91934313-12-Meridians

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The 12 Primary Meridians Page 1 of 83 5/1/2012 Medial Zang Yin Lateral Fu Yang 3 Factors : Organ, Location and Yin/Yang . Example; Lung meridian of the hand Tai Yin Arm/hand Arm/hand Arm/hand Leg/foo Leg/foo Leg/foo Anterio r Posterior Anterio r Posterior Middl e Middl e

description

descriptions of meridians in graphics.

Transcript of 91934313-12-Meridians

The 12 Primary Meridians

Page 1 of 83 5/1/2012

Medial Zang Yin Lateral Fu Yang

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

Arm/hand

m/hand

Arm/hand

Arm/hand

Arm/hand

Leg/foo

t

Leg/foo

t

Leg/foo

t

Anterio

r

Posterior

Anterio

r

Posterior

Middl

e Middl

e

The 12 Primary Meridians

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Yin Arm Channels

(HT) ·Heart

(PC) ·Pericardium

(LU) ·Lung

Yin Leg Channels

(SP) ·Spleen

(LV) ·Liver

(KD) ·Kidney

Extraordinary Channels

(CV) ·Conception Vessel

(GV) ·Governing Vessel

Others

Extraordinary Points

Yang Arm Channels

(SI) ·Small Intestine

(TH) ·Triple Heater

(LI) ·Large Intestine

Yang Leg Channels

(ST) ·Stomach

(GB) ·Gall Bladder

(UB) ·Urinary Bladder

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Major Acupuncture Points Chart [ Blank Worksheet ]

Lung 11 10 9 8 5 9 7 6 LU-01 BL-13 — 9 5 1 7

Large Intestine 1 2 3 5 11 4 6 7 ST-25 BL-25 ST-37 11 2 4 20

Stomach 45 44 43 41 36 42 40 34 REN-12 BL-21 ST-36 41 45 1 42

Spleen 1 2 3 5 9 3 4 8 LIV-13 BL-20 — 2 5 1 21

Heart 9 8 7 4 3 7 5 6 REN-14 BL-15 — 9 7 1 9

Small Intestine 1 2 3 5 8 4 7 6 REN-4 BL-27 ST-39 3 8 1 19

Bladder 67 66 65 60 40 64 58 63 REN-3 BL-28 BL-40 67 65 1 67

Kidney 1 2 3 7 10 3 4 5 GB-25 BL-23 — 7 1 1 22

Pericardium 9 8 7 5 3 7 6 4 REN-17 BL-14 — 9 7 1 8

San Jiao 1 2 3 6 10 4 5 7 REN-5 BL-22 BL-39 3 10 1 22

Gall Bladder 44 43 41 38 34 40 37 36 GB-24 BL-19 GB-34 43 38 1 41

Liver 1 2 3 4 8 3 5 6 LIV-14 BL-18 — 8 2 1 14

Ren (Conception) — — — — — — 15 — — — — — — — —

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Du (Governing) — — — — — — 1 — — — — — — — —

Command Points

Stomach & Abdomen ST-36

Head & Back of Neck LU-7

Lower Back (Lumbar) BL-40

Face & Mouth LI-4

Heart & Chest P-6

Fainting & Collapse DU-26

Hui Meeting Points (Influential Points)

Zang (Yin) Organs LIV-13

Fu (Yang) Organs REN-12

Qi REN-17

Blood BL-17

Sinews GB-34

Marrow GB-39

Bones BL-11

Vessels LU-9

Four Seas Points

Sea of Qi REN-17

Sea of Blood BL-11, ST-37,

ST-39

Sea of Water &

Grain ST-30,ST-36

Sea of Marrow DU-16, DU-20

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LUNG MERIDIAN OF HAND TAIYIN

Pathway • originates in middle jiao, in region of Stomach • descends to connect w/ Large Intestine • returns upwards to pass cardiac orifice of Stomach & traverses diaphragm • penetrates Lung • ascends to throat region • passes obliquely downwards towards LU 1 where channel emerges • ascends one rib space to LU 2 in centre of hollow of delto-pectoral triangle • descends along antero-lateral aspect of upper arm, lateral to Heart &

Pericardium channels, to cubital fossa of elbow at LU 5 • passes along antero-lateral aspect of forearm towards styloid process of

radius • follows lateral border of radial artery to wrist at LU 9 • traverses thenar eminence to terminate at radial side of thumbnail at LU 11 • a branch separates from main channel at LU 7, at styloid process, & travels

directly to radial side of tip of index finger, where it links w/ Large Intestine channel at LI 1

