12 Meridians

The 12 Primary Meridians
Medial Zang Yin

Arm/hand
Lateral Fu Yang
Arm/hand m/hand
Anterio r
Leg/foo t
Anterio r
Arm/hand
Posterior Leg/foo t
Posterior
Arm/hand
Middl e
Leg/foo t
Middl e
3 Factors : Organ, Location and Yin/Yang . Example; Lung meridian of the hand Tai Yin
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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
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Major Acupuncture Points Chart
[ Blank Worksheet ]
Lung 11 Large Intestine
10 2 2 8 2 2 8 2 2
9 3 3 7 3 3 7 3 3
8 5 5 4 5 7 5 6 4
5 11 9 3 8 10 3 10 8
9 4 3 7 4 3 7 4 3
7 6 4 5 7 4 6 5 5 15
6 7 8 6 6 5 4 7 6
LU-01 ST-25 REN-12 LIV-13 REN-14 REN-4 REN-3 GB-25 REN-17 REN-5 GB-24 LIV-14
BL-13 BL-25 BL-21 BL-20 BL-15 BL-27 BL-28 BL-23 BL-14 BL-22 BL-19 BL-18
9 11 2 9 3 7 9 3 8
5 2 5 7 8 1 7 10 2
1 4 1 1 1 1 1 1 1 1 1 1
7 20 42 21 9 19 67 22 8 22 41 14
1 1 9 1 1 9 1 1
ST-37 ST-36

