Wei Qi & Ying Qi • Stops cough • Clears heat • Expels external wind • Tonifies Lung-Qi and Nourishes Lung-Yin • Calms the mind
• Lung probs of deficiency nature • Spitting of blood • Afternoon fever
Oblique – towards spine 0.5”-0.7” Avoid: Intercostal AV; cutaneous branches of posterior rami of 3
rd and 4
th
thoracic nerves
UB 14 • Back shu pt. of
PC
1.5 cun lateral to T4 • Regulates heart • Opens the chest • Stops pain
• Vomiting • Heart pain, palpitations, agitation, mental
restlessness • Coughing, breathlessness, a feeling of
fullness of the chest, chest pain
Oblique – towards spine 0.5”-0.7” Avoid: Intercostal AV; cutaneous branches of posterior rami of
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URINARY BLADDER MERIDIAN Point Location Actions Indications Method
4th
and 5th
thoracic nerves
UB 15 Back shu pt. of HT
1.5 cun lateral to T5 • Calms the mind • Nourishes the heart • Clears the heat • Invigorates the blood • Stimulates the brain • Regulates Heart-Qi
• Mania • Nocturnal emission • Night sweats
Oblique – towards spine 0.5”-0.7” Avoid: Intercostal AV; cutaneous branches of posterior rami of 5
th and 6
th
thoracic nerves
UB 16 • Back shu pt. of
Du
1.5 cun lateral to T6 • Regulates the heart • Invigorates the blood • Moves Qi
• Heart pain • Epigastric pain, abdominal distention, breast
abscess
Oblique – towards spine 0.5”-0.7” Avoid: posterior intercostal AV; transverse cervical artery; dorsal scapular nerve; cutaneous branches of dorsal rami of T6 and 7
UB 17 • Influential blood
pt.
1.5 cun lateral to T7 • Nourishes & invigorates blood • Tonifies Qi & blood • Clears the heat • Calms the mind • Opens the chest • Removes obstruction from diaphragm • Cools the blood • Stops bleeding • Subdues rebellious Qi • Benefits the sinews
• Any blood probs • Night sweats • Measles
Obliquely- toward spine 0.5”-0.7” Avoid: Intercostal AV; cutaneous branches of posterior rami of T7-8
UB 18 • Back shu pt. of
LV
1.5 cun lateral to T9 • Resolves damp heat • Benefits Liver & Gallbladder • Removes wind • Clears heat • Moves Liver-Qi and eliminates stagnation • Brightens the eyes
• Jaundice • Night blindness • Spitting blood • Epistaxis
Oblique – towards spine 0.5”-0.7” Avoid: Intercostal AV; cutaneous
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URINARY BLADDER MERIDIAN Point Location Actions Indications Method
• Benefits the sinews • Nourishes and invigorates Liver-Blood • Stops Bleeding
branches of posterior rami of T9-10
UB 19 • Back shu pt. of
GB
1.5 cun lateral to T10 • Removes damp heat from Liver & Gallbladder • Relaxes diaphragm • Pacifies Stomach • Subdues rebellious Qi • Tonifies GB Qi • Regulates the Lesser Yang • Tonifies deficiency
• Pulmonary TB • Jaundice • Bitter taste in mouth
Oblique – towards spine 0.5”-0.8” Avoid: Intercostal AV; cutaneous branches of posterior rami of T10-11
UB 20 • Back shu pt. of
SP
1.5 cun lateral to T11 • Relieve damp • Nourishes blood • Tonifies spleen & stomach • Regulates the intestines • Lifts spleen Qi and stops bleeding
• Profuse menstruation • Bloody stools • Edema • Diarrhea • Any probs related to spleen function
Oblique – towards spine 0.5”-0.7” Avoid: Intercostal AV; cutaneous branches of posterior rami of T11-12
UB 21 • Back shu pt. of
ST
1.5 cun lateral to T12 • Regulate & tonifies ST QI • Relieves food retention • Resolves damp • Subdues rebellious stomach Qi
• Any probs w/ stomach: nausea, vomiting, diarrhea, borborygmus
Oblique – towards spine 0.5”-0.8” Avoid: subcostal AV; Cutaneous branches of T12
UB 22 • Back shu pt. of SJ
1.5 cun lateral to L1 • Resolves damp • Regulates fluid transformation of in Lower Jiao • Opens water passages • Invigorates blood • Regulates the Lesser Yang
• Dysentery or diarrhea • Indigestion • Abdominal distension
Perpendicular 0.5”-0.1” Avoid: 1
st lumbar
VAN; lateral cutaneous branch of T10; he kidney
UB 23 • Back shu pt. of
1.5 cun lateral to L2 • Tonifies KD, Essence, Blood • Strengthens lower back
• Elderly patients • Deafness, tinnitus
Perpendicular 1.0”-1.2”
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URINARY BLADDER MERIDIAN Point Location Actions Indications Method
KD • Commonly used
• Benefits marrow & bone • Strengthens KD’s function of grasping Qi from
LU • Brightens eyes & benefits ears • Consolidates Kidney-Qi • Resolves dampness and benefits urination • Strengthens the Uterus and the directing,
Governing, and Penetrating vessels
• Edema
Avoid: L2 AV; branches of L1 cutaneous nerves
UB 24 • Sea of Qi pt.
1.5 cun lateral to L3 • Regulates Qi & Blood • Strengthens lower back • Regulates menstruation
• Irregular menstruation or dysmenorrhea • Asthma
Perpendicular 0.8”-1.2” Avoid: L3 AV; cutaneous branch of L2 (only lateral)
UB 25 • Back shu pt. of LI
1.5 cun lateral to L4 • Increases functions of LI • Relieves fullness & swelling • Strengthens the low back
• Low back probs • Sciatica
Perpendicular 0.8”-1.2” Avoid: L4 AV; L3 posterior rami
UB 26 1.5 cun lateral to L5 • Strengthens lower back • Moves Qi and Blood in the lower burner • Benefits urination
• Frequent urination Perpendicular 0.8”-1.2” Avoid: L5 VAN
UB 27 • Back shu pt. of SI
1.5 cun lateral to 1st
posterior sacral foramen
• Resolves damp & clear heat • Benefits urination • Helps functions of SI
• Diarrhea • Blood and mucus in stool • Dark urine • Enuresis • Lower abdominal pain
Perpendicular 0.8”-1.2” Avoid: Lateral sacral AV; lateral S1 nerve
UB 28 • Back shu pt. of
UB
1.5 cun lateral to 2nd
posterior sacral foramen
• Resolves damp • Regulate UB • Clears heat • Stops pain • Opens the water passages, esp. in Lower Jiao • Eliminates stagnation • Dissolves masses • Strengthens the lower back
• Any urinary probs: dysuria, enuresis • Swelling of external genitalia, ulcers on
genitals, itching in genitals, swelling and pain of the vagina, swelling of the penis
• Abdominal pain, abdominal masses (Ji Ju), constipation
• Stiffness and pain of the sacrum, lower backache, stiffness of the lower back, pain in the buttocks, numbness of legs, sciatica
Perpendicular 0.8”-1.2” Avoid: lateral sacral AV; S1 and S2 nerves
UB 29 – seldom used
1.5 cun lateral to 3rd
posterior sacral foramen
• Benefits the Lumbar region • Dispels cold
• Local probs like hernia Perpendicular 0.8”-1.2”
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URINARY BLADDER MERIDIAN Point Location Actions Indications Method
• Stops Diarrhea Avoid: lateral sacral AV; inferior gluteal AV; S3-S4 nerves
UB 30 1.5 cun lateral to 4th
posterior sacral foramen
• Benefits the anus • Strengthens the lower back and legs • Regulates menstruation • Firms Qi
• Any prob related to anus: prolapsed of rectum, hernia
Perpendicular 0.8”-1.2” Avoid: inferior gluteal VAN; S3 and S4 nerves
UB 31 In 1st
posterior sacral foramen
• Regulate LJ • Regulates KD & tonifies lumbar region • Regulates the Lower Jiao • Facilitates urination and defecation • Regulates menstruation • Stops Leukorrhea • Benefits the legs
• Dysuria • Prolapse of uterus
Perpendicular 0.8”-1.2” Avoid: lateral sacral AV; S1 nerve
UB 32 In 2nd
posterior sacral foramen
• Tonifies KD & Essence • Benefits urination and defecation • Strengthens the lower back • Regulates menstruation and resolves damp
• Empirical pt. for dysmenorrhea (painful menstruation)
• Hemorrhoids • Female infertility
Perpendicular 0.8”-1.2” Avoid: lateral sacral AV; S2 nerve
UB 33 In 3rd
posterior sacral foramen
• Same as UB 32 • Regulates the lower Jiao • Stops Leukorrhea • Benefits the lumbar region and legs
• Morbid leucorrhea Perpendicular 0.8”-1.2” Avoid: lateral sacral AV; S3 nerve
UB 34 In 4th
posterior sacral foramen
• Same as UB 32 & UB 33 • Regulates the lower Jiao • Stops Leukorrhea • Benefits the lumbar region and legs
• Lower abdominal pain • Diarrhea • Dysmenorrhea • Lumbar pain
Perpendicular 0.8”-1.2” Avoid: inferior gluteal AV; S4 nerve
UB 35 – seldom used
0.5 cun lateral to tip of coccyx
• Clears damp-heat • Regulates the lower Jiao • Benefits the coccyx • Treats hemorrhoids
• Bloody stools or diarrhea • Impotence
Perpendicular 0.5”-1.0” Avoid: inferior
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URINARY BLADDER MERIDIAN Point Location Actions Indications Method
gluteal AV; coccygeal nerve
UB 36 Halfway b/w gluteal crease • Removes obstruction from the channel • Treats Hemorrhoids
• Sciatica • LE numbness & motor impairment
Perpendicular 1.0”-1.5” Avoid: AV running along the sciatic nerve; posterior femoral cutaneous nerve; sciatic nerve
UB 37 b/w UB 40 & UB 36 – 6 cun below UB 36
• Benefits the lower back • Sciatica Perpendicular 1.0”-2.0” Avoid: 3
rd
perforating branches of deep femoral AV; posterior femoral cutaneous nerve; sciatic nerve
UB 38 – seldom used
1 cun above UB 39 • Relaxes the sinews • Alleviates pain • Clears heat • Soothes contraction
• Numbness of the buttock, contraction of the sinews of the popliteal fossa, contraction and pain of the outer thigh, sudden turmoil disorder with crams
• Small Intestine heat, knotting of the Large Intestine, hot urination
Perpendicular 0.5”-1.0” Avoid: superolateral genicular AV; posterior femoral cutaneous nerve; sciatic nerve
UB 39 • Lower He-Sea pt.
