12 Meridians

The 12 Primary Meridians

Medial Zang Yin

Lateral Fu Yang Arm/hand

Anterio Le /foo

Anterio

Arm/hand

Posterior

Posterior Le /foo

Arm/hand

Middl

Middl Le /foo

3 Factors : Organ, Location and Yin/Yang . Example; Lung meridian of the hand Tai Yin

The 12 Primary Meridians 

Yin Arm Channels



(HT) ·Heart



(PC) ·Pericardium



(LU) ·Lung



Yin Leg Channels



(SP) ·Spleen



(LV) ·Liver



(KD) ·Kidney



Extraordinary Channels



(CV) ·Conception Vessel



(GV) ·Governing Vessel



Others



Extraordinary Points



Yang Arm Channels



(SI) ·Small Intestine



(TH) ·Triple Heater



(LI) ·Large Intestine



Yang Leg Channels



(ST) ·Stomach



(GB) ·Gall Bladder



(UB) ·Urinary Bladder

The 12 Primary Meridians 

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


Major Acupuncture Points Chart

Lung 11 Large Intestine

1

Stomach 45

[ Blank Worksheet ]

10

9

8

5

9

7

6

LU-01

BL-13

—

9

5

1

7

2

3

5

11

4

6

7

ST-25

BL-25

ST-37

11

2

4

20

REN-12

BL-21

ST-36

41 45

1

42

44 43 41 36 42 40 34

Spleen

1

2

3

5

9

3

4

8

LIV-13

BL-20

—

2

5

1

21

Heart

9

8

7

4

3

7

5

6

REN-14

BL-15

—

9

7

1

9

Small Intestine

1

2

3

5

8

4

7

6

REN-4

BL-27

ST-39

3

8

1

19

REN-3

BL-28

BL-40

1

67

Bladder 67

66 65 60 40 64 58 63

67 65

Kidney

1

2

3

7

10

3

4

5

GB-25

BL-23

—

7

1

1

22

Pericardium

9

8

7

5

3

7

6

4

REN-17

BL-14

—

9

7

1

8

San Jiao

1

2

3

6

10

4

5

7

REN-5

BL-22

BL-39

3

10

1

22

GB-24

BL-19

GB-34

43 38

1

41

Gall Bladder 44

43 41 38 34 40 37 36

Liver

1

2

3

4

8

3

5

6

LIV-14

BL-18

—

8

2

1

14

Ren (Conception)

—

—

—

—

—

—

15

—

—

—

—

—

—

—

—


Du (Governing)

—

—

Command Points Stomach & Abdomen

—

—

—

—

1

LU-7

Lower Back (Lumbar)

BL-40

—

—

Fu (Yang) Organs

REN-12

Qi

REN-17

LI-4

Fainting & Collapse

GB-34

Marrow

GB-39

Bones

BL-11

DU-26 Vessels

—

REN-17 BL-11, ST-37, ST-39

BL-17

Sinews

P-6

—

Sea of Water & ST-30,ST-36 Grain Sea of Marrow

Heart & Chest

—

LIV-13 Sea of Blood

Blood

—

Four Seas Points Sea of Qi

ST-36

Head & Back of Neck

—

Hui Meeting Points (Influential Points) Zang (Yin) Organs

Face & Mouth

—

LU-9

DU-16, DU-20


LUNG MERIDIAN OF HAND TAIYIN Pathway • originates in middle jiao, in region of Stomach • descends to connect w/ Large Intestine • returns upwards to pass cardiac orifice of Stomach & traverses diaphragm • penetrates Lung • ascends to throat region • passes obliquely downwards towards LU 1 where channel emerges • ascends one rib space to LU 2 in centre of hollow of delto-pectoral triangle • descends along antero-lateral aspect of upper arm, lateral to Heart & Pericardium channels, to cubital fossa of elbow at LU 5 • passes along antero-lateral aspect of forearm towards styloid process of radius • follows lateral border of radial artery to wrist at LU 9 • traverses thenar eminence to terminate at radial side of thumbnail at LU 11 • a branch separates from main channel at LU 7, at styloid process, & travels directly to radial side of tip of index finger, where it links w/ Large Intestine channel at LI 1 • Connecting zangfu: ST, LI, LU • Crossing points: none External Symptoms • Fever, cold sweating, nasal congestion, headaches, chest pain, pain along arm meridian pathway Internal Symptoms • Cough, asthma, chest fullness, parched or sore throat, irritability, bloody sputum, hot palm, abdominal distention w/ loose stool, change in urine color

The 12 Primary Meridians LUNG MERIDIAN OF HAND TAIYIN Point

Location

Actions

Indications

Method

LU 1 • Front-Mu pt. • Greater Yin mtg. pt. (LU & SP)

6 cun lateral from midline in 1st ICS

• • • • •

Regulates & stimulates descending of LU Qi Stops cough Resolves LU phlegm Disperses chest fullness Stops pain (esp. in shoulder)

• Cough or asthma • Chest, shoulder or back pain • Chest fullness • Acute cases & Excess patterns

Obliquely lateral 0.5”-0.8”

LU 2

6 cun lateral from midline superior to coracoid process of scapula

• • •

Disperses chest fullness Promotes descending of LU Qi Stops cough

• • •

Obliquely lateral 0.5”-0.8”

LU 3

3 cun below end of axillary fold, on radial side of biceps brachii

• • •

Regulates the ascending & descending Qi Stops bleeding Opens the Mind's orifices & soothes Corporeal Soul

• Asthma • Epistaxis • Pain in medial aspect of upper arm • Psychological & emotional probs (sadness,

Cough or asthma Chest fullness Chest, shoulder or back pain

•

depression, mental confusion) Goiter Cough Chest fullness Pain in the medial aspect of upper arm

Perpendicular 0.5”-1.0”

LU 4 – seldom used

1 cun below LU 3 on radial side of biceps brachii

•

None listed

• • •

LU 5 • He-Sea pt.

On cubital crease in depression of radial side of biceps tendon

• • •

Clears LU heat & LU phlegm Regulates water passages & benefits bladder Sedates – relaxes sinews & bladder

• Cough, asthma or sore throat • Afternoon fever • Bloody sputum (hemoptysis) • Mastitis • Infantile convulsions • Spasmodic pain of elbow & arm • Excess patterns of internal LU heat

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

LU 6 • Xi-Cleft pt.

On line b/w LU 5 & LU 9, 5 cun below LU 5 or 7 cun above wrist crease

• • •

Regulates & promotes descending of LU Qi Clears heat Stops acute bleeding

• • • • • •

Cough, asthma or sore throat Chest pain Bloody sputum Spasmodic pain of elbow & arm Pain along meridian Acute excess patterns


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

1.5 cun above wrist crease in depression above radial styloid process (interlock thumbs webs – index tip should fall above radial styloid process)

• • • • • • •

Stimulates descending & dispersing of LU Qi Circulates Wei Qi Expels external wind Opens the nose Benefits head, neck & UB Opens water passages Communicates w/ Large Intestine meridian

• • • • • •

Cough, asthma or sore throat Headache &/or migraine Neck rigidity Facial paralysis Toothache Wrist pain & weakness

Obliquely upward 0.3”-0.5”

LU 8 – seldom used • Jing-River pt.

1 cun above wrist crease lateral to radial artery

•

Promotes descending of LU Qi

• •

Cough, asthma or sore throat Chronic throat problems



The 12 Primary Meridians LUNG MERIDIAN OF HAND TAIYIN Point

Location

Actions

Indications

Method

• •

Fever Chest &/or wrist pain

Avoid radial a.

• • • • •

Resolves Phlegm Promotes descending of LU Qi & stops cough Tonifies LU Qi, LU Yin, & Gathering Qi Promotes blood circulation & influences pulse Clears LU & LV Heat

• • • •

Cough, asthma or sore throat Chest, wrist or arm pain Bloody sputum HT palpitations

Perpendicular 0.2”-0.3” Avoid radial a.

Midpt. of 1 metacarpal bone where skin color changes from red to white

• • • •

Clears LU Heat Promotes descending of LU Qi & stops cough Benefits throat Calms the Mind

• • • •

Couth or acute sore throat Voice loss Fever Hot palm


On radial side of thumb, 0.1 cun posterior to corner of nail

•

Expels exterior wind & extinguishes interior wind Stimulates diffusing/descending of LU Qi Benefits throat Opens the orifices & promotes resuscitation

• • • • • •

Cough, asthma or sore throat Epistaxis Fever Loss of consciousness Mania Spasmodic pain in thumb

Puncture 0.1” or prick to bleed

LU 9 • Shu-Stream pt. • Yuan-1° pt. • Influential Pt. of Vessels

On wrist crease lateral to radial artery

LU 10 • Ying-Spring pt.

LU 11 • Jing-Well pt.

st

• • •

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

The 12 Primary Meridians LARGE INTESTINE MERIDIAN OF HAND YANGMING Indications

Point

Location

Actions

LI 1 • Jing-Well pt.

On radial side of index finger, 0.1 cun posterior to corner of nail

• • • • • •

Relieves & clears heat Benefits throat Calms mind Expels wind Scatters cold Relieves swelling

• • • • • • •

Toothache Sore throat Febrile diseases w/o sweating Swelling of submandibular region Finger numbness Mental disorders Loss of consciousness


LI 2

Flex finger; in depression on nd radial side just distal to 2 MCPJ where color changes

• • •

Clears heat Expels wind-heat Removes obstruction from channel

• • • • •

Toothache Sore throat Blurry vision Epistaxis Febrile diseases


Make loose fist; on radial side of index finger in depression proximal to nd head of 2 metacarpal bone

• • • •

Expels exterior wind Brightens the eyes Benefits the throat Regulates the intestines

• • • • •

Toothache Sore throat Ophthalmalgia (eye pain) Bi syndrome, especially hand arthritis Redness & swelling of fingers, back of hand


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)

• • • • • • • • •

Harmonizes descending & ascending of LU Qi Releases the exterior & dispels external wind Regulates Wei Qi & sweating Stops pain Removes obstructions from channel Benefits the eyes, nose, ears, & mouth Promotes labor Calms the mind Has an anti-spasmodic effect

• • • • • • • • • • • • • • •

Headache or neck pain Sore throat Eye redness, swelling & pain Nasal obstruction, rhinorrea or epistaxis Parotitis (parotid gland inflammation) Trismus (spasm of mastication muscles) Facial swelling or paralysis Toothache Deafness Febrile diseases w/ & w/o sweating Abdominal pain, constipation or dysentery Amenorrhea Delayed labor Infantile convulsions UL pain, weakness & motor impairment


LI 5 • Jing-River pt.

Anatomical snuffbox

• • • • •

Expels wind & releases the exterior Stops pain Clears heat Calms the mind & opens the mind’s orifices Benefits the nose, ears, & eyes

• • • • •

Headache Eye redness, swelling & pain Toothache Sore throat Wrist pain

Perpendicular 0.3”-0.5” Avoid radial a. & cephalic v.

LI 6

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

• •

Regulates LU’s water passages Removes obstructions from channel

• • •

Sore throat Eye redness Tinnitus or deafness

Perpendicular or Oblique 0.5”-0.8”

•

Ying-Spring pt.

LI 3

•

Shu-Stream pt.

st

LI 4

•

Yuan-1° pt. (command pt. of head, neck & nape) Contraindicated in pregnancy

•

•

Luo-Connecting pt.

Method


Point

Location

Actions

LARGE INTESTINE MERIDIAN OF HAND YANGMING Indications

• • •

Epistaxis Edema Aching of hand & arm

Method

LI 7 • Xi-Cleft pt.

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

• • • •

Clears heat Regulates the intestines Opens the mind’s orifices Removes obstructions from channel

• • • • • •

Sore throat Headache Swelling of face Abdominal pain Borborygmus Aching of shoulder & arm


LI 8

On line b/w LI 5 & LI 11, 4 cun below cubital crease

• • •

Harmonizes Small Intestine Expels wind & clears heat Clears yangming fire & calms the spirit

• • •

Abdominal pain Borborygmus Pain in elbow & arm, UL motor impairment


LI 9


• •

Harmonizes Large Intestine Activates the channel & alleviates pain

• • • •

Abdominal pain Borborygmus Shoulder & arm ache Hand & arm numbness, UL motor impairment


LI 10


• • •

Removes obstructions from channel Regulates the intestines Tonifies Qi

• • • • • •

Abdominal pain Diarrhea Toothache Swelling of cheek UL motor impairment Pain in shoulder & back


LI 11 • He-Sea pt.

Lateral end of elbow crease, midway b/w LU 5 & lateral epicondyle of humerus

• • • • •

Clears heat & cools blood Removes obstructions & heat from channel Resolves dampness Regulates the intestines Benefits the sinews & joints

• • • • • • • •

Sore throat Toothache Redness & pain of eye Scrofula (a form of TB) or urticaria (hives) UL motor impairment Abdominal pain or diarrhea Vomiting Febrile diseases


LI 12

Lateral side of upper arm, 1 cun above LI 11

•

Removes obstructions from channel

•

Elbow & arm pain, numbness & contracture


LI 13

Lateral side of upper arm, on line b/w LI 11 & LI 15, 3 cun above LI 11

• • •

Activates the channel & alleviates pain Alleviates coughing Regulates Qi, drains damp & transforms phlegm

• •

Elbow & arm contracture & pain Scrofula

Perpendicular 0.5”-1.0” Avoid radial collateral a.

LI 14

Lateral side of upper arm, on line b/w LI 11 & LI 15, 7

• •

Removes obstructions from channel Brightens the eyes

• •

Shoulder & arm pain Neck rigidity

Perpendicular or Oblique


Point

LARGE INTESTINE MERIDIAN OF HAND YANGMING Indications

Location

Actions

cun above LI 11 (at insertion of deltoid)

•

Resolves phlegm & dissipates nodules

•

Scrofula

Method 0.8”-1.5”

LI 15

Anteroinferior to acromion on upper part of deltoid, in depression at anterior border of AC jt. when arm is abducted

• • •

Removes obstructions from channel Expels wind & dampness Resolves phlegm & dissipates nodules

• • • •

Shoulder & arm pain UL motor impairment Rubella Scrofula


LI 16

In depression b/w acromial end of clavicle & spine of scapula

• • • •

Moves blood locally Good for shoulder pain Removes obstructions from channel Dissipates nodules

• •

UL pain & motor impairment Shoulder & back pain

Perpendicular 0.5”-0.7” Avoid suprascapular a. & lateral supraclavicular n.

LI 17

Posterior border of SCM, 1 cun below laryngeal prominence

• •

Benefits the throat & voice Dissipates nodules

• • • •

Sudden voice loss Sore throat Scrofula Goiter

Perpendicular 0.3”-0.5” Avoid external jugular v.