Stomach 45 Spleen Heart Small Intestine
44 43 41 36 42 40 34
41 45
ST-39 BL-40

Bladder 67 Kidney Pericardium San Jiao
66 65 60 40 64 58 63
67 65
BL-39 GB-34

5/1/2012
Gall Bladder 44 Liver Ren (Conception)
43 41 38 34 40 37 36
43 38
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Du (Governing)
Command Points Stomach & Abdomen Head & Back of Neck Lower Back (Lumbar) Face & Mouth
ST-36 LU-7 BL-40 LI-4
Hui Meeting Points (Influential Points) Zang (Yin) Organs Fu (Yang) Organs Qi Blood Sinews Marrow Bones Vessels
Four Seas Points Sea of Qi Sea of Blood
LIV-13 REN-12 REN-17 BL-17 GB-34 GB-39 BL-11 LU-9
REN-17 BL-11, ST-37, ST-39 ST-30,ST-36 DU-16, DU-20
Sea of Water & Grain Sea of Marrow
Heart & Chest Fainting & Collapse
P-6 DU-26
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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
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The 12 Primary Meridians LUNG MERIDIAN OF HAND TAIYIN Actions Regulates & stimulates descending of LU Qi Stops cough Resolves LU phlegm Disperses chest fullness Stops pain (esp. in shoulder) Disperses chest fullness Promotes descending of LU Qi Stops cough Regulates the ascending & descending Qi Stops bleeding Opens the Mind's orifices & soothes Corporeal Soul
Point LU 1 Front-Mu pt. Greater Yin mtg. pt. (LU & SP) LU 2
Location 6 cun lateral from midline in 1st ICS
Indications Cough or asthma Chest, shoulder or back pain Chest fullness Acute cases & Excess patterns Cough or asthma Chest fullness Chest, shoulder or back pain Asthma Epistaxis Pain in medial aspect of upper arm Psychological & emotional probs (sadness, depression, mental confusion) Goiter Cough Chest fullness Pain in the medial aspect of upper arm Cough, asthma or sore throat Afternoon fever Bloody sputum (hemoptysis) Mastitis Infantile convulsions Spasmodic pain of elbow & arm Excess patterns of internal LU heat Cough, asthma or sore throat Chest pain Bloody sputum Spasmodic pain of elbow & arm Pain along meridian Acute excess patterns Cough, asthma or sore throat Headache &/or migraine Neck rigidity Facial paralysis Toothache Wrist pain & weakness Cough, asthma or sore throat Chronic throat problems 5/1/2012
Method Obliquely lateral 0.5-0.8
LU 3
6 cun lateral from midline superior to coracoid process of scapula 3 cun below end of axillary fold, on radial side of biceps brachii
Obliquely lateral 0.5-0.8 Perpendicular 0.5-1.0
LU 4 seldom used
1 cun below LU 3 on radial side of biceps brachii On cubital crease in depression of radial side of biceps tendon
None listed
Perpendicular 0.5-1.0 Perpendicular 0.5-1.0 Avoid radial recurrent a. & cephalic v.
LU 5 He-Sea pt.
Clears LU heat & LU phlegm Regulates water passages & benefits bladder Sedates relaxes sinews & bladder
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
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) 1 cun above wrist crease lateral to radial artery
LU 8 seldom used Jing-River pt.
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 Promotes descending of LU Qi
Obliquely upward 0.3-0.5
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The 12 Primary Meridians LUNG MERIDIAN OF HAND TAIYIN Point Location Actions Indications Fever Chest &/or wrist pain Cough, asthma or sore throat Chest, wrist or arm pain Bloody sputum HT palpitations Couth or acute sore throat Voice loss Fever Hot palm Cough, asthma or sore throat Epistaxis Fever Loss of consciousness Mania Spasmodic pain in thumb Method Avoid radial a. Perpendicular 0.2-0.3 Avoid radial a.
LU 9 Shu-Stream pt. Yuan-1 pt. Influential Pt. of Vessels LU 10 Ying-Spring pt.
On wrist crease lateral to radial artery
Midpt. of 1 metacarpal bone where skin color changes from red to white On radial side of thumb, 0.1 cun posterior to corner of nail
st
LU 11 Jing-Well pt.
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 Clears LU Heat Promotes descending of LU Qi & stops cough Benefits throat Calms the Mind Expels exterior wind & extinguishes interior wind Stimulates diffusing/descending of LU Qi Benefits throat Opens the orifices & promotes resuscitation
Puncture 0.1 or prick to bleed
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The 12 Primary Meridians 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
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The 12 Primary Meridians LARGE INTESTINE MERIDIAN OF HAND YANGMING Actions Indications Relieves & clears heat Toothache Benefits throat Sore throat Calms mind Febrile diseases w/o sweating Expels wind Swelling of submandibular region Scatters cold Finger numbness Relieves swelling Mental disorders Loss of consciousness Clears heat Toothache Expels wind-heat Sore throat Removes obstruction from channel Blurry vision Epistaxis Febrile diseases Expels exterior wind Toothache Brightens the eyes Sore throat Benefits the throat Ophthalmalgia (eye pain) Regulates the intestines Bi syndrome, especially hand arthritis Redness & swelling of fingers, back of hand Harmonizes descending & ascending of LU Qi Headache or neck pain Releases the exterior & dispels external wind Sore throat Regulates Wei Qi & sweating Eye redness, swelling & pain Stops pain Nasal obstruction, rhinorrea or epistaxis Removes obstructions from channel Parotitis (parotid gland inflammation) Benefits the eyes, nose, ears, & mouth Trismus (spasm of mastication muscles) Promotes labor Facial swelling or paralysis Calms the mind Toothache Has an anti-spasmodic effect Deafness Febrile diseases w/ & w/o sweating Abdominal pain, constipation or dysentery Amenorrhea Delayed labor Infantile convulsions UL pain, weakness & motor impairment Expels wind & releases the exterior Headache Stops pain Eye redness, swelling & pain Clears heat Toothache Calms the mind & opens the minds orifices Sore throat Benefits the nose, ears, & eyes Wrist pain Regulates LUs water passages Sore throat Removes obstructions from channel Eye redness Tinnitus or deafness Page 9 of 83 5/1/2012
Point LI 1 Jing-Well pt.
Location On radial side of index finger, 0.1 cun posterior to corner of nail
Method Puncture 0.1 or prick to bleed
LI 2 Ying-Spring pt.
Flex finger; in depression on nd radial side just distal to 2 MCPJ where color changes
LI 3 Shu-Stream pt.
LI 4 Yuan-1 pt. (command pt. of head, neck & nape) Contraindicated in pregnancy
Make loose fist; on radial side of index finger in depression proximal to nd head of 2 metacarpal bone st On back of hand b/w 1 & nd 2 metacarpal bones, in nd middle of 2 metacarpal bone on radial side (put thumb IP jt. on edge of web & fold over where thumb tip falls)
LI 5 Jing-River pt.
Anatomical snuffbox
Perpendicular 0.3-0.5 Avoid radial a. & cephalic v. Perpendicular or Oblique 0.5-0.8
LI 6 Luo-Connecting pt.
On line b/w LI 5 & LI 11, 3 cun above wrist crease
The 12 Primary Meridians LARGE INTESTINE MERIDIAN OF HAND YANGMING Indications Epistaxis Edema Aching of hand & arm Clears heat Sore throat Regulates the intestines Headache Opens the minds orifices Swelling of face Removes obstructions from channel Abdominal pain Borborygmus Aching of shoulder & arm Harmonizes Small Intestine Abdominal pain Expels wind & clears heat Borborygmus Clears yangming fire & calms the spirit Pain in elbow & arm, UL motor impairment Harmonizes Large Intestine Abdominal pain Activates the channel & alleviates pain Borborygmus Shoulder & arm ache Hand & arm numbness, UL motor impairment Removes obstructions from channel Abdominal pain Regulates the intestines Diarrhea Tonifies Qi Toothache Swelling of cheek UL motor impairment Pain in shoulder & back Clears heat & cools blood Sore throat Removes obstructions & heat from channel Toothache Resolves dampness Redness & pain of eye Regulates the intestines Scrofula (a form of TB) or urticaria (hives) Benefits the sinews & joints UL motor impairment Abdominal pain or diarrhea Vomiting Febrile diseases Removes obstructions from channel Elbow & arm pain, numbness & contracture Activates the channel & alleviates pain Alleviates coughing Regulates Qi, drains damp & transforms phlegm Removes obstructions from channel Brightens the eyes Page 10 of 83 Elbow & arm contracture & pain Scrofula
Point
Location
Actions
Method
LI 7 Xi-Cleft pt.
On line b/w LI 5 & LI 11, 5 cun above wrist crease
LI 8
On line b/w LI 5 & LI 11, 4 cun below cubital crease On line b/w LI 5 & LI 11, 3 cun below cubital crease
LI 9
Perpendicular 0.5-1.0 Perpendicular 0.5-1.0
LI 10
On line b/w LI 5 & LI 11, 2 cun below cubital crease
LI 11 He-Sea pt.
Lateral end of elbow crease, midway b/w LU 5 & lateral epicondyle of humerus
LI 12 LI 13
Lateral side of upper arm, 1 cun above LI 11 Lateral side of upper arm, on line b/w LI 11 & LI 15, 3 cun above LI 11 Lateral side of upper arm, on line b/w LI 11 & LI 15, 7
LI 14
Shoulder & arm pain Neck rigidity 5/1/2012
Perpendicular 0.5-1.0 Perpendicular 0.5-1.0 Avoid radial collateral a. Perpendicular or Oblique
The 12 Primary Meridians LARGE INTESTINE MERIDIAN OF HAND YANGMING Actions Indications Resolves phlegm & dissipates nodules Scrofula Removes obstructions from channel Expels wind & dampness Resolves phlegm & dissipates nodules Shoulder & arm pain UL motor impairment Rubella Scrofula UL pain & motor impairment Shoulder & back pain
Point
LI 15
LI 16
Location cun above LI 11 (at insertion of deltoid) Anteroinferior to acromion on upper part of deltoid, in depression at anterior border of AC jt. when arm is abducted In depression b/w acromial end of clavicle & spine of scapula
Method 0.8-1.5 Perpendicular or Oblique 0.8-1.5
Moves blood locally Good for shoulder pain Removes obstructions from channel Dissipates nodules
LI 17
Posterior border of SCM, 1 cun below laryngeal prominence Lateral side of neck, level w/ laryngeal prominence, b/w sternal & clavicular heads of SCM Right below lateral margin of nostril Nasolabial groove, at level of midpoint of lateral border of ala nasi
Benefits the throat & voice Dissipates nodules
LI 18
LI 19 LI 20
Benefits the throat & voice Subdues rebellious qi & relives coughing & wheezing Resolves phlegm & dissipates nodules Eliminates wind & opens the nasal passages Expels exterior wind Opens the nose Removes obstructions from the channel
Sudden voice loss Sore throat Scrofula Goiter Cough, asthma or sore throat Sudden voice loss Scrofula Goiter Nasal obstruction or epistaxis Deviation of mouth Nasal obstruction, epistaxis or rhinorrea Hyposmia (reduced ability to smell) Deviation of mouth Itching & swelling of face
Perpendicular 0.5-0.7 Avoid suprascapular a. & lateral supraclavicular n. Perpendicular 0.3-0.5 Avoid external jugular v. Perpendicular 0.3-0.5
Oblique 0.2-0.3 Oblique or Subcutaneous 0.2-0.3
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The 12 Primary Meridians 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 nd lateral margin of tibia to dorsum of foot, terminating at lateral side of tip of 2 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
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The 12 Primary Meridians STOMACH MERIDIAN OF FOOT YANGMING Actions Indications Expels wind Facial paralysis Brightens eyes Eyelid twitching or eye redness/pain/itching Clears heat Lacrimation (tearing) Night blindness Expels wind Facial paralysis or pain Brightens eyes Eyelid twitching or eye redness/pain/itching Clears heat Night blindness Sinus Expels internal & external wind Epistaxis Relieves swelling, esp. facial Toothache Removes obstructions from channel Lip & cheek swelling Facial paralysis Eyelid twitching Expels wind Facial paralysis Benefits muscles Deviation of mouth Salivation Eyelid twitching Eliminates wind & reduces swelling Facial paralysis or pain Trismus Swelling of cheek Toothache Expels wind Mumps Removes obstructions from channel Facial paralysis Toothache Swelling of cheek & face Trismus Removes obstructions from channel TMJ or motor impairment of jaw Benefits the ear Tinnitus, deafness or otorrhea Expels wind Toothache Facial paralysis or pain Expels wind Blurry vision Clears heat Opthalmagia Relieves pain Headache Brightens the eyes Lacrimation Benefits throat Flushed face Regulates ascending & descending of qi to & Sore throat from head Asthma Subdues rebellious qi Goiter Dissipates nodules Page 13 of 83 5/1/2012
Point ST 1 Yang Heel pt.
Location Below pupil when patient looks fwd, b/w eyeball & infraorbital ridge Below ST 1, in depression below infraorbital ridge
ST 2 Yang Heel pt.
Method Perpendicular 0.5-1.0 Push eyeball up NO MOXA Perpendicular 0.2-0.3 NO MOXA Perpendicular 0.3-0.5
ST 3 Yang Heel pt.
Below pupil, at level of lower border of ala nasi
ST 4 Yang Heel pt. ST & LI mtg. pt. Ren pt. ST 5
Below ST 3 in corner of mouth, lateral to corner of mouth Anterior to angle of mandible, on anterior border of masseter in groove w/ puffed cheeks One middle finger-breadth anterosuperior to angle of mandible where masseter is prominent when teeth are clenched Only locate w/ mouth closed anterior to ear, in depression b/w zygomatic arch & mandibular notch 0.5 cun above anterior hairline at corner of forehead & 4.5 cun lateral to midline of head Anterior border of SCM, level w/ laryngeal prominence
Subcutaneously towards ST 6 1.0-1.5 Avoid facial a. & v. Oblique 0.3-0.5 Avoid facial a. & v. Perpendicular 0.3-0.5 or Subcutaneously towards ST 4 Perpendicular 0.3-0.5
ST 6
ST 7
ST 8 ST & GB mtg. pt. Yang Linking pt. ST 9 Sea of Qi pt.
Subcutaneous 0.5-1.0 NO MOXA Perpendicular 0.3-0.5 Avoid common carotid a.
The 12 Primary Meridians STOMACH MERIDIAN OF FOOT YANGMING Actions Indications Benefits the throat & neck Cough, asthma or sore throat Descends lung qi Benefits the throat & neck & descends qi Goiter Hiccups, asthma or sore throat Local pain/rigidity in neck Subdues rebellious Qi Removes obstructions from channel Descends rebellious Qi & unbinds the chest Descends rebellious Qi & unbinds the chest Descends rebellious Qi & unbinds the chest Benefits the breasts Alleviates pain & itching of the skin Alleviates cough & wheezing Benefits the breasts n/a landmark only Dispels stagnation Regulates ST Qi & lactation Benefits the breasts & reduces swelling Moves Qi in the chest & stops coughing Harmonizes the Middle Burner & subdues rebellious Stomach-Qi Subdues Rebellious Lung-Qi Harmonizes the Middle Burner & Subdues rebellious Stomach-Qi Subdues Rebellious Lung-Qi Subdues rebellious ST Qi & moves ST Qi Stops pain & vomiting Used for Excess patterns Clears Stomach-Heat Raises Qi & stops diarrhea Moves Stomach-Qi Regulates the water passages Regulates the Intestine & Urination Page 14 of 83 Cough, asthma or sore throat Pain in supraclavicular fossa Fullness & pain in chest & hypochondrium Cough, asthma or hiccups Fullness & pain in chest Cough Mastitis Fullness & pain in chest/costal region Cough or asthma Mastitis Fullness/pain in chest & hypochondrium Cough or asthma n/a landmark only Mastitis Insufficient lactation Chest pain Cough or asthma Abdominal distention or gastric pain Vomiting Anorexia Abdominal distention or gastric pain Vomiting Anorexia Abdominal distention or gastric pain Diarrhea Vomiting Anorexia Abdominal pain/distention Edema Anorexia 5/1/2012
Point ST 10 ST 11
Location Midway b/w ST 9 & ST 11, on anterior SCM border Superior border of clavicle b/w 2 heads of SCM
ST 12 Contraindicated in pregnancy ST 13 ST 14 ST 15
Midpt. right above clavicle, 4 cun lateral to midline Midpt. right below clavicle, 4 cun lateral to midline 4 cun lateral to midline in st 1 ICS 4 cun lateral to midline in nd 2 ICS 4 cun lateral to midline in rd 3 ICS 4 cun lateral to midline in th 4 ICS Below ST 17, 4 cun lateral th to midline in 5 ICS
Method Perpendicular 0.3-0.5 Perpendicular 0.3-0.5 Avoid anterior jugular v. Perpendicular 0.3-0.5 Oblique 0.3-0.5 Oblique 0.3-0.5 Oblique 0.3-0.5 Oblique 0.3-0.5 NO NEEDLE NO MOXA Oblique 0.3-0.5
ST 16
ST 17 nipples ST 18
ST 19
2 cun lateral to midline, 6 cun above umbilicus 2 cun lateral to midline, 5 cun above umbilicus 2 cun lateral to midline, 4 cun above umbilicus
Perpendicular 0.5-0.8 Perpendicular 0.5-1.0 Perpendicular 0.8-1.0
ST 20
ST 21
ST 22
2 cun lateral to midline, 3 cun above umbilicus
The 12 Primary Meridians STOMACH MERIDIAN OF FOOT YANGMING Indications Diarrhea Borborygmus Transforms phlegm & calms the spirit Irritability or mania Harmonizes the middle jiao Indigestion or gastric pain Transforms phlegm & calms the spirit Vomiting Harmonizes the stomach & alleviates vomiting Mania Gastric pain Clears heat in ST & Intestines Constipation, diarrhea, or dysentery Regulates the SP. ST, & Intestines Food retention or weight loss Regulates & moves the Qi Edema Invigorates blood Abdominal or para-umbilical pain, distention Resolves Dampness Borborygmus Calms the Mind & opens the Minds orifices Irregular menstruation Regulates Qi & alleviates pain Abdominal pain or hernia Dysmenorrhea Regulates ST Qi KD Qi or KD Yang deficiency Regulates the Intestines Premature ejaculation Resolves Dampness & benefits urination Dysuria Firms the Essence Lower abdominal distention or hernia Helps urination Sterility Opens water passages esp. in Urine retention Relieves pain Edema Regulates the menses Hernia Moves Qi in the Lower Burner Lower abdominal distention Opens the water passages & benefits urination Dysmenorrhea Invigorates blood in the Uterus & Lower Jiao Irregular menstruation (amenorrhea, Lifts Qi & firms the Essence dysmenorrhea) Leukorrhea Prolapse of uterus Abdominal pain or hernia Regulates ST Qi, Chong Vessel & blood Abdominal problems or hernia Regulates Qi in the Lower Burner External genital problems Promotes KD Essence Impotence Subdues rebellious Qi Borborygmus Dysmenorrhea or irregular menstruation Removes obstruction from channel LE pain, numbness & motor impairment Removes obstructions from the channel Stroke needle right away! Expels wind & dampness Muscular atrophy
Point
Location
Actions
Method
ST 23 ST 24
2 cun lateral to midline, 2 cun above umbilicus 2 cun lateral to midline, 1 cun above umbilicus 2 cun lateral to center of umbilicus
Perpendicular 0.7-1.0 Perpendicular 0.7-1.0 Perpendicular 0.7-1.2
ST 25 Front-Mu pt. of LI
ST 26 ST 27
2 cun lateral to midline, 1 cun below umbilicus 2 cun lateral to midline, 2 cun below umbilicus
ST 28
2 cun lateral to midline, 3 cun below umbilicus
ST 29
2 cun lateral to midline, 4 cun below umbilicus
ST 30 Chong meridian pt.
2 cun lateral to midline, 5 cun below umbilicus (superior to pubic symphysis) Lines connecting ASIS to lower border of pubic symphysis, in depression lateral to sartorius
ST 31
Perpendicular 0.5-1.0 Avoid branches of superficial epigastric a. & v, Perpendicular 1.0-1.5
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The 12 Primary Meridians STOMACH MERIDIAN OF FOOT YANGMING Actions Indications Removes obstructions from the channel knees always cold Bi syndrome of legs Expels wind & dampness Pain in lumbar/iliac region LE paralysis, motor impairment or pain Beriberi (Vit. B1 deficiency) Activates the channel & alleviates pain Local knee probs like numbness, soreness, Dispels wind-damp motor impairment
Point ST 32