• Connecting zangfu: ST, LI, LU • Crossing points: none External Symptoms • Fever, cold sweating, nasal congestion, headaches, chest pain, pain along arm

meridian pathway Internal Symptoms • Cough, asthma, chest fullness, parched or sore throat, irritability, bloody

sputum, hot palm, abdominal distention w/ loose stool, change in urine color

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LUNG MERIDIAN OF HAND TAIYIN Point Location Actions Indications Method

LU 1 • Front-Mu pt. • Greater Yin mtg.

pt. (LU & SP)

6 cun lateral from midline in 1st ICS

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

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

Obliquely lateral 0.5”-0.8”

LU 2

6 cun lateral from midline superior to coracoid process of scapula

• Disperses chest fullness • Promotes descending of LU Qi • Stops cough

• Cough or asthma • Chest fullness • Chest, shoulder or back pain

Obliquely lateral 0.5”-0.8”

LU 3

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

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

Soul

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

depression, mental confusion) • Goiter

Perpendicular 0.5”-1.0”

LU 4 – seldom used 1 cun below LU 3 on radial side of biceps brachii

• None listed • Cough • Chest fullness • Pain in the medial aspect of upper arm

Perpendicular 0.5”-1.0”

LU 5 • He-Sea pt.

On cubital crease in depression of radial side of biceps tendon

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

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

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

LU 6 • Xi-Cleft pt.

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

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

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

Perpendicular 0.5”-1.0”

LU 7 • Luo-Connecting

pt. (to LI 1) • Confluent pt. (to

Ren meridian)

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

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

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

Obliquely upward 0.3”-0.5”

LU 8 – seldom used • Jing-River pt.

1 cun above wrist crease lateral to radial artery

• Promotes descending of LU Qi • Cough, asthma or sore throat • Chronic throat problems

Perpendicular 0.1”-0.3”

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LUNG MERIDIAN OF HAND TAIYIN Point Location Actions Indications Method

• Fever • Chest &/or wrist pain

Avoid radial a.

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

Vessels

On wrist crease lateral to radial artery

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

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

Perpendicular 0.2”-0.3” Avoid radial a.

LU 10 • Ying-Spring pt.

Midpt. of 1st

metacarpal bone where skin color changes from red to white

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

• Couth or acute sore throat • Voice loss • Fever • Hot palm

Perpendicular 0.5”-0.8”

LU 11 • Jing-Well pt.

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

• Expels exterior wind & extinguishes interior wind

• Stimulates diffusing/descending of LU Qi • Benefits throat • Opens the orifices & promotes resuscitation

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

Puncture 0.1” or prick to bleed

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LARGE INTESTINE MERIDIAN OF HAND YANGMING Pathway • begins at radial side of tip of index finger • runs proximally along radial side of index finger & passes thru interspace b/w

first & second metacarpal bones at LI 4 • reaches anatomical snuff-box where LI 5 is situated, continues along lateral

aspect of forearm to lateral aspect of elbow at LI 11 • rises along lateral aspect of upper arm to shoulder joint at LI 15 • crosses behind shoulder to depression b/w scapular spine & lateral extremity

of clavicle (LI 16) • travels in a medial direction, passing thru SI 12 (in centre of suprascapular

fossa) to DU 14 (just below spinous process of C7) where it meets w/ other five yang channels of hand & foot

• from DU 14 it enters supraclavicular fossa in region of ST 12 & connects w/ Lung before descending thru diaphragm to join w/ Large Intestine, continuing down onto leg to ST 37 (lower He-Sea pt. of Large Intestine)

• another branch ascends from supraclavicular fossa along lateral aspect of neck, passes thru cheek, & enters lower gums

• from gums, channel passes thru ST 4 (which branches to meet REN 24 in chin), curves around upper lip & crosses to opposite side of body at DU 26, at philtrum

• from DU 26, left channel travels to right & right channel travels to left to terminate either side of nose at LI 20, where the Large Intestine channel joins w/ Stomach channel

• Connecting zangfu: LI, LU • Crossing points:

- ST 4, ST 12 - SI 12 - DU 14 (mtg. pt. of all Yang meridians), DU 26 - REN 24

External Symptoms • Fever, sore throat, thirst, toothache, epistaxis (nose bleed), eye pain, neck

swelling Internal Symptoms • Abdominal pain, borborygmus (intestinal noises), loose stools sometimes

accompanied by shortness of breath, belching

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LARGE INTESTINE MERIDIAN OF HAND YANGMING Point Location Actions Indications Method

LI 1 • Jing-Well pt.