LI 18

Lateral side of neck, level w/ laryngeal prominence, b/w sternal & clavicular heads of SCM

• •

• • • •

Cough, asthma or sore throat Sudden voice loss Scrofula Goiter


•

Benefits the throat & voice Subdues rebellious qi & relives coughing & wheezing Resolves phlegm & dissipates nodules

LI 19

Right below lateral margin of nostril

•

Eliminates wind & opens the nasal passages

• •

Nasal obstruction or epistaxis Deviation of mouth

Oblique 0.2”-0.3”

LI 20

Nasolabial groove, at level of midpoint of lateral border of ala nasi

• • •

Expels exterior wind Opens the nose Removes obstructions from the channel

• • • •

Nasal obstruction, epistaxis or rhinorrea Hyposmia (reduced ability to smell) Deviation of mouth Itching & swelling of face

Oblique or Subcutaneous 0.2”-0.3”

The 12 Primary Meridians 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

The 12 Primary Meridians STOMACH MERIDIAN OF FOOT YANGMING Indications

Point

Location

Actions

ST 1 • Yang Heel pt.

Below pupil when patient looks fwd, b/w eyeball & infraorbital ridge

• • •

Expels wind Brightens eyes Clears heat

• • • •

Facial paralysis Eyelid twitching or eye redness/pain/itching Lacrimation (tearing) Night blindness

Perpendicular 0.5”-1.0” Push eyeball up NO MOXA


Below ST 1, in depression below infraorbital ridge

• • •

Expels wind Brightens eyes Clears heat

• • • •

Facial paralysis or pain Eyelid twitching or eye redness/pain/itching Night blindness Sinus

Perpendicular 0.2”-0.3” NO MOXA


Below pupil, at level of lower border of ala nasi

• • •

Expels internal & external wind Relieves swelling, esp. facial Removes obstructions from channel

• • • • •

Epistaxis Toothache Lip & cheek swelling Facial paralysis Eyelid twitching


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

Below ST 3 in corner of mouth, lateral to corner of mouth

• •

Expels wind Benefits muscles

• • • •

Facial paralysis Deviation of mouth Salivation Eyelid twitching

Subcutaneously towards ST 6 1.0”-1.5” Avoid facial a. & v.

ST 5

Anterior to angle of mandible, on anterior border of masseter in groove w/ puffed cheeks

•

Eliminates wind & reduces swelling

• • • •

Facial paralysis or pain Trismus Swelling of cheek Toothache

Oblique 0.3”-0.5” Avoid facial a. & v.

ST 6

One middle finger-breadth anterosuperior to angle of mandible where masseter is prominent when teeth are clenched

• •

Expels wind Removes obstructions from channel

• • • • •

Mumps Facial paralysis Toothache Swelling of cheek & face Trismus

Perpendicular 0.3”-0.5” or Subcutaneously towards ST 4

ST 7

Only locate w/ mouth closed – anterior to ear, in depression b/w zygomatic arch & mandibular notch

• • •

Removes obstructions from channel Benefits the ear Expels wind

• • • •

TMJ or motor impairment of jaw Tinnitus, deafness or otorrhea Toothache Facial paralysis or pain


ST 8 • ST & GB mtg. pt. • Yang Linking pt.

0.5 cun above anterior hairline at corner of forehead & 4.5 cun lateral to midline of head

• • • •

Expels wind Clears heat Relieves pain Brightens the eyes

• • • •

Blurry vision Opthalmagia Headache Lacrimation

Subcutaneous 0.5”-1.0” NO MOXA

ST 9 • Sea of Qi pt.

Anterior border of SCM, level w/ laryngeal prominence

• •

Benefits throat Regulates ascending & descending of qi to & from head Subdues rebellious qi Dissipates nodules

• • • •

Flushed face Sore throat Asthma Goiter

Perpendicular 0.3”-0.5” Avoid common carotid a.

• •

Method


Point

Location

Actions

ST 10

Midway b/w ST 9 & ST 11, on anterior SCM border

• •

Benefits the throat & neck Descends lung qi

•

Cough, asthma or sore throat


ST 11

Superior border of clavicle b/w 2 heads of SCM

•

Benefits the throat & neck & descends qi

• • •

Goiter Hiccups, asthma or sore throat Local pain/rigidity in neck

Perpendicular 0.3”-0.5” Avoid anterior jugular v.

ST 12 • Contraindicated in pregnancy

Midpt. right above clavicle, 4 cun lateral to midline

• •

Subdues rebellious Qi Removes obstructions from channel

• •

Cough, asthma or sore throat Pain in supraclavicular fossa


ST 13

Midpt. right below clavicle, 4 cun lateral to midline

•

Descends rebellious Qi & unbinds the chest

• •

Fullness & pain in chest & hypochondrium Cough, asthma or hiccups


ST 14

4 cun lateral to midline in st 1 ICS

•

Descends rebellious Qi & unbinds the chest

• •

Fullness & pain in chest Cough


ST 15

4 cun lateral to midline in nd 2 ICS

• • •

Descends rebellious Qi & unbinds the chest Benefits the breasts Alleviates pain & itching of the skin

• • •

Mastitis Fullness & pain in chest/costal region Cough or asthma


ST 16

4 cun lateral to midline in rd 3 ICS

• •

Alleviates cough & wheezing Benefits the breasts

• • •

Mastitis Fullness/pain in chest & hypochondrium Cough or asthma


ST 17 – nipples

4 cun lateral to midline in th 4 ICS

•

n/a – landmark only

•

n/a – landmark only

NO NEEDLE NO MOXA

ST 18

Below ST 17, 4 cun lateral th to midline in 5 ICS

• • • •

Dispels stagnation Regulates ST Qi & lactation Benefits the breasts & reduces swelling Moves Qi in the chest & stops coughing

• • • •

Mastitis Insufficient lactation Chest pain Cough or asthma


ST 19

2 cun lateral to midline, 6 cun above umbilicus

•

Harmonizes the Middle Burner & subdues rebellious Stomach-Qi Subdues Rebellious Lung-Qi

• Abdominal distention or gastric pain • Vomiting • Anorexia


ST 20


• Abdominal distention or gastric pain • Vomiting • Anorexia


•

Harmonizes the Middle Burner & Subdues rebellious Stomach-Qi Subdues Rebellious Lung-Qi

ST 21


• • • • •

Subdues rebellious ST Qi & moves ST Qi Stops pain & vomiting Used for Excess patterns Clears Stomach-Heat Raises Qi & stops diarrhea

• Abdominal distention or gastric pain • Diarrhea • Vomiting • Anorexia


ST 22


• • •

Moves Stomach-Qi Regulates the water passages Regulates the Intestine & Urination

• Abdominal pain/distention • Edema • Anorexia


• •

Method


Point

Location

Actions

STOMACH MERIDIAN OF FOOT YANGMING Indications

• •

Diarrhea Borborygmus

Method

ST 23


• •

Transforms phlegm & calms the spirit Harmonizes the middle jiao

• •

Irritability or mania Indigestion or gastric pain


ST 24


• •

Transforms phlegm & calms the spirit Harmonizes the stomach & alleviates vomiting

• • •

Vomiting Mania Gastric pain


ST 25 • Front-Mu pt. of LI

2 cun lateral to center of umbilicus

• • • • • •

Clears heat in ST & Intestines Regulates the SP. ST, & Intestines Regulates & moves the Qi Invigorates blood Resolves Dampness Calms the Mind & opens the Mind’s orifices

• • • • • •

Constipation, diarrhea, or dysentery Food retention or weight loss Edema Abdominal or para-umbilical pain, distention Borborygmus Irregular menstruation


ST 26

2 cun lateral to midline, 1 cun below umbilicus

•

Regulates Qi & alleviates pain

• •

Abdominal pain or hernia Dysmenorrhea


ST 27


• • • •

Regulates ST Qi Regulates the Intestines Resolves Dampness & benefits urination Firms the Essence

• • • •

KD Qi or KD Yang deficiency Premature ejaculation Dysuria Lower abdominal distention or hernia


ST 28


• • • • • •

Helps urination Opens water passages esp. in Relieves pain Regulates the menses Moves Qi in the Lower Burner Opens the water passages & benefits urination

• • • • • •

Sterility Urine retention Edema Hernia Lower abdominal distention Dysmenorrhea


ST 29


• •

Invigorates blood in the Uterus & Lower Jiao Lifts Qi & firms the Essence

•

Irregular menstruation (amenorrhea, dysmenorrhea) Leukorrhea Prolapse of uterus Abdominal pain or hernia


• • • ST 30 • Chong meridian pt.

2 cun lateral to midline, 5 cun below umbilicus (superior to pubic symphysis)

• • • •

Regulates ST Qi, Chong Vessel & blood Regulates Qi in the Lower Burner Promotes KD Essence Subdues rebellious Qi

• Abdominal problems or hernia • External genital problems • Impotence • Borborygmus • Dysmenorrhea or irregular menstruation

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

ST 31

Lines connecting ASIS to lower border of pubic symphysis, in depression lateral to sartorius

• • •

Removes obstruction from channel Removes obstructions from the channel Expels wind & dampness

• • •


LE pain, numbness & motor impairment Stroke – needle right away! Muscular atrophy


Point

Location

Actions

ST 32

Line connecting ASIS to lateraosuperior border of patella, 6 cun above patella

• •

Removes obstructions from the channel Expels wind & dampness

• • • •

“knees always cold” – Bi syndrome of legs Pain in lumbar/iliac region LE paralysis, motor impairment or pain Beriberi (Vit. B1 deficiency)

Method


ST 33

Flex knee – line connecting ASIS to lateraosuperior border of patella, 3 cun above patella

• •

Activates the channel & alleviates pain Dispels wind-damp

•

Local knee probs like numbness, soreness, motor impairment


ST 34 • Xi-Cleft pt.

Flex knee – line connecting ASIS to lateraosuperior border border of patella, 2 cun above patella

• • • •

Clears ST fire Subdues rebellious Stomach-Qi Removes obstructions from the channel Expels Dampness & wind

• Acute gastric pain • Damp &/or wind-cold • Mastitis • Knee pain/numbness; LE motor impairment


ST 35

Flex knee – lower border of patella, in depression lateral to patellar lig.

• •

Relieves swelling & pain Removes obstructions from the channel

• •

Knee pain, numbness & motor impairment Beriberi


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

3 cun below ST 35 on lateral border of tibia, one middle finger-breadth from anterior border of tibia

• • • • • • • • • •

Generates Qi for whole body Regulates Wei Qi & Ying Qi Raises Yang Qi Tonifies Original Qi & Blood Expels wind-cold & damp Brightens eyes Regulates intestines Benefits ST & SP Resolves edema Rescues Yang & promotes resuscitation

• • • • • • • • •

Digestive probs: gastric pain, enteritis, abdominal distention, borborygmus Mastitis Knee & leg ache Edema Cough, asthma or hiccups Emaciation due to general deficiency Beriberi Hemiplegia Dizziness , insomnia or mania

Perpendicular 0.5”-1.2” Avoid anterior tibial a. & v.

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

3 cun below ST 36

• • • • •

Regulates functions of ST & intestines, esp. LI Relieves damp-heat Soothes asthma Resolves food retention Subdues Rebellious Qi

• • • • • •

Food retention Enteritis or abdominal pain Borborygmus Constipation, diarrhea or dysentery Beriberi Paralysis due to stroke


ST 38

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

• •

Expels wind & dampness Removes obstruction from the channel

• • • •

Shoulder probs Knee numbness/soreness/pain Foot weakness & motor impairment Abdominal pain


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

3 cun below ST 37

• • •

Regulates functions of ST & intestines, esp. SI Relieves damp-heat & wind-damp Stops pain, esp. lower abdominal pain

• • • •

Back pain which refers to testes Mastitis Lower abdominal pain LE numbness/paralysis



Point

Location

Actions

ST 40 • Luo-Connecting pt.

8 cun above lateral malleolus, 2 middle fingerbreadths lateral to anterior border of tibia (on same line as ST 38)

• • • • • •

STOMACH MERIDIAN OF FOOT YANGMING Indications

• •

•

Calms the asthma Clears the mind Opens the chest & subdues rebellious Qi Clears heat Resolves phlegm & damp Promotes the descending of Lung-Qi & stops cough Calms the mind & opens the mind’s orifices

Method


• • • • • •

Excess patterns Phlegm in Middle or Lower Jiao – cough or asthma Epilepsy, dizziness , vertigo or headache Muscular atrophy LE motor impairment, pain, swelling Chest pain Constipation Mania

ST 41 – seldom used • Jing-River pt.

Dorsum of foot, midpt. of transverse crease of ankle jt in depression b/w EHL & EDL, at level of tip of lateral malleolus

• • • • •

Clears the mind Brightens the eyes Eliminates wind Clears ST heat Removes obstructions from the channel

• • • •

Local ankle probs like pain in ankle jt. Muscular atrophy Epilepsy, dizziness or headache Abdominal distention or constipation


ST 42 • Yuan-1° pt.

Highest pt. of dorsum of foot b/w EHL & EDL

• • •

Tonifies SP & ST Calms mind & relieves obstruction Regulates the Intestines

• • • •

Facial paralysis Toothache in upper gum Redness/swelling of dorsum of foot Muscular atrophy, foot motor impairment

Perpendicular 0.3”-0.5” Avoid dorsalis pedis a.

ST 43 • Shu-Stream pt.

In depression distal to nd rd junction of 2 & 3 metatarsal bones

• • • •

Clears wind & heat Removes obstruction from the channel Regulates the intestines Resolves edema

• • • •

General edema Abdominal pain Borborygmus Swelling & pain in dorsum of foot


ST 44 • Ying-Spring pt. • Mir’s favorite pt. • Painful!

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)

• • • • • •

Clears heat Regulates Qi Stops pain Relieves wind, esp. from face Regulates the intestines & resolves Damp-heat Calms the mind

• Foul breath or any digestive probs • Acid regurgitation (combine w/ LI 4) • Constipation, diarrhea or dysentery • Gastric pain or abdominal distention • Gum bleeding & toothache • Deviation of mouth • Epistaxis • Facial pain • Sore throat • Swelling & pain in dorsum of foot


ST 45 • Jing-Well pt.

0.1 cun lateral to corner of nd 2 toenail

• • • • •

Clears ST & HT fire Calm the mind & opens the mind’s orifices Relieves food retention Brightens eyes Promotes resuscitation

• • • • • • • •


Facial swelling Deviation of mouth Hoarse voice or sore throat Dream-disturbed sleep or mania Epistaxis Toothache Abdominal distention Febrile disease

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

The 12 Primary Meridians SPLEEN MERIDIAN OF FOOT TAIYIN Point

Location

Actions

Indications

Method

SP 1 • Jing-Well pt. • Painful!