Location Line connecting ASIS to lateraosuperior border of patella, 6 cun above patella Flex knee line connecting ASIS to lateraosuperior border of patella, 3 cun above patella Flex knee line connecting ASIS to lateraosuperior border border of patella, 2 cun above patella Flex knee lower border of patella, in depression lateral to patellar lig. 3 cun below ST 35 on lateral border of tibia, one middle finger-breadth from anterior border of tibia
Method Perpendicular 1.0-1.5
ST 33
ST 34 Xi-Cleft pt.
ST 35
Clears ST fire Subdues rebellious Stomach-Qi Removes obstructions from the channel Expels Dampness & wind Relieves swelling & pain Removes obstructions from the channel 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 Regulates functions of ST & intestines, esp. LI Relieves damp-heat Soothes asthma Resolves food retention Subdues Rebellious Qi Expels wind & dampness Removes obstruction from the channel
Acute gastric pain Damp &/or wind-cold Mastitis Knee pain/numbness; LE motor impairment Knee pain, numbness & motor impairment Beriberi 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 Food retention Enteritis or abdominal pain Borborygmus Constipation, diarrhea or dysentery Beriberi Paralysis due to stroke Shoulder probs Knee numbness/soreness/pain Foot weakness & motor impairment Abdominal pain Back pain which refers to testes Mastitis Lower abdominal pain LE numbness/paralysis 5/1/2012
Perpendicular 0.7-1.0 Perpendicular 0.5-1.2 Avoid anterior tibial a. & v.
ST 36 He-Sea pt. Major tonification pt. Commonly used like LV 3, SP 6
ST 37 Lower He-Sea pt. of LI Sea of Blood pt.
3 cun below ST 36
ST 38
2 cun below ST 37 (on same line as ST 40)
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
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The 12 Primary Meridians STOMACH MERIDIAN OF FOOT YANGMING Actions Indications Calms the asthma Excess patterns Clears the mind Phlegm in Middle or Lower Jiao cough or Opens the chest & subdues rebellious Qi asthma Clears heat Epilepsy, dizziness, vertigo or headache Resolves phlegm & damp Muscular atrophy Promotes the descending of Lung-Qi & stops LE motor impairment, pain, swelling cough Chest pain Calms the mind & opens the minds orifices Constipation Mania Clears the mind Local ankle probs like pain in ankle jt. Brightens the eyes Muscular atrophy Eliminates wind Epilepsy, dizziness or headache Clears ST heat Abdominal distention or constipation Removes obstructions from the channel Tonifies SP & ST Facial paralysis Calms mind & relieves obstruction Toothache in upper gum Regulates the Intestines Redness/swelling of dorsum of foot Muscular atrophy, foot motor impairment Clears wind & heat General edema Removes obstruction from the channel Abdominal pain Regulates the intestines Borborygmus Resolves edema Swelling & pain in dorsum of foot Clears heat Foul breath or any digestive probs Regulates Qi Acid regurgitation (combine w/ LI 4) Stops pain Constipation, diarrhea or dysentery Relieves wind, esp. from face Gastric pain or abdominal distention Regulates the intestines & resolves Damp-heat Gum bleeding & toothache Calms the mind Deviation of mouth Epistaxis Facial pain Sore throat Swelling & pain in dorsum of foot Clears ST & HT fire Facial swelling Calm the mind & opens the minds orifices Deviation of mouth Relieves food retention Hoarse voice or sore throat Brightens eyes Dream-disturbed sleep or mania Promotes resuscitation Epistaxis Toothache Abdominal distention Febrile disease Page 17 of 83 5/1/2012
Point ST 40 Luo-Connecting pt.
Location 8 cun above lateral malleolus, 2 middle fingerbreadths lateral to anterior border of tibia (on same line as ST 38)
ST 41 seldom used Jing-River pt.
ST 42 Yuan-1 pt.
Dorsum of foot, midpt. of transverse crease of ankle jt in depression b/w EHL & EDL, at level of tip of lateral malleolus Highest pt. of dorsum of foot b/w EHL & EDL
ST 43 Shu-Stream pt.
In depression distal to nd rd junction of 2 & 3 metatarsal bones Proximal to the web margin nd rd b/w 2 & 3 toes, in depression distal & lateral nd to 2 MTP jt. (or 1 cun below ST 43)
Perpendicular 0.3-0.5 Avoid dorsalis pedis a. Perpendicular 0.3-0.5
ST 44 Ying-Spring pt. Mirs favorite pt. Painful!
ST 45 Jing-Well pt.
0.1 cun lateral to corner of nd 2 toenail
The 12 Primary Meridians 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/ th LU1, & descends to terminate in the 7 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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The 12 Primary Meridians SPLEEN MERIDIAN OF FOOT TAIYIN Actions Calms the heart & spirit Restores consciousness Stops bleeding Regulates the SP Unbinds the chest Regulates the SP Resolves damp or damp-heat Harmonizes Middle Jiao Calms the mind Tonifies Resolves damp Strengthens SP & spinal muscles Stimulates Intellect (Yi) Regulates the intestines 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 minds orifices Benefits feet & toes Tonifies SP & intestines Resolves damp Benefits sinews & joints Calms the mind & opens the minds orifices 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 LiverQi Tonifies the Kidneys Nourishes the Blood & Yin Page 19 of 83
Point SP 1 Jing-Well pt. Painful!
Location Medial side of big toe, 0.1 cun posterior to corner of nail
SP 2 Ying-Spring pt.
Medial side of foot, distal st & inferior to 1 MTP jt. where skin color changes
SP 3 Yuan-1 pt. Shu-Stream pt.
Proximal & inferior to 1 MTP jt. where skin color changes
st
SP 4 Luo-Connecting pt. Confluent pt. to Chong meridian Most commonly used pt., esp. for females SP 5 Jing-River pt.
In depression distal & st inferior to base of 1 metatarsal bone where skin color changes
Indications For blood probs: uterine bleeding, bloody stool, menorraghia Mental disorders or dream-disturbed sleep Abdominal distension Convulsions Sudden swelling of 4 limbs Heaviness in body Febrile diseases w/o sweating Abdominal distension or gastric pain Constipation Constipation, diarrhea or dysentery Sluggishness, confusion, head muzziness Beriberi Abdominal distension or gastric pain Vomiting Borborygmus Menses Infertility Hemorrhoids Vomiting Abdominal pain/distension or gastric pain Diarrhea or dysentery Borborygmus Hemorrhoids Pain & rigidity of tongue Abdominal distension or borborygmus Constipation or diarrhea Foot & ankle pain 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 5/1/2012
Method Puncture 0.1 or prick to bleed
Perpendicular 0.3-0.5 Avoid medial plantar a. & n.
Perpendicular 0.5-0.8 Avoid saphenous n.
Anteroinferior to medial malleolus, midway b/w navicular tuberosity & medial malleolus 3 cun above medial malleolus
Perpendicular 0.2-0.3 Avoid great saphenous v. Perpendicular 0.5-1.0 Avoid great saphenous v., posterior tibial a. & v., tibial n.
SP 6 Crossing pt. of 3 leg meridians SP, LV, KD Contraindicated in pregnancy Commonly used
The 12 Primary Meridians SPLEEN MERIDIAN OF FOOT TAIYIN Actions Indications Benefits urination LE paralysis & pain Regulates the uterus & menstruation Headache, dizziness, vertigo or insomnia Abdominal pain, borborygmus or diarrhea Fortifies SP & resolves dampness Coldness on medial aspect of leg/knee Promotes urination & disperses swelling Dysuria Abdominal distention Borborygmus Knee/leg numbness & paralysis 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 Urination probs like incontinence or enuresis Jaundice Pain in external genitalia Abdominal pain & distension Diarrhea or dysentery Edema Dysmenorrhea Knee pain Blood stagnation, blood heat or anemia Blood deficiency dont use in severe cases Urticaria, eczema, or erysipelas (acute bacterial skin infection) Irregular menstruation, dysmenorrhea, amenorrhea or uterine bleeding Pain in medial thigh Local probs: LE numbness, paralysis Dysuria or enuresis Pain & swelling in inguinal region Muscular atrophy or motor impairment Hernia Abdominal pain Dysuria
Point
Location
Method
SP 7
On line b/w SP 9 & SP 6, 3 cun above SP 6 (6 cun above medial malleolus)
SP 8 Xi-Cleft pt.
On line b/w SP 9 & SP 6, 3 cun below SP 9
Perpendicular 0.5-1.0 Avoid great saphenous v., posterior tibial a. & v., tibial n. Perpendicular 0.5-1.0 Avoid great saphenous v., posterior tibial a. & v., tibial n. 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
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 Regulates urination Drains damp Clears heat Tonifies Yin Moves Qi & invigorates blood Subdues rebellious Qi of the Penetrating Vessel Resolves damp & benefits urination Page 20 of 83
SP 11 seldom used
On line b/w SP 12 & SP 10, 6 cun above SP 10 (on sartorius) Inguinal groove, lateral to femoral a. level w/ upper border of pubic symphysis, 3.5 cun lateral to midline
SP 12 seldom used SP & LV mtg. pt. w/ Yin Linking meridian
Perpendicular 0.5-1.0 Avoid femoral VAN Perpendicular 0.5-1.0 Avoid femoral a.
5/1/2012
The 12 Primary Meridians SPLEEN MERIDIAN OF FOOT TAIYIN Actions Indications Regulate Qi & alleviates pain Hernia Abdominal pain Dysuria Warms & benefits Lower Jiao Local probs: abdominal pain, distension Regulates Qi Hernia Descends rebellion Diarrhea or constipation Strengthen SP & limbs Abdominal pain & distension Helps function of Large Intestine Constipation, diarrhea or dysentery Stops pain Relieves damp Regulates Qi Regulates intestines Indigestion probs Abdominal pain, constipation or dysentery Dissipates food & fluid accumulation Hypochondriac pain, fullness Promotes digestion Pain & fullness in chest
Point SP 13 seldom used
Location 4 cun below umbilicus, 4 cun lateral to midline 1.3 cun below umbilicus, 4 cun lateral to midline 4 cun lateral to center of umbilicus (2 cun lateral to ST 25)
Method Perpendicular 0.5-1.0 Perpendicular 0.5-1.0 Perpendicular 0.7-1.2
SP 14 seldom used
SP 15 Yin Linking pt.
SP 16 SP 17
3 cun above umbilicus, 4 cun lateral to midline 6 cun lateral to midline in th 5 ICS
SP 18
6 cun lateral to midline in th 4 ICS
Regulates & descends Qi Benefits breast & promotes lactation
SP 19
6 cun lateral to midline in rd 3 ICS
Regulate & descends Qi Unbinds chest
Insufficient lactation Hiccups & cough Fullness & pain in chest/hypochondrium Mastitis Local probs Fullness & pain in chest/hypochondrium
SP 20
6 cun lateral to midline in nd 2 ICS
Regulate & descends Qi Unbinds chest
Hiccups & cough Fullness in chest & hypochondrium
SP 21 Major LuoConnecting pt. of SP
Midaxillary line, midway b/w axillary fold & tip of th th th 11 rib about 6 or 7 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
Perpendicular 0.5-1.0 Oblique 0.3-0.5 Avoid thoracoegastric v. Oblique 0.3-0.5 Avoid thoracoegastric v. Oblique 0.3-0.5 Avoid lateral thoracic a. & v. Oblique 0.3-0.5 Avoid lateral thoracic a. & v. Oblique 0.3-0.5 Avoid thoracodorsal a. & v.
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The 12 Primary Meridians 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 cant lay back)
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The 12 Primary Meridians HEART MERIDIAN OF HAND SHAOYIN Actions Indications Nourishes HT yin Dry throat Clears empty fire Pain in costal & cardiac regions Calms the mind Scrofula Removes obstructions from the channel Cold pain of elbow/arm Activates the channel & alleviates pain For local pain, if at all
Point HT 1 seldom used
Location Center of axilla w/ arm abducted on medial side of axillary a.
HT 2 seldom used
3 cun above medial end of cubital crease w/ arm flexed, medial to biceps tendon Midway b/w cubital crease & medial epicondyle of humerus w/ arm flexed
HT 3 He-Sea pt.
Calms the mind Clears the heat Removes obstructions form the channel
HT 4 Jing-River pt.
HT 5 Luo-Connecting pt.
On line b/w HT 3 & pisiform, 1.5 cun above wrist crease, radial side of FCU tendon 1 cun above wrist crease, radial side of FCU tendon
Calms the mind Subdues rebellious Qi Relaxes the sinews Tonifies HT Qi Calms the mind Opens into the tongue Benefits the bladder, eyes & head Regulates the uterus Nourishes HT yin Clears heat Calms the mind Stops sweating Invigorates Heart-Blood Subdues rebellious Qi Opens orifices Calms the mind Nourishes the HT blood
Local problems & hand tremors Parkinsons disease Spasmodic pain/numbness of hand & arm Scrofula Pain in chest, axilla & hypochondrium Aphasia or sudden voice loss Cardiac pain Spasmodic pain of elbow & arm Aphasia w/ stiff tongue (better than HT 4) Palpitation Dizziness & blurring of vision Sore throat Pain in wrist & elbow Cardiac pain Hysteria Night sweating Hemoptysis Epistaxis Sudden voice loss 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 5/1/2012
Method Perpendicular 0.5-1.0 Avoid axillary a., median n. & ulnar n. Perpendicular 0.3-0.5 Avoid basilic v. & superior ulnar collateral a. Perpendicular 0.5-1.0 Avoid basilic v. & inferior ulnar collateral a. Perpendicular 0.3-0.5 Avoid ulnar a. & n. 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
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
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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The 12 Primary Meridians HEART MERIDIAN OF HAND SHAOYIN Actions Indications Any kind of HT heat/fire, esp. when phlegm is Angina (HT 8 & PC 8) involved Better for urination probs Clears empty fire/heat (false heat, yin deficiency Palpitation heat) Spasmodic pain of little finger Calms the mind Feverish sensation of palm Benefits the bladder Enuresis or dysuria Regulates the uterus & lifts sinking Qi Pruritus of external genitalia Clears fire Excess patterns Relieves wind Palpitation Restores consciousness Cardiac pain Opens HTs orifices Pain in the chest & hypochondrium Relieves fullness Mania Calms the mind Febrile disease Benefits the tongue & eyes Loss of consciousness
Point HT 8 Ying-Spring pt. PAINFUL!
Location Palm of hand when you make a loose fist, tip of th th pinky falls b/w 4 & 5 metacarpal bones (b/w 2 transverse palmar creases) 0.1 cun lateral (radial side) to corner of the pinky nail
HT 9 Jing-Well pt.
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The 12 Primary Meridians 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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The 12 Primary Meridians SMALL INTESTINE MERIDIAN OF HAND TAIYANG Actions Indications Expels wind-heat Insufficient lactation Subdues wind Mental probs Opens orifices Eye cloudiness of cornea & eye redness Promotes lactation (least invasive pt. for this) Headache Promotes resuscitation Febrile diseases Removes obstructions from channel Loss of consciousness Subdues rebellious Qi Sore throat Clears internal & external heat Insufficient lactation (but SI 1 better) Expels Wind-Heat Febrile diseases Benefits eyes, nose, & ears Tinnitus Removes obstructions from the channel Local probs: pain/numbness of fingers, jts. Headache Reddish urine Expels wind-heat Acute lumbar pain Benefits tendons/sinews Night sweating or hot flashes combine w/ Resolves damp UB 62, which is on Yang Heel meridian Clears jaundice or damp-heat Pain & rigidity of neck Clears the mind (b/c SI connects to HT & Du Tinnitus or deafness meridian enters brain) Sore throat Alleviates low back pain (b/c connected to Du) Mania Regulates the Governing Vessel & extinguishes Febrile diseases like malaria interior & exterior wind Contracture & numbness of fingers Benefits the eyes, nose, & ears Pain in shoulder & elbow Clears damp-heat Febrile diseases w/o sweating Removes obstructions from the channel Jaundice Headache or rigidity of neck Contracture of fingers or pain in wrist Clears heat Submandibular region toothache Calms the mind Febrile diseases Benefits ears & eyes Swelling of neck & submandibular region Pain of hand & wrist Benefits eyes & tendons/sinews Blurry vision, esp. when due to degeneration Removes obstructions from channel Pain in the shoulder/elbow/arm
Point SI 1 Jing-Well pt.
Location Ulnar side of little finger, 0.1 cun lateral to corner of nail
Method 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
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
Perpendicular 0.5-0.7 Avoid dorsal digital a. & v.
SI 4 Yuan-1 pt.
Ulnar side of palm, in th depression b/w base of 5 metacarpal & hamate on Depression b/w ulnar styloid process & triquetrium Hand on chest & slightly turned on radial side of bony cleft of ulnar styloid process On line b/w SI 5 & SI 8, 7 cun distal from SI 8
SI 5 Jing-River pt.
SI 6 Xi-Cleft pt.
Perpendicular 0.3-0.5 Avoid posterior carpal a. Perpendicular 0.3-0.5
SI 7 seldom used Luo-Connecting pt.
Calms mind Expels Wind-Heat Subdues rebellious Qi Removes obstructions from channel Page 26 of 83
Mania Febrile diseases Neck rigidity, headache or dizziness Spasmodic pain in elbow/fingers 5/1/2012
The 12 Primary Meridians SMALL INTESTINE MERIDIAN OF HAND TAIYANG Actions Indications Clears damp-heat Tennis or golf elbow Calms the mind Epilepsy Sedates Headache Removes obstructions from channel Swelling of the cheek Pain in the nape/shoulder/arm/elbow Removes obstructions from channel Local pain Motor impairment of hand/arm Removes obstructions from channel Shoulder probs usually tender in basketball & baseball players Swelling
Point SI 8 seldom used He-Sea pt.
Location Flex elbow b/w medial epicondyle of humerus & olecranon process
Method Perpendicular 0.3-0.5 Avoid ulnar n.
SI 9 SI 10 Crossing pt. of Yang Linking & Yang Heel meridians SI 11
Upper shoulder, 1 cun above posterior axillary fold Above SI 9, under scapular spine
SI 12 seldom used SI, LI, SJ & GB mtg. pt. SI 13 seldom used SI 14 SI 15
Depression of center of infrascapular fossa, a 1/3 down from superior border to inferior angle Lift arm center of suprascapular fossa above SI 11 Midway b/w T2 SP & SI 10 3 cun lateral to lower border of T1 SP 2 cun lateral to C7 SP or Du 14 At level of laryngeal prominence, posterior border of SCM Posterior to angle of mandible, anterior border of SCM
Clears wind Removes obstructions from channel Opens the chest Benefits the breast Removes obstructions from channel
Pain in scapular region Pain in lateroposterior aspect of elbow/arm Asthma Local probs Pain in scapular region Motor impairment of shoulder/arm Pain & stiffness of scapular region Aching of shoulder & back Pain & rigidity of neck Cough & asthma Hemoptysis Pain in the shoulder/back Sore throat Sudden voice loss Tinnitus or deafness Stiffness & pain of neck Acute deafness or tinnitus Plum pit syndrome Goiter Sore throat Swelling of cheek
Perpendicular or Oblique 0.5-1.0 Perpendicular 0.5-0.7 Perpendicular 0.3-0.5 Oblique 0.3-0.7 Oblique 0.3-0.6 Perpendicular 0.3-0.7
Expels wind Removes obstructions from channel Expels wind Removes obstructions from channel Promotes the descending of Lung-Qi Removes obstructions from channel Subdues rebellious Qi Extinguishes internal wind Calms the mind Benefits the ears Gets rid of fire poison Subdues rebellious Qi Resolves Dampness Expels toxic heat Benefits the ears
SI 16
SI 17
SI 18 SI & SJ mtg. pt.
Below outer canthus on lower border of zygomatic
Relieves wind & pain Clears heat & resolves swelling Page 27 of 83
Facial paralysis Yellowish sclera 5/1/2012
Perpendicular 0.5-0.7 Avoid int. & ext. jugular vv., internal carotid a., great auricular n., facial n. branch Perpendicular 0.5-0.8
The 12 Primary Meridians SMALL INTESTINE MERIDIAN OF HAND TAIYANG Indications Toothache Twitching of eyelids Swelling of cheek Benefits the ears Acute deafness or tinnitus TMJ Otorrhea Toothache