of SJ
In popliteal fossa on medial side of biceps femoris tendon
• Opens water passages esp., in LJ • Stimulates transformation & excretion of fluids • Benefits the UB
• Any damp probs • Edema • Dysuria
Perpendicular 0.5”-1.0” Avoid: Same as UB 38
UB 40 • He-Sea pt. • Empirical pt. for
LBP • Commonly used
In popliteal fossa b/w biceps femoris & semitendinosus tendons
• Relaxes sinews • Resolves damp • Clears heat & summerheat • Cools the blood • Eliminates blood stasis
• Acute back pain • Vomiting • Dysuria • LBP • Numbness & motor impairment of LE
Perpendicular 0.5”-1.0” Bleed for chronic LBP – wait until blood goes from
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URINARY BLADDER MERIDIAN Point Location Actions Indications Method
• Removes obstructions form channel black to red Avoid: femoro-popliteal vein; popliteal AV; posterior femoral cutaneous nerve; tibial nerve
UB 41 • Ghost attack
2nd
UB line - 3 cun lateral & level w/ T2 SP
• When ppl w/ high fever hallucinate that ghosts are attacking them
• Activates the channel • Alleviates pain • Expels wind and cold
• ON TEST MARK PEPENDICULAR b/c that way in book
• Contraction of the shoulder, scapula and back, pain and stiffness of the neck, back pain radiating to the head numbness of the elbow and upper arm
• Wind-cold lodged in the interstices, wind-taxation
In clinic= Oblique outwards (away from spine) 0.3”-0.5” ON TEST = perpendicular 0.3-0.5” Avoid: Transverse cervical artery, intercostal AV; posterior rami of T1-2 (lateral branch); dorsal scapular nerve
UB 42 3 cun lateral at same level of T3 SP; 1.5 cun lateral to Back-shu pt. of Lung
• Stimulates descending function of LU Qi • Regulates Qi & clears heat • Stops cough & asthma • Subdues rebellious Qi • Tonifies the Lungs • Soothes the Corporeal Soul (Po)
• Local probs: upper back pain, muscle stiffness
• Consumption, dry cough • Sadness, grief, feeling of oppression of the
chest, depression, suicidal thoughts, ‘three corpses flowing’
• Cough, wheezing, breathlessness
Oblique outwards 0.3”-0.5” Avoid: intercostal artery; descending branch of transverse cervical artery; cutaneous T2-3; dorsoscapular nerve
UB 43 3 cun lateral to 4th
TP; level w/ Back shu pt. of PC
• Tonifies Qi • Strengthens deficiencies • Nourishes Essence & LU Yin • Invigorates mind
• Spitting of blood (related to LU Yin) • Poor memory (related to invigorating mind) • Nocturnal emission (related to KD Essence) • Dry cough, wheezing, coughing of blood,
Oblique outwards 0.3”-0.5” Avoid: intercostal
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URINARY BLADDER MERIDIAN Point Location Actions Indications Method
• Stops cough & asthma • Nourishes the Heart • Tonifies the stomach and spleen
exhaustion, night sweating, consumption, weight loss
• Deficiency of Stomach and Spleen, undigested food in the stools, weak limbs
artery; descending transverse cervical artery; T2-3 cutaneous nerves; dorsoscapular nerve
UB 44 Level w/ 5th
TP; level w/ back shu of heart
• Calms the mind • Subdues rebellious Qi
• Insomnia & anxiety (combine w/ UB 18) • Depression
Oblique outwards 0.3”-0.5” Avoid: intercostal artery; descending transverse cervical artery; T4-5 cutaneous nerves; dorsoscapular nerve
UB 45 – seldom used
6th
thoracic 3 cun lateral; level w/ back-shu pt. of Du
• Expels wind • Clears heat • Descends Lung Qi • Invigorates Qi and blood • Alleviates pain
• Cough, dyspnea, febrile disease with absence of sweating, attack by wind with absence of sweating, visual dizziness, eye pain, nosebleed, malaria, headache in children whilst eating, five palms agitated and hot
• Pain of the shoulder, scapula and back, chest pain that radiates to the lumbar region, pain of the lateral costal region accompanied by distention and pain of the hypogastrium, pain of the lateral costal region radiating to the Heart and Lung, abdominal distention, contraction of the axilla
Oblique downwards 0.3”-0.5” Avoid: Intercostal AV; cutaneous branches of T5-6
UB 46 7th
thoracic; level of influential pt. of UB 17 & diaphragm
• Regulates the diaphragm • Benefits the Middle Jiao • Descends rebellious Qi • Activates the channel • Alleviates pain
• Hiccups • Dysphagia • Belching, vomiting
Oblique 0.3”-0.5” Avoid: Intercostal AV; cutaneous branches of T6-7
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URINARY BLADDER MERIDIAN Point Location Actions Indications Method
UB 47 9th
thoracic; level of back-shu pt. of LV
• Regulates liver • Roots ethereal soul • Benefits the sinews
• Emotional probs: depression • Vomiting, diarrhea
Oblique 0.3”-0.5” Avoid: Intercostal AV; cutaneous branches of T7-8
UB 48 Level w/ back-shu pt. of GB 10
th thoracic
• Regulates the GB • Clears damp-heat • Harmonizes Middle Jiao
• Diahrrea & jaundice
Oblique 0.3”-0.5” Avoid: Intercostal AV; cutaneous branches of T8-9
UB 49 11th
thoracic, level w/ back-shu pt. of SP
• Stimulates memory & concentration • Resolves Damp-heat • Benefits the intellect (yi)
• Abdominal fullness, hypochondrial distension, diarrhea, vomiting, a feeling of heat, yellow sclera and complexion
• Poor memory, poor concentration, worry, pensiveness, obsessive thinking
Oblique 0.3”-0.5” Avoid: Intercostal AV; cutaneous branches of T10-11
UB 50 12th
thoracic Level w/ back-shu pt. of ST
• Harmonizes the Middle Jiao • Distention, vomiting, diarrhea Oblique 0.3”-0.5” Avoid: subcostal AV; lateral cutaneous branch of T11
UB 51 3 cun lateral to 1st
lumbar; level w/ SJ
• Soothes & spreads the SJ QI to the heart region • Regulates the SJ • Benefits the breasts
• Abdominal mass • Fullness and hardness below the heart • Breast disease, fullness, distention and pain
of the breasts, breast lumps
Oblique 0.3”-0.5” Avoid: L1 AV; T12 nerve
UB 52 Lateral to 2nd
lumbar; level w/ KD
• Strengthens the back & tonifies the KD • Tonifies Kidney essence • Benefits urination • Strengthens the back • Strengthens will-power
• Willpower • Frequent urination • Impotence • Nocturnal emission
Perpendicular 0.5”-1.0” Avoid: L2 AV; T12-L1 nerves
UB 53 3 cun lateral to 2nd
sacral foramen; level w/ back-shut pt. of UB
• Opens water passages of LJ • Simulates transformation & excretion of fluids • Benefits the bladder
• Anuria • Hardness and fullness of the hypogastrium,
retention of urine, dribbling urination,
Perpendicular 0.8”-1.2”
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URINARY BLADDER MERIDIAN Point Location Actions Indications Method
edema Avoid: superior gluteal VAN; superior cluneal nerve
UB 54 3 cun lateral to sacral hiatus;
• Back pain that radiates towards buttocks • Benefits the lower back • Benefits urination • Treats hemorrhoids
• Hemorrhoids • Swelling around external genitalia
Perpendicular 1.5”-2.0” Avoid: inferior gluteal VAN; posterior femoral cutaneous nerve; sciatic nerve
UB 55 – seldom used
Draw line from UB 40 to tendocalcaneous – 2 cun down from UB 40
• Activates the channel • Alleviates pain • Stops uterine bleeding • Treats pain of the genitals
• Lumbar pain radiating to the abdomen, heat sensation of the inner thigh, pain, heat and heaviness of the knees, difficulty in walking
• Uterine bleeding, leucorrhea, pain of the genitals, sudden violent pain of the genitals, cold shan disorder
Perpendicular 0.7-1.0 Avoid: Small saphenous vein; popliteal AV; medial sural cutaneous nerve; tibial nerve
UB 56 – seldom used
Midway b/w UB 55 & 57 • Relaxes the sinews • Activates the channel • Alleviates pain • Benefits the foot and heel
• Contraction and pain of the lumbar spine, painful obstruction of the lower leg, shivering with inability to stand for long, heat sensation in the soles with inability to stand for long, pain and contraction of the foot and heel, swelling of the axilla
• Hemorrhoids, constipation, incontinence of both urine and feces
• Nosebleed, rhinitis, head in the head, dizziness and headache, sudden turmoil disorder with cramps, clonic spasm, urticaria
Perpendicular 0.8-1.2 Avoid: small saphenous vein; posterior tibial AV; medial sural cutaneous nerve; tibial nerve
UB 57 8 cun above tendon • Relaxes the sinews and removes obstructions from channel
• Treats hemorrhoids
• Hemorrhoids, constipation, prolapsed of the rectum
• Pain and stiffness of the lumbar region, sciatica, difficulty sitting and standing, inability to stand for long, cramps, pain and contraction of the sinews, leg qi with swollen knee, heavy legs, flaccidity and weakness of the leg, pain of the heel, heat sensation in
Perpendicular 0.8-1.2 Avoid: same as UB 56
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URINARY BLADDER MERIDIAN Point Location Actions Indications Method
the soles with inability to stand for long • Sivering, malaria, sudden turmoil disorder,
nosebleed, sore throat, heat in the head
UB 58 • Luo-Connecting
pt.
7 cun above UB 60; 1 cun lateral & inferior to UB 57
Removes obstructions from channel Subdues rebellious Qi from the head Strengthens the kidneys Treats hemorrhoids
• Lower back pain, sciatica, inability to stand, atrophy of legs
• Headache, dizziness, neck ache, occipital headache, nosebleed
• Lower backache, tinnitus, dizziness • Hemorrhoids
Perpendicular 0.7-1.0 Avoid: lateral sural cutaneous nerve
UB 59 • Xi-Cleft pt. of
Yang Heel meridian
3 cun directly above UB 60 • Removes obstructions from the channel • Invigorates the Yang Stepping Vessel • Benefits the back
• Thigh pain, Wind Painful Obstruction Syndrome (Bi Syndrome) of legs, atrophy of legs, inability to raise leg, feeling of heaviness of the legs, sciatica, ulcers on legs, redness and swelling of lateral malleolus, lower backache with pronounced stiffness
Perpendicular 0.5-1.0 Avoid: Sural nerve; small saphenous vein; peroneal artery
UB 60 • Jing-River pt. • Contraindicated
in pregnancy
Posterior to lateral malleolus
• Clears heat • Extinguishes interior Wind and subdues
rebellious Qi from the head • Removes obstructions from channel • Strengthens the back • Invigorates blood and Promotes Labor
• A feeling of heat in the head, redness, pain and swelling of the eye, bursting eye pain, nosebleed
• Epilepsy, lockjaw, headache, dizziness • Stiff neck, backache, upper backache,
sciatica • Chronic lower backache • Difficult labor, retention of placenta
Perpendicular 0.5-1.0 Avoid: Small saphenous vein; posteroexternal malleolar AV; sural nerve Contraindicated in pregnancy
UB 61 – seldom used
Posteroinferior to UB 60 • Relaxes the sinews • Activates the channel • Alleviates pain
• Headache, heavy head, heaviness of the head like a stone
• Mania, manic raving, seeing ghosts, loss of consciousness, childhood epilepsy, vomiting, turbid painful urinary dysfunction
• Lumbar pain, atrophy disorder of the leg, leg qi, sudden turmoil disorder with cramps, swelling of the knee, heel pain
Perpendicular 0.3-0.5 Avoid: External calcaneal branch of peroneal AV; external calcaneal branch of sural nerve
UB 62 • Confluent pt. of
Yang Heel
• Removes obstructions from channel • Benefits the eyes • Opens the Yang Stepping Vessel and
harmonizes the left and right of the YSV
• Stiff neck, occipital headache, stiff back, Cold Painful Obstruction Syndrome (Bi Syndrome) of the back, pain in the legs
• Insomnia, somnolence, red eyes, eye pain
Perpendicular 0.3-0.5 Avoid: External
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URINARY BLADDER MERIDIAN Point Location Actions Indications Method
• Extinguishes interior wind • Subdues rebellious Qi from the head • Expels exterior wind • Calms the mind
• Imbalances between left and right (one leg longer than the other, one scapula higher than the other, sweating on one side of the body, hemiplegia, etc), excess of Yang in the head
• Epilepsy (attacks in daytime), opisthotonos, lockjaw, tremors, Wind-strke, deviation of eye and mouth
• Headache, dizziness • Aversion to cold, fever, occipital headache
and stiffness • Manic behavior, insomnia
malleolar arterial network; sural nerve
UB 63 • Xi-Cleft pt. • Beg. pt. of Yang
Linking meridian
Anteroinferior to UB 62; depression on lateral side of cuboid bone
• Clears heat • Stops pain • Acute headaches that start at eyes • Removes obstructions from channel
• Lower backache, knee pain, Painful Obstruction Syndrome (Bi Syndrome) of the legs, pain in the legs, pain on the external malleolus
Perpendicular 0.3-0.5 Avoid: lateral plantar VAN; lateral dorsal cutaneous nerve of foot
UB 64 Yuan-1 pt.
Below 5th
metatarsal bone where skin color changes
• Clears heat • Eliminates wind • Calms the mind & clears the brain • Strengthens the back • Subdues rebellious Qi from the head • Extinguishes interior wind
• Headache, dizziness, redness of inner canthus of eye
• Tremor of the head, epilepsy • Palpitations, insomnia, manic depression,
fright
Perpendicular 0.3-0.5 Avoid: Same as UB 63
UB 65 • Shu-Stream pt. • Sedation pt.
Posterior to head of 5th
metarsal bone
• Clears heat • Eliminates wind • Subdues rebellious Qi from the head
• Headache, dizziness, occipital headache • Redness and pain of the eye, redness of
inner canthus of eye, yellow sclera • Aversion to cold, fever, occipital stiffness
and ache
Perpendicular 0.3-0.5 Avoid: 4
th
common plantar digital VAN; lateral dorsal cutaneous nerve
UB 66 • Ying-Spring pt.
In depression anterior to MTP jt. where color changes
• Eliminates wind • Clears heat & fire • Promotes the rising of clear Qi to the head
• Difficult urination, burning pain on urination, scanty dark urine, red eyes, nosebleed
• A feeling of heaviness of the head, dizziness
Perpendicular 0.2-0.3 Avoid: plantar digital AV; plantar digital proprial
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URINARY BLADDER MERIDIAN Point Location Actions Indications Method
nerve; lateral dorsal cutaneous nerve
UB 67 • Jing-Well pt. • Tonification pt. • Contraindicated
in pregnancy
0.1 cun lateral to corner of nail of little toe
• Invigorates blood • Eliminates wind • Clears the eyes • Subdues rebellious Qi from the head • Clears heat • Resolves damp-heat • Promotes Labor
• Headache, dizziness, occipital headache, neck ache
• Red eyes, eye pain • Difficult urination, painful urination • Retention of placenta, mal-position of fetus,
delayed labor, prolonged or difficult labor
Subcutaneous 0.1 or prick to bleed Avoid: network of the dorsal digital and plantar digital proprial artery; plantar digital proprial nerve; lateral dorsal cutaneous nerve Contraindicated in pregnancy
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KIDNEY MERIDIAN OF THE FOOT SHAOYIN
point Location Action Indication Method
KI-01 (Yong Quan) Jing-Well
On the sole, in the depression when the foot is in plantar flexion, approximately at the junction of the anterior one-third and posterior two-thirds of the line connecting the base of the 2nd and 3rd toes and the heel.