Medial side of big toe, 0.1 cun posterior to corner of nail

• • • • •

Calms the heart & spirit Restores consciousness Stops bleeding Regulates the SP Unbinds the chest

•


• • •

For blood probs: uterine bleeding, bloody stool, menorraghia Mental disorders or dream-disturbed sleep Abdominal distension Convulsions

SP 2 • Ying-Spring pt.

Medial side of foot, distal st & inferior to 1 MTP jt. where skin color changes

• • • •

Regulates the SP Resolves damp or damp-heat Harmonizes Middle Jiao Calms the mind

• • • • •

Sudden swelling of 4 limbs Heaviness in body Febrile diseases w/o sweating Abdominal distension or gastric pain Constipation


SP 3 • Yuan-1° pt. • Shu-Stream pt.

Proximal & inferior to 1 MTP jt. where skin color changes

• • • • •

Tonifies Resolves damp Strengthens SP & spinal muscles Stimulates Intellect (Yi) Regulates the intestines

• • • • • •

Constipation, diarrhea or dysentery Sluggishness, confusion, head muzziness Beriberi Abdominal distension or gastric pain Vomiting Borborygmus

Perpendicular 0.3”-0.5” Avoid medial plantar a. & n.

SP 4 • Luo-Connecting pt. • Confluent pt. to Chong meridian • Most commonly used pt., esp. for females

In depression distal & st inferior to base of 1 metatarsal bone where skin color changes

• • • • • • • •

Stops bleeding Dispels fullness Removes or regulates masses Harmonizes the Middle Jiao Regulates the intestines Regulates the Chong/Penetrating Vessel Calms the mind & opens the mind’s orifices Benefits feet & toes

• • • • • • •

Menses Infertility Hemorrhoids Vomiting Abdominal pain/distension or gastric pain Diarrhea or dysentery Borborygmus

Perpendicular 0.5”-0.8” Avoid saphenous n.

SP 5 • Jing-River pt.

Anteroinferior to medial malleolus, midway b/w navicular tuberosity & medial malleolus

• • • •

Tonifies SP & intestines Resolves damp Benefits sinews & joints Calms the mind & opens the mind’s orifices

• • • • •

Hemorrhoids Pain & rigidity of tongue Abdominal distension or borborygmus Constipation or diarrhea Foot & ankle pain

Perpendicular 0.2”-0.3” Avoid great saphenous v.

SP 6 • Crossing pt. of 3 leg meridians – SP, LV, KD • Contraindicated in pregnancy • Commonly used

3 cun above medial malleolus

• • • • • • • •

Boosts immune system Removes damp-heat, esp. in Calms the mind Cools the blood Relieves pain Disperses blood stagnation Strengthens the spleen Promotes Liver function & smooth flow of LiverQi Tonifies the Kidneys Nourishes the Blood & Yin

• • • • • • • • • • •

Irregular menstruation or dysmenorrhea Nocturnal emission Hernia Enuresis (bedwetting) or dysuria Uterine bleeding or prolapse of uterus Morbid leukorrhea Sterility or impotence Pain in external genitalia Delayed labor Edema Muscular atrophy or motor impairment

Perpendicular 0.5”-1.0” Avoid great saphenous v., posterior tibial a. & v., tibial n.

st

• •


Location

Actions

Indications

• •

Benefits urination Regulates the uterus & menstruation

• • •

LE paralysis & pain Headache , dizziness, vertigo or insomnia Abdominal pain , borborygmus or diarrhea

Method

SP 7

On line b/w SP 9 & SP 6, 3 cun above SP 6 (6 cun above medial malleolus)

• •

Fortifies SP & resolves dampness Promotes urination & disperses swelling

• • • • •

Coldness on medial aspect of leg/knee Dysuria Abdominal distention Borborygmus Knee/leg numbness & paralysis


SP 8 • Xi-Cleft pt.

On line b/w SP 9 & SP 6, 3 cun below SP 9

• • • •

Regulates Qi, blood & uterus Stops pain & bleeding Harmonizes the spleen & resolves dampness Removes obstructions from the channel

• Acute probs, esp. acute bleeding • Dysmenorrhea or irregular menstruation • Edema • Dysuria • Nocturnal emission • Abdominal pain & distension • Diarrhea


SP 9 • He-Sea pt. • Commonly used • Tender on women

In depression posterior & inferior to medial condyle of tibia

• • • •

Removes damp, esp. from Middle & Regulates the spleen Opens the water passages Benefits urination

• Urination probs like incontinence or enuresis • Jaundice • Pain in external genitalia • Abdominal pain & distension • Diarrhea or dysentery • Edema • Dysmenorrhea • Knee pain


SP 10 • Major blood pt. • Use w/ caution in pregnancy

2 cun above mediosuperior border of patella w/ knee flexed

• • • • • •

Strongly moves & cools the blood Invigorates blood & eliminates stasis Stops bleeding Regulates menstruation Nourishes blood Subdues rebellious Qi

• • •


•

Blood stagnation, blood heat or anemia Blood deficiency – don’t use in severe cases Urticaria, eczema, or erysipelas (acute bacterial skin infection) Irregular menstruation, dysmenorrhea, amenorrhea or uterine bleeding Pain in medial thigh

SP 11 – seldom used

On line b/w SP 12 & SP 10, 6 cun above SP 10 (on sartorius)

• • •

Regulates urination Drains damp Clears heat

• • • •

Local probs: LE numbness, paralysis Dysuria or enuresis Pain & swelling in inguinal region Muscular atrophy or motor impairment

Perpendicular 0.5”-1.0” Avoid femoral VAN

SP 12 – seldom used • SP & LV mtg. pt. w/ Yin Linking meridian

Inguinal groove, lateral to femoral a. – level w/ upper border of pubic symphysis, 3.5 cun lateral to midline

• • • •

Tonifies Yin Moves Qi & invigorates blood Subdues rebellious Qi of the Penetrating Vessel Resolves damp & benefits urination

• • •

Hernia Abdominal pain Dysuria

Perpendicular 0.5”-1.0” Avoid femoral a.

•


Location

Actions

Indications

Method


4 cun below umbilicus, 4 cun lateral to midline

•

Regulate Qi & alleviates pain

• • •

Hernia Abdominal pain Dysuria



1.3 cun below umbilicus, 4 cun lateral to midline

• • •

Warms & benefits Lower Jiao Regulates Qi Descends rebellion

• • •

Local probs: abdominal pain, distension Hernia Diarrhea or constipation


SP 15 • Yin Linking pt.

4 cun lateral to center of umbilicus (2 cun lateral to ST 25)

• • • • •

Strengthen SP & limbs Helps function of Large Intestine Stops pain Relieves damp Regulates Qi

• •

Abdominal pain & distension Constipation, diarrhea or dysentery


SP 16

3 cun above umbilicus, 4 cun lateral to midline

•

Regulates intestines

• •

Indigestion probs Abdominal pain, constipation or dysentery


SP 17


• •

Dissipates food & fluid accumulation Promotes digestion

• •

Hypochondriac pain, fullness Pain & fullness in chest

Oblique 0.3”-0.5” Avoid thoracoegastric v.

SP 18


• •

Regulates & descends Qi Benefits breast & promotes lactation

• • • •

Insufficient lactation Hiccups & cough Fullness & pain in chest/hypochondrium Mastitis

Oblique 0.3”-0.5” Avoid thoracoegastric v.

SP 19

6 cun lateral to midline in rd 3 ICS

• •

Regulate & descends Qi Unbinds chest

• •

Local probs Fullness & pain in chest/hypochondrium

Oblique 0.3”-0.5” Avoid lateral thoracic a. & v.

SP 20

6 cun lateral to midline in nd 2 ICS

• •

Regulate & descends Qi Unbinds chest

• •

Hiccups & cough Fullness in chest & hypochondrium

Oblique 0.3”-0.5” Avoid lateral thoracic a. & v.

SP 21 • Major 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

Oblique 0.3”-0.5” Avoid thoracodorsal a. & v.

The 12 Primary Meridians HEART MERIDIAN OF HAND SHAOYIN Pathway • only organ that originates from its own or gan, the HT • emerges from the system of blood vessels surrounding the HT & descends thru the diaphragm to connect w/ the SI, • a branch separates from the HT, ascends alongside the esophagus & then crosses the face & cheek to connect w/ the tissues surrounding the eyes, • another branch travels directly from the Heart to the LU & descends to emerge from the axilla fossa at HT1, then travels along the medial aspect of the upper arm (medial to the LU & PC channels) to the elbow at HT3, • descends along the antero-medial aspect of the lower arm to the pisiform bone across the palm of the wrist at HT7, • travels thru the palm & along the radial side of the little finger to terminate at the radial corner of the nail at HT9. • Connecting zangfu: HT, SI, LU (& KD thru muscle meridian) • Crossing points: none External Symptoms • General feverishness, headache, eye pain, dry throat, thirst, hot, sweaty or painful palms Internal Symptoms • Mental disorders, pain or fullness of chest, pain & fullness below the ribs, shortness of breath (OK when sitting down, but can’t lay back )

The 12 Primary Meridians HEART MERIDIAN OF HAND SHAOYIN Point

Location

Actions

Indications

Method

HT 1 – seldom used

Center of axilla w/ arm abducted on medial side of axillary a.

• • • •

Nourishes HT yin Clears empty fire Calms the mind Removes obstructions from the channel

• • • •

Dry throat Pain in costal & cardiac regions Scrofula Cold pain of elbow/arm

Perpendicular 0.5”-1.0” Avoid axillary a., median n. & ulnar n.

HT 2 – seldom used

3 cun above medial end of cubital crease w/ arm flexed, medial to biceps tendon

•

Activates the channel & alleviates pain

•

For local pain, if at all

Perpendicular 0.3”-0.5” Avoid basilic v. & superior ulnar collateral a.

HT 3 • He-Sea pt.

Midway b/w cubital crease & medial epicondyle of humerus w/ arm flexed

• • •

Calms the mind Clears the heat Removes obstructions form the channel

• • • • •

Local problems & hand tremors Parkinson’s disease Spasmodic pain/numbness of hand & arm Scrofula Pain in chest, axilla & hypochondrium

Perpendicular 0.5”-1.0” Avoid basilic v. & inferior ulnar collateral a.

HT 4 • Jing-River pt.

On line b/w HT 3 & pisiform, 1.5 cun above wrist crease, radial side of FCU tendon

• • •

Calms the mind Subdues rebellious Qi Relaxes the sinews

• Aphasia or sudden voice loss • Cardiac pain • Spasmodic pain of elbow & arm

Perpendicular 0.3”-0.5” Avoid ulnar a. & n.

HT 5 • Luo-Connecting pt.

1 cun above wrist crease, radial side of FCU tendon

• • • • •

Tonifies HT Qi Calms the mind Opens into the tongue Benefits the bladder, eyes & head Regulates the uterus

• Aphasia w/ stiff tongue (better than HT 4) • Palpitation • Dizziness & blurring of vision • Sore throat • Pain in wrist & elbow

Perpendicular 0.3”-0.5” Avoid ulnar a. & n.

HT 6 • Xi-Cleft pt.

0.5 cun above wrist crease, radial side of FCU tendon

• • • • • •

Nourishes HT yin Clears heat Calms the mind Stops sweating Invigorates Heart-Blood Subdues rebellious Qi

• • • • • •

Cardiac pain Hysteria Night sweating Hemoptysis Epistaxis Sudden voice loss

Perpendicular 0.3”-0.5” deep Avoid ulnar a. & n.

HT 7 • Yuan-1° pt. • Shu-Stream pt.

On wrist crease, radial side of FCU tendon

• • •

Opens orifices Calms the mind Nourishes the HT blood

•

Mental disorders, esp. when due to underlying deficiency Dementia, irritability, hysteria, mania Insomnia or amnesia Epilepsy Palpitation Yellowish sclera Cardiac pain Feverish sensation of palm

Perpendicular 0.3”-0.5” (Go under tendon w/ needle pointed towards PC 7 so horizontal to wrist crease) Avoid ulnar a. & n.

• • • • • • •

The 12 Primary Meridians HEART MERIDIAN OF HAND SHAOYIN Point

Location

Actions

Indications

Method

HT 8 • Ying-Spring pt. • PAINFUL!

Palm of hand – when you make a loose fist, tip of th th pinky falls b/w 4 & 5 metacarpal bones (b/w 2 transverse palmar creases)

• Any kind of HT heat/fire, esp. when phleg m is


• • •

involved Clears empty fire/heat (false heat, yin deficiency heat) Calms the mind Benefits the bladder Regulates the uterus & lifts sinking Qi

• Angina (HT 8 & PC 8) • Better for urination probs • Palpitation • Spasmodic pain of little finger • Feverish sensation of palm • Enuresis or dysuria • Pruritus of external genitalia

0.1 cun lateral (radial side) to corner of the pinky nail

• • • • • • •

Clears fire Relieves wind Restores consciousness Opens HT’s orifices Relieves fullness Calms the mind Benefits the tongue & eyes

• • • • • • •


HT 9 • Jing-Well pt.

•

Excess patterns Palpitation Cardiac pain Pain in the chest & hypochondrium Mania Febrile disease Loss of consciousness

The 12 Primary Meridians SMALL INTESTINE MERIDIAN OF HAND T AIYANG 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

The 12 Primary Meridians SMALL INTESTINE MERIDIAN OF HAND TAIYANG Indications

Point

Location

Actions

SI 1 • Jing-Well pt.

Ulnar side of little finger, 0.1 cun lateral to corner of nail

• • • • • • •

Expels wind-heat Subdues wind Opens orifices Promotes lactation (least invasive pt. for this) Promotes resuscitation Removes obstructions from channel Subdues rebellious Qi

• • • • • • •

Insufficient lactation Mental probs Eye cloudiness of cornea & eye redness Headache Febrile diseases Loss of consciousness Sore throat

Subcutaneous 0.1” or prick to bleed

SI 2

Ulnar side of little finger, distal to MCP jt. where skin color changes – make loose fist

• • • •

Clears internal & external heat Expels Wind-Heat Benefits eyes, nose, & ears Removes obstructions from the channel

• • • • • •

Insufficient lactation (but SI 1 better) Febrile diseases Tinnitus Local probs: pain/numbness of fingers, jts. Headache Reddish urine


Ulnar side of little finger, proximal to MCP jt. where skin color changes – make loose fist

• • • • •

Expels wind-heat Benefits tendons/sinews Resolves damp Clears jaundice or damp-heat Clears the mind (b/c SI connects to HT & Du meridian enters brain) • Alleviates low back pain (b/c connected to Du) • Regulates the Governing Vessel & extinguishes interior & exterior wind • Benefits the eyes, nose, & ears

• Acute lumbar pain • Night sweating or hot flashes – combine w/

Perpendicular 0.5”-0.7” Avoid dorsal digital a. & v.