Point
Location arch
Actions
Method
SI 19
Depression formed when mouth is open, anterior to tragus & posterior to condyloid process of mandible
Perpendicular 0.5-1.0 (open mouth to needle then close slowly) Avoid temporal a. & v., facial n.
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The 12 Primary Meridians 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 nd (meets the 2 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 Page 29 of 83 5/1/2012
The 12 Primary Meridians URINARY BLADDER MERIDIAN Actions Expels wind Clears heat Stops pain Stops itching Brightens the eyes Stops pain
Point UB 1 Mtg. pt. of Yin Heel, Yang Heel, ST & SI meridians
Location 0.1 cun medial to inner canthus
Indications Lacrimation Itching of eyes Any eye probs
Method Perpendicular 0.3-0.7 Puncture slowly & leave alone! NO MOXA Avoid: angular artery and vein; ophthalmic VAN; supratrochlear and infratrochlear nerves; oculomotor nerve Subcutaneously Laterally 0.3-0.5 NO MOXA Avoid: frontal VAN (medial nerve) Subcutaneously Laterally 0.3-0.5 Same as UB 2 Subcutaneously 0.3-0.5 Avoid: frontal VAN (lateral nerve) Subcutaneously 0.3-0.5 Same as UB 4
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
UB 3
Above UB 2, 0.5 cun w/in hairline
Expels wind Clears the head Alleviates pain Benefits the eyes and nose Expels wind Clears the head Alleviates pain Benefits the eyes and nose
Nasal obstruction Epilepsy
UB 4
0.5 w/in hairline, 1.5 cun lateral to midline
Eye probs Local probs Nasal congestion
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 5/1/2012
Page 30 of 83
The 12 Primary Meridians URINARY BLADDER MERIDIAN Actions Eliminates wind Clears hear Clears the head Benefits the eyes and nose
Point UB 6 seldom used
Location 1.5 cun posterior to UB 5 & 1.5 cun lateral to midline 2.5 w/in hairline
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 Benefits the sense organs Pacifies wind Transforms phlegm Calms the spirit
Indications 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 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
Method Subcutaneously 0.3-0.5 Avoid: frontal VAN; Superficial temporal artery; occipital artery and vein; great occipital nerve Subcutaneously 0.3-0.5 Avoid: Superfician artery and vein; occipital artery and vein; great occipital nerve Subcutaneously 0.3-0.5 Avoid: occipital artery and vein; great occipital nerve Subcutaneously 0.3-0.5 Avoid: Occipital artery and vein; great occipital nerve Perpendicular 0.5-0.8 Avoid: brainstem avoid occipital VAN
UB 8
1.5 cun posterior to UB 7 & 1.5 cun lateral to midline 5.5 cun to ant. hairline
Tinnitus Mania
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 Opens the minds orifices
Eye probs b/c almost above vision area of brain
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 Page 31 of 83
Speech probs Headache Throat probs
5/1/2012
The 12 Primary Meridians URINARY BLADDER MERIDIAN Actions Nourishes blood Expels wind Soothes the sinews Releases the exterior Subdues Liver-Yang Strengthens bones
Point UB 11 Influential bone pt. Sea of blood pt. UB & SI mtg. pt.
Location 1.5 cun lateral lower border of T1 SP
Restores the descending of Lung-Qi
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
Indications 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 Common cold Lumbar pain, stiff neck Urticaria on back, carbuncles on back Abundant nasal discharge, nasal congestion, nosebleed
Method Oblique towards spine 0.5-0.7 Avoid: Intercostal AV; cutaneous branches of posterior rami of st nd 1 and 2 thoracic nerves Oblique towards spine 0.5-0.7 Avoid: Intercostal AV; cutaneous branches of posterior rami of nd 2 and 3rd thoracic nerves Oblique towards spine 0.5-0.7 Avoid: Intercostal AV; cutaneous branches of posterior rami of rd th 3 and 4 thoracic nerves Oblique towards spine 0.5-0.7 Avoid: Intercostal AV; cutaneous branches of posterior rami of
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
UB 14 Back shu pt. of PC
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
Page 32 of 83
5/1/2012
The 12 Primary Meridians URINARY BLADDER MERIDIAN Point Location Actions Indications Method th th 4 and 5 thoracic nerves Oblique towards spine 0.5-0.7 Avoid: Intercostal AV; cutaneous branches of posterior rami of th th 5 and 6 thoracic nerves 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 Obliquely- toward spine 0.5-0.7 Avoid: Intercostal AV; cutaneous branches of posterior rami of T7-8
UB 15 Back shu pt. of HT
Calms the mind Nourishes the heart Clears the heat Invigorates the blood Stimulates the brain Regulates Heart-Qi
Mania Nocturnal emission Night sweats
UB 16 Back shu pt. of Du
Regulates the heart Invigorates the blood Moves Qi
Heart pain Epigastric pain, abdominal distention, breast abscess
UB 17 Influential blood pt.
UB 18 Back shu pt. of LV
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 Resolves damp heat Benefits Liver & Gallbladder Removes wind Clears heat Moves Liver-Qi and eliminates stagnation Brightens the eyes Page 33 of 83
Any blood probs Night sweats Measles
Jaundice Night blindness Spitting blood Epistaxis
Oblique towards spine 0.5-0.7 Avoid: Intercostal AV; cutaneous 5/1/2012
The 12 Primary Meridians URINARY BLADDER MERIDIAN Actions Benefits the sinews Nourishes and invigorates Liver-Blood Stops Bleeding Removes damp heat from Liver & Gallbladder Relaxes diaphragm Pacifies Stomach Subdues rebellious Qi Tonifies GB Qi Regulates the Lesser Yang Tonifies deficiency
Point
Location
Indications
Method branches of posterior rami of T9-10 Oblique towards spine 0.5-0.8 Avoid: Intercostal AV; cutaneous branches of posterior rami of T10-11
UB 19 Back shu pt. of GB
Pulmonary TB Jaundice Bitter taste in mouth
UB 20 Back shu pt. of SP
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 Oblique towards spine 0.5-0.8 Avoid: subcostal AV; Cutaneous branches of T12
UB 21 Back shu pt. of ST
Regulate & tonifies ST QI Relieves food retention Resolves damp Subdues rebellious stomach Qi
Any probs w/ stomach: nausea, vomiting, diarrhea, borborygmus
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 lumbar VAN; lateral cutaneous branch of T10; he kidney Perpendicular 1.0-1.2
st
UB 23 Back shu pt. of
Tonifies KD, Essence, Blood Strengthens lower back Page 34 of 83
Elderly patients Deafness, tinnitus 5/1/2012
The 12 Primary Meridians URINARY BLADDER MERIDIAN Actions Benefits marrow & bone Strengthens KDs 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 Regulates Qi & Blood Strengthens lower back Regulates menstruation
Point KD Commonly used
Location
Indications Edema
Method Avoid: L2 AV; branches of L1 cutaneous nerves
UB 24 Sea of Qi pt.
Irregular menstruation or dysmenorrhea Asthma
Perpendicular 0.8-1.2 Avoid: L3 AV; cutaneous branch of L2 (only lateral) Perpendicular 0.8-1.2 Avoid: L4 AV; L3 posterior rami Perpendicular 0.8-1.2 Avoid: L5 VAN Perpendicular 0.8-1.2 Avoid: Lateral sacral AV; lateral S1 nerve Perpendicular 0.8-1.2 Avoid: lateral sacral AV; S1 and S2 nerves
UB 25 Back shu pt. of LI
Increases functions of LI Relieves fullness & swelling Strengthens the low back
Low back probs Sciatica
UB 26
Strengthens lower back Moves Qi and Blood in the lower burner Benefits urination Resolves damp & clear heat Benefits urination Helps functions of SI
Frequent urination
UB 27 Back shu pt. of SI
1.5 cun lateral to 1 posterior sacral foramen
st
Diarrhea Blood and mucus in stool Dark urine Enuresis Lower abdominal pain 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 Local probs like hernia 5/1/2012
UB 28 Back shu pt. of UB
nd
Resolves damp Regulate UB Clears heat Stops pain Opens the water passages, esp. in Lower Jiao Eliminates stagnation Dissolves masses Strengthens the lower back Benefits the Lumbar region Dispels cold Page 35 of 83
UB 29 seldom used
rd
The 12 Primary Meridians URINARY BLADDER MERIDIAN Point Location Actions Stops Diarrhea Indications Method Avoid: lateral sacral AV; inferior gluteal AV; S3-S4 nerves Perpendicular 0.8-1.2 Avoid: inferior gluteal VAN; S3 and S4 nerves Perpendicular 0.8-1.2 Avoid: lateral sacral AV; S1 nerve Empirical pt. for dysmenorrhea (painful menstruation) Hemorrhoids Female infertility Perpendicular 0.8-1.2 Avoid: lateral sacral AV; S2 nerve Perpendicular 0.8-1.2 Avoid: lateral sacral AV; S3 nerve Perpendicular 0.8-1.2 Avoid: inferior gluteal AV; S4 nerve Perpendicular 0.5-1.0 Avoid: inferior 5/1/2012
UB 30
th
Benefits the anus Strengthens the lower back and legs Regulates menstruation Firms Qi
Any prob related to anus: prolapsed of rectum, hernia
UB 31
In 1 posterior sacral foramen
st
UB 32
nd
Regulate LJ Regulates KD & tonifies lumbar region Regulates the Lower Jiao Facilitates urination and defecation Regulates menstruation Stops Leukorrhea Benefits the legs Tonifies KD & Essence Benefits urination and defecation Strengthens the lower back Regulates menstruation and resolves damp
Dysuria Prolapse of uterus
UB 33
rd
Same as UB 32 Regulates the lower Jiao Stops Leukorrhea Benefits the lumbar region and legs
Morbid leucorrhea
UB 34
th
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
UB 35 seldom used
0.5 cun lateral to tip of coccyx
Clears damp-heat Regulates the lower Jiao Benefits the coccyx Treats hemorrhoids Page 36 of 83
Bloody stools or diarrhea Impotence
The 12 Primary Meridians URINARY BLADDER MERIDIAN Point Location Actions Indications Method gluteal AV; coccygeal nerve Perpendicular 1.0-1.5 Avoid: AV running along the sciatic nerve; posterior femoral cutaneous nerve; sciatic nerve Perpendicular 1.0-2.0 Avoid: 3 perforating branches of deep femoral AV; posterior femoral cutaneous nerve; sciatic nerve Perpendicular 0.5-1.0 Avoid: superolateral genicular AV; posterior femoral cutaneous nerve; sciatic nerve Perpendicular 0.5-1.0 Avoid: Same as UB 38 Perpendicular 0.5-1.0 Bleed for chronic LBP wait until blood goes from
rd
UB 36
Halfway b/w gluteal crease
Removes obstruction from the channel Treats Hemorrhoids
Sciatica LE numbness & motor impairment
UB 37
b/w UB 40 & UB 36 6 cun below UB 36
Benefits the lower back
Sciatica
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
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
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 Page 37 of 83
Acute back pain Vomiting Dysuria LBP Numbness & motor impairment of LE 5/1/2012
The 12 Primary Meridians URINARY BLADDER MERIDIAN Actions Removes obstructions form channel
Point
Location
Indications
Method black to red Avoid: femoropopliteal vein; popliteal AV; posterior femoral cutaneous nerve; tibial nerve 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 Oblique outwards 0.3-0.5 Avoid: intercostal artery; descending branch of transverse cervical artery; cutaneous T2-3; dorsoscapular nerve Oblique outwards 0.3-0.5 Avoid: intercostal
UB 41 Ghost attack
2 UB line - 3 cun lateral & level w/ T2 SP
nd
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, windtaxation
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
UB 43
3 cun lateral to 4 TP; level w/ Back shu pt. of PC
th
Tonifies Qi Strengthens deficiencies Nourishes Essence & LU Yin Invigorates mind Page 38 of 83
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, 5/1/2012
The 12 Primary Meridians URINARY BLADDER MERIDIAN Actions Stops cough & asthma Nourishes the Heart Tonifies the stomach and spleen
Point
Location
Indications exhaustion, night sweating, consumption, weight loss Deficiency of Stomach and Spleen, undigested food in the stools, weak limbs
UB 44
Level w/ 5 TP; level w/ back shu of heart
th
Calms the mind Subdues rebellious Qi
Insomnia & anxiety (combine w/ UB 18) Depression
Method artery; descending transverse cervical artery; T2-3 cutaneous nerves; dorsoscapular nerve Oblique outwards 0.3-0.5 Avoid: intercostal artery; descending transverse cervical artery; T4-5 cutaneous nerves; dorsoscapular nerve
UB 45 seldom used
6 thoracic 3 cun lateral; level w/ back-shu pt. of Du
th
Expels wind Clears heat Descends Lung Qi Invigorates Qi and blood Alleviates pain
UB 46
7 thoracic; level of influential pt. of UB 17 & diaphragm
th
Regulates the diaphragm Benefits the Middle Jiao Descends rebellious Qi Activates the channel Alleviates pain Page 39 of 83
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 Hiccups Dysphagia Belching, vomiting
Oblique downwards 0.3-0.5 Avoid: Intercostal AV; cutaneous branches of T5-6
Oblique 0.3-0.5 Avoid: Intercostal AV; cutaneous branches of T6-7
5/1/2012
The 12 Primary Meridians URINARY BLADDER MERIDIAN Point UB 47 Location 9 thoracic; level of backshu pt. of LV
th
Actions Regulates liver Roots ethereal soul Benefits the sinews
Indications Emotional probs: depression Vomiting, diarrhea
Method Oblique 0.3-0.5 Avoid: Intercostal AV; cutaneous branches of T7-8
UB 48
Level w/ back-shu pt. of GB th 10 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
11 thoracic, level w/ backshu pt. of SP
th
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 T1011 Oblique 0.3-0.5 Avoid: subcostal AV; lateral cutaneous branch of T11
UB 50
12 thoracic Level w/ backshu pt. of ST
th
Harmonizes the Middle Jiao
Distention, vomiting, diarrhea
UB 51
3 cun lateral to 1 lumbar; level w/ SJ
st
Soothes & spreads the SJ QI to the heart region Regulates the SJ Benefits the breasts Strengthens the back & tonifies the KD Tonifies Kidney essence Benefits urination Strengthens the back Strengthens will-power Opens water passages of LJ Simulates transformation & excretion of fluids Benefits the bladder Page 40 of 83
UB 52
Lateral to 2 lumbar; level w/ KD
nd
Abdominal mass Fullness and hardness below the heart Breast disease, fullness, distention and pain of the breasts, breast lumps Willpower Frequent urination Impotence Nocturnal emission Anuria Hardness and fullness of the hypogastrium, retention of urine, dribbling urination, 5/1/2012
Oblique 0.3-0.5 Avoid: L1 AV; T12 nerve Perpendicular 0.5-1.0 Avoid: L2 AV; T12L1 nerves Perpendicular 0.8-1.2
UB 53
3 cun lateral to 2 sacral foramen; level w/ back-shut pt. of UB
nd
The 12 Primary Meridians URINARY BLADDER MERIDIAN Point Location Actions Indications edema Method Avoid: superior gluteal VAN; superior cluneal nerve Perpendicular 1.5-2.0 Avoid: inferior gluteal VAN; posterior femoral cutaneous nerve; sciatic nerve Perpendicular 0.71.0 Avoid: Small saphenous vein; popliteal AV; medial sural cutaneous nerve; tibial nerve Perpendicular 0.81.2 Avoid: small saphenous vein; posterior tibial AV; medial sural cutaneous nerve; tibial 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
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
UB 56 seldom used
Midway b/w UB 55 & 57
Relaxes the sinews Activates the channel Alleviates pain Benefits the foot and heel
UB 57
8 cun above tendon
Relaxes the sinews and removes obstructions from channel Treats hemorrhoids
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 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 5/1/2012
Perpendicular 0.81.2 Avoid: same as UB 56
Page 41 of 83
The 12 Primary Meridians URINARY BLADDER MERIDIAN Point Location Actions Indications the soles with inability to stand for long Sivering, malaria, sudden turmoil disorder, nosebleed, sore throat, heat in the head Lower back pain, sciatica, inability to stand, atrophy of legs Headache, dizziness, neck ache, occipital headache, nosebleed Lower backache, tinnitus, dizziness Hemorrhoids 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 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 Method
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
Perpendicular 0.71.0 Avoid: lateral sural cutaneous nerve Perpendicular 0.51.0 Avoid: Sural nerve; small saphenous vein; peroneal artery Perpendicular 0.51.0 Avoid: Small saphenous vein; posteroexternal malleolar AV; sural nerve Contraindicated in pregnancy Perpendicular 0.30.5 Avoid: External calcaneal branch of peroneal AV; external calcaneal branch of sural nerve Perpendicular 0.30.5 Avoid: External
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
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
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 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 5/1/2012
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 Page 42 of 83
The 12 Primary Meridians URINARY BLADDER MERIDIAN Actions Extinguishes interior wind Subdues rebellious Qi from the head Expels exterior wind Calms the mind
Point
Location
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
Indications 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 Lower backache, knee pain, Painful Obstruction Syndrome (Bi Syndrome) of the legs, pain in the legs, pain on the external malleolus
Method malleolar arterial network; sural nerve
Perpendicular 0.30.5 Avoid: lateral plantar VAN; lateral dorsal cutaneous nerve of foot Perpendicular 0.30.5 Avoid: Same as UB 63 Perpendicular 0.30.5 Avoid: 4 common plantar digital VAN; lateral dorsal cutaneous nerve Perpendicular 0.20.3 Avoid: plantar digital AV; plantar digital proprial
th
UB 64 Yuan-1 pt.
Below 5 metatarsal bone where skin color changes
th
UB 65 Shu-Stream pt. Sedation pt.
Posterior to head of 5 metarsal bone
th
Clears heat Eliminates wind Calms the mind & clears the brain Strengthens the back Subdues rebellious Qi from the head Extinguishes interior wind Clears heat Eliminates wind Subdues rebellious Qi from the head
Headache, dizziness, redness of inner canthus of eye Tremor of the head, epilepsy Palpitations, insomnia, manic depression, fright 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
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
Page 43 of 83
5/1/2012
The 12 Primary Meridians URINARY BLADDER MERIDIAN Point Location Actions Indications Method nerve; lateral dorsal cutaneous nerve 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
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
Page 44 of 83
5/1/2012
The 12 Primary Meridians KIDNEY MERIDIAN OF THE FOOT SHAOYIN
Page 45 of 83
5/1/2012
The 12 Primary Meridians KIDNEY MERIDIAN OF THE FOOT SHAOYIN Location Action On the sole, in the depression when the foot Descends excess from the head is in plantar flexion, approximately at the junction of the anterior one-third and Calms the spirit Revives consciousness posterior two-thirds of the line connecting and rescues yang the base of the 2nd and 3rd toes and the heel. Anterior and inferior to the medial malleolus, Clears deficiency heat Regulates the in the depression on the lower border of the Kidneys Regulates the lower jiao tuberosity of the navicular bone. 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 Reinforces the Kidneys Anchors the Qi and benefits the Lung Strengthens the will and dispels fear
point KI-01 (Yong Quan) Jing-Well
Indication 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.
Method P 0.3-0.5
KI-02 (Ran Gu) Ying-Spring KI-03 (Tai Xi) Yuan (Source) Point Shu-Stream 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.
Pruritus vulvae, prolapse of uterus, irregular p menstruation, nocturnal emission, hemoptysis, 0.3-0.5 thirst, diarrhea, swelling and pain of the dorsum of foot, acute infantile omphalitis. Sore throat, toothache, deafness, tinnitus, P dizziness, spitting of blood, asthma, thirst, 0.3-0.5 irregular menstruation, insomnia, nocturnal emission, impotence, frequency of micturition, pain in the lower back. Spitting of blood, asthma, stiffness and pain of P the lower back, dysuria, constipation, pain in 0.3-0.5 i the heel, dementia.