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

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

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

Puncture 0.1” or prick to bleed

LI 2 • Ying-Spring pt.

Flex finger; in depression on radial side just distal to 2

nd

MCPJ where color changes

• Clears heat • Expels wind-heat • Removes obstruction from channel

• Toothache • Sore throat • Blurry vision • Epistaxis • Febrile diseases

Perpendicular 0.2”-0.3”

LI 3 • Shu-Stream pt.

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

nd metacarpal

bone

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

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

Perpendicular 0.5”-0.8”

LI 4 • Yuan-1° pt.

(command pt. of head, neck & nape)

• Contraindicated in pregnancy

On back of hand b/w 1st

& 2

nd metacarpal bones, in

middle of 2nd

metacarpal bone on radial side (put thumb IP jt. on edge of web & fold over – where thumb tip falls)

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

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

Perpendicular 0.5”-1.0”

LI 5 • Jing-River pt.

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

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

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

LI 6 • Luo-Connecting

pt.

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

• Regulates LU’s water passages • Removes obstructions from channel

• Sore throat • Eye redness • Tinnitus or deafness

Perpendicular or Oblique 0.5”-0.8”

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LARGE INTESTINE MERIDIAN OF HAND YANGMING Point Location Actions Indications Method

• Epistaxis • Edema • Aching of hand & arm

LI 7 • Xi-Cleft pt.

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

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

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

Perpendicular 0.5”-1.0”

LI 8 On line b/w LI 5 & LI 11, 4 cun below cubital crease

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

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

Perpendicular 0.5”-1.0”

LI 9 On line b/w LI 5 & LI 11, 3 cun below cubital crease

• Harmonizes Large Intestine • Activates the channel & alleviates pain

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

impairment

Perpendicular 0.5”-1.0”

LI 10 On line b/w LI 5 & LI 11, 2 cun below cubital crease

• Removes obstructions from channel • Regulates the intestines • Tonifies Qi

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

Perpendicular 0.8”-1.2”

LI 11 • He-Sea pt.

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

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

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

Perpendicular 1.0”-1.5”

LI 12 Lateral side of upper arm, 1 cun above LI 11

• Removes obstructions from channel • Elbow & arm pain, numbness & contracture Perpendicular 0.5”-1.0”

LI 13 Lateral side of upper arm, on line b/w LI 11 & LI 15, 3 cun above LI 11

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

phlegm

• Elbow & arm contracture & pain • Scrofula

Perpendicular 0.5”-1.0” Avoid radial collateral a.

LI 14 Lateral side of upper arm, on line b/w LI 11 & LI 15, 7

• Removes obstructions from channel • Brightens the eyes

• Shoulder & arm pain • Neck rigidity

Perpendicular or Oblique

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LARGE INTESTINE MERIDIAN OF HAND YANGMING Point Location Actions Indications Method

cun above LI 11 (at insertion of deltoid)

• Resolves phlegm & dissipates nodules • Scrofula 0.8”-1.5”

LI 15 Anteroinferior to acromion on upper part of deltoid, in depression at anterior border of AC jt. when arm is abducted

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

• Shoulder & arm pain • UL motor impairment • Rubella • Scrofula

Perpendicular or Oblique 0.8”-1.5”

LI 16 In depression b/w acromial end of clavicle & spine of scapula

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

• UL pain & motor impairment • Shoulder & back pain

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

LI 17 Posterior border of SCM, 1 cun below laryngeal prominence

• Benefits the throat & voice • Dissipates nodules

• Sudden voice loss • Sore throat • Scrofula • Goiter

Perpendicular 0.3”-0.5” Avoid external jugular v.

LI 18 Lateral side of neck, level w/ laryngeal prominence, b/w sternal & clavicular heads of SCM

• Benefits the throat & voice • Subdues rebellious qi & relives coughing &

wheezing • Resolves phlegm & dissipates nodules

• Cough, asthma or sore throat • Sudden voice loss • Scrofula • Goiter

Perpendicular 0.3”-0.5”

LI 19 Right below lateral margin of nostril

• Eliminates wind & opens the nasal passages • Nasal obstruction or epistaxis • Deviation of mouth

Oblique 0.2”-0.3”

LI 20 Nasolabial groove, at level of midpoint of lateral border of ala nasi

• Expels exterior wind • Opens the nose • Removes obstructions from the channel

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

Oblique or Subcutaneous 0.2”-0.3”