Ulnar side of palm, in th depression b/w base of 5 metacarpal & hamate on

• •

Clears damp-heat Removes obstructions from the channel

• Febrile diseases w/o sweating • Jaundice • Headache or rigidity of neck • Contracture of fingers or pain in wrist


SI 5 • Jing-River pt.

Depression b/w ulnar styloid process & triquetrium

• • •

Clears heat Calms the mind Benefits ears & eyes

• • • •

Submandibular region toothache Febrile diseases Swelling of neck & submandibular region Pain of hand & wrist

Perpendicular 0.3”-0.5” Avoid posterior carpal a.

SI 6 • Xi-Cleft pt.

Hand on chest & slightly turned – on radial side of bony cleft of ulnar styloid process

• •

Benefits eyes & tendons/sinews Removes obstructions from channel

• •

Blurry vision, esp. when due to degeneration Pain in the shoulder/elbow/arm


SI 7 – seldom used • Luo-Connecting pt.

On line b/w SI 5 & SI 8, 7 cun distal from SI 8

• • • •

Calms mind Expels Wind-Heat Subdues rebellious Qi Removes obstructions from channel

• • • •

Mania Febrile diseases Neck rigidity, headache or dizziness Spasmodic pain in elbow/fingers


•

Ying-Spring pt.

SI 3

• •

Shu-Stream pt. Confluent pt. to Du meridian

SI 4

•

Yuan-1° pt.

• • • • • • •

UB 62, which is on Yang Heel meridian Pain & rigidity of neck Tinnitus or d eafness Sore throat Mania Febrile diseases like malaria Contracture & numbness of fingers Pain in shoulder & elbow

Method

The 12 Primary Meridians SMALL INTESTINE MERIDIAN OF HAND TAIYANG Indications

Point

Location

Actions

SI 8 – seldom used • He-Sea pt.

Flex elbow – b/w medial epicondyle of humerus & olecranon process

• • • •

Clears damp-heat Calms the mind Sedates Removes obstructions from channel

• • • • •

Tennis or golf elbow Epilepsy Headache Swelling of the cheek Pain in the nape/shoulder/arm/elbow

Perpendicular 0.3”-0.5” Avoid ulnar n.

SI 9

Upper shoulder, 1 cun above posterior axillary fold

•


• •

Local pain Motor impairment of hand/arm


SI 10 • Crossing pt. of Yang Linking & Yang Heel meridians

Above SI 9, under scapular spine

•


•


•

Shoulder probs – usually tender in basketball & baseball players Swelling

SI 11

Depression of center of infrascapular fossa, a 1/3 down from superior border to inferior angle

• • • •

Clears wind Removes obstructions from channel Opens the chest Benefits the breast

• • •

Pain in scapular region Pain in lateroposterior aspect of elbow/arm Asthma


SI 12 – seldom used • SI, LI, SJ & GB mtg. pt.

Lift arm – center of suprascapular fossa above SI 11

•


• • •

Local probs Pain in scapular region Motor impairment of shoulder/arm


SI 13 – seldom used

Midway b/w T2 SP & SI 10

• •


•

Pain & stiffness of scapular region


SI 14

3 cun lateral to lower border of T1 SP

• •


• •

Aching of shoulder & back Pain & rigidity of neck


SI 15

2 cun lateral to C7 SP or Du 14

• •

Promotes the descending of Lung-Qi Removes obstructions from channel

• • •

Cough & asthma Hemoptysis Pain in the shoulder/back


SI 16

At level of laryngeal prominence, posterior border of SCM

• • • •

Subdues rebellious Qi Extinguishes internal wind Calms the mind Benefits the ears

• • • •

Sore throat Sudden voice loss Tinnitus or deafness Stiffness & pain of neck


SI 17

Posterior to angle of mandible, anterior border of SCM

• • • • •

Gets rid of fire poison Subdues rebellious Qi Resolves Dampness Expels toxic heat Benefits the ears

• Acute deafness or tinnitus • Plum pit syndrome • Goiter • Sore throat • Swelling of cheek

Perpendicular 0.5”-0.7” Avoid int. & ext. jugular vv., internal carotid a., great auricular n., facial n. branch

SI 18 • SI & SJ mtg. pt.

Below outer canthus on lower border of zygomatic

• •

Relieves wind & pain Clears heat & resolves swelling

• •


Facial paralysis Yellowish sclera

Method


Point

Location

Actions

SMALL INTESTINE MERIDIAN OF HAND TAIYANG Indications

• • •

arch

SI 19

Depression formed when mouth is open, anterior to tragus & posterior to condyloid process of mandible

•

Benefits the ears

Method

Toothache Twitching of eyelids Swelling of cheek

• Acute deafness or tinnitus • TMJ • Otorrhea • Toothache

Perpendicular 0.5”-1.0” (open mouth to needle then close slowly) Avoid temporal a. & v., facial n.

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: zangfu: KD, BL, (goes on the GB channel) + HT (but not main branch) crossing points: points: DU20, DU24, GB15, GB7-12, DU17, DU14, DU13, GB 15, GB30 **Note ** 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

The 12 Primary Meridians URINARY BLADDER MERIDIAN Point

Location

Actions

Indications

Method

UB 1 • Mtg. pt. of Yin Heel, Yang Heel, ST & SI meridians

0.1 cun medial to inner canthus

• • • • • • •

Expels wind Clears heat Stops pain Stops itching Brightens the eyes Stops pain

• Lacrimation • Itching of eyes • Any eye probs

Perpendicular 0.3” -0.7” Puncture slowly & leave alone! NO MOXA

• • • • •

Soothes the liver Expels wind Brightens the eyes Clears heat Subdues Liver-Yang

UB 2

Medial end of eyebrow, on supraorbital notch

Avoid: angular artery and vein; ophthalmic VAN; supratrochlear and infratrochlear nerves; oculomotor nerve

• • •

Eye probs: blurry vision, lacrimation Eyelid twitching Headaches, esp. stress headaches

Subcutaneously Laterally 0.3” -0.5” NO MOXA Avoid: frontal VAN (medial nerve)

UB 3

Above UB 2, 0.5 cun w/in hairline

• • •

Expels wind Clears the head Alleviates pain Benefits the eyes and nose

• •

Nasal obstruction Epilepsy

Subcutaneously Laterally 0.3”-0.5” Same as UB 2

UB 4

UB 5

0.5 w/in hairline, 1.5 cun lateral to midline

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

• • • •

Expels wind Clears the head Alleviates pain Benefits the eyes and nose

• • •

• • • •

Relieves internal wind Restores consciousness Extinguishes internal wind Subdues Liver-Qi

• • • • • • • •

Eye probs Local probs Nasal congestion

Subcutaneously 0.3” -0.5” Avoid: frontal VAN (lateral nerve)

Rigidity of spine Opisthotones Epilepsy Tetany Vertigo Headache Dizziness Pain in the eye

Subcutaneously 0.3” -0.5” Same as UB 4


Location

Actions

Indications

Method

UB 6 – seldom used

1.5 cun posterior to UB 5 & 1.5 cun lateral to midline – 2.5 w/in hairline

• • • •

Eliminates wind Clears hear Clears the head Benefits the eyes and nose

•

Subcutaneously 0.3” -0.5”

• • • • • • •

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

• •

• • • • •

Subdues Liver-Yang Brightens the eyes Expels exterior wind Extinguishes interior wind Open’s the minds orifices

•

• • • • • • • • •

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

• • •

UB 7

UB 8

UB 9


1.5 cun posterior to UB 6 & 1.5 cun lateral to midline 4.0 cun to ant. hairline

1.5 cun posterior to UB 7 & 1.5 cun lateral to midline – 5.5 cun to ant. hairline

1.3 cun lateral to Du 17 – posterior border of EOP

1.3 cun lateral to midline, level w/ Du 15, which is same level as C1

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 o f 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

Tinnitus Mania

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

Eye probs b/c almost above vision area of brain

Subcutaneously 0.3” -0.5” Avoid: Occipital artery and vein; great occipital nerve

Speech probs Headache Throat probs

Perpendicular 0.5” -0.8” Avoid: brainstem – avoid – avoid occipital VAN


Location

Actions

Indications

Method

UB 11 • Influential bone pt. • Sea of blood pt. • UB & SI mtg. pt.

1.5 cun lateral lower border of T1 SP

• • • • • •

• Fracture • Bone growth probs in kids • Blood diseases, anemia • Aversion to cold, fever, invasions of Wind,

Oblique – towards spine 0.5” -0.7 ”

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

Avoid: Intercostal AV; cutaneous branches of posterior rami of st nd 1 and 2 thoracic nerves

• Common cold • Lumbar pain, stiff neck • Urticaria on back, carbuncles on back • Abundant nasal discharge, nasal congestion,

Oblique – towards spine 0.5” -0.7”

• • •

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

• • • • • • • •

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

• • •

Regulates heart Opens the chest Stops pain

• •

Nourishes blood Expels wind Soothes the sinews Releases the exterior Subdues Liver-Yang Strengthens bones

Restores the descending of Lung-Qi

UB 12

UB 13 • Back shu pt. of LU

UB 14 • Back shu pt. of PC

Level w/ T2, 1.5 cun lateral

1.5 cun lateral to T3


• • • • •

•

nosebleed

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

Vomiting Heart pain, palpitations, agitation, mental restlessness • Coughing, breathlessness, a feeling of fullness of the chest, chest pain

Oblique – towards spine 0.5” -0.7” Avoid: Intercostal AV; cutaneous branches of posterior rami of


Location

Actions

Indications

Method th

th

4 and 5 thoracic nerves UB 15 Back shu pt. of HT

UB 16 • Back shu pt. of Du



• • • • • •

Calms the mind Nourishes the heart Clears the heat Invigorates the blood Stimulates the brain Regulates Heart-Qi

• • •

• • •

Regulates the heart Invigorates the blood Moves Qi

• •

Mania Nocturnal emission Night sweats

Oblique – towards spine 0.5”-0.7” Avoid: Intercostal AV; cutaneous branches of posterior rami of th th 5 and 6 thoracic nerves

Heart pain Epigastric pain, abdominal distention, breast abscess

Oblique – towards spine 0.5” -0.7” Avoid: posterior intercostal AV; transverse cervical artery; dorsal scapular nerve; cutaneous branches of dorsal rami of T6 and 7

UB 17 • Influential blood pt.

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

• Any blood probs • Night sweats • Measles

• • • • • •

Resolves damp heat Benefits Liver & Gallbladder Removes wind Clears heat Moves Liver-Qi and eliminates stagnation Brightens the eyes

• Jaundice • Night blindness • Spitting blood • Epistaxis

Obliquely- toward spine 0.5”-0.7” Avoid: Intercostal AV; cutaneous branches of posterior rami of T7-8

Oblique – towards spine 0.5” -0.7” Avoid: Intercostal AV; cutaneous


UB 19 • Back shu pt. of GB

UB 20 • Back shu pt. of SP

UB 21 • Back shu pt. of ST

Location




Actions

Indications

Method

• • •

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

• Pulmonary TB • Jaundice • Bitter taste in mouth

• • • • •

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


• • • •

Regulate & tonifies ST QI Relieves food retention Resolves damp Subdues rebellious stomach Qi

• Any probs w/ stomach: nausea, vomiting,


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

diarrhea, borborygmus

Avoid: Intercostal AV; cutaneous branches of posterior rami of T11-12

Avoid: subcostal AV; Cutaneous branches of T12 UB 22 • Back shu pt. of SJ

UB 23 • Back shu pt. of

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

• •

Tonifies KD, Essence, Blood Strengthens lower back

• •

Perpendicular 0.5” -0.1” st

Avoid: 1 lumbar VAN; lateral cutaneous branch of T10; he kidney Elderly patients Deafness, tinnitus

Perpendicular 1.0” -1.2”


•

Location

KD Commonly used

Actions

Indications

• •

Benefits marrow & bone Strengthens KD’s function of grasping Qi from LU Brightens eyes & benefits ears Consolidates Kidney-Qi Resolves dampness and benefits urination Strengthens the Uterus and the directing, Governing, and Penetrating vessels

•

Regulates Qi & Blood Strengthens lower back Regulates menstruation

• Irregular menstruation or dysmenorrhea • Asthma

• • • • UB 24 • Sea of Qi pt.