KI-05 (Shui Quan) Xi (Cleft) KI-06 (Zhao Hai) Confluent Point of the Yin Motility Vessel
1 cun directly below Taixi (KI-3), in the depression of the medial side of the tuberosity of the calcaneum. In the depression below the tip of the medial malleolus.
Regulates the Penetrating and Conception vessels and benefits menstruation Benefits the throat Nourishes the Kidneys and clears deficiency heat.Regulates the Yin Motility vessel Calms the spirit Regulates the lower jiao
Amenorrhea, irregular menstruation, dysmenorrhea, prolapse of uterus, dysuria, blurring of vision 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 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.
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.
Benefits the Kidneys Regulates the water passages and treats edema Regulates sweating Drains damp and clears damp-heat Strengthens the lumbar region Regulates the Conception and Penetrating vessels and adjusts menstruation Stops uterine bleeding Page 46 of 83
Edema, abdominal distension, diarrhea, borborygmus, muscular atrophy of the leg, night sweating, spontaneous sweating, febrile diseases without sweating. Irregular menstruation, dysmenorrhea, uterine bleeding, prolapse of uterus, diarrhea, constipation, pain and swelling of testis. 5/1/2012
P 0.5-0.7
P 0.5-0.7
The 12 Primary Meridians Motility Vessel KI-09 (Zhu Bin) Xi-Cleft of the Yin Linking Vessel KI-10 (Yin Gu) He-Sea 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). 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) 5 cun below the umbilicus, on the superior border of symphysis pubis, 0.5 cun lateral to Qugu (REN-2) Clears heat and drains damp from the lower jiao 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
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 KI-12 (Da He) Mpt with the penetrating Vessel KI-13 (Qi Xue) Mpt with the penetrating Vessel KI-14 (Si Man) Mpt with the penetrating Vesse KI-15 (Zhong Zhu) Mpt with the penetrating Vessel KI-16 (Huang Shu) Mpt with the penetrating Vessel KI-17 (Shang Qu) Mpt with the
Benefits the lower jiao
Fullness and pain of the lower abdomen, dysuria enuresis, nocturnal emission, impotence, pain of genitalia
P 0.5-1.0
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
3 cun below the umbilicus, 0.5 cun lateral to Guanyuan (REN-4)
Regulates the Penetrating and Conception vessels Regulates the lower jiao Benefits the lower jiao and alleviates pain Regulates Qi and moves blood stasis Regulates the water passages and promotes urination Regulates the intestines Regulates the lower jiao
Irregular menstruation, dysmenorrhea, dysuria, abdominal pain, diarrhea.
P 0.5-1.0
2 cun below the umbilicus, 0.5 cun lateral to Shimen (REN-5)
Abdominal pain and distension, diarrhea, nocturnal emission, irregular menstruation, dysmenorrhea, postpartum abdominal pain. Irregular menstruation, abdominal pain, constipation
P 0.5-1.0
1 cun below the umbilicus, 0.5 cun lateral to Yinjiao (REN-7)
P 0.5-1.0
0.5 cun lateral to the umbilicus, level with Shenque (REN-8)
Regulates Qi and alleviates pain Regulates and warms the intestines Harmonizes the middle jiao Unbinds the chest and transforms phlegm
Abdominal pain and distension, vomiting, constipation, diarrhea
P 0.5-1.0
5 cun above the umbilicus, 0.5 cun lateral to Shangwan (REN-13).
Abdominal pain and distension, vomiting, indigestion.
P 0.5-1.0
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The 12 Primary Meridians penetrating Vessel KI-18 (Shi Guan) Mpt with the penetrating Vessel KI-19 (Yin Du) Mpt with the penetrating Vessel KI-20 (Tong Gu) Mpt with the penetrating Vessel KI-21 (You Men) Mpt with the penetrating Vessel KI-22 (Bu Lang) KI-23 (Shen Feng) KI-24 (Ling Xu) KI-25 (Shen Cang) KI-26 (Yu Zhong) KI-27 (Shu Fu)
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 Regulates Qi and harmonizes the Stomach Lowers rebellion and alleviates cough and wheezing Harmonizes the middle jiao Unbinds the chest and transforms phlegm
Vomiting, abdominal pain, constipation, postpartum abdominal pain, sterility.
P 0.5-1.0
4 cun above the umbilicus, 0.5 cun lateral to Zhongwan (REN-12).
Borborygmus, abdominal pain, epigastric pain, constipation, vomiting
P 0.5-1.0
5 cun above the umbilicus, 0.5 cun lateral to Shangwan (REN-13).
Abdominal pain and distension, vomiting, indigestion.
P 0.5-1.0
6 cun above the umbilicus, 0.5 cun lateral to Juque (REN-14)
In the fifth intercostal space, 2 cun lateral to the Conception Vessel In the fourth intercostal space, 2 cun lateral to the anterior midline. In the third intercostal space, 2 cun lateral to the anterior midline In the second intercostal space, 2 cun lateral to the anterior midline In the first intercostal space, 2 cun lateral to the anterior midline. In the depression on the lower border of the clavicle, 2 cun lateral to the anterior midline
Fortifies the Spleen, harmonizes the Stomach, and lowers rebellion Spreads Liver Qi, benefits the chest and breasts and alleviates pain Unbinds the chest Lowers rebellious Lung and Stomach Qi Unbinds the chest Lowers rebellious Lung and Stomach Qi Benefits the breasts Unbinds the chest Lowers rebellious Lung and Stomach Qi Benefits the breasts Unbinds the chest Lowers rebellious Lung and Stomach Qi Unbinds the chest and benefits the breasts Transforms phlegm and lowers rebellious Lung and Stomach Qi Unbinds the chest Transforms phlegm and alleviates cough and wheezing Harmonizes the Stomach and lowers rebellious Qi
Abdominal pain and distension, indigestion, vomiting, diarrhea, nausea, morning sickness.
P 0.3-0.7
Cough, asthma, distension and fullness in the chest and hypochondriac region vomiting, anorexia. Cough, asthma, fullness in the chest and hypochondriac region, mastitis Cough, asthma, fullness in the chest and hypochondriac region, mastitis. Cough, asthma, chest pain Cough, asthma, accumulation of phlegm, fullness in the chest and hypochondriac region. Cough, asthma, chest pain
O 0.3-0.5 O 0.3-0.5 O 0.3-0.5 O 0.3-0.5 O 0.3-0.5 O 0.3-0.5
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The 12 Primary Meridians 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 meridians 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 PERICARDIUM MERIDIAN OF THE HAND JUEYIN Thoracic Oppression Uprising Qi
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The 12 Primary Meridians PERICARDIUM MERIDIAN OF THE HAND JUEYIN point P-01 (Tian Chi) Mtp of PC, GB, LV, SJ P-02 (Tian Quan) Location In the fourth intercostal space, 1 cun lateral to the nipple and 5 cun lateral to the anterior midline. 2 cun below the level of the anterior axillary fold, between the two heads of m. biceps brachii. Action Unbinds the chest, transforms phlegm and descends rebellion Regulates Qi and dissipates nodules Benefits the breasts Unbinds the chest, invigorates blood and alleviates pain Indication Suffocating sensation in the chest, pain in the hypochondriac region, swelling and pain of the axillary region Method P
Cardiac pain, distension of the hypochondriac p region, cough, pain in the chest, back and the 0.5- 0.7 medial aspect of the arm
P-03 (Qu Ze) He-Sea
On the transverse cubital crease, at the ulnar side of the tendon of m. biceps brachii
P-04 (Xi Men) Xi (Cleft)
5 cun above the transverse crease of the wrist, on the line connecting Quze (PER3) and Daling (PER-7), between the tendons of m. palmaris longus and m. flexor carpi radialis.
Clears heat from the Qi, nutritive and blood levels Harmonizes the Stomach and intestines and stops vomiting Activates the channel and alleviates pain 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 Malaria Transforms phlegm Settles and calms the spirit
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
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.
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 Cardiac pain, palpitation, stomach ache, vomiting, mental disorders, epilepsy, stuffy chest, pain in the hypochondriac region, convulsion, insomnia, irritability, foul breath 5/1/2012
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 Page 50 of 83
P 0.3-0.5
The 12 Primary Meridians 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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The 12 Primary Meridians 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 meridians 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 meridians pathway.
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The 12 Primary Meridians SAN JIAO MERIDIAN SHAOYANG OF THE HAND Location Action On the lateral side of the ring finger, Clear Heat from the Upper JiaoClears about 0.1 cun from the corner of the nail. upper jiao heat Benefits the ears and tongue Activates the channel and alleviates pain 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 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. On the transverse crease of the dorsum of wrist, in the depression lateral to the tendon of m. extensor digitorum communis. 2 cun proximal to the dorsal crease of the wrist, on the line connecting Yangchi (SJ4) and the tip of olecranon, between the radius and ulna. 3 cun proximal to the dorsal crease of the wrist, on the line connecting Yangchi (SJ4) and the tip of olecranon, between the radius and ulna, on the radial side of m. extensor digitorum At the level with Zhigou (SJ-6), on the ulnar side of Zhigou (SJ-6), on the radial border of the ulna. 4 cun proximal to the dorsal crease of the wrist, between the radius and ulna. On the lateral side of the forearm, 5 cun below the olecranon, between the radius and ulna Disperses upper jiao heat and benefits the ears Calms the spirit Activates the channel and alleviates pain
point SJ-01 (Guan Chong) Jing-Well
Indication Headache, redness of the eyes, sore throat, stiffness of the tongue, febrile diseases, irritability.
Method P 0.1 or prick to cause bleeding p 0.3-0.5
SJ-02 (Ye Men) Ying-Spring
Headache, redness of the eyes, sudden deafness, sore throat, malaria, pain in the arm.
SJ-03 (Zhong Zhu) Shu-Stream
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 SJ-05 (Wai Guan) Luo Confluent Point of the Yang Linking SJ-06 (Zhi Gou) Jing-River
Relaxes the sinews and alleviates pain Clears heat
Pain in the arm, shoulder and wrist, malaria, deafness, thirst.
P 0.3-0.5 i
Expels wind and releases the exterior Benefits the head and ears Opens the Yang Linking vessel Clears heat Activates the channel and alleviates pain 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 Clears the Sanjiao channel and benefits the ears Clears the Sanjiao channel Activates the channel and alleviates pain Benefits the throat and ears
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. Tinnitus, deafness, pain in the hypochondriac region, vomiting, constipation, febrile diseases, aching and heavy sensation of the shoulder and back, sudden hoarseness of voice. Deafness, pain in the ear, epilepsy, pain of the arm
P 0.5-1.0
P 0.8-1.2
SJ-07 (Hui Zong) Xi (Cleft) Point SJ-08 (San Yang Luo) SJ-09 (Si Du)
P 0.5-1.0 P 0.5-1.0 P 0.5-1.0
Deafness, sudden hoarseness of voice, pain in the chest and hypochondriac region, pain in the hand and arm, toothache. Deafness, toothache, migraine, sudden hoarseness of voice, pain in the forearm.
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The 12 Primary Meridians 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 Activates the channel and dispels winddamp lears damp-heat Activates the channel and alleviates pain Regulates Qi and transforms phlegm Activates the channel and alleviates pain Dispels wind-damp Alleviates pain and benefits the shoulder joint Migraine, pain in the neck, shoulder and arm, epilepsy, scrofula, goiter. P 0.3-0.5
SJ-11 (Qing Leng Yuan) SJ-12 (Xiao Luo) SJ-13 (Nao Hui) mtp of GB, SJ and yang linking SJ-14 (Jian Liao) SJ-15 (Tian Liao) mtp of GB and yang linking SJ-16 (Tian You) Point of the Window of Heaven SJ-17 (Yi Feng) MPT of the SJ and BG SJ-18 (Chi Mai)
1 cun above Tianjing (SJ-10) when the elbow is flexed. On the line joining the olecranon and Jianliao (SJ-14), midway between Qinglengyuan (SJ-11) and Naohui (SJ-13). On the line joining Jianliao (SJ-14) and the olecranon, on the posterior border of m. deltoideus On the shoulder, posterior to Jianyu (LI15), in the depression inferior and posterior to the acromion when the arm is abducted. Midway between Jianjing (GB-21) and Quyuan (SI-13), on the superior angle of the scapula. 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. Posterior to the lobule of the ear, in the depression between the mandible and mastoid process. In the centre of the mastoid process, at the junction of the middle and lower third of the curve formed by Yifeng (SJ17) and Jiaosun (SJ-20) posterior to the helix. Posterior to the ear, at the junction of the upper and middle third of the curve formed by Yifeng (SJ-17) and Jiaosun (SJ20) behind the helix. Directly above the ear apex, within the hair line.
Motor impairment and pain of the shoulder and arm, migraine Headache, neck rigidity, motor impairment and pain of the arm. Goiter, pain in the shoulder and arm
P 0.3-0.5 P 0.5-0.7 P 0.5-0.8
Pain and motor impairment of the shoulder and upper arm.
P 0.7-1.0
Dispels wind-damp, activates the channel and alleviates pain Unbinds the chest and regulates Qi Benefits the head and sense organs Regulates and descends Q
Pain in the shoulder and elbow, stiffness of the neck.
P 0.3-0.5
Headache, neck rigidity, facial swelling, blurring of vision, sudden deafness.
P 0.3-0.5
Benefits the ears Eliminates wind Clears heat Activates the channel and alleviates pain Benefits the ears Calms fright and pacifies wind
Tinnitus, deafness, otorrhea, facial paralysis, toothache, swelling of the cheek, scrofula, trismus. Headache, tinnitus, deafness, infantile convulsion.
P 0.5-1.0 sub 0.3-0.5 or prick to cause bleeding O 0.3-0.5
SJ-19 (Lu Xi)
Benefits the ears and clears heat Calms fright and relieves tetany
Headache, tinnitus, deafness, pain in the ear, infantile convulsion.
SJ-20 (Jiao Sun) Mtp of SJ, SI, and BG
Benefits the ears Benefits the teeth, gums and lips Clears heat
Tinnitus, redness, pain and swelling of the eye, swelling of gum, toothache, parotitis.
subcutane ously 0.30.5
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The 12 Primary Meridians 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. 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. In the depression at the lateral end of the eyebrow. 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
Expels wind and alleviates pain
Migraine, tinnitus, lockjaw.
SJ-23 (Si Zhu Kong)
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.
O 0.1-0.3 Avoid puncturing the artery subcutane ously 0.30.5
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The 12 Primary Meridians GALL BLADDER MERIDIAN OF THE FOOT SHAOYANG
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 meridians pathway.
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The 12 Primary Meridians GALL BLADDER MERIDIAN OF THE FOOT SHAOYANG Action Benefits the eyes, eliminates wind and clears heat
point GB-01 (Tong Zi Ziao) Mtp of GB, SI, and SJ GB-02 (Ting Hui)
Location
Indication Headache, redness and pain of the eyes, failing of vision, lacrimation, deviation of the eye and mouth.
Method subcuta neously 3-0.5
0.5 cun lateral to the outer canthus, in the depression on the lateral side of the orbit.
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 GB-04 (Han Yan) 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). 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 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
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 GB-06 (Xuan Li) Mtp of BG, SJ, ST, 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
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
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The 12 Primary Meridians Headache, swelling of the cheek, trismus, pain in the temporal region, Eliminates wind and benefits the mouth and jaw infantile convulsion. Sub 0.3-0.5 i
GB-07 (Qu Bin) Mtp of UB and GB GB-08 (Shuai Gu) Mtp of UB and GB The location of this point differs among texts. GB-09 (Tian Chong) Mtp of UB and GB GB-10 (Fu Bai) Mtp of UB and GB GB-11 (Tou Qiao Yin) Mtp of GB, UB, SI, and SJ
On the head, at a crossing point of the vertical posterior border of the temple and horizontal line through the ear apex.
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
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
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). 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 neck region Activates the channel and alleviates pain Clears the head and benefits the sense organs Activates the channel and alleviates pain
Headache, tinnitus, deafness.
Sub 0.3-0.5 i
Pain of the head and neck, tinnitus, deafness, pain in the ears.
Sub 0.3-0.5 i
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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 GB-14 (Yang Bai) Mtp of GB , SJ, LI, and Yang Linking GB-15 (Tou Lin Qi) Mtp of GB, UB, and yang linking GB-16 (Mu Chuang) Mtp of GB and Yang linking GB-17 (Zheng Ying) Mtp of GB and Yang linking
0.5 cun within the hairline of the forehead, 3 cun lateral to Shenting (DU-24). On the forehead, directly above the pupil, 1 cun directly above the midpoint of the eyebrow.
Eliminates wind, resolves phlegm and treats epilepsy
Headache, insomnia, vertigo, epilepsy.
Sub 0.3-0.5
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
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). On the head, 1.5 cun above the anterior hairline and 2.25 cun lateral to the midline of the head. On the head, 2.5 cun above the anterior hairline and 2.25 cun lateral to the midline of the head.
Eliminates wind, benefits the head and alleviates pain Benefits the nose and eyes Benefits the eyes Eliminates wind andalleviates pain Benefits the head and alleviates pain Pacifies the Stomach
Headache, vertigo, lacrimation, pain in the outer canthus, rhinorrhea, nasal obstruction.
Sub 0.3-0.5
Headache, vertigo, red and painful eyes, nasal obstruction.
Sub 0.3-0.5
Migraine, vertigo.
Sub 0.3-0.5
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GB-18 (Cheng Ling) Mtp of GB and Yang linking GB-19 (Nao Kong) 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
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.
Headache, stiffness of the neck, vertigo, painful eyes, tinnitus, Benefits the head and alleviates pain Pacifies wind and clears the sense organs Eliminates wind Benefits the head and eyes Clears the sense organs Activates the channel and alleviates pain 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).
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 GB-22 (Yuan Ye)
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
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
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GB-23 (Zhe Jin) Mtp of GB and UB GB-24 (Ri Yue)