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STOMACH MERIDIAN OF FOOT YANGMING Pathway • begins at lateral side of nose at LI20, ascends to medial canthus where it meets

UB1, then descends laterally along infraorbital ridge to ST1, down cheeks to ST5 & to ST6 at angle of mandible

• ascends anterior to ear to ST7 via GB3, ascends within hairline of temporal region at ST8 via GB 4, GB 5, GB 6, & follows hairline to meet Governing channel at DU24

• a branch at ST5 descends along anterior border of SCM in throat region to enter the supraclavicular fossa at ST12, where it gives off 2 branches: - one branch travels posteriorly to the upper back where it meets Governing

channel at DU14 - another descends internally thru the diaphragm, linking w/ REN12 & REN13

to enter ST & connect w/ SP • the main meridian continues descending from ST12 along the mamillary line, 4

cun lateral to midline as far as ST18, then passes 2 cun lateral to midline & descends alongside umbilicus to ST30 in inguinal region

• a further branch originates internally from the pyloric orifice of the ST, descends w/in the abdomen & meets w/ ST30

• from inguinal region at ST30 the channel travels laterally to ST31 on anterolateral aspect of thigh, descends along lateral margin of femur to patella & alongside lateral margin of tibia to dorsum of foot, terminating at lateral side of tip of 2

nd

toe at ST 45 • a further branch separates from the main channel at ST 36 & terminates at

lateral aspect of middle toe • a further branch separates on dorsum of foot at ST 42 & terminates at medial

side of tip of big toe at SP 1 where it links w/ SP channel • Connecting zangfu: ST, SP, HT(?) • Crossing points:

- DU 14, 24, 26, 28 - GB 3, 4, 5, 6, 14 (in front b/w eyebrows), 21 (at highest pt. of shoulder) - REN 12, 13 , 17, 24 - UB 1

External Symptoms • Parched throat, tidal fever, flushed face, sweating, malaria, sensitivity to cold,

eye pain, dry nostrils, swelling of neck, facial paralysis, fever blisters, any pain along meridian pathway

Internal Symptoms • Abdominal distention/fullness, edema, seizures, persistent hunger, yellow urine

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STOMACH MERIDIAN OF FOOT YANGMING Point Location Actions Indications Method

ST 1 • Yang Heel pt.

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

• Expels wind • Brightens eyes • Clears heat

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

Perpendicular 0.5”-1.0” Push eyeball up NO MOXA

ST 2 • Yang Heel pt.

Below ST 1, in depression below infraorbital ridge

• Expels wind • Brightens eyes • Clears heat

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

Perpendicular 0.2”-0.3” NO MOXA

ST 3 • Yang Heel pt.

Below pupil, at level of lower border of ala nasi

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

• Epistaxis • Toothache • Lip & cheek swelling • Facial paralysis • Eyelid twitching

Perpendicular 0.3”-0.5”

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

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

• Expels wind • Benefits muscles

• Facial paralysis • Deviation of mouth • Salivation • Eyelid twitching

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

ST 5 Anterior to angle of mandible, on anterior border of masseter in groove w/ puffed cheeks

• Eliminates wind & reduces swelling • Facial paralysis or pain • Trismus • Swelling of cheek • Toothache

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

ST 6 One middle finger-breadth anterosuperior to angle of mandible where masseter is prominent when teeth are clenched

• Expels wind • Removes obstructions from channel

• Mumps • Facial paralysis • Toothache • Swelling of cheek & face • Trismus

Perpendicular 0.3”-0.5” or Subcutaneously towards ST 4

ST 7

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

• Removes obstructions from channel • Benefits the ear • Expels wind

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

Perpendicular 0.3”-0.5”

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

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

• Expels wind • Clears heat • Relieves pain • Brightens the eyes

• Blurry vision • Opthalmagia • Headache • Lacrimation

Subcutaneous 0.5”-1.0” NO MOXA

ST 9 • Sea of Qi pt.

Anterior border of SCM, level w/ laryngeal prominence

• Benefits throat • Regulates ascending & descending of qi to &

from head • Subdues rebellious qi • Dissipates nodules

• Flushed face • Sore throat • Asthma • Goiter

Perpendicular 0.3”-0.5” Avoid common carotid a.