• • •

Method

Edema Avoid: L2 AV; branches of L1 cutaneous nerves

Perpendicular 0.8” -1.2” Avoid: L3 AV; cutaneous branch of L2 (only lateral)

UB 25 • Back shu pt. of LI


• • •

Increases functions of LI Relieves fullness & swelling Strengthens the low back

• •

Low back probs Sciatica

Perpendicular 0.8” -1.2” Avoid: L4 AV; L3 posterior rami

UB 26


• • •

Strengthens lower back Moves Qi and Blood in the lower burner Benefits urination

•

Frequent urination

Perpendicular 0.8” -1.2” Avoid: L5 VAN

UB 27 • Back shu pt. of SI

UB 28 • Back shu pt. of UB


st

1.5 cun lateral to 1 posterior sacral foramen

nd


rd


• • •

Resolves damp & clear heat Benefits urination Helps functions of SI

• • • • •

Diarrhea Blood and mucus in stool Dark urine Enuresis Lower abdominal pain

• • • • • • • •

Resolves damp Regulate UB Clears heat Stops pain Opens the water passages, esp. in Lower Jiao Eliminates stagnation Dissolves masses Strengthens the lower back

• Any urinary probs: dysuria, e nuresis • Swelling of external genitalia, ulcers on

• •

Benefits the Lumbar region Dispels cold

•

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

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



Location

Actions

•

Indications

Method

Stops Diarrhea Avoid: lateral sacral AV; inferior gluteal AV; S3-S4 nerves

UB 30

UB 31

UB 32

UB 33

UB 34


th


st

In 1 posterior sacral foramen

nd


rd


th


0.5 cun lateral to tip of coccyx

• • • •

Benefits the anus Strengthens the lower back and legs Regulates menstruation Firms Qi

• Any prob related to anus: prolapsed of

• • • • • • •

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

•

• • • •

rectum, hernia

Perpendicular 0.8” -1.2” Avoid: inferior gluteal VAN; S3 and S4 nerves

Dysuria Prolapse of uterus

Perpendicular 0.8” -1.2” Avoid: lateral sacral AV; S1 nerve Perpendicular 0.8” -1.2”

• •

Empirical pt. for dysmenorrhea (painful menstruation) Hemorrhoids Female infertility

Same as UB 32 Regulates the lower Jiao Stops Leukorrhea Benefits the lumbar region and legs

•

Morbid leucorrhea


• • • •

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


• • • •

Clears damp-heat Regulates the lower Jiao Benefits the coccyx Treats hemorrhoids

• •

Bloody stools or diarrhea Impotence


Avoid: lateral sacral AV; S2 nerve

Avoid: lateral sacral AV; S3 nerve

Avoid: inferior gluteal AV; S4 nerve

Avoid: inferior


Location

Actions

Indications

Method

gluteal AV; coccygeal nerve UB 36

Halfway b/w gluteal crease

• •

Removes obstruction from the channel Treats Hemorrhoids

• •

Sciatica LE numbness & motor impairment

Perpendicular 1.0” -1.5” Avoid: AV running along the sciatic nerve; posterior femoral cutaneous nerve; sciatic nerve

UB 37

b/w UB 40 & UB 36 – 6 cun below UB 36

•

Benefits the lower back

•

Sciatica

Perpendicular 1.0” -2.0” rd

Avoid: 3 perforating branches of deep femoral AV; posterior femoral cutaneous nerve; sciatic nerve UB 38 – seldom used

1 cun above UB 39

• • • •

Relaxes the sinews Alleviates pain Clears heat Soothes contraction

•

•

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

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

• Any damp probs • Edema • Dysuria

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

UB 40 • He-Sea pt. • Empirical pt. for LBP • Commonly used

In popliteal fossa b/w biceps femoris & semitendinosus tendons

• • • • •

Relaxes sinews Resolves damp Clears heat & summerheat Cools the blood Eliminates blood stasis

• Acute back pain • Vomiting • Dysuria • LBP • Numbness & motor impairment of LE

Perpendicular 0.5”-1.0” Bleed for chronic LBP – wait until blood goes from


Location

Actions

•

Indications

Removes obstructions form channel

Method

black to red Avoid: femoropopliteal vein; popliteal AV; posterior femoral cutaneous nerve; tibial nerve

UB 41 • Ghost attack

nd

2 UB line - 3 cun lateral & level w/ T2 SP

• • • •

When ppl w/ high fever hallucinate that ghosts are attacking them Activates the channel Alleviates pain Expels wind and cold

•

ON TEST MARK PEPENDICULAR b/c that way in book • Contraction of the shoulder, scapula and back, pain and stiffness of the neck, back pain radiating to the head numbness of the elbow and upper arm • Wind-cold lodged in the interstices, windtaxation

In clinic= Oblique outwards (away from spine) 0.3” -0.5” ON TEST = perpendicular 0.3-0.5”

Avoid: Transverse cervical artery, intercostal AV; posterior rami of T1-2 (lateral branch); dorsal scapular nerve UB 42

UB 43

3 cun lateral at same level of T3 SP; 1.5 cun lateral to Back-shu pt. of Lung

th

3 cun lateral to 4 TP; level w/ Back shu pt. of PC

• • • • • •

• • • •

Stimulates descending function of LU Qi Regulates Qi & clears heat Stops cough & asthma Subdues rebellious Qi Tonifies the Lungs Soothes the Corporeal Soul (Po)

Tonifies Qi Strengthens deficiencies Nourishes Essence & LU Yin Invigorates mind

•

Oblique outwards 0.3” -0.5”

•

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

• • • •

Spitting of blood (related to LU Yin) Poor memory (related to invigorating mind) Nocturnal emission (related to KD Essence) Dry cough, wheezing, coughing of blood,

Oblique outwards 0.3” -0.5”

• •

Avoid: intercostal artery; descending branch of transverse cervical artery; cutaneous T2-3; dorsoscapular nerve

Avoid: intercostal


UB 44

Location

Actions

th

Level w/ 5 TP; level w/ back shu of heart

Indications

• • •

Stops cough & asthma Nourishes the Heart Tonifies the stomach and spleen

•

• •

Calms the mind Subdues rebellious Qi

• •

Method

exhaustion, night sweating, consumption, weight loss Deficiency of Stomach and Spleen, undigested food in the stools, weak limbs

artery; descending transverse cervical artery; T2-3 cutaneous nerves; dorsoscapular nerve

Insomnia & anxiety (combine w/ UB 18) Depression

Oblique outwards 0.3” -0.5” Avoid: intercostal artery; descending transverse cervical artery; T4-5 cutaneous nerves; dorsoscapular nerve


UB 46

th

6 thoracic 3 cun lateral; level w/ back-shu pt. of Du

th

7 thoracic; level of influential pt. of UB 17 & diaphragm

• • • • •

Expels wind Clears heat Descends Lung Qi Invigorates Qi and blood Alleviates pain

•

Cough, dyspnea, febrile disease with absence of sweating, attack by wind with absence of sweating, visual dizziness, eye pain, nosebleed, malaria, headache in children whilst eating, five palms agitated and hot • Pain of the shoulder, scapula and back, chest pain that radiates to the lumbar region, p ain of the lateral costal region accompanied by distention and pain of the hypogastrium, pain of the lateral costal region radiating to the Heart and Lung, abdominal distention, contraction of the axilla

Oblique downwards 0.3” -0.5”

• • • • •

Regulates the diaphragm Benefits the Middle Jiao Descends rebellious Qi Activates the channel Alleviates pain

• • •


Hiccups Dysphagia Belching, vomiting

Avoid: Intercostal AV; cutaneous branches of T5-6

Avoid: Intercostal AV; cutaneous branches of T6-7


Location

UB 47

9 thoracic; level of backshu pt. of LV

UB 48

UB 49

UB 50

th

Level w/ back-shu pt. of GB th 10 thoracic

th

11 thoracic, level w/ backshu pt. of SP

th

12 thoracic Level w/ backshu pt. of ST

Actions

Indications

Method

• • •

Regulates liver Roots ethereal soul Benefits the sinews

• •


• • •

Regulates the GB Clears damp-heat Harmonizes Middle Jiao

•

• • •

Stimulates memory & concentration Resolves Damp-heat Benefits the intellect (yi)

• Abdominal fullness, hypochondrial

•

Harmonizes the Middle Jiao

•

Emotional probs: depression Vomiting, diarrhea

Avoid: Intercostal AV; cutaneous branches of T7-8 Diahrrea & jaundice

Oblique 0.3”-0.5” Avoid: Intercostal AV; cutaneous branches of T8-9

distension, diarrhea, vomiting, a feeling of heat, yellow sclera and complexion • Poor memory, poor concentration, worry, pensiveness, obsessive thinking

Distention, vomiting, diarrhea


Avoid: Intercostal AV; cutaneous branches of T1011 Oblique 0.3”-0.5”

Avoid: subcostal AV; lateral cutaneous branch of T11 UB 51

st

3 cun lateral to 1 lumbar; level w/ SJ

• • •

Soothes & spreads the SJ QI to the heart region Regulates the SJ Benefits the breasts

• Abdominal mass • Fullness and hardness below the heart • Breast disease, fullness, distention and pain of the breasts, breast lumps

UB 52

UB 53

Lateral to 2 w/ KD

nd

lumbar; level

nd

3 cun lateral to 2 sacral foramen; level w/ back-shut pt. of UB

• • • • •

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

• Anuria • Hardness and fullness of the hypogastrium,

Willpower Frequent urination Impotence Nocturnal emission

retention of urine, dribbling urination,


Avoid: L1 AV; T12 nerve Perpendicular 0.5”-1.0” Avoid: L2 AV; T12L1 nerves Perpendicular 0.8”-1.2”


UB 54



UB 57

Location

3 cun lateral to sacral hiatus;

Draw line from UB 40 to tendocalcaneous – 2 cun down from UB 40

Midway b/w UB 55 & 57

8 cun above tendon

Actions

Indications

• • • •

Back pain that radiates towards buttocks Benefits the lower back Benefits urination Treats hemorrhoids

• •

• • • •

Activates the channel Alleviates pain Stops uterine bleeding Treats pain of the genitals

•

• • • •

Relaxes the sinews Activates the channel Alleviates pain Benefits the foot and heel

•

•

Relaxes the sinews and removes obstructions from channel • Treats hemorrhoids

Method

edema

Avoid: superior gluteal VAN; superior cluneal nerve

Hemorrhoids Swelling around external genitalia

Perpendicular 1.5”-2.0” Avoid: inferior gluteal VAN; posterior femoral cutaneous nerve; sciatic nerve

•

Lumbar pain radiating to the abdomen, heat sensation of the inner thigh, pain, heat and heaviness of the knees, difficulty in walking Uterine bleeding, leucorrhea, pain of the genitals, sudden violent pain of the genitals, cold shan disorder

Perpendicular 0.71.0 Avoid: Small saphenous vein; popliteal AV; medial sural cutaneous nerve; tibial nerve

Contraction and pain of the lumbar spine, painful obstruction of the lower leg, shivering with inability to stand for long, heat sensation in the soles with inability to stand for long, pain and contraction of the foot and heel, swelling of the axilla • Hemorrhoids, constipation, incontinence of both urine and feces • Nosebleed, rhinitis, head in the head, dizziness and headache, sudden turmoil disorder with cramps, clonic spasm, urticaria

Perpendicular 0.81.2

•


•

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

Avoid: small saphenous vein; posterior tibial AV; medial sural cutaneous nerve; tibial nerve

Avoid: same as UB 56


Location

Actions

Indications

• 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

• • • •

UB 59 • Xi-Cleft pt. of Yang Heel meridian

3 cun directly above UB 60

UB 60 • Jing-River pt. • Contraindicated in pregnancy

Posterior to lateral malleolus

• • •

• • • • •

Removes obstructions from the channel Invigorates the Yang Stepping Vessel Benefits the back

Clears heat Extinguishes interior Wind and subdues rebellious Qi from the head Removes obstructions from channel Strengthens the back Invigorates blood and Promotes Labor

•

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, pa in

• • • •

Method

the soles with inability to stand for long Sivering, malaria, sudden turmoil disorder, nosebleed, sore throat, heat in the head

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

Avoid: lateral sural cutaneous nerve

Avoid: Sural nerve; small saphenous vein; peroneal artery Perpendicular 0.51.0 Avoid: Small saphenous vein; posteroexternal malleolar AV; sural nerve Contraindicated in pregnancy


Posteroinferior to UB 60

• • •

Relaxes the sinews Activates the channel Alleviates pain

• •

•

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

•

•

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


Avoid: External calcaneal branch of peroneal AV; external calcaneal branch of sural nerve

Avoid: External


Location

Actions

Indications

Method

• • • •

•

Imbalances between left and right (one leg longer than the other, one scapula higher than the other, sweating on one side of the body, hemiplegia, etc), excess of Yang in the head Epilepsy (attacks in daytime), opisthotonos, lockjaw, tremors, Wind-strke, deviation of eye and mouth Headache, dizziness Aversion to cold, fever, occipital headache and stiffness Manic behavior, insomnia

malleolar arterial network; sural nerve

Lower backache, knee pain, Painful Obstruction Syndrome (Bi Syndrome) of the legs, pain in the legs, pain on the external malleolus


Extinguishes interior wind Subdues rebellious Qi from the head Expels exterior wind Calms the mind

•

• • • UB 63 • Xi-Cleft pt. • Beg. pt. of Yang Linking meridian

Anteroinferior to UB 62; depression on lateral side of cuboid bone

UB 64 Yuan-1 pt.

Below 5 metatarsal bone where skin color changes

UB 65 • Shu-Stream pt. • Sedation pt.

UB 66 • Ying-Spring pt.

th

Posterior to head of 5 metarsal bone

th

In depression anterior to MTP jt. where color changes

• Clears heat • Stops pain • Acute headaches that start at eyes • Removes obstructions from channel

•

• • • • • •

Clears heat Eliminates wind Calms the mind & clears the brain Strengthens the back Subdues rebellious Qi from the head Extinguishes interior wind

•

Headache, dizziness, redness of inner canthus of eye • Tremor of the head, epilepsy • Palpitations, insomnia, manic depression, fright


• • •

Clears heat Eliminates wind Subdues rebellious Qi from the head

• •

Headache, dizziness, occipital headache Redness and pain of the eye, redness of inner canthus of eye, yellow sclera • Aversion to cold, fever, occipital stiffness and ache


•


• • •

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, diz ziness

Avoid: lateral plantar VAN; lateral dorsal cutaneous nerve of foot

Avoid: Same as UB 63

th

Avoid: 4 common plantar digital VAN; lateral dorsal cutaneous nerve

Avoid: plantar digital AV; plantar digital proprial


Location

Actions

Indications

Method

nerve; lateral dorsal cutaneous nerve UB 67 • Jing-Well pt. • Tonification pt. • Contraindicated in pregnancy

0.1 cun lateral to corner of nail of little toe

• • • • • • •

Invigorates blood Eliminates wind Clears the eyes Subdues rebellious Qi from the head Clears heat Resolves damp-heat Promotes Labor

• • • •

Headache, dizziness, occipital headache, neck ache Red eyes, eye pain Difficult urination, painful urination Retention of placenta, mal-position of fetus, delayed labor, prolonged or difficult labor

Subcutaneous 0.1 or prick to bleed Avoid: network of the dorsal digital and plantar digital proprial artery; plantar digital proprial nerve; lateral dorsal cutaneous nerve Contraindicated in pregnancy

The 12 Primary Meridians KIDNEY MERIDIAN OF THE FOOT SHAOYIN


point KI-01 (Yong Quan) Jing-Well

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.

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-03 (Tai Xi) Yuan (Source) Point Shu-Stream

In the depression between the tip of the medial malleolus and Achilles' tendon

Nourishes Kidney yin and clears deficiency heat Tonifies Kidney yang Anchors the Qi and benefits the Lung Strengthens the lumbar spine

KI-04 (Da Zhong)

Posterior and inferior to the medial malleolus, in the depression anterior to the medial side of the attachment of Achilles' tendon.

Reinforces the Kidneys Anchors the Qi and benefits the Lung Strengthens the will and dispels fear

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.

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

KI-07 (Fu Liu) Jing-River

2 cun directly above Taixi (KI-3), on the anterior border of Achilles' tendon.

Edema, abdominal distension, diarrhea, borborygmus, muscular atrophy of the leg, night sweating, spontaneous sweating, febrile diseases without sweating.