Descends excess from the head
Calms the spirit Revives consciousness and rescues yang
Headache, blurring of vision, dizziness, sore throat, dryness of the tongue, loss of voice, dysuria, infantile, convulsions, feverish sensation in the sole, loss of consciousness.
P 0.3-0.5
KI-02 (Ran Gu) Ying-Spring
Anterior and inferior to the medial malleolus, in the depression on the lower border of the tuberosity of the navicular bone.
Clears deficiency heat Regulates the Kidneys Regulates the lower jiao
Pruritus vulvae, prolapse of uterus, irregular menstruation, nocturnal emission, hemoptysis, thirst, diarrhea, swelling and pain of the dorsum of foot, acute infantile omphalitis.
p 0.3-0.5
KI-03 (Tai Xi) Yuan (Source) Point Shu-Stream
In the depression between the tip of the medial malleolus and Achilles' tendon
Nourishes Kidney yin and clears deficiency heat Tonifies Kidney yang Anchors the Qi and benefits the Lung Strengthens the lumbar spine
Sore throat, toothache, deafness, tinnitus, dizziness, spitting of blood, asthma, thirst, irregular menstruation, insomnia, nocturnal emission, impotence, frequency of micturition, pain in the lower back.
P 0.3-0.5
KI-04 (Da Zhong)
Luo (Connecting) Point
Posterior and inferior to the medial malleolus, in the depression anterior to the medial side of the attachment of Achilles' tendon.
Reinforces the Kidneys Anchors the Qi and benefits the Lung Strengthens the will and dispels fear
Spitting of blood, asthma, stiffness and pain of the lower back, dysuria, constipation, pain in the heel, dementia.
P 0.3-0.5 i
KI-05 (Shui Quan) Xi (Cleft)
1 cun directly below Taixi (KI-3), in the depression of the medial side of the tuberosity of the calcaneum.
Regulates the Penetrating and Conception vessels and benefits menstruation
Amenorrhea, irregular menstruation, dysmenorrhea, prolapse of uterus, dysuria, blurring of vision
P 0.3-0.5
KI-06 (Zhao Hai)
Confluent Point of the Yin Motility Vessel
In the depression below the tip of the medial malleolus.
Benefits the throat Nourishes the Kidneys and clears deficiency heat.Regulates the Yin Motility vessel Calms the spirit Regulates the lower jiao
Irregular menstruation, morbid leukorrhea, prolapse of uterus, pruritus vulvae, frequency of micturition, retention of urine, constipation, epilepsy, insomnia, sore throat, asthma
P 0.3-0.5
KI-07 (Fu Liu) Jing-River
2 cun directly above Taixi (KI-3), on the anterior border of Achilles' tendon.
Benefits the Kidneys Regulates the water passages and treats edema Regulates sweating Drains damp and clears damp-heat Strengthens the lumbar region
Edema, abdominal distension, diarrhea, borborygmus, muscular atrophy of the leg, night sweating, spontaneous sweating, febrile diseases without sweating.
P 0.5-0.7
KI-08 (Jiao Xin) Xi-Cleft of the Yin
0.5 cun anterior to Fuliu (KI-7), 2 cun above Taixi (KI-3) posterior to the medial border of tibia.
Regulates the Conception and Penetrating vessels and adjusts menstruation Stops uterine bleeding
Irregular menstruation, dysmenorrhea, uterine bleeding, prolapse of uterus, diarrhea, constipation, pain and swelling of testis.
P 0.5-0.7
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Motility Vessel Clears heat and drains damp from the lower jiao
KI-09 (Zhu Bin) Xi-Cleft of the Yin Linking Vessel
5 cun directly above Taixi (KI-3) at the lower end of the belly of m. gastrocnemius, on the line drawn from Taixi (KI-3) to Yingu (KI l0).
Clears the Heart and transforms phlegm Regulates Qi and alleviates pain
Mental disorders, pain in the foot and lower leg, hernia.
P 0.5-0.7
KI-10 (Yin Gu) He-Sea
When the knee is flexed, the point is on the medial side of the popliteal fossa, between the tendons of m. semitendinosus and semimembranosus, at the level with Weizhong (BL-40)
Clears damp-heat from the lower jiao Benefits the Kidneys Activates the channel and alleviates pain
Impotence, hernia, uterine bleeding, dysuria, pain in the knee and popliteal fossa, mental disorders
P 0.8-1.0
KI-11 (Heng Gu) Meeting Point of the Kidney Channel with the Penetrating Vessel
5 cun below the umbilicus, on the superior border of symphysis pubis, 0.5 cun lateral to Qugu (REN-2)
Benefits the lower jiao
Fullness and pain of the lower abdomen, dysuria enuresis, nocturnal emission, impotence, pain of genitalia
P 0.5-1.0
KI-12 (Da He) Mpt with the penetrating Vessel
4 cun below the umbilicus, 0.5 cun lateral to Zhongji (REN-3)
Tonifies the Kidneys and astringes essence
Nocturnal emission, impotence, morbid leukorrhea, pain in the external genitalia, prolapse of uterus.
P 0.5-1.0
KI-13 (Qi Xue) Mpt with the penetrating Vessel
3 cun below the umbilicus, 0.5 cun lateral to Guanyuan (REN-4)
Regulates the Penetrating and Conception vessels Regulates the lower jiao
Irregular menstruation, dysmenorrhea, dysuria, abdominal pain, diarrhea.
P 0.5-1.0
KI-14 (Si Man) Mpt with the penetrating Vesse
2 cun below the umbilicus, 0.5 cun lateral to Shimen (REN-5)
Benefits the lower jiao and alleviates pain Regulates Qi and moves blood stasis Regulates the water passages and promotes urination
Abdominal pain and distension, diarrhea, nocturnal emission, irregular menstruation, dysmenorrhea, postpartum abdominal pain.
P 0.5-1.0
KI-15 (Zhong Zhu) Mpt with the penetrating Vessel
1 cun below the umbilicus, 0.5 cun lateral to Yinjiao (REN-7)
Regulates the intestines
Regulates the lower jiao
Irregular menstruation, abdominal pain, constipation
P 0.5-1.0
KI-16 (Huang Shu) Mpt with the penetrating Vessel
0.5 cun lateral to the umbilicus, level with Shenque (REN-8)
Regulates Qi and alleviates pain Regulates and warms the intestines
Abdominal pain and distension, vomiting, constipation, diarrhea
P 0.5-1.0
KI-17 (Shang Qu) Mpt with the
5 cun above the umbilicus, 0.5 cun lateral to Shangwan (REN-13).
Harmonizes the middle jiao Unbinds the chest and transforms phlegm
Abdominal pain and distension, vomiting, indigestion.
P 0.5-1.0
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penetrating Vessel
KI-18 (Shi Guan) Mpt with the penetrating Vessel
3 cun above the umbilicus, 0.5 cun lateral to Jianli (REN-11)
Regulates the lower jiao and alleviates pain Regulates Qi and moves blood stasisHarmonizes the Stomach
Vomiting, abdominal pain, constipation, postpartum abdominal pain, sterility.
P 0.5-1.0
KI-19 (Yin Du) Mpt with the penetrating Vessel
4 cun above the umbilicus, 0.5 cun lateral to Zhongwan (REN-12).
Regulates Qi and harmonizes the Stomach Lowers rebellion and alleviates cough and wheezing
Borborygmus, abdominal pain, epigastric pain, constipation, vomiting
P 0.5-1.0
KI-20 (Tong Gu) Mpt with the penetrating Vessel
5 cun above the umbilicus, 0.5 cun lateral to Shangwan (REN-13).
Harmonizes the middle jiao Unbinds the chest and transforms phlegm
Abdominal pain and distension, vomiting, indigestion.
P 0.5-1.0
KI-21 (You Men) Mpt with the penetrating Vessel
6 cun above the umbilicus, 0.5 cun lateral to Juque (REN-14)
Fortifies the Spleen, harmonizes the Stomach, and lowers rebellion Spreads Liver Qi, benefits the chest and breasts and alleviates pain
Abdominal pain and distension, indigestion, vomiting, diarrhea, nausea, morning sickness.
P 0.3-0.7
KI-22 (Bu Lang)
In the fifth intercostal space, 2 cun lateral to the Conception Vessel
Unbinds the chest Lowers rebellious Lung and Stomach Qi
Cough, asthma, distension and fullness in the chest and hypochondriac region vomiting, anorexia.
O 0.3-0.5
KI-23 (Shen Feng)
In the fourth intercostal space, 2 cun lateral to the anterior midline.
Unbinds the chest Lowers rebellious Lung and Stomach Qi Benefits the breasts
Cough, asthma, fullness in the chest and hypochondriac region, mastitis
O 0.3-0.5
KI-24 (Ling Xu)
In the third intercostal space, 2 cun lateral to the anterior midline
Unbinds the chest Lowers rebellious Lung and Stomach Qi Benefits the breasts
Cough, asthma, fullness in the chest and hypochondriac region, mastitis.
O 0.3-0.5
KI-25 (Shen Cang)
In the second intercostal space, 2 cun lateral to the anterior midline
Unbinds the chest Lowers rebellious Lung and Stomach Qi
Cough, asthma, chest pain O 0.3-0.5
KI-26 (Yu Zhong)
In the first intercostal space, 2 cun lateral to the anterior midline.
Unbinds the chest and benefits the breasts Transforms phlegm and lowers rebellious Lung and Stomach Qi
Cough, asthma, accumulation of phlegm, fullness in the chest and hypochondriac region.
O 0.3-0.5
KI-27 (Shu Fu) In the depression on the lower border of the clavicle, 2 cun lateral to the anterior midline
Unbinds the chest Transforms phlegm and alleviates cough and wheezing Harmonizes the Stomach and lowers rebellious Qi
Cough, asthma, chest pain O 0.3-0.5
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PERICARDIUM MERIDIAN OF THE HAND JUEYIN
PERICARDIUM MERIDIAN OF THE HAND JUEYIN
The Pericardium Meridian starts from the chest, leaves the pericardium organ and runs downwards through the diaphragm to connect with the triple burner. A branch rising from the chest emerges from the lower chest region and travels upwards to the axilla (armpit). From the medial aspect of the upper arm, it makes its way down between the lung and heart channels, until it reaches the elbow crease. It then runs down the forearm and enters the palm ending at the tip of the middle finger. Another short branch splits off from the palm to connect with the Triple Burner Meridian at the end of the ring finger.
Symptoms: Disharmony of the Pericardium Meridian is related to the imbalance of the TCM heart and blood functions. The manifestation includes heart pain (precordial pain), chest discomfort, palpitations and an oppressed feeling in the chest. Since the Heart stores the “shen” or mental activities, Pericardium Meridian disorders are related to mania. In addition, swelling of the axilla and spasms of the elbow and arm can indicate a problem in this meridian, since it passes through these areas.
Main indications: Points in this meridian are used for heart, chest, and peptic diseases as well as mental illness. They are also indicated for symptoms manifested along the meridian’s pathway.
Unbinds The Chest Regulates Qi Benefits The Breasts Transforms Phlegm Lowers Rebellion Dissipates Nodules
Useful for: Axillary Pain And Swelling Chest Agitation Cough With Copious Phlegm Headache Lateral Costal Region Pain Shortness Of Breath Thoracic Oppression Uprising Qi
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PERICARDIUM MERIDIAN OF THE HAND JUEYIN
point Location Action Indication Method
P-01 (Tian Chi) Mtp of PC, GB, LV, SJ
In the fourth intercostal space, 1 cun lateral to the nipple and 5 cun lateral to the anterior midline.
Unbinds the chest, transforms phlegm and descends rebellion Regulates Qi and dissipates nodules Benefits the breasts
Suffocating sensation in the chest, pain in the hypochondriac region, swelling and pain of the axillary region
P
P-02 (Tian Quan)
2 cun below the level of the anterior axillary fold, between the two heads of m. biceps brachii.
Unbinds the chest, invigorates blood and alleviates pain
Cardiac pain, distension of the hypochondriac region, cough, pain in the chest, back and the medial aspect of the arm
p 0.5- 0.7
P-03 (Qu Ze) He-Sea
On the transverse cubital crease, at the ulnar side of the tendon of m. biceps brachii
Clears heat from the Qi, nutritive and blood levels Harmonizes the Stomach and intestines and stops vomiting Activates the channel and alleviates pain
Cardiac pain, palpitation, febrile diseases, irritability, stomachache, vomiting, pain in the elbow and arm, tremor of the hand and arm
P 0.5- 0.7
P-04 (Xi Men) Xi (Cleft)
5 cun above the transverse crease of the wrist, on the line connecting Quze (PER-3) and Daling (PER-7), between the tendons of m. palmaris longus and m. flexor carpi radialis.