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STOMACH MERIDIAN OF FOOT YANGMING Point Location Actions Indications Method

ST 10 Midway b/w ST 9 & ST 11, on anterior SCM border

• Benefits the throat & neck • Descends lung qi

• Cough, asthma or sore throat Perpendicular 0.3”-0.5”

ST 11 Superior border of clavicle b/w 2 heads of SCM

• Benefits the throat & neck & descends qi • Goiter • Hiccups, asthma or sore throat • Local pain/rigidity in neck

Perpendicular 0.3”-0.5” Avoid anterior jugular v.

ST 12 • Contraindicated

in pregnancy

Midpt. right above clavicle, 4 cun lateral to midline

• Subdues rebellious Qi • Removes obstructions from channel

• Cough, asthma or sore throat • Pain in supraclavicular fossa

Perpendicular 0.3”-0.5”

ST 13 Midpt. right below clavicle, 4 cun lateral to midline

• Descends rebellious Qi & unbinds the chest • Fullness & pain in chest & hypochondrium • Cough, asthma or hiccups

Oblique 0.3”-0.5”

ST 14 4 cun lateral to midline in 1

st ICS

• Descends rebellious Qi & unbinds the chest • Fullness & pain in chest • Cough

Oblique 0.3”-0.5”

ST 15 4 cun lateral to midline in 2

nd ICS

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

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

Oblique 0.3”-0.5”

ST 16 4 cun lateral to midline in 3

rd ICS

• Alleviates cough & wheezing • Benefits the breasts

• Mastitis • Fullness/pain in chest & hypochondrium • Cough or asthma

Oblique 0.3”-0.5”

ST 17 – nipples 4 cun lateral to midline in 4

th ICS

• n/a – landmark only • n/a – landmark only NO NEEDLE NO MOXA

ST 18 Below ST 17, 4 cun lateral to midline in 5

th ICS

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

• Mastitis • Insufficient lactation • Chest pain • Cough or asthma

Oblique 0.3”-0.5”

ST 19 2 cun lateral to midline, 6 cun above umbilicus

• Harmonizes the Middle Burner & subdues rebellious Stomach-Qi

• Subdues Rebellious Lung-Qi

• Abdominal distention or gastric pain • Vomiting • Anorexia

Perpendicular 0.5”-0.8”

ST 20 2 cun lateral to midline, 5 cun above umbilicus

• Harmonizes the Middle Burner & Subdues rebellious Stomach-Qi

• Subdues Rebellious Lung-Qi

• Abdominal distention or gastric pain • Vomiting • Anorexia

Perpendicular 0.5”-1.0”

ST 21 2 cun lateral to midline, 4 cun above umbilicus

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

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

Perpendicular 0.8”-1.0”

ST 22 2 cun lateral to midline, 3 cun above umbilicus

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

• Abdominal pain/distention • Edema • Anorexia

Perpendicular 0.8”-1.0”

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STOMACH MERIDIAN OF FOOT YANGMING Point Location Actions Indications Method

• Diarrhea • Borborygmus

ST 23 2 cun lateral to midline, 2 cun above umbilicus

• Transforms phlegm & calms the spirit • Harmonizes the middle jiao

• Irritability or mania • Indigestion or gastric pain

Perpendicular 0.7”-1.0”

ST 24 2 cun lateral to midline, 1 cun above umbilicus

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

• Vomiting • Mania • Gastric pain

Perpendicular 0.7”-1.0”

ST 25 • Front-Mu pt. of

LI

2 cun lateral to center of umbilicus

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

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

Perpendicular 0.7”-1.2”

ST 26 2 cun lateral to midline, 1 cun below umbilicus

• Regulates Qi & alleviates pain • Abdominal pain or hernia • Dysmenorrhea

Perpendicular 0.7”-1.2”

ST 27 2 cun lateral to midline, 2 cun below umbilicus

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

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

Perpendicular 0.7”-1.2”

ST 28 2 cun lateral to midline, 3 cun below umbilicus

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

• Sterility • Urine retention • Edema • Hernia • Lower abdominal distention • Dysmenorrhea

Perpendicular 0.7”-1.2”

ST 29 2 cun lateral to midline, 4 cun below umbilicus

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

• Irregular menstruation (amenorrhea, dysmenorrhea)

• Leukorrhea • Prolapse of uterus • Abdominal pain or hernia

Perpendicular 0.7”-1.2”

ST 30 • Chong meridian

pt.