P 0.5-0.7

KI-08 (Jiao Xin) Xi-Cleft of the Yin

0.5 cun anterior to Fuliu (KI-7), 2 cun above Taixi (KI-3) posterior to the medial border of tibia.

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

Irregular menstruation, dysmenorrhea, uterine bleeding, prolapse of uterus, diarrhea, constipation, pain and swelling of testis.

P 0.5-0.7

KI-02 (Ran Gu) Ying-Spring

Luo (Connecting) Point

KI-05 (Shui Quan) Xi (Cleft) KI-06 (Zhao Hai)

onfluent Point of the in Motility Vessel

P 0.3-0.5

The 12 Primary Meridians Motility Vessel

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

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

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

3 cun below the umbilicus, 0.5 cun lateral to Guanyuan (REN-4)

Regulates the Penetrating and Conception vessels Regulates the lower jiao

Irregular menstruation, dysmenorrhea, dysuria, abdominal pain, diarrhea.

P 0.5-1.0

2 cun below the umbilicus, 0.5 cun lateral to Shimen (REN-5)

Benefits the lower jiao and alleviates pain Regulates Qi and moves blood stasis Regulates the water passages and promotes urination Regulates the intestines

Abdominal pain and distension, diarrhea, nocturnal emission, irregular menstruation, dysmenorrhea, postpartum abdominal pain.

P 0.5-1.0

Irregular menstruation, abdominal pain, constipation

P 0.5-1.0

KI-16 (Huang Shu) Mpt with the penetrating Vessel KI-17 (Shang Qu) Mpt with the

0.5 cun lateral to the umbilicus, level with Shenque (REN-8)

Abdominal pain and distension, vomiting, constipation, diarrhea

P 0.5-1.0

Abdominal pain and distension, vomiting, indigestion.

P 0.5-1.0

KI-09 (Zhu Bin) Xi-Cleft of the Yin Linking Vessel KI-10 (Yin Gu) He-Sea

KI-11 (Heng Gu) Meeting Point of the Kidney Channel with the Penetrating Vessel KI-12 (Da He) Mpt with the penetrating Vessel

5 cun directly above Taixi (KI-3) a t 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)

1 cun below the umbilicus, 0.5 cun lateral to Yinjiao (REN-7)

Regulates the lower jiao

5 cun above the umbilicus, 0.5 cun lateral to Shangwan (REN-13).

Regulates Qi and alleviates pain Regulates and warms the intestines Harmonizes the middle jiao Unbinds the chest and transforms phlegm

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

3 cun above the umbilicus, 0.5 cun lateral to Jianli (REN-11)

Regulates the lower jiao and alleviates pain Regulates Qi and moves blood stasisHarmonizes the Stomach

Vomiting, abdominal pain, constipation, postpartum abdominal pain, sterility.

P 0.5-1.0

4 cun above the umbilicus, 0.5 cun lateral to Zhongwan (REN-12).

Regulates Qi and harmonizes the Stomach Lowers rebellion and alleviates cough and wheezing

Borborygmus, abdominal pain, epigastric pain, constipation, vomiting

P 0.5-1.0

5 cun above the umbilicus, 0.5 cun lateral to Shangwan (REN-13).

Harmonizes the middle jiao Unbinds the chest and transforms phlegm

Abdominal pain and distension, vomiting, indigestion.

P 0.5-1.0

6 cun above the umbilicus, 0.5 cun lateral to Juque (REN-14)

Fortifies the Spleen, harmonizes the Stomach, and lowers rebellion Spreads Liver Qi, benefits the chest and breasts and alleviates pain

Abdominal pain and distension, indigestion, vomiting, diarrhea, nausea, morning sickness.

P 0.3-0.7

KI-22 (Bu Lang)

In the fifth intercostal space, 2 cun lateral to the Conception Vessel

Unbinds the chest Lowers rebellious Lung and Stomach Qi

O 0.3-0.5

KI-23 (Shen Feng)

In the fourth intercostal space, 2 cun lateral to the anterior midline.

KI-24 (Ling Xu)

In the third intercostal space, 2 cun lateral to the anterior midline

Cough, asthma, fullness in the chest and hypochondriac region, mastitis.

O 0.3-0.5

KI-25 (Shen Cang) KI-26 (Yu Zhong)

In the second intercostal space, 2 cun lateral to the anterior midline In the first intercostal space, 2 cun lateral to the anterior midline.

Cough, asthma, chest pain

O 0.3-0.5 O 0.3-0.5

KI-27 (Shu Fu)

In the depression on the lower border of the clavicle, 2 cun lateral to the anterior midline

Unbinds the chest 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

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, accumulation of phlegm, fullness in the chest and hypochondriac region. Cough, asthma, chest pain

O 0.3-0.5

O 0.3-0.5

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 m ental 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 alon g the meridian’s pathway. Unbinds The Chest Regulates Qi Benefits The Breasts Transforms Phlegm Lowers Rebellion Dissipates Nodules Useful for: Axillary Pain And Swelling Chest Agitation Cough With Copious Phlegm Headache Lateral Costal Region Pain Shortness Of Breath PERICARDIUM MERIDIAN OF THE HAND JUEYIN Thoracic Oppression Uprising Qi

The 12 Primary Meridians PERICARDIUM MERIDIAN OF THE HAND JUEYIN

point P-01 (Tian Chi) Mtp of PC, GB, LV, SJ

Location In the fourth intercostal space, 1 cun lateral to the nipple and 5 cun lateral to the anterior midline.

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

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

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

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-02 (Tian Quan)

2 cun below the level of the anterior axillary fold, between the two heads of m. biceps brachii.

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.

P-05 (Jian Shi) Jing-River

3 cun above the transverse crease of the wrist, between the tendons of m. palmaris longus and m. flexor carpi radialis.

Malaria

P-06 (Nei Guan) Luo Confluent Point of the Yin Linking

2 cun above the transverse crease of the wrist, between the tendons of m. palmaris longus and m. flexor radialis.

Unbinds the chest and regulates Qi Regulates the Heart and calms the spirit Harmonizes the Stomach and alleviates nausea and vomitingClears heat Opens the Yin Linking vessel

Cardiac pain, palpitation, stuffy chest, pain in the hypochondriac region, stomachache, nausea, vomiting, hiccup, mental disorders epilepsy, insomnia, febrile diseases, irritability, malaria, contracture and pain of the elbow and arm

P 0.5-0.8

P-07 (Da Ling) Yuan Shu-Stream Sun Si-miao Ghost Point

In the middle of the transverse crease of the wrist, between the tendons of m. palmaris longus and m. flexor carpi radialis

Clears heat from the Heart and calms the spirit Harmonizes the Stomach and intestines Unbinds the chest Clears the nutritive level and cools blood

Cardiac pain, palpitation, stomach ache, vomiting, mental disorders, epilepsy, stuffy chest, pain in the hypochondriac region, convulsion, insomnia, irritability, foul breath

P 0.3-0.5

Transforms phlegm Settles and calms the spirit

Cardiac pain, distension of the hypochondriac p region, cough, pain in the chest, back and the .5- 0.7 medial aspect of the arm

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

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 t his meridian’s

pathway. Main indications: Acupuncture points in this meridian are recommended for ailments of the ears, eyes, chest, pharynx (throat), and the side of the head as well as certain febrile conditions. They are also indicated for symptoms along this meridian’s pathway.


point SJ-01 (Guan Chong) Jing-Well

SJ-02 (Ye Men) Ying-Spring

SJ-03 (Zhong Zhu) Shu-Stream

SJ-04 (Yang Chi) Yuan SJ-05 (Wai Guan) Luo Confluent Point of the Yang Linking SJ-06 (Zhi Gou) Jing-River

SJ-07 (Hui Zong) Xi (Cleft) Point SJ-08 (San Yang Luo) SJ-09 (Si Du)

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

Indication Headache, redness of the eyes, sore throat, stiffness of the tongue, febrile diseases, irritability.

Method P 0.1 or prick to cause bleeding

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.

Disperses upper jiao heat and benefits the ears Calms the spirit Activates the channel and alleviates pain

Headache, redness of the eyes, sudden deafness, sore throat, malaria, pain in the arm.

p 0.3-0.5

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

Relaxes the sinews and alleviates pain Clears heat

Pain in the arm, shoulder and wrist, malaria, deafness, thirst.

P 0.3-0.5 i

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.

Expels wind and releases the exterior Benefits the head and ears Opens the Yang Linking vessel Clears heat Activates the channel and alleviates pain

Febrile diseases, headache, pain in the cheek, strained neck, deafness, tinnitus, pain in the hypochondriac region, motor impairment of the elbow and arm, pain of the fingers, hand tremor.

P 0.5-1.0

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.

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

Tinnitus, deafness, pain in the hypochondriac region, vomiting, constipation, febrile diseases, aching and heavy sensation of the shoulder and back, sudden hoarseness of voice.

P 0.8-1.2

Deafness, pain in the ear, epilepsy, pain of the arm

P 0.5-1.0

Clears the Sanjiao channel Activates the channel and alleviates pain

P 0.5-1.0

On the lateral side of the forearm, 5 cun below the olecranon, between the radius and ulna

Benefits the throat and ears

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.

P 0.5-1.0

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

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)

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

Activates the channel and dispels winddamp lears damp-heat Activates the channel and alleviates pain

Motor impairment and pain of the shoulder and arm, migraine Headache, neck rigidity, motor impairment and pain of the arm.

P 0.3-0.5 P 0.5-0.7

Regulates Qi and transforms phlegm Activates the channel and alleviates pain

Goiter, pain in the shoulder and arm

P 0.5-0.8

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.

Dispels wind-damp Alleviates pain and benefits the shoulder joint

Pain and motor impairment of the shoulder and upper arm.

P 0.7-1.0

Dispels wind-damp, activates the channel and alleviates pain Unbinds the chest and regulates Qi

Pain in the shoulder and elbow, stiffness of the neck.

P 0.3-0.5

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.

Benefits the head and sense organs Regulates and descends Q

Headache, neck rigidity, facial swelling, blurring of vision, sudden deafness.

P 0.3-0.5

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.

P 0.5-1.0

Headache, tinnitus, deafness, infantile convulsion.

sub 0.3-0.5 or prick to cause bleeding

Benefits the ears and clears heat Calms fright and relieves tetany

Headache, tinnitus, deafness, pain in the ear, infantile convulsion.

O 0.3-0.5

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

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)

SJ-19 (Lu Xi)

SJ-20 (Jiao Sun) Mtp of SJ, SI, and BG

The 12 Primary Meridians SJ-21 (Er Men)

SJ-22 (He Liao) Mtp of SJ, SI, and BG

SJ-23 (Si Zhu Kong)

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 P the lip. 0.3-0.5

Expels wind and alleviates pain

Migraine, tinnitus, lockjaw.

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

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 meridian’s pathway.

The 12 Primary Meridians GALL BLADDER MERIDIAN OF THE FOOT SHAOYANG Action

point

Location

GB-01 (Tong Zi Ziao) Mtp of GB, SI, and SJ

0.5 cun lateral to the outer canthus, in the depression on the lateral side of the orbit.

GB-02 (Ting Hui)

Anterior to the intertragic notch, at the posterior border of the condyloid process of the mandible. The point is located with the mouth open

Indication

Method

and clears heat

Headache, redness and pain of the eyes, failing of vision, l acrimation, deviation of the eye and mouth.

subcuta neously 3-0.5

Benefits the ears, eliminates wind

Deafness, tinnitus, toothache, motor

and clears heat Activates the

impairment of the

channel and alleviates pain

temporomandibular joint, mumps,

Benefits the eyes, eliminates wind

p 0.5-0.7

deviation of the eye and mouth.

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).

Eliminates wind andbenefits the ears Activates the channel and alleviates pain

Headache, deafness, tinnitus, diplacusis, deviation of the eye and mouth, toothache.

Within the hairline of the

Eliminates wind and clears heat

Migraine, vertigo, tinnitus, pain in

temporal region, at the junction

Activates the channel and

the outer canthus, toothache,

of the upper 1/4 and lower 3/4

alleviates pain

convulsion, epilepsy.

P 0.3-0.5

Sub 0.3-0.5 i

of the distance between Touwei (ST-8) and Qubin (GB-7).

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).

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, facial swelling.

Expels wind and clears heat

Migraine, pain in the outer canthus,

Activates the channel and

tinnitus, frequent sneezing.

alleviates pain

Sub 0.3-0.5 i

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.

Headache, swelling of the cheek, trismus, pain in the temporal region, Eliminates wind and benefits the

Sub 0.3-0.5 i

infantile convulsion.

mouth and jaw

Superior to the apex of the

Eliminates wind, benefits the head

Migraine, vertigo, vomiting, infantile

auricle, 1.5 cun within the

and alleviates pain Harmonizes

convulsion.

hairline.

the diaphragm and Stomach and

Sub 0.3-0.5 i

alleviates vomiting Treats alcohol intoxication

Directly above the posterior border of the auricle, 2 cun within the hairline, about 0.5 cun posterior to Shuaigu (GB-8).

Posterior and superior to the mastoid process, at the junction of the middle third and upper third of the curve line connecting Tianchong (GB-9) and Wangu (GB-12).

Clears Gall Bladder channel heat

Headache, epilepsy, swelling and pain of the gums, convulsion.

Calms the spirit and pacifies fright

Clears the head and benefits the

Headache, tinnitus, deafness.

neck region

Clears the head and benefits the

Pain of the head and neck, tinnitus,

mastoid process, at the junction

sense organs

deafness, pain in the ears.

of middle third and lower third of

Tianchong (GB-9) and Wangu (GB-12).

Sub 0.3-0.5 i

Activates the channel and alleviates pain

Posterior and superior to the

the curved line connecting

Sub 0.3-0.5 i

Activates the channel and alleviates pain

Sub 0.3-0.5 i


GB-12 (Wan Gu) Mtp of UB and GB

In the depression posterior and inferior to the mastoid process.

Headache, insomnia, swelling of the cheek, retroauricular pain, deviation of the eye and mouth, toothache.

O 0.3-0.5

Eliminates wind, benefits the head and alleviates pain Calms the spirit

GB-13 (Ben Shen) Mtp of GB and Yang Linking GB-14 (Yang Bai) Mtp of GB , SJ, LI, and Yang Linking

0.5 cun within the hairline of the forehead, 3 cun lateral to Shenting (DU-24).

GB-15 (Tou Lin Qi) Mtp of GB, UB, and yang linking

On the head, directly above the pupil and 0.5 cun above the anterior hairline, at the midpoint of the line connecting Shenting (GV 24) and Touwei (ST 8).