Mtp of GB and SP Front Mu of th Gallbladder
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 Benefits the Gall Bladder and spreads Liver Qi Lowers rebellious Qi and harmonizes the middle jiao Resolves damp-heat
Fullness of the chest, pain in the hypochondriac region, asthma.
o 0.3-0.5
Pain in the hypochondriac region, vomiting, acid regurgitation, hiccup, jaundice, mastitis.
O 0.3-0.5
Directly below the nipple, in the seventh intercostal space, 4 cun lateral to the anterior midline.
GB-25 (Jing Men) Front Mu of the Kidneys GB-26 (Dai Mai) Mtp of GB and Girdling Vessel
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 Regulates the Girdling vessel and drains dampness Regulates menstruation and stops leucorrhoea Activates the channel and alleviates pain
Abdominal distention, borborygmus, diarrhea, pain in the lumbar and hypochondriac region.
p 0.3-0.5
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.
Irregular menstruation, amenorrhea, leukorrhea, abdominal pain, hernia, pain in the lumbar and hypochondriac region.
p 0.50.8
GB-27 (Wu Shu) Mtp of GB and Girdling Vessel GB-28 (Wei Dao)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
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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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 Danyang Heavenly Star Point
GB-31 (Feng Shi)
GB-32 (Zhong Du)
GB-33 (Xi Yang Guan) GB-34 (Yang Ling