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

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

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

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

ST 31 Lines connecting ASIS to lower border of pubic symphysis, in depression lateral to sartorius

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

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

Perpendicular 1.0”-1.5”

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STOMACH MERIDIAN OF FOOT YANGMING Point Location Actions Indications Method

ST 32 Line connecting ASIS to lateraosuperior border of patella, 6 cun above patella

• Removes obstructions from the channel • Expels wind & dampness

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

Perpendicular 1.0”-1.5”

ST 33 Flex knee – line connecting ASIS to lateraosuperior border of patella, 3 cun above patella

• Activates the channel & alleviates pain • Dispels wind-damp

• Local knee probs like numbness, soreness, motor impairment

Perpendicular 0.7”-1.0”

ST 34 • Xi-Cleft pt.

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

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

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

Perpendicular 0.5”-1.0”

ST 35 Flex knee – lower border of patella, in depression lateral to patellar lig.

• Relieves swelling & pain • Removes obstructions from the channel

• Knee pain, numbness & motor impairment • Beriberi

Perpendicular 0.7”-1.0”

ST 36 • He-Sea pt. • Major

tonification pt. • Commonly used

like LV 3, SP 6

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

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

• Digestive probs: gastric pain, enteritis, abdominal distention, borborygmus

• Mastitis • Knee & leg ache • Edema • Cough, asthma or hiccups • Emaciation due to general deficiency • Beriberi • Hemiplegia • Dizziness, insomnia or mania

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

ST 37 • Lower He-Sea pt.

of LI • Sea of Blood pt.

3 cun below ST 36 • Regulates functions of ST & intestines, esp. LI • Relieves damp-heat • Soothes asthma • Resolves food retention • Subdues Rebellious Qi

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

Perpendicular 0.5”-1.2”

ST 38 2 cun below ST 37 (on same line as ST 40)

• Expels wind & dampness • Removes obstruction from the channel

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

Perpendicular 0.5”-1.0”

ST 39 • Lower He-Sea pt.

of SI • Sea of Blood pt.

3 cun below ST 37 • Regulates functions of ST & intestines, esp. SI • Relieves damp-heat & wind-damp • Stops pain, esp. lower abdominal pain

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

Perpendicular 0.5”-1.0”

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STOMACH MERIDIAN OF FOOT YANGMING Point Location Actions Indications Method

ST 40 • Luo-Connecting

pt.

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

• Calms the asthma • Clears the mind • Opens the chest & subdues rebellious Qi • Clears heat • Resolves phlegm & damp • Promotes the descending of Lung-Qi & stops

cough • Calms the mind & opens the mind’s orifices

• Excess patterns • Phlegm in Middle or Lower Jiao – cough or

asthma • Epilepsy, dizziness, vertigo or headache • Muscular atrophy • LE motor impairment, pain, swelling • Chest pain • Constipation • Mania

Perpendicular 0.5”-1.0”

ST 41 – seldom used • Jing-River pt.

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

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

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

Perpendicular 0.5”-0.7”

ST 42 • Yuan-1° pt.

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

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

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

Perpendicular 0.3”-0.5” Avoid dorsalis pedis a.

ST 43 • Shu-Stream pt.

In depression distal to junction of 2

nd & 3

rd

metatarsal bones

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

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

Perpendicular 0.3”-0.5”

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

Proximal to the web margin b/w 2

nd & 3

rd toes, in

depression distal & lateral to 2

nd MTP jt. (or 1 cun

below ST 43)

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

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

Perpendicular 0.3”-0.5”

ST 45 • Jing-Well pt.

0.1 cun lateral to corner of 2

nd toenail

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

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

Puncture 0.1” or prick to bleed

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SPLEEN MERIDIAN OF FOOT TAIYIN Pathway • begins at medial side of tip of big toe at SP1, runs along medial aspect of

foot, following the border where the skin changes color • ascends in front of the medial malleolus at SP5, follows the posterior border

of the tibia up medial aspect of the leg to a point 8 cun superior to the medial malleolus where it crosses (and then travels anterior to) the LV channel

• ascends along the medial aspect of the knee & the anteromedial aspect of the thigh to the lower abdomen where it forks

• a superficial branch intersects the Conception vessel at REN3, REN4 & REN10 & ascends first at 4 cun lateral to the midline (REN meridian) then upon reaching the chest, the meridian becomes 6 cun lateral to the midline, passing thru GB24 & LV14 & ascends all the way up the chest to meet w/ LU1, & descends to terminate in the 7

th ICS on the mid-axillary line at SP21

• an internal branch (at the fork of the abdominal region) enters the body to meet w/ the SP then connects to the ST, its internally-externally related organ, ascends thru the diaphragm, runs alongside the esophagus & spreads over the lower surface of the tongue (note: KD meridian ends at ROOT of tongue)