GB-16 (Mu Chuang) Mtp of GB and Yang linking

On the head, 1.5 cun above the anterior hairline and 2.25 cun lateral to the midline of the head.

GB-17 (Zheng Ying) Mtp of GB and Yang linking

On the head, 2.5 cun above the anterior hairline and 2.25 cun lateral to the midline of the head.

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


Headache in the frontal region, pain of

Sub 0.3-0.5

and alleviates pain

the orbital ridge, eye pain, vertigo,

Benefits the eyes

twitching of the eyelids, ptosis of the eyelids, lacrimation.


Headache, vertigo, lacrimation, pain in

and alleviates pain

the outer canthus, rhinorrhea, nasal

Benefits the nose and eyes

Benefits the eyes Eliminates wind andalleviates pain Benefits the head and alleviates pain Pacifies the Stomach

Sub 0.3-0.5

obstruction.

Headache, vertigo, red and painful

Sub 0.3-0.5

eyes, nasal obstruction.

Migraine, vertigo.

Sub 0.3-0.5


GB-18 (Cheng Ling) Mtp of GB and Yang linking

On the head, 4 cun above the anterior hairline and 2.25 cun lateral to the midline of the head.

GB-19 (Nao Kong) Mtp of GB and Yang linking

On the head and on the level of the upper border of external occipital protuberance or Naohu (DU-17), 2.25 cun lateral to the midline of the head.

GB-20 (Feng Chi)

In the depression between the upper portion of m. sternocleidomastoideus and m. trapezius, on the same level with Fengfu (GV 16).

Benefits the head and alleviates pain Benefits the nose and descends Lung Qi

(Jian Jing)

Sub 0.3-0.5

vertigo, painful eyes, tinnitus, Benefits the head and alleviates

epilepsy.

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

Headache, vertigo, insomnia, pain and

Sub 0.3-0.5

stiffness of the neck, blurred vision, glaucoma, red and painful eyes, tinnitus, convulsion, epilepsy, infantile convulsion, febrile diseases, common cold, nasal obstruction, rhinorrhea.

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

p 0.3-0.5

the shoulder and back, motor impairment of the arm, insufficient lactation, mastitis, scrofula, apoplexy,

Mtp of GB, SJ, ST and Yang linking GB-22 (Yuan Ye)

Sub 0.3-0.5

rhinorrhea.

Headache, stiffness of the neck,

Mtp of GB, SJ, Yang motility and Yang linking

GB-21

Headache, vertigo, epistaxis,

difficult labor.

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


1 cun anterior to Yuanye (GB 22), at the level of the n ipple, in the 4th intercostal space

Unbinds the chest and lowers rebellion Regulates Qi in the three jiao

Mtp of GB and SP Front Mu of th Gallbladder

Directly below the nipple, in the

Benefits the Gall Bladder and spreads Liver Qi Lowers rebellious Qi and harmonizes the middle jiao Resolves damp-heat

GB-25 (Jing Men) Front Mu of the Kidneys

On the lateral side of the abdomen, on the lower border of the free end of the twelfth rib.

GB-26 (Dai Mai) Mtp of GB and Girdling Vessel

Directly below Zhangmen (LR 13), at the crossing point of a vertical line through the free end of the eleventh rib and a horizontal line through the umbilicus.

Regulates the Girdling vessel and drains dampness Regulates menstruation and stops leucorrhoea Activates the channel and alleviates pain

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

Anterior and inferior to the anterior superior iliac spine, 0.5 cun anterior and inferior to (Wei Dao)Mtp of Wushu (GB-27). GB and Girdling Vessel

Regulates the Girdling vessel Regulates the lower jiao and transforms stagnation

GB-23 (Zhe Jin) Mtp of GB and UB GB-24 (Ri Yue)

GB-27 (Wu Shu)

Fullness of the chest, pain in the hypochondriac region, asthma.

o 0.3-0.5

Pain in the hypochondriac region,

O 0.3-0.5

vomiting, acid regurgitation, hiccup, jaundice, mastitis.

seventh intercostal space, 4 cun lateral to the anterior midline.

Tonifies the Kidneys and regulates the water passages Fortifies the Spleen and regulates the intestines Strengthens the lumbar region

Abdominal distention, borborygmus,

p 0.3-0.5

diarrhea, pain in the lumbar and hypochondriac region.

Irregular menstruation, amenorrhea, leukorrhea, abdominal pain, hernia,

p 0.50.8

pain in the lumbar and hypochondriac region.

Leukorrhea, lower abdominal pain, lumbar pain, hernia, constipation.

p 0.5-1.0

Leukorrhea, lower abdominal pain,

p 0.5-1.0

Mtp of GB and Girdling Vessel GB-28

hernia, prolapse of uterus.


GB-29 (Ju Liao)

In the depression of the midpoint Activates the channel and between the anterosuperior iliac alleviates pain Benefits the hip spine and the prominence of the joint great trochanter.

Pain and numbness in the thigh and lumbar region, paralysis, muscular atrophy of the lower limbs.

p 0.5-1.0

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 l ateral 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.

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.

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

Hemiplegia, weakness, numbness and pain of the lower extremities, swelling and pain of the knee, beriberi, hypochondriac pain, bitter taste in the mouth, vomiting, jaundice, infantile convulsion.

p 0.8-1.2

Mtp of the GB and Yang Motility Vessel

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

Activates the channel and alleviates pain Benefits the hip joint and leg Dispels wind-damp


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.

Activates the channel and alleviates pain Clears heat and detoxifies poison

Pain in the neck, chest, thigh and hypochondriac region, rabies.

p 0.5-0.8

5 cun directly above the tip of the external malleolus, on the anterior border of the fibula.

Stops lactationBenefits the eyes Dispels wind-damp, activates the channel and alleviates pain

Pain in the knee, muscular atrophy, motor impairment and pain of the lower extremities, blurring of vision, ophthalmalgia, night blindness, distending pain of the breast.

p 0.7-1.0

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.

Clears Gall Bladder channel heat Harmonizes shaoyangBenefits the sinews and bones Activates the channel and alleviates pain

Migraine, pain of the outer canthus, pain in the axillary region, scrofula, lumbar pain, pain in the chest, hypochondriac region and lateral aspect of the lower extremities, malaria. 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.

p 0.5-0.7

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.

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

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 0.30.5

p 0.5-0.8

p 0.3-0.5


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 th e 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

Pain of the canthus, tinnitus, distending pain of the breast, swelling and pain of the dorsum of foot.

p 0.30.5

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

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 meridian’s pathway.

The 12 Primary Meridians LIVER MERIDIAN OF THE FOOT JUEYIN

point

Location

LIV-01 (Da Dun) Jing-Well

On the lateral side of the terminal phalanx of the great toe, 0.1 cun from the corner of the nail.

LIV-02 (Xing Jian) Ying-Spring

LIV-03 (Tai Chong) Yuan Shu-StreamMa Dan-yang Heavenly Star Point

Action

Regulates Qi in the lower jiao, treats shan disorder and alleviates pain Benefits the genitals and adjusts urination Regulates Liver Qi and stops menstrual bleeding Revives consciousness and calms the spirit 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.

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

Indication

Method

Hernia, enuresis, uterine bleeding, prolapse of the uterus, epilepsy.

sub 0.1-0.2

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,

0 0.3-0.5

P 0.3-0.5

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

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


LIV-06 (Zhong Du) Xi (Cleft) Point LIV-07 (Xi Guan)

LIV-08 (Qu Quan) He-Sea

LIV-09 (Yin Bao)

LIV-10 (Zu Wu Li)

LIV-11 (Yin Lian)

LIV-12 (Ji Mai)

LIV-13 ꜜ

7 cun above the tip of the medial Spreads Liver Qi and regulates the malleolus, on the midline of the lower jiao Regulates blood Drains medial surface of the tibia. damp Posterior and inferior to the Dispels wind-damp Benefits the medial condyle of the tibia, in the knee and relaxes the sinews upper portion of the medial head of m. gastrocnemius, 1 cun posterior to Yinlingquan (SP 9). When knee is flexed, the point is Clears damp-heat from the lower at the medial end of the jiao Benefits the genitals transverse popliteal crease, Invigorates blood and benefits the posterior to the medial epicondyle uterus Nourishes blood and yin of the tibia, in the depression of the anterior border of the insertions of m. semimembranosus and m. semitendinosus. 4 cun above the medial Adjusts menstruation and epicondyle of the femur, between regulates the lower jiao m. vastus medialis and m. sartorius 3 cun directly below Qichong (ST Clears damp-heat and benefits 30), at the proximal end of the the lower jiao thigh, below the pubic tubercle and on the lateral border of m. abductor longus. 2 cun directly below Qichong (ST Benefits the uterus 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, Eliminates cold from the Liver lateral and inferior to Qichong (ST channel and benefits the lower 30), in the inguinal groove where jiao the pulsation of femoral artery is palpable, 2.5 cun lateral to the anterior midline.

Abdominal pain, hypochondriac pain, diarrhea, hernia, uterine bleeding, prolonged lochia. Pain of the knee.

sub 0.5- 0.8

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

Pain in the lumbosacral region, lower abdominal pain, enuresis, retention of urine, irregular menstruation.

P 0.5-0.7

Lower abdominal distention and fullness, retention of urine.

P 0.5-1.0

Irregular menstruation, leukorrhea, lower abdominal pain, pain in the thigh and leg.

P 0.5-1.0

Lower abdominal pain, hernia, pain in the external genitalia.

P 0.5-1.0

MOXA


LIV-13 (Zhang Men) HuiMeeting Point of

On the lateral side of the abdomen, below the free end of the eleventh rib.

Harmonizes the Liver and Spleen Regulates the middle and lower jiao Fortifies the Spleen Spreads the Liver and regulates Qi

Abdominal distention, borborygmus,

P 0.5-0.8

pain in the hypochondriac region, vomiting, diarrhea, indigestion.

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

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.

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

Action

Indication

Midway between the tip of

Treats hemorrhoids

Diarrhea, bloody stools,

the coccyx and the anus, locating the point in prone position.

hemorrhoids, prolapse of the Benefits the two lower yin Activates the channel and

Method P

0.5-1.0 Moxa ok

rectum, constipation, pain in the lower back, epilepsy.

alleviates pain Calms the spirit In the hiatus of the

Benefits the lumbar region and

Irregular menstruation, pain

sacrum.

legs Dispels wind-damp

and stiffness of the lower

O Up

0.5-1.0 Moxa ok

back, hemorrhoids, muscular atrophy of the lower extremities, epilepsy. DU-03 (Yao Yang Guan) Lumbar Yang Pass

Below the spinous process

Dispels wind-damp

Irregular menstruation,

of the fourth lumbar

Benefits the lumbar region and

nocturnal emission,

vertebra, at the level with

legs

impotence, pain in the

the crista iliaca.

Regulates the lower jiao

lumbosacral region, muscular

P

0.5-1.0 Moxa ok

atrophy, motor impairment, numbness and pain of the lower extremities. DU-04 (Ming Men) Life Gate

Below the spinous process of the second lumbar vertebra.

Clears heat, Regulates the

Stiffness of the back,

Governing vessel Tonifies the

lumbago, impotence,

Kidneys ,Benefits the lumbar

nocturnal emission, irregular

spine

menstruation, diarrhea,

P

0.5-1.0 Moxa ok

indigestion, leukorrhea. DU-05 (Xuan Shu) Suspended Pivot


Benefits the lumbar spine

Pain and stiffness in the lower

of the first lumbar

Benefits the lower jiao

back, diarrhea, indigestion.

vertebra.

P

0.5-1.0 Moxa ok


DU-06 (Ji Zhong) Spinal Center


Fortifies the Spleen and drains

Pain in the epigastric region,

of the eleventh thoracic

damp, Benefits the spine

diarrhea, jaundice, epilepsy,

vertebra. DU-07 (ZhongShu)

DU-09 (Zhi Yang) Extremity of Yang

DU-10 (Ling Tai) Spirit Tower

DU-11 (Shen Dao) Spirit Path

0.5-1.0

stiffness and pain of the back.


Benefits the spine

Pain in the epigastric region,

of the tenth thoracic

Benefits the middle jiao

low back pain, stiffness of the

vertebra.

DU-08 (Jin Suo) Sinew Contraction

P

P

0.5-1.0 Moxa ok

back.

P


Soothes the Liver, pacifies wind

Epilepsy, stiffness of the back,

of the ninth thoracic

and relieves spasm

gastric pain.

0.5-1.0 Moxa ok

vertebra.

Calms the spirit


Fortifies the Spleen, drains

Jaundice, cough, asthma,

O Up

of the seventh thoracic

dampness and regulates the

stiffness of the back, pain in

vertebra, approximately at

middle jiao.

the chest and back.

the level with the inferior

Treats jaundice

angle of the scapula.

Unbinds the chest


Alleviates cough and wheezing

of the sixth thoracic

Clears heat and detoxifies poison Cough, asthma, furuncles,

vertebra. Below the spinous process of the fifth thoracic vertebra.

Carbuncles, furnicles, boils back pain, neck rigidity.

Tonifies the Heart and Lung and

Poor memory, anxiety,

calms the spirit.

palpitation, pain and stiffness

Clears heat and pacifies wind

of the back, cough, cardiac

0.5-1.0 Moxa ok

O Up

0.5-1.0 Moxa ok O Up

0.5-1.0 Moxa ok

pain. DU-12 (Shen Zhu) Body Pillar


Clears heat from the Lung and

Cough, asthma, epilepsy, pain

of the third thoracic

Heart

and stiffness of the back,

vertebra.

Calms the spirit

furuncles.

Pacifies wind

O Up

0.5-1.0 Moxa ok


DU-13 (Tao Dao) Kiln Path DU-14 (Da Zhu) Great Hammer

DU-15 (Ya Men) Mute's Gate Sea of Qi, MT pt/ Governing and Yang Linking Vessels


Clears heat and treats malaria

Stiffness of the back,

of the first thoracic

Regulates the Governing vessel

headache, malaria, febrile

vertebra.

diseases.


Expels wind and firms the

Neck pain and rigidity,

of the seventh cervical

exterior Clears heat

malaria, febrile diseases,

vertebra, approximately at

Treats malaria

epilepsy, afternoon fever,

the level of the shoulders.

Tonifies deficiency

cough, asthma, common cold,

Pacifies wind

back stiffness.

0.5 cun directly above the

Benefits the tongue and treats

midpoint of the posterior

muteness

hairline, in the depression

Eliminates wind

below the spinous process

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.