Quan)He-Sea Hui-Meeting Point of the SinewsMa Danyang 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. 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. On the lateral aspect of the thigh, 2 cun below Fengshi (GB31), or 5 cun above the transverse popliteal crease, between m. vastus lateralis and m. biceps femoris. 3 cun above Yangliangquan (GB34), lateral to the knee joint, in the depression above the external epicondyle of femur. In the depression anterior and inferior to the head of the fibula.
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 1.51.25
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
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
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. 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 0.5-1.0
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
p 0.8-1.2
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GB-35 (Yang Jiao) Xi-Cleft Point of the Yang Linking Vessel GB-36 (Wai Qiu) Xi (Cleft) Point GB-37 (Guang Ming) Luo (Connecting) Point GB-38 (Yang Fu) Jing-River GB-39 (Xuan Zhong) Hui-Meeting Point for Marrow GB-40 (Qiu Xu) Yuan GB-41 (Zu Lin Qi) Shu-Stream Confluent Point of the Girdling 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
7 cun above the tip of the external malleolus, on the anterior border of the fibula. 5 cun directly 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 Stops lactationBenefits the eyes Dispels wind-damp, activates the channel and alleviates pain
Pain in the neck, chest, thigh and hypochondriac region, rabies. 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. 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. 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. 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. 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 0.5-0.8 p 0.7-1.0
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. 3 cun above the tip of the external malleolus, on the anterior border of fibula. Anterior and inferior to the external malleolus, in the depression on the lateral side of the tendon of m. extensor digitorum longus. Posterior to the fourth metatarsophalangeal joint, in the depression lateral to the tendon of m. extensor digiti minimi of the foot.
Clears Gall Bladder channel heat Harmonizes shaoyangBenefits the sinews and bones Activates the channel and alleviates pain Benefits the sinews and bones Benefits the neck Dispels winddamp Clears Gall Bladder fire Activates the channel and alleviates pain Spreads Liver Qi and clears Gall Bladder heat and damp-heat Activates the channel, alleviates pain and benefits the joints Regulates shaoyang 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
p 0.5-0.7
p 0.30.5 p 0.5-0.8
p 0.3-0.5
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The 12 Primary Meridians Pain of the canthus, tinnitus, distending pain of the breast, swelling and pain of the dorsum of foot. p 0.30.5
GB-42 (Di Wu Hui)
GB-43 (Xia Xi) Ying-Spring GB-44 (Zu Qiao Yin) Jing-Well
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. 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. On the lateral side of the fourth toe, about 0.1 cun from the corner of the nail.
Spreads Liver Qi Clears Gall Bladder heat
Clears heat and benefits the head, ears and eyes Clears damp-heat from the channel and reduces swelling Clears heat and benefits the head Benefits the chest and lateral costal region Calms the spirit
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. Migraine, deafness, tinnitus, ophthalmalgia, dream-disturbed sleep, febrile diseases.
p 0.3-0.5
Punctur e 0.1
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The 12 Primary Meridians 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 meridians pathway.
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The 12 Primary Meridians LIVER MERIDIAN OF THE FOOT JUEYIN
point
LIV-01 (Da Dun) Jing-Well
Location
Action
Indication
Hernia, enuresis, uterine bleeding, prolapse of the uterus, epilepsy.
Method
sub 0.1-0.2
LIV-02 (Xing Jian) Ying-Spring
On the lateral side of the terminal Regulates Qi in the lower jiao, phalanx of the great toe, 0.1 cun treats shan disorder and alleviates from the corner of the nail. pain Benefits the genitals and adjusts urination Regulates Liver Qi and stops menstrual bleeding Revives consciousness and calms the spirit On the dorsum of the foot Clears Liver fire Spreads Liver Qi between the first and second toe, Pacifies Liver wind Clears heat and proximal to the margin of the web stops bleeding Benefits the lower at the junction of the red and jiao white skin.
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. 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
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
P 0.3-0.5
LIV-04 (Zhong Feng) Jing-River LIV-05 (Li Gou) Luo
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. 5 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 Clears Liver channel stagnant heat Spreads the Liver, regulates Qi and benefits the genitalsClears dampness and heat from the lower jiao Regulates menstruation Treats plumstone Qi
malleolus. Hernia, pain in the external genitalia, nocturnal emission, retention of urine, distending pain in the hypochondrium. Retention of urine, enuresis, hernia, irregular menstruation, leukorrhea, pruritus valvae, weakness and atrophy of the leg.
P 0.3-0.5 i
sub 0.3-0.5
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The 12 Primary Meridians LIV-06 (Zhong Du) Xi (Cleft) Point LIV-07 (Xi Guan) 7 cun above the tip of the medial malleolus, on the midline of the medial surface of the tibia. 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). 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. 4 cun above the medial epicondyle of the femur, between m. vastus medialis and m. sartorius 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. 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. 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. Spreads Liver Qi and regulates the lower jiao Regulates blood Drains damp Dispels wind-damp Benefits the knee and relaxes the sinews Abdominal pain, hypochondriac pain, diarrhea, hernia, uterine bleeding, prolonged lochia. Pain of the knee. sub 0.5- 0.8 P 0.5-1.0
LIV-08 (Qu Quan) He-Sea
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) LIV-10 (Zu Wu Li)
Adjusts menstruation and regulates the lower jiao Clears damp-heat and benefits the lower jiao
Pain in the lumbosacral region, lower abdominal pain, enuresis, retention of urine, irregular menstruation. Lower abdominal distention and fullness, retention of urine.
P 0.5-0.7 P 0.5-1.0
LIV-11 (Yin Lian)
Benefits the uterus
Irregular menstruation, leukorrhea, lower abdominal pain, pain in the thigh and leg. Lower abdominal pain, hernia, pain in the external genitalia.
P 0.5-1.0
LIV-12 (Ji Mai)
Eliminates cold from the Liver channel and benefits the lower jiao
MOXA
LIV-13
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The 12 Primary Meridians LIV-13 (Zhang Men) HuiMeeting Point of the Zang, Mtp of LV and GB Front Mu of the Spleen 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 On the lateral side of the abdomen, below the free end of the eleventh rib. Abdominal distention, borborygmus, pain in the hypochondriac region, vomiting, diarrhea, indigestion. P 0.5-0.8
Harmonizes the Liver and Spleen Regulates the middle and lower jiao Fortifies the Spleen Spreads the Liver and regulates Qi
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The 12 Primary Meridians 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.
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The 12 Primary Meridians GOVERNING VESSEL DU- MERIDIAN
point DU-01 (Chang Qiang) Long Strong Luo (Connecting) Point, MT pt of the GV w/CV and the GB and KDChannels DU-02 (Yao Shu) Lumbar Shu
Location Midway between the tip of the coccyx and the anus, locating the point in prone position.
Action Treats hemorrhoids Benefits the two lower yin Activates the channel and alleviates pain Calms the spirit
Indication Diarrhea, bloody stools, hemorrhoids, prolapse of the rectum, constipation, pain in the lower back, epilepsy.
Method P 0.5-1.0 Moxa ok
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. Pain and stiffness in the lower back, diarrhea, indigestion.
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
P 0.5-1.0 Moxa ok
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DU-06 (Ji Zhong) Spinal Center
Below the spinous process of the eleventh thoracic vertebra. Below the spinous process of the tenth thoracic vertebra.
Fortifies the Spleen and drains damp, Benefits the spine Benefits the spine Benefits the middle jiao
Pain in the epigastric region, diarrhea, jaundice, epilepsy, stiffness and pain of the back. Pain in the epigastric region, low back pain, stiffness of the back.
P 0.5-1.0
DU-07 (ZhongShu)
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 Fortifies the Spleen, drains dampness and regulates the middle jiao. Treats jaundice Unbinds the chest Alleviates cough and wheezing Clears heat and detoxifies poison Tonifies the Heart and Lung and calms the spirit. Clears heat and pacifies wind
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. Below the spinous process of the sixth thoracic vertebra. Below the spinous process of the fifth thoracic vertebra.
Jaundice, cough, asthma, stiffness of the back, pain in the chest and back.
DU-10 (Ling Tai) Spirit Tower
Carbuncles, furnicles, boils Cough, asthma, furuncles, back pain, neck rigidity. Poor memory, anxiety, palpitation, pain and stiffness of the back, cough, cardiac pain. Cough, asthma, epilepsy, pain and stiffness of the back, furuncles.
O Up 0.5-1.0 Moxa ok O Up 0.5-1.0 Moxa ok O Up 0.5-1.0 Moxa ok
DU-11 (Shen Dao) Spirit Path
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
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Below the spinous process of the first thoracic DU-13 (Tao Dao) Kiln Path DU-14 (Da Zhu) Great Hammer vertebra. Below the spinous process of the seventh cervical vertebra, approximately at the level of the shoulders.
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 O Up 0.5-1.0 Moxa oka
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.
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. 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. 2.5 cun directly above the midpoint of the posterior hairline, 1.5 cun directly above Fengfu (DU-16), in
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. *medullar y 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 DU-17 (Nao Hu) Brain's Door MT pt/ Governing Vessel with the UB
Eliminates wind benefits the head and neck Calms the spirit
Headache, neck rigidity, sore throat, post-apoplexy aphasia, hemiplegia, mental disorders.
Nourishes the sea of marrow and blurring of vision, epistaxis,
P 0.5-0.8 *No deep puncture * watch for medullary bulb
Eliminates wind and alleviates pain
Epilepsy, dizziness, pain and stiffness of the neck.
S 0.3-0.5
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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). 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.
Eliminates wind and alleviates pain Calms the spirit 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, 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
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
3.5 cun directly above the DU-21 (Qian Ding) midpoint of the anterior Before the Vertex hairline and 1.5 cun anterior to Baihui (DU-20). DU-22 (Xin Hui) 2 cun posterior to the midpoint of the anterior
Eliminates wind and treats convulsions Benefits the head Benefits the nose Eliminates wind and benefits the
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Epilepsy, dizziness, blurring of vision, vertical headache, rhinorrhea. Headache, blurring of vision, rhinorrhea, infantile
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S 0.3-0.5 Moxa ok
S 0.3-0.5
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 DU-25 (Su Liao) White Bone Hole
0.5 cun directly above the midpoint of the anterior hairline. On the tip of the nose.
Benefits the brain and calms the spirit ;Eliminates wind and benefits the head ;Benefits the nose and eyes Benefits the nose
Epilepsy, anxiety, palpitation, insomnia, headache, vertigo, rhinorrhea. Loss of consciousness, nasal obstruction, epistaxis, rhinorrhea, rosacea.
S 0.3-0.5 Moxa ok Or prick to bleed P 0.2-0.3