Stagnation of the Blood in the chest and Heart with Heart, neck, and left arm pai Invigorates blood and dispels stasis Cools blood and stops bleeding Calms the spiritModerates acute conditions
Cardiac pain, palpitation, epistaxis, hematemesis, haemoptysis chest pain, furuncle, epilepsy.
P 0.5-1.0
P-05 (Jian Shi) Jing-River
3 cun above the transverse crease of the wrist, between the tendons of m. palmaris longus and m. flexor carpi radialis.
Malaria
Transforms phlegm Settles and calms the spirit
Cardiac pain, palpitation, stomachache, vomiting, febrile diseases, irritability, malaria, mental disorders, epilepsy, swelling of the axilla, contracture of the elbow and arm.
P 0.5-1.0
P-06 (Nei Guan) Luo Confluent Point of the Yin Linking
2 cun above the transverse crease of the wrist, between the tendons of m. palmaris longus and m. flexor radialis.
Unbinds the chest and regulates Qi Regulates the Heart and calms the spirit Harmonizes the Stomach and alleviates nausea and vomitingClears heat Opens the Yin Linking vessel
Cardiac pain, palpitation, stuffy chest, pain in the hypochondriac region, stomachache, nausea, vomiting, hiccup, mental disorders epilepsy, insomnia, febrile diseases, irritability, malaria, contracture and pain of the elbow and arm
P 0.5-0.8
P-07 (Da Ling) Yuan Shu-Stream Sun Si-miao Ghost Point
In the middle of the transverse crease of the wrist, between the tendons of m. palmaris longus and m. flexor carpi radialis
Clears heat from the Heart and calms the spirit Harmonizes the Stomach and intestines Unbinds the chest Clears the nutritive level and cools blood
Cardiac pain, palpitation, stomach ache, vomiting, mental disorders, epilepsy, stuffy chest, pain in the hypochondriac region, convulsion, insomnia, irritability, foul breath
P 0.3-0.5
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P-08 (Lao Gong) Ying-Spring Sun Si-miao Ghost Point
At the center of the palm, between the 2nd and 3rd metacarpal bones, but close to the latter, and in the part touching the tip of the middle finger when a fist is made
Clears heat from the Pericardium and revives consciousness Clears heat from the Heart and calms the spirit Harmonizes the Stomach and clears heat from the middle jiao Clears the nutritive level and cools blood
Cardiac pain, mental disorder, epilepsy, gastritis, foul breath, fungus infection of the hand and foot, vomiting, nausea.
P 0.3-0.5
P-09 (Zhong Chong) Jing-Well
In the centre of the tip of the middle finger.
Clears heat from the Pericardium and revives consciousness Clears the Heart and benefits the tongue Clears summer-heat
Cardiac pain, palpitation, loss of consciousness, aphasia with stiffness and swelling of the tongue, febrile diseases, heat stroke, convulsion, feverish sensation in the palm.
P 0.1 Or prick to cause bleeding
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SAN JIAO MERIDIAN SHAOYANG OF THE HAND
The San Jiao (also known as Triple Burner or Triple Heater) Meridian
begins at the outer tip of the ring finger and goes along the back of the
hand, wrist, forearm and upper arm, until it reaches the shoulder region
where it branches off. One branch travels internally into the chest and
passes through the pericardium and diaphragm uniting the upper,
middle and lower burner (triple warmer). The other branch runs
externally up the side of the neck, circles the ear and face, and finally
ends at the outer end of the eyebrow where it connects with the Gall
Bladder Meridian.
Symptoms:
Disharmony of the Triple Burner Meridian leads to symptoms like
abdominal distention, edema (swelling), urinary incontinence, difficulty
urinating, loss of hearing, and ringing in the ears (tinnitus). Pain in the
pharynx (throat), eyes, cheek, back of the ear, shoulder and the upper
arm can occur as these structures are located along this meridian’s
pathway.
Main indications:
Acupuncture points in this meridian are recommended for ailments of
the ears, eyes, chest, pharynx (throat), and the side of the head as well
as certain febrile conditions. They are also indicated for symptoms
along this meridian’s pathway.
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SAN JIAO MERIDIAN SHAOYANG OF THE HAND
point Location Action Indication Method
SJ-01 (Guan Chong) Jing-Well
On the lateral side of the ring finger, about 0.1 cun from the corner of the nail.
Clear Heat from the Upper JiaoClears upper jiao heat Benefits the ears and tongue Activates the channel and alleviates pain
Headache, redness of the eyes, sore throat, stiffness of the tongue, febrile diseases, irritability.
P 0.1 or prick to cause bleeding
SJ-02 (Ye Men) Ying-Spring
When the fist is clenched, the point is located in the depression proximal to the margin of the web between the ring and small fingers, at the junction of the red and white skin
Disperses upper jiao heat and benefits the ears Calms the spirit Activates the channel and alleviates pain
Headache, redness of the eyes, sudden deafness, sore throat, malaria, pain in the arm.
p 0.3-0.5
SJ-03 (Zhong Zhu) Shu-Stream
When the fist is clenched, the point is on dorsum of the hand between the fourth and fifth metacarpal bones, in the depression proximal to the fourth metacarpophalangeal joint.
Clears heat Benefits the ears Clears the head and eyes Activates the channel and alleviates pain
Headache, redness of the eyes, deafness, tinnitus, sore throat, febrile diseases, pain in the elbow and arm, motor impairment of fingers
P 0.3-0.5
SJ-04 (Yang Chi) Yuan
On the transverse crease of the dorsum of wrist, in the depression lateral to the tendon of m. extensor digitorum communis.
Relaxes the sinews and alleviates pain Clears heat
Pain in the arm, shoulder and wrist, malaria, deafness, thirst.
P 0.3-0.5 i
SJ-05 (Wai Guan) Luo Confluent Point of the Yang Linking
2 cun proximal to the dorsal crease of the wrist, on the line connecting Yangchi (SJ-4) and the tip of olecranon, between the radius and ulna.
Expels wind and releases the exterior Benefits the head and ears Opens the Yang Linking vessel Clears heat Activates the channel and alleviates pain
Febrile diseases, headache, pain in the cheek, strained neck, deafness, tinnitus, pain in the hypochondriac region, motor impairment of the elbow and arm, pain of the fingers, hand tremor.
P 0.5-1.0
SJ-06 (Zhi Gou) Jing-River
3 cun proximal to the dorsal crease of the wrist, on the line connecting Yangchi (SJ-4) and the tip of olecranon, between the radius and ulna, on the radial side of m. extensor digitorum
ConstipationRegulates Qi and clears heat in the three jiao Benefits the chest and lateral costal region Moves the stool Benefits the voice Activates the channel and alleviates pain
Tinnitus, deafness, pain in the hypochondriac region, vomiting, constipation, febrile diseases, aching and heavy sensation of the shoulder and back, sudden hoarseness of voice.
P 0.8-1.2
SJ-07 (Hui Zong) Xi (Cleft) Point
At the level with Zhigou (SJ-6), on the ulnar side of Zhigou (SJ-6), on the radial border of the ulna.
Clears the Sanjiao channel and benefits the ears
Deafness, pain in the ear, epilepsy, pain of the arm P 0.5-1.0
SJ-08 (San Yang Luo)
4 cun proximal to the dorsal crease of the wrist, between the radius and ulna.
Clears the Sanjiao channel Activates the channel and alleviates pain
Deafness, sudden hoarseness of voice, pain in the chest and hypochondriac region, pain in the hand and arm, toothache.
P 0.5-1.0
SJ-09 (Si Du)
On the lateral side of the forearm, 5 cun below the olecranon, between the radius and ulna
Benefits the throat and ears Deafness, toothache, migraine, sudden hoarseness of voice, pain in the forearm.
P 0.5-1.0
The 12 Primary Meridians
Page 54 of 83 5/1/2012
SJ-10 (Tian Jing) He-Sea
When the elbow is flexed, the point is in the depression about 1 cun superior to the olecranon.
Transforms phlegm and dissipates nodules Regulates Qi and descends rebellion Calms the spirit Clears heat from the Sanjiao channel Activates the channel and alleviates pain
Migraine, pain in the neck, shoulder and arm, epilepsy, scrofula, goiter.
P 0.3-0.5
SJ-11 (Qing Leng Yuan)
1 cun above Tianjing (SJ-10) when the elbow is flexed.
Activates the channel and dispels wind-damp lears damp-heat
Motor impairment and pain of the shoulder and arm, migraine
P 0.3-0.5
SJ-12 (Xiao Luo)
On the line joining the olecranon and Jianliao (SJ-14), midway between Qinglengyuan (SJ-11) and Naohui (SJ-13).
Activates the channel and alleviates pain
Headache, neck rigidity, motor impairment and pain of the arm.
P 0.5-0.7
SJ-13 (Nao Hui) mtp of GB, SJ and yang linking
On the line joining Jianliao (SJ-14) and the olecranon, on the posterior border of m. deltoideus
Regulates Qi and transforms phlegm Activates the channel and alleviates pain
Goiter, pain in the shoulder and arm P 0.5-0.8
SJ-14
(Jian Liao)
On the shoulder, posterior to Jianyu (LI-15), in the depression inferior and posterior to the acromion when the arm is abducted.
Dispels wind-damp Alleviates pain and benefits the shoulder joint
Pain and motor impairment of the shoulder and upper arm.
P 0.7-1.0
SJ-15 (Tian Liao) mtp of GB and yang linking
Midway between Jianjing (GB-21) and Quyuan (SI-13), on the superior angle of the scapula.
Dispels wind-damp, activates the channel and alleviates pain Unbinds the chest and regulates Qi
Pain in the shoulder and elbow, stiffness of the neck.
P 0.3-0.5
SJ-16 (Tian You) Point of the Window of Heaven
On the lateral side of the neck, directly below the posterior border of mastoid process, on the level of the mandibular angle, and on the posterior border of sternocleidomastoid muscle.
Benefits the head and sense organs Regulates and descends Q
Headache, neck rigidity, facial swelling, blurring of vision, sudden deafness.
P 0.3-0.5
SJ-17 (Yi Feng) MPT of the SJ and BG
Posterior to the lobule of the ear, in the depression between the mandible and mastoid process.
Benefits the ears Eliminates wind Clears heat Activates the channel and alleviates pain
Tinnitus, deafness, otorrhea, facial paralysis, toothache, swelling of the cheek, scrofula, trismus.
P 0.5-1.0
SJ-18 (Chi Mai)
In the centre of the mastoid process, at the junction of the middle and lower third of the curve formed by Yifeng (SJ-17) and Jiaosun (SJ-20) posterior to the helix.
Benefits the ears Calms fright and pacifies wind
Headache, tinnitus, deafness, infantile convulsion.
sub 0.3-0.5 or prick to cause bleeding
SJ-19 (Lu Xi) Posterior to the ear, at the junction of the upper and middle third of the curve formed by Yifeng (SJ-17) and Jiaosun (SJ-20) behind the helix.
Benefits the ears and clears heat Calms fright and relieves tetany
Headache, tinnitus, deafness, pain in the ear, infantile convulsion.
O 0.3-0.5
SJ-20 (Jiao Sun) Mtp of SJ, SI, and BG
Directly above the ear apex, within the hair line.
Benefits the ears Benefits the teeth, gums and lips Clears heat
Tinnitus, redness, pain and swelling of the eye, swelling of gum, toothache, parotitis.
subcutaneously 0.3-0.5
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Page 55 of 83 5/1/2012
SJ-21 (Er Men)
In the depression anterior to the supratragic notch and behind the posterior border of the condyloid process of the mandible. The point is located with the mouth open.
Benefits the ears Clears heat
Tinnitus, deafness, otorrhea, toothache, stiffness of the lip.
P 0.3-0.5
SJ-22 (He Liao) Mtp of SJ, SI, and BG
Anterior and superior to Ermen (SJ-21), at the level with the root of the auricle, on the posterior border of the hairline of the temple where the superficial temporal artery passes.
Expels wind and alleviates pain
Migraine, tinnitus, lockjaw.
O 0.1-0.3 Avoid puncturing the artery
SJ-23 (Si Zhu Kong)
In the depression at the lateral end of the eyebrow.
Eliminates wind and alleviates pain Benefits the eyes
Headache, redness and pain of the eye, blurring of vision, twitching of the eyelid, toothache, facial paralysis.
subcutaneously 0.3-0.5
The 12 Primary Meridians
Page 56 of 83 5/1/2012
GALL BLADDER MERIDIAN OF THE FOOT SHAOYANG
The Kidney Meridian starts from the inferior side of the
small toe. Crossing the middle of the sole and the arch of
the foot, it circles behind the inner ankle and travels along
the innermost side of the lower leg and thigh, until it enters
the body near the base of the backbone. After connecting
with the kidney, it comes out at the pubic bone. Over the
abdomen, it runs externally upwards until it reaches the
upper part of the chest (the inner side of clavicle). A
second branch emerges from the kidney and moves
internally upwards and passes through the liver,
diaphragm, lungs and throat, finally terminating at the root
of the tongue. Another small branch divides from the lung
to connect with the heart and the pericardium.