• a further branch ascends from the ST, passes thru the diaphragm & flows directly to the HT

• Connecting zangfu: SP, ST, HT • Crossing points:

- LU 1 - GB 24 - REN 3, 4, 10, 17 - LV 14

External Symptoms • Heaviness of body, general fever sensation, fatigued limbs, emaciated

muscles, edema in foot or legs, stiffness of tongue, general cold sensation on medial aspect of leg along meridian pathway

Internal Symptoms • Abdominal pain, diarrhea, incomplete digestion, vomiting, intestinal noises,

hard lumps in abdomen, reduced appetite, constipation

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SPLEEN MERIDIAN OF FOOT TAIYIN Point Location Actions Indications Method

SP 1 • Jing-Well pt. • Painful!

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

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

• For blood probs: uterine bleeding, bloody stool, menorraghia

• Mental disorders or dream-disturbed sleep • Abdominal distension • Convulsions

Puncture 0.1” or prick to bleed

SP 2 • Ying-Spring pt.

Medial side of foot, distal & inferior to 1

st MTP jt.

where skin color changes

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

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

Perpendicular 0.1”-0.3”

SP 3 • Yuan-1° pt. • Shu-Stream pt.

Proximal & inferior to 1st

MTP jt. where skin color changes

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

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

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

SP 4 • Luo-Connecting

pt. • Confluent pt. to

Chong meridian • Most commonly

used pt., esp. for females

In depression distal & inferior to base of 1

st

metatarsal bone where skin color changes

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

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

Perpendicular 0.5”-0.8” Avoid saphenous n.

SP 5 • Jing-River pt.

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

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

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

Perpendicular 0.2”-0.3” Avoid great saphenous v.

SP 6 • Crossing pt. of 3

leg meridians – SP, LV, KD

• Contraindicated in pregnancy

• Commonly used

3 cun above medial malleolus

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

Qi • Tonifies the Kidneys • Nourishes the Blood & Yin

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

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

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SPLEEN MERIDIAN OF FOOT TAIYIN Point Location Actions Indications Method

• Benefits urination • Regulates the uterus & menstruation

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

SP 7

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

• Fortifies SP & resolves dampness • Promotes urination & disperses swelling

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

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

SP 8 • Xi-Cleft pt.

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

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

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

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

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

women

In depression posterior & inferior to medial condyle of tibia

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

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

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

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

in pregnancy

2 cun above mediosuperior border of patella w/ knee flexed

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

• Blood stagnation, blood heat or anemia • Blood deficiency – don’t use in severe cases • Urticaria, eczema, or erysipelas (acute

bacterial skin infection) • Irregular menstruation, dysmenorrhea,

amenorrhea or uterine bleeding • Pain in medial thigh

Perpendicular 0.5”-1.2”

SP 11 – seldom used On line b/w SP 12 & SP 10, 6 cun above SP 10 (on sartorius)

• Regulates urination • Drains damp • Clears heat

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

Perpendicular 0.5”-1.0” Avoid femoral VAN

SP 12 – seldom used • SP & LV mtg. pt.

w/ Yin Linking meridian

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

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

• Hernia • Abdominal pain • Dysuria

Perpendicular 0.5”-1.0” Avoid femoral a.

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SPLEEN MERIDIAN OF FOOT TAIYIN Point Location Actions Indications Method

SP 13 – seldom used 4 cun below umbilicus, 4 cun lateral to midline

• Regulate Qi & alleviates pain • Hernia • Abdominal pain • Dysuria

Perpendicular 0.5”-1.0”

SP 14 – seldom used

1.3 cun below umbilicus, 4 cun lateral to midline

• Warms & benefits Lower Jiao • Regulates Qi • Descends rebellion

• Local probs: abdominal pain, distension • Hernia • Diarrhea or constipation

Perpendicular 0.5”-1.0”

SP 15 • Yin Linking pt.

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

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

• Abdominal pain & distension • Constipation, diarrhea or dysentery

Perpendicular 0.7”-1.2”

SP 16 3 cun above umbilicus, 4 cun lateral to midline

• Regulates intestines • Indigestion probs • Abdominal pain, constipation or dysentery

Perpendicular 0.5”-1.0”

SP 17 6 cun lateral to midline in 5

th ICS

• Dissipates food & fluid accumulation • Promotes digestion

• Hypochondriac pain, fullness • Pain & fullness in chest

Oblique 0.3”-0.5” Avoid thoracoegastric v.