Prick bleed.
DU-26 (Shui Gou)

Water Trough
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
MT pt of the GV w/ LI and ST; Sun Simiao Ghost Pt
O Up 0.3-0.5
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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 Clear heat and benefits the gums ;Benefits the nose and eyes
Mental disorders, lip twitching, lip stiffness, pain and swelling of the gums. Mental disorders, pain and swelling of the gums, rhinorrhea.
O Up 0.2-0.3
DU-28 (Yin Jiao)

Gum Intersection
At the junction of the gum and the frenulum of the upper lip.
MT pt of the GV w/CV and the ST
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.
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CONCEPTION VESSEL REN- MERIDIAN

point REN-01 (Hui Yin) MT of Yin MT PT of the Conception, Penetrating and Governing Vessels Sun Si-miao Ghost Point Location Between the anus and the root of the scrotum in males and between the anus and the posterior labial commissure in females. Action Regulates the anterior and posterior yin Drains damp heat Calms the spirit Promotes resuscitation and revives from drowning Indication Vaginitis, retention of urine hemorrhoids, nocturnal emission, enuresis, irregular menstruation, mental disorders. Method 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
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
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. 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 0.5-1.0 inch Moxa ok P 0.8-1.2 Tonifiy 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
REN-07 (Yin Jiao) Yin Intersection MT pt of the Conception and Penetrating Vessels and the KDChannel
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. Abdominal pain, borborygmus, edema, retention of the urine, diarrhea.
NO puncture . Moxa ok P 0.5-1.0 Moxa ok P 0.5-1.2 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
REN-10 (Xia Wan) Lower Venter MT pt of the Conception Vessel with SP Channel
Harmonizes the Stomach and regulates Qi Dispels food stagnation
Food retention Epigastric pain, abdominal pain, borborygmus, indigestion, vomiting, diarrhea.
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
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

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Stomachache, abdominal distention,

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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
Regulates the Heart and alleviates pain, 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.
abdomen, 6 cun above the umbilicus. Descends Lung Qi and unbinds the chest,
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. On the anterior midline, at the level with the fifth intercostal space, on the xiphosternal synchondrosis. On the anterior midline, at the level with the fourth intercostal space, midway between the nipples.
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
Unbinds the chest Regulates the Stomach and descends rebellion Regulates Qi and unbinds the chest Descends rebellion of the Lung and Stomach Benefits gathering Qi Benefits the breasts and promotes lactation
Distension and fullness in the chest and intercostal region, hiccup, nausea, anorexia. Asthma, pain in the chest, fullness in the chest, palpitation, insufficient lactation, hiccup, difficulty in swallowing.
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
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
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with the third intercostal space.
Regulates and descends Qi
vomiting.
REN-19 (Zi Gong) Purple Palace REN-20 (Hua Gai) Florid Canopy
On the anterior midline, at the level with the 2nd ICS 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 Unbinds the chest Regulates and descends Qi
Pain in the chest, asthma, cough.
S 0.3-0.5 Moxa ok S 0.3-0.5 Moxa ok S 0.3-0.5 Moxa ok P 0.2 Then Ndl tip down Along post of sternum 0.5-1.0 Moxa ok
Pain and fullness in the chest and intercostal region, asthma, cough. Pain in the chest, cough, asthma.
REN-21 (Xuan Ji) Jade Pivot
On the anterior midline, in the centre Descends Stomach Qi and dispels food of the sternal manubrium, 1 cun below Tiantu (REN-22). In the centre of the suprasternal fossa. accumulation, Unbinds the chest and descends Lung Qi Benefits the throat Descends rebellious Qi and alleviates cough and wheezing Benefits the throat and voice
REN-22 (Tian Tu) Celestial Chimney MT pt of the Conception and Yin Linking Vessels Pt of the Window of Heaven
Asthma, cough, sore throat, dry throat, hiccup, sudden hoarseness of the voice, difficulty in swallowing, goiter.
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.
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12 Meridians

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12 Meridians

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The 12 Primary Meridians

Medial Zang Yin

The 12 Primary Meridians

The 12 Primary Meridians

Major Acupuncture Points Chart

Lung 11 Large Intestine

Stomach 45 Spleen Heart Small Intestine

Bladder 67 Kidney Pericardium San Jiao

Gall Bladder 44 Liver Ren (Conception)

The 12 Primary Meridians

ST-36 LU-7 BL-40 LI-4

Four Seas Points Sea of Qi Sea of Blood

LIV-13 REN-12 REN-17 BL-17 GB-34 GB-39 BL-11 LU-9

REN-17 BL-11, ST-37, ST-39 ST-30,ST-36 DU-16, DU-20

Sea of Water & Grain Sea of Marrow

Heart & Chest Fainting & Collapse

The 12 Primary Meridians

Location 6 cun lateral from midline in 1st ICS

Method Obliquely lateral 0.5-0.8

Obliquely lateral 0.5-0.8 Perpendicular 0.5-1.0

Perpendicular 0.5-1.0 Perpendicular 0.5-1.0 Avoid radial recurrent a. & cephalic v.

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

LU 7 Luo-Connecting pt. (to LI 1) Confluent pt. (to Ren meridian)

LU 8 seldom used Jing-River pt.

Obliquely upward 0.3-0.5

LU 9 Shu-Stream pt. Yuan-1 pt. Influential Pt. of Vessels LU 10 Ying-Spring pt.

On wrist crease lateral to radial artery

Puncture 0.1 or prick to bleed

Point LI 1 Jing-Well pt.

Method Puncture 0.1 or prick to bleed

Perpendicular 0.3-0.5 Avoid radial a. & cephalic v. Perpendicular or Oblique 0.5-0.8

On line b/w LI 5 & LI 11, 3 cun above wrist crease

On line b/w LI 5 & LI 11, 5 cun above wrist crease

Perpendicular 0.5-1.0 Perpendicular 0.5-1.0

On line b/w LI 5 & LI 11, 2 cun below cubital crease

Shoulder & arm pain Neck rigidity 5/1/2012

Perpendicular 0.5-1.0 Perpendicular 0.5-1.0 Avoid radial collateral a. Perpendicular or Oblique

Method 0.8-1.5 Perpendicular or Oblique 0.8-1.5

Benefits the throat & voice Dissipates nodules

Oblique 0.2-0.3 Oblique or Subcutaneous 0.2-0.3

Point ST 1 Yang Heel pt.

ST 2 Yang Heel pt.

ST 3 Yang Heel pt.

Below pupil, at level of lower border of ala nasi

ST 4 Yang Heel pt. ST & LI mtg. pt. Ren pt. ST 5

ST 8 ST & GB mtg. pt. Yang Linking pt. ST 9 Sea of Qi pt.

Subcutaneous 0.5-1.0 NO MOXA Perpendicular 0.3-0.5 Avoid common carotid a.

Perpendicular 0.5-0.8 Perpendicular 0.5-1.0 Perpendicular 0.8-1.0

2 cun lateral to midline, 3 cun above umbilicus

Perpendicular 0.7-1.0 Perpendicular 0.7-1.0 Perpendicular 0.7-1.2

Perpendicular 0.7-1.2 Perpendicular 0.7-1.2

2 cun lateral to midline, 3 cun below umbilicus

2 cun lateral to midline, 4 cun below umbilicus

ST 30 Chong meridian pt.

Perpendicular 0.5-1.0 Avoid branches of superficial epigastric a. & v, Perpendicular 1.0-1.5

Method Perpendicular 1.0-1.5

Perpendicular 0.7-1.0 Perpendicular 0.5-1.2 Avoid anterior tibial a. & v.

ST 36 He-Sea pt. Major tonification pt. Commonly used like LV 3, SP 6

ST 37 Lower He-Sea pt. of LI Sea of Blood pt.

2 cun below ST 37 (on same line as ST 40)

ST 39 Lower He-Sea pt. of SI Sea of Blood pt.

Point ST 40 Luo-Connecting pt.