Symptoms:
Disharmony of Kidney Meridian can manifest as wheezing
or coughing because the kidneys “grasp the qi”. They also
are the “mansion of fire and water,” and the “residence of
yin and yang”. If there is insufficient nourishment and
warming of the kidney, symptoms like edema (swelling),
constipation, and diarrhea can indicate an imbalance in
this meridian. Pain in the groin and pharynx (throat), which
are located along the meridian’s pathway, also can
indicate a problem with the Kidney Meridian.
Main indications:
Points in this meridian are used for gynecological, genital,
kidney, lung, and pharynx (throat) diseases. They are also
indicated for symptoms associated with the pathway of the
meridian.
The Gall Bladder Meridian starts from the outer corner of the eye and divides into two branches. One branch runs externally and weaves back and forth at the lateral side of the head. After curving behind the ear, it reaches the top of the shoulder and crosses the lateral side of rib cage and abdomen, until it ends up at the side of the hip. The other branch enters the cheek and runs internally downward, through the neck and chest to connect with the gall bladder. It continues moving downwards and comes out in the lower abdomen, where it connects with the other branch at the hip. The hip branch then runs toward the lateral side of the thigh and lower leg. After crossing the ankle, it goes over the foot to reach to the tip of the fourth toe. Another small branch leaves the meridian and terminates at the big toe to connect with the Liver Meridian.
Symptoms: In TCM, the gall bladder is closely related to the liver. Hence, the disharmony of the Gall Bladder Meridian causes symptoms such as a bitter taste in the mouth, dizziness, headache, and pain at the outer angle of the eyelids. Pain along the meridian pathway such as in the axilla (armpit), chest, lower chest, buttocks and the lateral side of the lower limbs can also indicate a disorder of the Gall Bladder Meridian.
Main indications: Acupuncture points in this meridian are indicated for ailments of the eyes, ears, pharynx (throat), and lateral side of the head in addition to mental illness and fever. They are also recommended for symptoms along the meridian’s pathway.
The 12 Primary Meridians
Page 57 of 83 5/1/2012
GALL BLADDER MERIDIAN OF THE FOOT SHAOYANG
point Location Action Indication Method
GB-01 (Tong Zi Ziao)
Mtp of GB, SI, and SJ
0.5 cun lateral to the outer
canthus, in the depression on the
lateral side of the orbit.
Benefits the eyes, eliminates wind
and clears heat
Headache, redness and pain of the
eyes, failing of vision, lacrimation,
deviation of the eye and mouth.
subcuta
neously
3-0.5
GB-02 (Ting Hui)
Anterior to the intertragic notch,
at the posterior border of the
condyloid process of the
mandible. The point is located
with the mouth open
Benefits the ears, eliminates wind
and clears heat Activates the
channel and alleviates pain
Deafness, tinnitus, toothache, motor
impairment of the
temporomandibular joint, mumps,
deviation of the eye and mouth.
p
0.5-0.7
GB-03 (Shang Guan)
Mtp of GB, SJ, and ST
In the front of the ear, on the
upper border of the zygomatic
arch, in the depression directly
above Xiaguan (ST-7).
Eliminates wind andbenefits the
ears Activates the channel and
alleviates pain
Headache, deafness, tinnitus,
diplacusis, deviation of the eye and
mouth, toothache.
P
0.3-0.5
GB-04 (Han Yan)
Mtp of GB, SJ, and ST
Within the hairline of the
temporal region, at the junction
of the upper 1/4 and lower 3/4
of the distance between Touwei
(ST-8) and Qubin (GB-7).
Eliminates wind and clears heat
Activates the channel and
alleviates pain
Migraine, vertigo, tinnitus, pain in
the outer canthus, toothache,
convulsion, epilepsy.
Sub
0.3-0.5 i
GB-05
(Xuan Lu)
Mtp of GB, ST, SJ, and LI
Within the hairline of the
temporal region, midway of the
border line connecting Touwei
(ST-8) and Qubin (GB-7).
Expels wind and clears heat
Activates the channel and
alleviates pain
Migraine, pain in the outer canthus,
facial swelling.
Sub
0.3-0.5 i
GB-06 (Xuan Li)
Mtp of BG, SJ,
ST, and LI
Within the hairline, at the
junction of the lower 1/4 and
upper 3/4 of the distance
between Touwei (ST-8) and
Qubin (GB-7).
Expels wind and clears heat
Activates the channel and
alleviates pain
Migraine, pain in the outer canthus,
tinnitus, frequent sneezing.
Sub
0.3-0.5 i
The 12 Primary Meridians
Page 58 of 83 5/1/2012
GB-07
(Qu Bin) Mtp of UB and
GB
On the head, at a crossing point
of the vertical posterior border of
the temple and horizontal line
through the ear apex.
Eliminates wind and benefits the
mouth and jaw
Headache, swelling of the cheek,
trismus, pain in the temporal region,
infantile convulsion.
Sub
0.3-0.5
i
GB-08
(Shuai Gu) Mtp of UB and
GB The location of
this point differs among texts.
Superior to the apex of the
auricle, 1.5 cun within the
hairline.
Eliminates wind, benefits the head
and alleviates pain Harmonizes
the diaphragm and Stomach and
alleviates vomiting Treats alcohol
intoxication
Migraine, vertigo, vomiting, infantile
convulsion.
Sub
0.3-0.5
i
GB-09
(Tian Chong) Mtp of UB and
GB
Directly above the posterior
border of the auricle, 2 cun
within the hairline, about 0.5 cun
posterior to Shuaigu (GB-8).
Clears Gall Bladder channel heat
Calms the spirit and pacifies fright
Headache, epilepsy, swelling and pain
of the gums, convulsion.
Sub
0.3-0.5
i
GB-10
(Fu Bai) Mtp of UB and
GB
Posterior and superior to the
mastoid process, at the junction
of the middle third and upper
third of the curve line connecting
Tianchong (GB-9) and Wangu
(GB-12).
Clears the head and benefits the
neck region
Activates the channel and
alleviates pain
Headache, tinnitus, deafness.
Sub
0.3-0.5
i
GB-11 (Tou Qiao Yin)
Mtp of GB, UB, SI, and SJ
Posterior and superior to the
mastoid process, at the junction
of middle third and lower third of
the curved line connecting
Tianchong (GB-9) and Wangu
(GB-12).
Clears the head and benefits the
sense organs
Activates the channel and
alleviates pain
Pain of the head and neck, tinnitus,
deafness, pain in the ears.
Sub
0.3-0.5
i
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Page 59 of 83 5/1/2012
GB-12 (Wan Gu)
Mtp of UB and GB
In the depression posterior and
inferior to the mastoid process.
Eliminates wind, benefits the head
and alleviates pain Calms the
spirit
Headache, insomnia, swelling of the
cheek, retroauricular pain, deviation of
the eye and mouth, toothache.
O
0.3-0.5
GB-13
(Ben Shen) Mtp of GB and
Yang Linking
0.5 cun within the hairline of the
forehead, 3 cun lateral to
Shenting (DU-24).
Eliminates wind, resolves phlegm
and treats epilepsy Headache, insomnia, vertigo, epilepsy.
Sub
0.3-0.5
GB-14 (Yang Bai)
Mtp of GB , SJ, LI, and Yang
Linking
On the forehead, directly above
the pupil, 1 cun directly above
the midpoint of the eyebrow.
Eliminates wind, benefits the head
and alleviates pain
Benefits the eyes
Headache in the frontal region, pain of
the orbital ridge, eye pain, vertigo,
twitching of the eyelids, ptosis of the
eyelids, lacrimation.
Sub
0.3-0.5
GB-15
(Tou Lin Qi) Mtp of GB, UB,
and yang linking
On the head, directly above the
pupil and 0.5 cun above the
anterior hairline, at the midpoint
of the line connecting Shenting
(GV 24) and Touwei (ST 8).
Eliminates wind, benefits the head
and alleviates pain
Benefits the nose and eyes
Headache, vertigo, lacrimation, pain in
the outer canthus, rhinorrhea, nasal
obstruction.
Sub
0.3-0.5
GB-16 (Mu Chuang)
Mtp of GB and Yang linking
On the head, 1.5 cun above the
anterior hairline and 2.25 cun
lateral to the midline of the
head.
Benefits the eyes
Eliminates wind andalleviates pain
Headache, vertigo, red and painful
eyes, nasal obstruction.
Sub
0.3-0.5
GB-17
(Zheng Ying)
Mtp of GB and Yang linking
On the head, 2.5 cun above the
anterior hairline and 2.25 cun
lateral to the midline of the
head.
Benefits the head and alleviates
pain Pacifies the Stomach Migraine, vertigo.
Sub
0.3-0.5
The 12 Primary Meridians
Page 60 of 83 5/1/2012
GB-18 (Cheng Ling)
Mtp of GB and Yang linking
On the head, 4 cun above the
anterior hairline and 2.25 cun
lateral to the midline of the
head.
Benefits the head and alleviates
pain Benefits the nose and
descends Lung Qi
Headache, vertigo, epistaxis,
rhinorrhea.
Sub
0.3-0.5
GB-19 (Nao Kong)
Mtp of GB and Yang linking
On the head and on the level of
the upper border of external
occipital protuberance or Naohu
(DU-17), 2.25 cun lateral to the
midline of the head.
Benefits the head and alleviates
pain
Pacifies wind and clears the sense
organs
Headache, stiffness of the neck,
vertigo, painful eyes, tinnitus,
epilepsy.
Sub
0.3-0.5
GB-20
(Feng Chi)
Mtp of GB, SJ, Yang motility
and Yang linking
In the depression between the
upper portion of m.
sternocleidomastoideus and m.
trapezius, on the same level with
Fengfu (GV 16).
Eliminates wind Benefits the head
and eyes Clears the sense organs
Activates the channel and
alleviates pain
Headache, vertigo, insomnia, pain and
stiffness of the neck, blurred vision,
glaucoma, red and painful eyes,
tinnitus, convulsion, epilepsy, infantile
convulsion, febrile diseases, common
cold, nasal obstruction, rhinorrhea.
Sub
0.3-0.5
GB-21
(Jian Jing)
Mtp of GB, SJ, ST and Yang
linking
On the shoulder, directly above
the nipple, at the midpoint of the
line connecting Dazhui (DU-14)
and the acromion, at the highest
point of the shoulder.
Regulates Qi, activates the
channel and alleviates pain
Transforms and lowers phlegm
and dissipates nodules Benefits
the breasts and expedites delivery
pain and rigidity of the neck, pain in
the shoulder and back, motor
impairment of the arm, insufficient
lactation, mastitis, scrofula, apoplexy,
difficult labor.
p
0.3-0.5
GB-22 (Yuan
Ye)
On the mid-axillary line when the
arm is raised, 3 cun below the
axilla, in the 4th intercostal
space.
Regulates Qi and unbinds the
chest
Benefits the axilla
Fullness of the chest, swelling of the
axillary region, pain in the
hypochondriac region, pain and motor
impairment of the arm.
o
0.3-0.5
The 12 Primary Meridians
Page 61 of 83 5/1/2012
GB-23 (Zhe Jin)
Mtp of GB and UB
1 cun anterior to Yuanye (GB
22), at the level of the nipple, in
the 4th intercostal space
Unbinds the chest and lowers
rebellion Regulates Qi in the three
jiao
Fullness of the chest, pain in the
hypochondriac region, asthma.
o
0.3-0.5
GB-24 (Ri Yue) Mtp of GB and SP
Front Mu of th
Gallbladder
Directly below the nipple, in the
seventh intercostal space, 4 cun
lateral to the anterior midline.
Benefits the Gall Bladder and
spreads Liver Qi Lowers rebellious
Qi and harmonizes the middle jiao
Resolves damp-heat
Pain in the hypochondriac region,
vomiting, acid regurgitation, hiccup,
jaundice, mastitis.
O
0.3-0.5
GB-25 (Jing Men)
Front Mu of the
Kidneys
On the lateral side of the
abdomen, on the lower border of
the free end of the twelfth rib.
Tonifies the Kidneys and regulates
the water passages Fortifies the
Spleen and regulates the
intestines Strengthens the lumbar
region
Abdominal distention, borborygmus,
diarrhea, pain in the lumbar and
hypochondriac region.
p
0.3-0.5
GB-26
(Dai Mai) Mtp of GB and
Girdling Vessel
Directly below Zhangmen (LR
13), at the crossing point of a
vertical line through the free end
of the eleventh rib and a
horizontal line through the
umbilicus.
Regulates the Girdling vessel and
drains dampness Regulates
menstruation and stops
leucorrhoea Activates the channel
and alleviates pain
Irregular menstruation, amenorrhea,
leukorrhea, abdominal pain, hernia,
pain in the lumbar and hypochondriac
region.
p
0.5-
0.8
GB-27
(Wu Shu)
Mtp of GB and
Girdling Vessel
In the lateral side of the
abdomen, anterior to the
superior iliac spine, 3 cun below
the level of the umbilicus.