O Up

0.5-1.0 Moxa ok O Up

0.5-1.0 Moxa oka

P

0.5-0.8 * no O-up nor deep. *medullar y bulb

of the first cervical vertebra. 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

1 cun directly above the

Eliminates wind


Nourishes the sea of marrow and blurring of vision, epistaxis,

hairline, directly below the

benefits the head and neck

sore throat, post-apoplexy

external occipital

Calms the spirit

aphasia, hemiplegia, mental

protuberance, in the

Headache, neck rigidity,

disorders.

P

0.5-0.8 *No deep puncture * watch for medullary bulb

depression between m. trapezius of both sides. 2.5 cun directly above the

Eliminates wind and alleviates

Epilepsy, dizziness, pain and


pain

stiffness of the neck.

hairline, 1.5 cun directly above Fengfu (DU-16), in

S

0.3-0.5


Channel

the depression on the

Benefits the eyes

upper border of the external occipital

Calms the spirit

protuberance. DU-18 (Qiang Jian) Unyielding Spac


Pacifies wind and alleviates pain

midpoint of the posterior hairline and 1.5 cun above

Headache, neck rigidity, blurring of vision, mania.

S

0.3-0.5 Moxa ok

Calms the spirit

Naohu (DU-17).

DU-19 (Hou Ding) Behind the Vertex


Eliminates wind and alleviates

Headache, vertigo, mania,


pain

epilepsy.

hairline, 1.5 cun directly

Calms the spirit

S

0.3-0.5 Moxa ok

above Qiangjian (DU-18). DU-20 (Bai Hui) Hundred Convergences Sea Of Marrow, MT pt of the GV w/ the UB, GB, SJ and LV Channels

On the midline of the

Pacifies wind and subdues yang

Headache, vertigo, tinnitus,

head, 5 cun directly above

Raises yang and counters

nasal obstruction, aphasia by

the midpoint of the

prolapse ;Benefits the head and

apoplexy, coma, mental

anterior hairline,

sense organs ;Nourishes the sea

disorders, prolapse of the

approximately on the

of marrow Benefits the brain and

rectum and the uterus.

midpoint of the line

calms the spirit

S

0.3-0.5 Moxa ok

connecting the apexes of both ears. DU-21 (Qian Ding) Before the Vertex


Eliminates wind and treats

Epilepsy, dizziness, blurring of

midpoint of the anterior

convulsions

vision, vertical headache,

hairline and 1.5 cun

Benefits the head

rhinorrhea.

2 cun posterior to the

Benefits the nose

Headache, blurring of vision,


Eliminates wind and benefits the

rhinorrhea, infantile

S

0.3-0.5 Moxa ok

anterior to Baihui (DU-20). DU-22 (Xin Hui)

S 0.3-0.5


Fontanel Meeting

hairline, 3 cun anterior to

head

convulsion.

Baihui (DU-20). This point is prohibited in infants with metopism (as is the metopic suture of the frontal skull bone).

DU-23 (Shang


Benefits the nose and eyes

Headache, ophthalmalgia,

Xing) Upper Star


Eliminates wind, benefits the

epistaxis. rhinorrhea, mental

hairline.

head and face and dispels

disorders.

Sun Si-miao Ghost

swelling

Point

Calms the spirit

S

0.3-0.5 Moxa ok Or prick to bleed

This point is prohibited in infants with metopism (as is the metopic suture of the frontal skull bone).

DU-24 (Shen Ting) Spirit Court MT pt of the GV w/ UB and ST DU-25 (Su Liao) White Bone Hole


Benefits the brain and calms the

Epilepsy, anxiety, palpitation,


spirit ;Eliminates wind and

insomnia, headache, vertigo,

hairline.

benefits the head ;Benefits the

rhinorrhea.

nose and eyes On the tip of the nose.

Benefits the nose

Loss of consciousness, nasal obstruction, epistaxis,

S

0.3-0.5 Moxa ok Or prick to bleed P 0.2-0.3 Prick bleed.

rhinorrhea, rosacea. DU-26 (Shui Gou) Water Trough

MT pt of the GV w/ LI and ST; Sun Simiao Ghost Pt

At the junction of the

Restores consciousness and

Mental disorders, epilepsy,

upper third and middle

calms the spirit ;Benefits the

hysteria, infantile convulsion,

third of the philtrum.

face and nose and expels wind

coma, apoplexy-faint, trismus,

;Benefits the spine and treats

deviation of the mouth and

acute lumbar sprain

eyes, puffiness of the face, pain and stiffness of the lower

O Up 0.3-0.5


back. DU-27 (Dui Duan) Extremity of the Mouth

On the labial tubercle of

Clears heat, generates fluid and

Mental disorders, lip twitching,

the upper lip, on the

benefits the mouth

lip stiffness, pain and swelling

vermilion border between

of the gums.

the philtrum and upper lip.

Calms the spirit

At the junction of the gum

Clear heat and benefits the

Mental disorders, pain and

Gum Intersection

and the frenulum of the

gums ;Benefits the nose and

swelling of the gums,

MT pt of the GV w/CV and the ST

upper lip.

eyes

rhinorrhea.

DU-28 (Yin Jiao)

O Up 0.2-0.3

O Up 0.1-0.2 Prick bleed


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.


point REN-01 (Hui Yin) MT of Yin MT PT of the Conception, Penetrating and Governing Vessels Sun Si-miao Ghost Point

REN-02 (Qu Gu) Curved Bone MT. PT. of the Conception Vessel with the Liver Channel

Location

CONCEPTION VESSEL –REN- MERIDIAN Action

Indication

Between the anus and the root of

Regulates the anterior and posterior yin

Vaginitis, retention of urine

the scrotum in males and between

Drains damp heat

hemorrhoids, nocturnal emission,

the anus and the posterior labial

Calms the spirit

enuresis, irregular menstruation, mental

commissure in females.

Promotes resuscitation and revives from

disorders.

Method P 0.5-1.0

drowning

On the midpoint of the upper border

Benefits urination

of the symphysis pubis.

Retention and dribbling of urine,

p .5-1.0

enuresis, nocturnal emission, Regulates the lower jiao Warms and invigorates the Kidneys

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.

REN-03

On the anterior midline, 4 cun below

Benefits the Bladder, regulates Qi

Enuresis, nocturnal emission,

(Zhong Ji) Central Pole

the umbilicus.

transformation and drains damp-heat

impotence, hernia, uterine bleeding,

MT. PT. of the

Drains dampness and treats leucorrhoea

irregular menstruation, dysmenorrhea,

Conception Vessel

Benefits the uterus and regulates

morbid leukorrhea, frequency of

with the SP, LV, and

menstruation

urination, retention of urine, pain in the

KD Channels

Dispels stagnation and benefits the lower

lower abdomen, prolapse of the uterus,

Front Mu of the BL

jiao

vaginitis.

Fortifies the Kidneys

P 0.5-1.0


On the anterior midline, 3 cun below the umbilicus.

Fortifies the original Qi and benefits

Enuresis, nocturnal emission, frequency

Origin Pass

essence ,Tonifies and nourishes the

of urination, retention of urine, hernia,

MT pt of the

Kidneys Warms and fortifies the Spleen

irregular menstruation, morbid

Conception Vessel

Benefits the uterus and assists

leukorrhea, dysmenorrhea, uterine

w/SP,LV , and KD

conception,Regulates the lower jiao and

bleeding, postpartum hemorrhage,

Channels

benefits the Bladder

lower abdominal pain, indigestion,

Front Mu of the SI

Regulates Small Intestine Qi Restores

diarrhea, prolapse of the rectum, flaccid

collapse

type of apoplexy.

Moves and benefits the water passages

Abdominal pain, diarrhea, edema,

Regulates Qi and alleviates pain Regulates

hernia, anuria, enuresis, amenorrhea,

the uterus

morbid leukorrhea, uterine bleeding,

REN-04 (Guan Yuan)

REN-05 (Shi Men) Stone Gate Front Mu of the SJ

On the anterior midline, 2 cun below the umbilicus.

P 0.8-1.2 Tonify pt Moxa ok

P 0.5-1.0 inch Moxa ok

postpartum hemorrhage. REN-06 (Qi Hai) Sea of Qi

On the anterior midline, 1.5 cun

Fosters original Qi

Abdominal pain, enuresis, nocturnal

below the umbilicus.

Tonifies Qi

emission, impotence, hernia, edema,

Tonifies the Kidneys and fortifies yang

diarrhea, dysentery, uterine bleeding,

Rescues collapse of yang

irregular menstruation, dysmenorrhea,

Regulates Qi and harmonizes blood

amenorrhea, morbid leukorrhea,

P 0.8-1.2 Tonifiy Moxa ok

postpartum hemorrhage, constipation, flaccid type of apoplexy, asthma. REN-07 (Yin Jiao) Yin Intersection MT pt of the Conception and Penetrating Vessels and the KDChannel


Regulates menstruation

Abdominal distention, edema, hernia,

the umbilicus.

Benefits the lower abdomen and genital

irregular menstruation, uterine

region

bleeding, morbid leukorrhea, pruritus vulvae, postpartum hemorrhage, abdominal pain around the umbilicus.

P 0.8-1.2 Moxa ok


REN-08 (Shen Que) Spirit Gate

REN-09 (Shui Fen) Water Divide

In the center of the umbilicus.

Warms the yang and rescues collapse

Abdominal pain, borborygmus, flaccid

Warms and harmonizes the intestines

type of apoplexy, prolapse of the

On the anterior midline, 1 cun above

Regulates the water passages and treats

the umbilicus.

edema, Harmonizes the intestines and

rectum, unchecked diarrhea. Abdominal pain, borborygmus, edema, retention of the urine, diarrhea.

NO puncture . Moxa ok P 0.5-1.0 Moxa ok

dispelsaccumulation REN-10 (Xia Wan) Lower Venter MT pt of the Conception Vessel with SP Channel

REN-11 (Jian Li) Interior Strengthening

On the anterior midline, 2 cun above the umbilicus.

Harmonizes the Stomach and regulates Qi

Food retention

Dispels food stagnation

Epigastric pain, abdominal pain, borborygmus, indigestion, vomiting,

P 0.5-1.2 Moxa ok

diarrhea.

On the anterior midline, 3 cun above the umbilicus

Harmonizes the middle jiao and regulates

Stomachache, vomiting, abdominal

Qi

distention, borborygmus, edema,

P 0.5-1.2 Moxa ok

anorexia.

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

Epigatric pain in the Stomach due to Qi

the umbilicus.

rebellion

Stagnation from any of the Seven

P 0.5-1.2 Moxa ok

Emotions Tonifies the Stomach and fortifies the Spleen

Stomachache, abdominal distention, borborygmus, nausea, vomiting, acid

Regulates Qi and alleviates pain

regurgitation, diarrhea, dysentery, jaundice, indigestion, insomnia.

REN-13 (Shang Wan)


Harmonizes the Stomach and regulates Qi

Stomachache, abdominal distention,

P


Upper Venter MT of the CV w/ST, SI

the umbilicus.

Descends rebellion and alleviates

nausea, vomiting, epilepsy, insomnia.

0.5-1.2 Moxa ok

vomiting Regulates the Heart REN-14 (Ju Que) Great Tower Gate

On the anterior midline of the

Regulates the Heart and alleviates pain,

Pain in the cardiac region and the chest,

abdomen, 6 cun above the umbilicus.

Descends Lung Qi and unbinds the chest,

nausea, acid regurgitation, difficulty in

Transforms phlegm and calms the spirit

swallowing, vomiting, mental disorders,

Harmonizes the Stomach and descends

epilepsy, palpitation.

Front Mu of the HT

P 0.3-0.8 Moxa ok

rebellion

REN-15 (Jiu Wei) Turtledove Tail Luo (Connecting) Point


Regulates the Heart and calms the spirit

nausea, mental disorders, epilepsy.

the xiphosternal synchondrosis. Locate the point in supine position

Pain in the cardiac region and the chest,

Descends Lung Qi and unbinds the chest Mxoa ok

with the arms uplifted. REN-16 (Zhong Ting) Center Palace

On the anterior midline, at the level

Unbinds the chest

with the fifth intercostal space, on the xiphosternal synchondrosis.

O Down 0.4-0.6

Distension and fullness in the chest and intercostal region, hiccup, nausea,

Regulates the Stomach and descends

S 0.3-0.5 Moxa ok

anorexia.

rebellion 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


Regulates Qi and unbinds the chest

with the fourth intercostal space, midway between the nipples.

Asthma, pain in the chest, fullness in the chest, palpitation, insufficient lactation,

Descends rebellion of the Lung and

S 0.3-0.5 Moxa ok

hiccup, difficulty in swallowing.

Stomach Benefits gathering Qi Benefits the breasts and promotes lactation

REN-18 (Yu Tang) Jade Hall


Unbinds the chest

pain in the chest, cough, asthma,

S 0.3-0.5 Moxa ok


REN-19 (Zi Gong) Purple Palace REN-20 (Hua Gai) Florid Canopy

with the third intercostal space.

Regulates and descends Qi

vomiting.


Unbinds the chest

Pain in the chest, asthma, cough.

nd

with the 2 ICS


On the anterior midline, at the

Unbinds the chest

Pain and fullness in the chest and

midpoint of the sternal angle, at the


intercostal region, asthma, cough.

On the anterior midline, in the centre

Descends Stomach Qi and dispels food

Pain in the chest, cough, asthma.

of the sternal manubrium, 1 cun

accumulation, Unbinds the chest and

below Tiantu (REN-22).

descends Lung Qi Benefits the throat

In the centre of the suprasternal

Descends rebellious Qi and a lleviates

Asthma, cough, sore throat, dry throat,

fossa.

cough and wheezing

hiccup, sudden hoarseness of the voice,

S 0.3-0.5 Moxa ok S 0.3-0.5 Moxa ok

level with the first intercostal space. REN-21 (Xuan Ji) Jade Pivot

REN-22 (Tian Tu) Celestial Chimney

difficulty in swallowing, goiter. Benefits the throat and voice

MT pt of the Conception and Yin Linking Vessels Pt of the Window of Heaven

REN-23 (Lian Quan) Ridge Spring Mt pt of the Conception and Yin Linking Vessels

S 0.3-0.5 Moxa ok P 0.2 Then Ndl tip down Along post of sternum 0.5-1.0 Moxa ok

Above the Adam's apple, in the

Benefits the tongue

depression of the upper border of the hyoid bone.

Swelling and pain of the subglossal region, salivation with glossoplegia,

Descends Qi and alleviates cough

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


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

Extinguishes wind and benefits the face

mentolabial groove.

Facial puffiness, swelling of the gums, toothache, salivation, mental disorders,

Regulates the Conception vessel

O Up 0.2-0.3

deviation of the eyes and mouth. Moxa ok

12 Meridians

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