Regulates the Girdling vessel
Regulates the lower jiao and
transforms stagnation
Leukorrhea, lower abdominal pain,
lumbar pain, hernia, constipation.
p
0.5-1.0
GB-28
(Wei Dao)Mtp of
GB and Girdling
Vessel
Anterior and inferior to the
anterior superior iliac spine, 0.5
cun anterior and inferior to
Wushu (GB-27).
Regulates the Girdling vessel
Regulates the lower jiao and
transforms stagnation
Leukorrhea, lower abdominal pain,
hernia, prolapse of uterus.
p
0.5-1.0
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Page 62 of 83 5/1/2012
GB-29
(Ju Liao)
Mtp of the GB and
Yang Motility Vessel
In the depression of the midpoint
between the anterosuperior iliac
spine and the prominence of the
great trochanter.
Activates the channel and
alleviates pain Benefits the hip
joint
Pain and numbness in the thigh and
lumbar region, paralysis, muscular
atrophy of the lower limbs.
p
0.5-1.0
GB-30 (Huan
Tiao) Mtp of GB
and UBMa Dan-
yang Heavenly Star
Point
At the junction of the lateral 1/3
and medial 2/3 of the distance
between the prominence of the
great trochanter and the hiatus
of the sacrum (Yaoshu, GV 2).
When locating the point, put the
patient in lateral recumbent
position with the thigh flexed.
Activates the channel and
alleviates pain Benefits the hip
joint and leg Dispels wind-damp
Pain of the lumbar region and thigh,
muscular atrophy of the lower limbs,
hemiplegia.
p
1.5-
1.25
GB-31
(Feng Shi)
On the midline of the lateral
aspect of the thigh, 7 cun above
the transverse popliteal crease.
When the patient is standing
erect with the hands close to the
sides, the point is where the tip
of the middle finger touches.
Eliminates wind Alleviates itching
Activates the channel and
alleviates pain
Pain and soreness in the thigh and
lumbar region, paralysis of the lower
limbs, beriberi, general pruritus.
p
0.7-1.2
GB-32
(Zhong Du)
On the lateral aspect of the
thigh, 2 cun below Fengshi (GB-
31), or 5 cun above the
transverse popliteal crease,
between m. vastus lateralis and
m. biceps femoris.
Expels wind, damp and
coldActivates the channel and
alleviates pain
Pain and soreness of the thigh and
knee, numbness and weakness of the
lower limbs, hemiplegia.
p
0.7-1.2
GB-33
(Xi Yang Guan)
3 cun above Yangliangquan (GB-
34), lateral to the knee joint, in
the depression above the
external epicondyle of femur.
Relaxes the sinews and benefits
the joints Dispels wind-damp
Swelling and pain of the knee,
contracture of the tendons in popliteal
fossa, numbness of the leg.
p
0.5-1.0
GB-34 (Yang Ling
Quan)He-Sea Hui-Meeting Point of the SinewsMa Dan-yang Heavenly Star
Point
In the depression anterior and
inferior to the head of the fibula.
Benefits the sinews and joints
Activates the channel and alleviates
pain Spreads Liver Qi and benefits the
lateral costal region Clears Liver and
Gall Bladder damp-heat Harmonizes
shaoyang
Hemiplegia, weakness, numbness and
pain of the lower extremities, swelling
and pain of the knee, beriberi,
hypochondriac pain, bitter taste in the
mouth, vomiting, jaundice, infantile
convulsion.
p
0.8-1.2
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Page 63 of 83 5/1/2012
GB-35 (Yang Jiao)
Xi-Cleft Point of the Yang Linking
Vessel
7 cun above the tip of the
external malleolus, on the
posterior border of the fibula.
Activates the channel and
alleviates pain Regulates Gall
Bladder Qi and calms the spirit
Fullness of the chest and
hypochondriac region, muscular
atrophy and paralysis of the leg.
p
0.5-0.8
GB-36 (Wai Qiu)
Xi (Cleft) Point
7 cun above the tip of the
external malleolus, on the
anterior border of the fibula.
Activates the channel and
alleviates pain Clears heat and
detoxifies poison
Pain in the neck, chest, thigh and
hypochondriac region, rabies.
p
0.5-0.8
GB-37
(Guang Ming)
Luo (Connecting)
Point
5 cun directly above the tip of
the external malleolus, on the
anterior border of the fibula.
Stops lactationBenefits the eyes
Dispels wind-damp, activates the
channel and alleviates pain
Pain in the knee, muscular atrophy,
motor impairment and pain of the
lower extremities, blurring of vision,
ophthalmalgia, night blindness,
distending pain of the breast.
p
0.7-1.0
GB-38
(Yang Fu) Jing-River
4 cun above the tip of the
external malleolus, slightly
anterior to the anterior border of
the fibula, between m. extensor
digitorum longus and m.
peronaeus brevis.
Clears Gall Bladder channel heat
Harmonizes shaoyangBenefits the
sinews and bones Activates the
channel and alleviates pain
Migraine, pain of the outer canthus,
pain in the axillary region, scrofula,
lumbar pain, pain in the chest,
hypochondriac region and lateral
aspect of the lower extremities,
malaria.
p
0.5-0.7
GB-39
(Xuan Zhong) Hui-Meeting
Point for Marrow
3 cun above the tip of the
external malleolus, on the
anterior border of fibula.
Benefits the sinews and bones
Benefits the neck Dispels wind-
damp Clears Gall Bladder fire
Activates the channel and
alleviates pain
Apoplexy, hemiplegia, pain of the
neck, abdominal distension, pain in the
hypochondriac region, muscular
atrophy of the lower limbs, spastic pain
of the leg, beriberi.
p
0.3-
0.5
GB-40 (Qiu Xu)
Yuan
Anterior and inferior to the
external malleolus, in the
depression on the lateral side of
the tendon of m. extensor
digitorum longus.
Spreads Liver Qi and clears Gall
Bladder heat and damp-heat
Activates the channel, alleviates
pain and benefits the joints
Regulates shaoyang
Pain in the neck, swelling in the
axillary region, pain in the
hypochondriac region, vomiting, acid
regurgitation, muscular atrophy of the
lower limbs, pain and swelling of the
external malleolus, malaria.
p
0.5-0.8
GB-41 (Zu Lin Qi)
Shu-Stream Confluent Point
of the Girdling Vessel
Posterior to the fourth
metatarsophalangeal joint, in the
depression lateral to the tendon
of m. extensor digiti minimi of
the foot.
Stops lactation Spreads Liver Qi
Stagnation along the course of the
Gallbladder Spreads Liver Qi
Benefits the chest, lateral costal
region and breasts Clears the
head and benefits the eyes
Transforms phlegm and dissipates
nodules
Headache, vertigo, pain of the outer
canthus, scrofula, pain in the
hypochondriac region, distending pain
of the breast, irregular menstruation,
pain and swelling of the dorsum of
foot, spastic pain of the foot and toe.
p
0.3-0.5
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Page 64 of 83 5/1/2012
GB-42
(Di Wu Hui)
Posterior to the fourth
metatarsophalangeal joint,
between the fourth and fifth
metatarsal bones, on the medial
side of the tendon of m. extensor
digiti minimi of foot.
Spreads Liver Qi Clears Gall
Bladder heat
Pain of the canthus, tinnitus,
distending pain of the breast, swelling
and pain of the dorsum of foot.
p
0.30.5
GB-43
(Xia Xi) Ying-Spring
On the dorsum of foot, between
the fourth and fifth toe, proximal
to the margin of the web, at the
junction of the red and white
skin.
Clears heat and benefits the head,
ears and eyes Clears damp-heat
from the channel and reduces
swelling
Headache, dizziness and vertigo, pain
of the outer canthus, tinnitus,
deafness, swelling of the cheek, pain in
the hypochondriac region, distending
pain of the breast, febrile diseases.
p
0.3-0.5
GB-44 (Zu Qiao Yin)
Jing-Well
On the lateral side of the fourth
toe, about 0.1 cun from the
corner of the nail.
Clears heat and benefits the head
Benefits the chest and lateral
costal region Calms the spirit
Migraine, deafness, tinnitus,
ophthalmalgia, dream-disturbed sleep,
febrile diseases.
Punctur
e
0.1
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LIVER MERIDIAN OF THE FOOT JUEYIN
The Liver Meridian starts from the top of the big toe and goes across the top of the foot. After crossing the inner ankle, it continues to go upwards along the inner side of the lower leg and the thigh, until it reaches the pubic region. It then circulates around the external genitalia and enters the lower abdomen. Afterwards, it goes up the abdomen and reaches the lower chest to connect with the liver and gall bladder. The meridian further travels upwards along the throat and connects with the eyes. Finally it emerges from the forehead to reach the vertex of the head. One of its internal branches originates internally from the eye and moves downwards to the cheek where it curves around the inner surface of the lips. Another branch starts from the liver and passes through the diaphragm to reach the lung where it connects with the Lung Meridian and completes the cycle of the twelve meridians.
Symptoms: Disharmony of the Liver Meridian leads to groin pain, chest fullness, urinary incontinence, difficulty urinating, swelling of the lower abdomen and hernias. Main indications:Points in this meridian are indicated for liver, gynecological and genital diseases. They are also recommended for symptoms along the meridian’s pathway.
The 12 Primary Meridians
Page 66 of 83 5/1/2012
LIVER MERIDIAN OF THE FOOT JUEYIN
point Location Action Indication Method LIV-01
(Da Dun)
Jing-Well
On the lateral side of the terminal
phalanx of the great toe, 0.1 cun
from the corner of the nail.
Regulates Qi in the lower jiao,
treats shan disorder and alleviates
pain Benefits the genitals and
adjusts urination Regulates Liver
Qi and stops menstrual bleeding
Revives consciousness and calms
the spirit
Hernia, enuresis, uterine bleeding,
prolapse of the uterus, epilepsy. sub
0.1-0.2
LIV-02
(Xing Jian)
Ying-Spring
On the dorsum of the foot
between the first and second toe,
proximal to the margin of the web
at the junction of the red and
white skin.
Clears Liver fire Spreads Liver Qi
Pacifies Liver wind Clears heat and
stops bleeding Benefits the lower
jiao
Pain in the hypochondrium,
abdominal distension, headache,
dizziness and vertigo, congestion,
swelling and pain of the eye,
deviation of the mouth, hernia,
painful urination, retention of urine,
irregular menstruation, epilepsy,
insomnia, convulsion.
0
0.3-0.5
LIV-03
(Tai Chong)
Yuan
Shu-StreamMa
Dan-yang
Heavenly Star
Point
On the dorsum of the foot, in the
depression distal to the junction
of the first and second metatarsal
bones.
Promotes the free flow of Liver
QiSpreads Liver Qi Subdues Liver
yang and extinguishes
windNourishes Liver blood and
Liver yin Clears the head and eyes
Regulates menstruation Regulates
the lower jiao
Headache, dizziness and vertigo,
insomnia, congestion, swelling and
pain of the eye, depression, infantile
convulsion, deviation of the mouth,
pain in the hypochondriac region,
uterine bleeding, hernia, enuresis,
retention of urine, epilepsy, pain in
the anterior aspect of the medial
malleolus.
P
0.3-0.5
LIV-04
(Zhong Feng)
Jing-River
Anterior to the medial malleolus,
midway between Shangqiu (SP-5)
and Jiexi (ST-41), in the
depression on the medial side of
the tendon of m. tibialis anterior.
Spreads Liver Qi and regulates the
lower jiao Clears Liver channel
stagnant heat
Hernia, pain in the external genitalia,
nocturnal emission, retention of
urine, distending pain in the
hypochondrium.
P
0.3-0.5 i
LIV-05
(Li Gou)
Luo
5 cun above the tip of the medial
malleolus, on the midline of the
medial surface of the tibia.
Spreads the Liver, regulates Qi
and benefits the genitalsClears
dampness and heat from the
lower jiao Regulates menstruation
Treats plumstone Qi
Retention of urine, enuresis, hernia,
irregular menstruation, leukorrhea,
pruritus valvae, weakness and
atrophy of the leg.
sub
0.3-0.5
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LIV-06
(Zhong Du)
Xi (Cleft) Point
7 cun above the tip of the medial
malleolus, on the midline of the
medial surface of the tibia.
Spreads Liver Qi and regulates the
lower jiao Regulates blood Drains
damp
Abdominal pain, hypochondriac pain,
diarrhea, hernia, uterine bleeding,
prolonged lochia.
sub
0.5- 0.8
LIV-07
(Xi Guan) Posterior and inferior to the
medial condyle of the tibia, in the
upper portion of the medial head
of m. gastrocnemius, 1 cun
posterior to Yinlingquan (SP 9).
Dispels wind-damp Benefits the
knee and relaxes the sinews Pain of the knee. P
0.5-1.0
LIV-08
(Qu Quan)
He-Sea
When knee is flexed, the point is
at the medial end of the
transverse popliteal crease,
posterior to the medial epicondyle
of the tibia, in the depression of
the anterior border of the
insertions of m.
semimembranosus and m.
semitendinosus.
Clears damp-heat from the lower
jiao Benefits the genitals
Invigorates blood and benefits the
uterus Nourishes blood and yin
Prolapse of uterus, lower abdominal
pain, retention of urine, nocturnal
emission, pain in the external
genitalia, pruritus vulvae, pain in the
medial aspect of the knee and thigh.
P
0.5-0.8
LIV-09
(Yin Bao) 4 cun above the medial
epicondyle of the femur, between
m. vastus medialis and m.
sartorius
Adjusts menstruation and
regulates the lower jiao Pain in the lumbosacral region, lower
abdominal pain, enuresis, retention
of urine, irregular menstruation.
P
0.5-0.7
LIV-10
(Zu Wu Li) 3 cun directly below Qichong (ST
30), at the proximal end of the
thigh, below the pubic tubercle
and on the lateral border of m.
abductor longus.
Clears damp-heat and benefits
the lower jiao
Lower abdominal distention and
fullness, retention of urine. P
0.5-1.0
LIV-11
(Yin Lian) 2 cun directly below Qichong (ST
30), at the proximal end of the
thigh, below the pubic tubercle
and on the lateral border of m.
abductor longus.
Benefits the uterus Irregular menstruation, leukorrhea,
lower abdominal pain, pain in the
thigh and leg.
P
0.5-1.0
LIV-12
(Ji Mai) Lateral to the pubic tubercle,
lateral and inferior to Qichong (ST
30), in the inguinal groove where
the pulsation of femoral artery is
palpable, 2.5 cun lateral to the
anterior midline.
Eliminates cold from the Liver
channel and benefits the lower
jiao
Lower abdominal pain, hernia, pain
in the external genitalia. MOXA
LIV-13 ꜜ
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Page 68 of 83 5/1/2012
LIV-13
(Zhang Men) Hui-
Meeting Point of
the Zang,
Mtp of LV and GB
Front Mu of the
Spleen
On the lateral side of the
abdomen, below the free end of
the eleventh rib.
Harmonizes the Liver and Spleen
Regulates the middle and lower
jiao Fortifies the Spleen Spreads
the Liver and regulates Qi
Abdominal distention, borborygmus,
pain in the hypochondriac region,
vomiting, diarrhea, indigestion.
P
0.5-0.8
LIV-14
(Qi Men)
Mtp of LV, SP, and
Yin Linking Vessel
Front Mu of the
Liver
Directly below the nipple, in the
sixth intercostal space, 4 cun
lateral to the anterior midline.
Spreads the Liver and regulates Qi
Invigorates blood and disperses
masses Harmonizes the Liver and
Stomach
Hypochondriac pain, abdominal
distention, hiccup, acid regurgitation,
mastitis, depression, febrile diseases.
0
0.3- 0.5
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Page 69 of 83 5/1/2012
GOVERNING VESSEL –DU- MERIDIAN
The Governor Vessel is one of the standard nomenclatures of the eight extra meridians. It starts just before the anus, runs upward along the midline of back to the head and stops on inside of the upper lip. This meridian is also called the “sea of the yang meridians,” which is responsible for governing the qi for all the yang meridians inside the body. It has close relationships with the brain, spinal cord and kidney respectively. Since it communicates with the brain, it can be regarded as a link similar to the pituitary-adrenal axis in Western medicine.
The 12 Primary Meridians
Page 70 of 83 5/1/2012
GOVERNING VESSEL –DU- MERIDIAN
point Location Action Indication Method
DU-01 (Chang Qiang) Long
Strong Luo (Connecting) Point,
MT pt of the GV w/CV and the GB
and KDChannels
Midway between the tip of
the coccyx and the anus,
locating the point in prone
position.
Treats hemorrhoids
Benefits the two lower yin
Activates the channel and
alleviates pain
Calms the spirit
Diarrhea, bloody stools,
hemorrhoids, prolapse of the
rectum, constipation, pain in
the lower back, epilepsy.
P
0.5-1.0 Moxa ok
DU-02 (Yao Shu) Lumbar Shu
In the hiatus of the
sacrum.
Benefits the lumbar region and
legs Dispels wind-damp
Irregular menstruation, pain
and stiffness of the lower
back, hemorrhoids, muscular
atrophy of the lower
extremities, epilepsy.
O Up 0.5-1.0 Moxa ok
DU-03 (Yao Yang Guan) Lumbar
Yang Pass
Below the spinous process
of the fourth lumbar
vertebra, at the level with
the crista iliaca.
Dispels wind-damp
Benefits the lumbar region and
legs
Regulates the lower jiao
Irregular menstruation,
nocturnal emission,
impotence, pain in the
lumbosacral region, muscular
atrophy, motor impairment,
numbness and pain of the
lower extremities.
P
0.5-1.0 Moxa ok
DU-04 (Ming Men)
Life Gate Below the spinous process
of the second lumbar vertebra.
Clears heat, Regulates the
Governing vessel Tonifies the
Kidneys ,Benefits the lumbar
spine
Stiffness of the back,
lumbago, impotence,
nocturnal emission, irregular
menstruation, diarrhea,
indigestion, leukorrhea.
P
0.5-1.0 Moxa ok
DU-05 (Xuan Shu)
Suspended Pivot Below the spinous process
of the first lumbar
vertebra.
Benefits the lumbar spine
Benefits the lower jiao
Pain and stiffness in the lower
back, diarrhea, indigestion.
P
0.5-1.0 Moxa ok
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Page 71 of 83 5/1/2012
DU-06 (Ji Zhong) Spinal Center
Below the spinous process
of the eleventh thoracic
vertebra.
Fortifies the Spleen and drains
damp, Benefits the spine
Pain in the epigastric region,
diarrhea, jaundice, epilepsy,
stiffness and pain of the back.
P 0.5-1.0
DU-07 (ZhongShu)
Below the spinous process
of the tenth thoracic
vertebra.
Benefits the spine
Benefits the middle jiao
Pain in the epigastric region,
low back pain, stiffness of the
back.
P 0.5-1.0 Moxa ok
DU-08 (Jin Suo) Sinew Contraction
Below the spinous process
of the ninth thoracic
vertebra.
Soothes the Liver, pacifies wind
and relieves spasm
Calms the spirit
Epilepsy, stiffness of the back,
gastric pain.
P 0.5-1.0 Moxa ok
DU-09 (Zhi Yang) Extremity of Yang
Below the spinous process
of the seventh thoracic
vertebra, approximately at
the level with the inferior
angle of the scapula.
Fortifies the Spleen, drains
dampness and regulates the
middle jiao.
Treats jaundice
Unbinds the chest
Jaundice, cough, asthma,
stiffness of the back, pain in
the chest and back.
O Up
0.5-1.0 Moxa ok
DU-10 (Ling Tai) Spirit Tower
Below the spinous process
of the sixth thoracic
vertebra.
Alleviates cough and wheezing
Clears heat and detoxifies poison
Carbuncles, furnicles, boils
Cough, asthma, furuncles,
back pain, neck rigidity.
O Up
0.5-1.0 Moxa ok
DU-11 (Shen Dao) Spirit Path
Below the spinous process of the fifth thoracic
vertebra.
Tonifies the Heart and Lung and
calms the spirit.
Clears heat and pacifies wind
Poor memory, anxiety,
palpitation, pain and stiffness
of the back, cough, cardiac
pain.
O Up
0.5-1.0 Moxa ok
DU-12 (Shen Zhu) Body Pillar
Below the spinous process
of the third thoracic
vertebra.
Clears heat from the Lung and
Heart
Calms the spirit
Pacifies wind
Cough, asthma, epilepsy, pain
and stiffness of the back,
furuncles.
O Up 0.5-1.0 Moxa ok
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Page 72 of 83 5/1/2012
DU-13 (Tao Dao) Kiln Path
Below the spinous process
of the first thoracic
vertebra.
Clears heat and treats malaria
Regulates the Governing vessel
Stiffness of the back,
headache, malaria, febrile
diseases.
O Up
0.5-1.0 Moxa ok
DU-14 (Da Zhu) Great Hammer
Below the spinous process
of the seventh cervical
vertebra, approximately at
the level of the shoulders.
Expels wind and firms the
exterior Clears heat
Treats malaria
Tonifies deficiency
Pacifies wind
Neck pain and rigidity,
malaria, febrile diseases,
epilepsy, afternoon fever,
cough, asthma, common cold,
back stiffness.
O Up 0.5-1.0 Moxa oka
DU-15 (Ya Men) Mute's Gate
Sea of Qi, MT pt/ Governing and Yang
Linking Vessels
0.5 cun directly above the
midpoint of the posterior
hairline, in the depression
below the spinous process
of the first cervical
vertebra.
Benefits the tongue and treats
muteness
Eliminates wind
Benefits the neck and spine
Mental disorders, epilepsy,
deafness and mute, sudden hoarseness of voice, apoplexy, stiffness of the tongue and
aphasia, occipital headache, neck rigidity.
P
0.5-0.8 * no O-up nor deep.
*medullary bulb
DU-16 (Feng Fu) Wind Mansion
Sea of Marrow, MT pt of the Governing
and Yang Linking Vessels; Pt of the Window of Heaven,
Sun Si-miao Ghost Point
1 cun directly above the
midpoint of the posterior
hairline, directly below the
external occipital
protuberance, in the
depression between m.
trapezius of both sides.
Eliminates wind
Nourishes the sea of marrow and
benefits the head and neck
Calms the spirit
Headache, neck rigidity,
blurring of vision, epistaxis,
sore throat, post-apoplexy
aphasia, hemiplegia, mental
disorders.
P
0.5-0.8 *No deep
puncture * watch for
medullary
bulb
DU-17 (Nao Hu) Brain's Door MT pt/ Governing Vessel with the UB
2.5 cun directly above the
midpoint of the posterior
hairline, 1.5 cun directly
above Fengfu (DU-16), in
Eliminates wind and alleviates
pain
Epilepsy, dizziness, pain and
stiffness of the neck.
S
0.3-0.5
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Page 73 of 83 5/1/2012
Channel
the depression on the
upper border of the
external occipital
protuberance.
Benefits the eyes
Calms the spirit
DU-18 (Qiang Jian) Unyielding Spac
4 cun directly above the
midpoint of the posterior
hairline and 1.5 cun above
Naohu (DU-17).
Pacifies wind and alleviates pain
Calms the spirit
Headache, neck rigidity,
blurring of vision, mania.
S 0.3-0.5 Moxa ok
DU-19 (Hou Ding) Behind the Vertex
5.5 cun directly above the
midpoint of the posterior
hairline, 1.5 cun directly
above Qiangjian (DU-18).
Eliminates wind and alleviates
pain
Calms the spirit
Headache, vertigo, mania,
epilepsy.
S 0.3-0.5 Moxa ok
DU-20 (Bai Hui) Hundred Convergences
Sea Of Marrow, MT pt of the GV w/ the
UB, GB, SJ and LV Channels
On the midline of the
head, 5 cun directly above
the midpoint of the
anterior hairline,
approximately on the
midpoint of the line
connecting the apexes of
both ears.
Pacifies wind and subdues yang
Raises yang and counters
prolapse ;Benefits the head and
sense organs ;Nourishes the sea
of marrow Benefits the brain and
calms the spirit
Headache, vertigo, tinnitus,
nasal obstruction, aphasia by
apoplexy, coma, mental
disorders, prolapse of the
rectum and the uterus.
S 0.3-0.5 Moxa ok
DU-21 (Qian Ding) Before the Vertex
3.5 cun directly above the
midpoint of the anterior
hairline and 1.5 cun
anterior to Baihui (DU-20).
Eliminates wind and treats
convulsions
Benefits the head
Epilepsy, dizziness, blurring of
vision, vertical headache,
rhinorrhea.
S 0.3-0.5 Moxa ok
DU-22 (Xin Hui) 2 cun posterior to the
midpoint of the anterior
Benefits the nose
Eliminates wind and benefits the
Headache, blurring of vision,
rhinorrhea, infantile
S 0.3-0.5
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Page 74 of 83 5/1/2012
Fontanel Meeting
hairline, 3 cun anterior to
Baihui (DU-20).
head
convulsion.
This point is prohibited in
infants with metopism (as
is the metopic suture of the
frontal skull bone).
DU-23 (Shang
Xing) Upper Star
Sun Si-miao Ghost
Point
1 cun directly above the
midpoint of the anterior
hairline.
Benefits the nose and eyes
Eliminates wind, benefits the
head and face and dispels
swelling
Calms the spirit
Headache, ophthalmalgia,
epistaxis. rhinorrhea, mental
disorders.
This point is prohibited in
infants with metopism (as
is the metopic suture of the
frontal skull bone).
S
0.3-0.5 Moxa ok Or prick to bleed
DU-24 (Shen Ting) Spirit Court
MT pt of the GV w/ UB and ST
0.5 cun directly above the
midpoint of the anterior
hairline.
Benefits the brain and calms the
spirit ;Eliminates wind and
benefits the head ;Benefits the
nose and eyes
Epilepsy, anxiety, palpitation,
insomnia, headache, vertigo,
rhinorrhea.
S
0.3-0.5 Moxa ok Or prick to
bleed
DU-25 (Su Liao) White Bone Hole
On the tip of the nose. Benefits the nose Loss of consciousness, nasal
obstruction, epistaxis,
rhinorrhea, rosacea.
P 0.2-0.3 Prick bleed.
DU-26 (Shui Gou) Water Trough MT pt of the GV w/ LI and ST; Sun Si-
miao Ghost Pt
At the junction of the
upper third and middle
third of the philtrum.
Restores consciousness and
calms the spirit ;Benefits the
face and nose and expels wind
;Benefits the spine and treats
acute lumbar sprain
Mental disorders, epilepsy,
hysteria, infantile convulsion,
coma, apoplexy-faint, trismus,
deviation of the mouth and
eyes, puffiness of the face,
pain and stiffness of the lower
O Up 0.3-0.5
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Page 75 of 83 5/1/2012
back.
DU-27 (Dui Duan) Extremity of the Mouth
On the labial tubercle of
the upper lip, on the
vermilion border between
the philtrum and upper lip.
Clears heat, generates fluid and
benefits the mouth
Calms the spirit
Mental disorders, lip twitching,
lip stiffness, pain and swelling
of the gums.
O Up 0.2-0.3
DU-28 (Yin Jiao) Gum Intersection MT pt of the GV
w/CV and the ST
At the junction of the gum
and the frenulum of the
upper lip.
Clear heat and benefits the
gums ;Benefits the nose and
eyes
Mental disorders, pain and
swelling of the gums,
rhinorrhea.
O Up 0.1-0.2 Prick bleed
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CONCEPTION VESSEL –REN- MERIDIAN
The Conception Vessel meridian begins at the perineum and runs up along the midline
of the abdomen and chest, passes through the cheek and enters into the eye sockets.
At the mouth it splits and goes around the lips before sending branches to the lower
eyes.
This meridian meets all the yin meridians, and thus is called the “sea of the yin
meridians.” It is responsible for receiving and bearing the qi of the yin meridians.
The 12 Primary Meridians
Page 77 of 83 5/1/2012
CONCEPTION VESSEL –REN- MERIDIAN point Location Action Indication Method
REN-01 (Hui Yin) MT of Yin MT PT of the Conception, Penetrating and Governing Vessels Sun Si-miao Ghost Point
Between the anus and the root of
the scrotum in males and between
the anus and the posterior labial
commissure in females.
Regulates the anterior and posterior yin
Drains damp heat
Calms the spirit
Promotes resuscitation and revives from
drowning
Vaginitis, retention of urine
hemorrhoids, nocturnal emission,
enuresis, irregular menstruation, mental
disorders.
P 0.5-1.0
REN-02 (Qu Gu) Curved Bone MT. PT. of the Conception Vessel with the Liver Channel
On the midpoint of the upper border
of the symphysis pubis.
Benefits urination
Regulates the lower jiao
Warms and invigorates the Kidneys
Retention and dribbling of urine,
enuresis, nocturnal emission,
impotence, morbid leukorrhea, irregular
menstruation, dysmenorrhea, hernia.
Great care should be taken to puncture
the points from Qugu (REN-02) to
Shangwan (REN-13) of this meridian in
pregnant women.
p 0.5-1.0
REN-03
(Zhong Ji) Central Pole
MT. PT. of the
Conception Vessel
with the SP, LV, and
KD Channels
Front Mu of the BL
On the anterior midline, 4 cun below
the umbilicus.
Benefits the Bladder, regulates Qi
transformation and drains damp-heat
Drains dampness and treats leucorrhoea
Benefits the uterus and regulates
menstruation
Dispels stagnation and benefits the lower
jiao
Fortifies the Kidneys
Enuresis, nocturnal emission,
impotence, hernia, uterine bleeding,
irregular menstruation, dysmenorrhea,
morbid leukorrhea, frequency of
urination, retention of urine, pain in the
lower abdomen, prolapse of the uterus,
vaginitis.
P 0.5-1.0
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REN-04 (Guan Yuan)
Origin Pass
MT pt of the
Conception Vessel
w/SP,LV , and KD
Channels
Front Mu of the SI
On the anterior midline, 3 cun below the umbilicus.
Fortifies the original Qi and benefits
essence ,Tonifies and nourishes the
Kidneys Warms and fortifies the Spleen
Benefits the uterus and assists
conception,Regulates the lower jiao and
benefits the Bladder
Regulates Small Intestine Qi Restores
collapse
Enuresis, nocturnal emission, frequency
of urination, retention of urine, hernia,
irregular menstruation, morbid
leukorrhea, dysmenorrhea, uterine
bleeding, postpartum hemorrhage,
lower abdominal pain, indigestion,
diarrhea, prolapse of the rectum, flaccid
type of apoplexy.
P 0.8-1.2 Tonify pt Moxa ok
REN-05 (Shi Men) Stone Gate Front Mu of the SJ
On the anterior midline, 2 cun below the umbilicus.
Moves and benefits the water passages
Regulates Qi and alleviates pain Regulates
the uterus
Abdominal pain, diarrhea, edema,
hernia, anuria, enuresis, amenorrhea,
morbid leukorrhea, uterine bleeding,
postpartum hemorrhage.
P 0.5-1.0 inch Moxa ok
REN-06 (Qi Hai) Sea of Qi
On the anterior midline, 1.5 cun
below the umbilicus.
Fosters original Qi
Tonifies Qi
Tonifies the Kidneys and fortifies yang
Rescues collapse of yang
Regulates Qi and harmonizes blood
Abdominal pain, enuresis, nocturnal
emission, impotence, hernia, edema,
diarrhea, dysentery, uterine bleeding,
irregular menstruation, dysmenorrhea,
amenorrhea, morbid leukorrhea,
postpartum hemorrhage, constipation,
flaccid type of apoplexy, asthma.
P 0.8-1.2 Tonifiy Moxa ok
REN-07 (Yin Jiao) Yin Intersection MT pt of the Conception and Penetrating Vessels and the KDChannel
On the anterior midline, 1 cun below
the umbilicus.
Regulates menstruation
Benefits the lower abdomen and genital
region
Abdominal distention, edema, hernia,
irregular menstruation, uterine
bleeding, morbid leukorrhea, pruritus
vulvae, postpartum hemorrhage,
abdominal pain around the umbilicus.
P 0.8-1.2 Moxa ok
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REN-08 (Shen Que) Spirit Gate
In the center of the umbilicus.
Warms the yang and rescues collapse
Warms and harmonizes the intestines
Abdominal pain, borborygmus, flaccid
type of apoplexy, prolapse of the
rectum, unchecked diarrhea.
NO puncture. Moxa ok
REN-09 (Shui Fen) Water Divide
On the anterior midline, 1 cun above
the umbilicus.
Regulates the water passages and treats
edema, Harmonizes the intestines and
dispelsaccumulation
Abdominal pain, borborygmus, edema, retention of the urine, diarrhea.
P 0.5-1.0 Moxa ok
REN-10 (Xia Wan) Lower Venter MT pt of the Conception Vessel with SP Channel
On the anterior midline, 2 cun above the umbilicus.
Harmonizes the Stomach and regulates Qi
Dispels food stagnation
Food retention
Epigastric pain, abdominal pain,
borborygmus, indigestion, vomiting,
diarrhea.
P 0.5-1.2 Moxa ok
REN-11 (Jian Li) Interior Strengthening
On the anterior midline, 3 cun above the umbilicus
Harmonizes the middle jiao and regulates
Qi
Stomachache, vomiting, abdominal
distention, borborygmus, edema,
anorexia.
P 0.5-1.2 Moxa ok
REN-12 (Zhong Wan) Central Venter Hui-MT pt of the Fu, MT pt of the Conception Vessel w/SI, SJ and ST Channels Front Mu of the ST
On the anterior midline, 4 cun above
the umbilicus.
Harmonizes the middle jiao and descends
rebellion
Tonifies the Stomach and fortifies the
Spleen
Regulates Qi and alleviates pain
Epigatric pain in the Stomach due to Qi
Stagnation from any of the Seven
Emotions
Stomachache, abdominal distention,
borborygmus, nausea, vomiting, acid
regurgitation, diarrhea, dysentery,
jaundice, indigestion, insomnia.
P 0.5-1.2 Moxa ok
REN-13 (Shang Wan) On the anterior midline, 5 cun above Harmonizes the Stomach and regulates Qi Stomachache, abdominal distention, P
The 12 Primary Meridians
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Upper Venter MT of the CV w/ST, SI
the umbilicus.
Descends rebellion and alleviates
vomiting
Regulates the Heart
nausea, vomiting, epilepsy, insomnia. 0.5-1.2 Moxa ok
REN-14 (Ju Que) Great Tower Gate
Front Mu of the HT
On the anterior midline of the
abdomen, 6 cun above the umbilicus.
Regulates the Heart and alleviates pain,
Descends Lung Qi and unbinds the chest,
Transforms phlegm and calms the spirit
Harmonizes the Stomach and descends
rebellion
Pain in the cardiac region and the chest,
nausea, acid regurgitation, difficulty in
swallowing, vomiting, mental disorders,
epilepsy, palpitation.
P 0.3-0.8 Moxa ok
REN-15 (Jiu Wei) Turtledove Tail Luo (Connecting) Point
On the anterior midline, 1 cun below
the xiphosternal synchondrosis.
Locate the point in supine position
with the arms uplifted.
Regulates the Heart and calms the spirit
Descends Lung Qi and unbinds the chest
Pain in the cardiac region and the chest,
nausea, mental disorders, epilepsy.
O Down 0.4-0.6 Mxoa ok
REN-16 (Zhong Ting) Center Palace
On the anterior midline, at the level
with the fifth intercostal space, on
the xiphosternal synchondrosis.
Unbinds the chest
Regulates the Stomach and descends
rebellion
Distension and fullness in the chest and
intercostal region, hiccup, nausea,
anorexia.
S 0.3-0.5 Moxa ok
REN-17 (Shan Zhong) Chest Center Hui-MT pt of the Qi, Pt of the Sea of Qi, MT pt of the CV with the SP, KD, SI and SJ Channels Front Mu of the PC
On the anterior midline, at the level
with the fourth intercostal space,
midway between the nipples.
Regulates Qi and unbinds the chest
Descends rebellion of the Lung and
Stomach
Benefits gathering Qi
Benefits the breasts and promotes
lactation
Asthma, pain in the chest, fullness in the
chest, palpitation, insufficient lactation,
hiccup, difficulty in swallowing.
S 0.3-0.5 Moxa ok
REN-18 (Yu Tang) Jade Hall
On the anterior midline, at the level Unbinds the chest pain in the chest, cough, asthma, S 0.3-0.5 Moxa ok
The 12 Primary Meridians
Page 81 of 83 5/1/2012
with the third intercostal space.
Regulates and descends Qi
vomiting.
REN-19 (Zi Gong) Purple Palace
On the anterior midline, at the level
with the 2nd ICS
Unbinds the chest
Regulates and descends Qi
Pain in the chest, asthma, cough. S 0.3-0.5 Moxa ok
REN-20 (Hua Gai) Florid Canopy
On the anterior midline, at the
midpoint of the sternal angle, at the
level with the first intercostal space.
Unbinds the chest
Regulates and descends Qi
Pain and fullness in the chest and
intercostal region, asthma, cough.
S 0.3-0.5 Moxa ok
REN-21 (Xuan Ji) Jade Pivot
On the anterior midline, in the centre
of the sternal manubrium, 1 cun
below Tiantu (REN-22).
Descends Stomach Qi and dispels food
accumulation, Unbinds the chest and
descends Lung Qi Benefits the throat
Pain in the chest, cough, asthma. S 0.3-0.5 Moxa ok
REN-22 (Tian Tu) Celestial Chimney
MT pt of the
Conception and Yin
Linking Vessels
Pt of the Window of
Heaven
In the centre of the suprasternal
fossa.
Descends rebellious Qi and alleviates
cough and wheezing
Benefits the throat and voice
Asthma, cough, sore throat, dry throat,
hiccup, sudden hoarseness of the voice,
difficulty in swallowing, goiter.
P 0.2 Then Ndl tip down Along post of sternum 0.5-1.0 Moxa ok
REN-23 (Lian Quan) Ridge Spring Mt pt of the Conception and Yin Linking Vessels
Above the Adam's apple, in the
depression of the upper border of
the hyoid bone.
Benefits the tongue
Descends Qi and alleviates cough
Swelling and pain of the subglossal
region, salivation with glossoplegia,
aphasia with stiffness of tongue by
apoplexy, sudden hoarseness of the
voice, difficulty in swallowing.
O 0.5-1.0 Toward tongue root. Moxa ok
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REN-24 (Cheng Jiang) Suace Recepticle MT pt of the CV with the Governing Vessel and the LI and ST Channels
Sun Si-miao Ghost
Point
In the depression in the centre of the
mentolabial groove.
Extinguishes wind and benefits the face
Regulates the Conception vessel
Facial puffiness, swelling of the gums,
toothache, salivation, mental disorders,
deviation of the eyes and mouth.
O Up 0.2-0.3 Moxa ok