SP 18 6 cun lateral to midline in 4

th ICS

• Regulates & descends Qi • Benefits breast & promotes lactation

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

Oblique 0.3”-0.5” Avoid thoracoegastric v.

SP 19 6 cun lateral to midline in 3

rd ICS

• Regulate & descends Qi • Unbinds chest

• Local probs • Fullness & pain in chest/hypochondrium

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

SP 20 6 cun lateral to midline in 2

nd ICS

• Regulate & descends Qi • Unbinds chest

• Hiccups & cough • Fullness in chest & hypochondrium

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

SP 21 • Major Luo-

Connecting pt. of SP

Midaxillary line, midway b/w axillary fold & tip of 11

th rib – about 6

th or 7

th

ICS

• Removes pain • Moves blood from all parts of body • Benefits the sinews • Regulates Qi in the chest

• Fibromyalgia • General aching, weakness or itching • Pain in chest & hypochondrium • Asthma

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

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HEART MERIDIAN OF HAND SHAOYIN Pathway • only organ that originates from its own organ, the HT • emerges from the system of blood vessels surrounding the HT & descends thru

the diaphragm to connect w/ the SI, • a branch separates from the HT, ascends alongside the esophagus & then crosses

the face & cheek to connect w/ the tissues surrounding the eyes, • another branch travels directly from the Heart to the LU & descends to emerge

from the axilla fossa at HT1, then travels along the medial aspect of the upper arm (medial to the LU & PC channels) to the elbow at HT3,

• descends along the antero-medial aspect of the lower arm to the pisiform bone across the palm of the wrist at HT7,

• travels thru the palm & along the radial side of the little finger to terminate at the radial corner of the nail at HT9.

• Connecting zangfu: HT, SI, LU (& KD thru muscle meridian) • Crossing points: none External Symptoms • General feverishness, headache, eye pain, dry throat, thirst, hot, sweaty or

painful palms Internal Symptoms • Mental disorders, pain or fullness of chest, pain & fullness below the ribs,

shortness of breath (OK when sitting down, but can’t lay back)

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HEART MERIDIAN OF HAND SHAOYIN Point Location Actions Indications Method

HT 1 – seldom used Center of axilla w/ arm abducted on medial side of axillary a.

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

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

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

HT 2 – seldom used 3 cun above medial end of cubital crease w/ arm flexed, medial to biceps tendon

• Activates the channel & alleviates pain • For local pain, if at all Perpendicular 0.3”-0.5” Avoid basilic v. & superior ulnar collateral a.

HT 3 • He-Sea pt.

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

• Calms the mind • Clears the heat • Removes obstructions form the channel

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

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

HT 4 • Jing-River pt.

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

• Calms the mind • Subdues rebellious Qi • Relaxes the sinews

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

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

HT 5 • Luo-Connecting

pt.

1 cun above wrist crease, radial side of FCU tendon

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

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

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

HT 6 • Xi-Cleft pt.

0.5 cun above wrist crease, radial side of FCU tendon

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

• Cardiac pain • Hysteria • Night sweating • Hemoptysis • Epistaxis • Sudden voice loss

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

HT 7 • Yuan-1° pt. • Shu-Stream pt.

On wrist crease, radial side of FCU tendon

• Opens orifices • Calms the mind • Nourishes the HT blood

• Mental disorders, esp. when due to underlying deficiency

• Dementia, irritability, hysteria, mania • Insomnia or amnesia • Epilepsy • Palpitation • Yellowish sclera • Cardiac pain • Feverish sensation of palm

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

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HEART MERIDIAN OF HAND SHAOYIN Point Location Actions Indications Method

HT 8 • Ying-Spring pt. • PAINFUL!

Palm of hand – when you make a loose fist, tip of pinky falls b/w 4

th & 5

th

metacarpal bones (b/w 2 transverse palmar creases)

• Any kind of HT heat/fire, esp. when phlegm is involved

• Clears empty fire/heat (false heat, yin deficiency heat)

• Calms the mind • Benefits the bladder • Regulates the uterus & lifts sinking Qi

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

Perpendicular 0.3”-0.5”

HT 9 • Jing-Well pt.

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

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

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

Puncture 0.1” or prick to bleed

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SMALL INTESTINE MERIDIAN OF HAND TAIYANG Pathway • originates at ulnar side of tip of little finger at SI1, • ascends along ulnar aspect of hand to reach wrist where it emerges at ulnar styloid

process at SI6 • follows ulna to medial aspect of elbow, where it passes b/w olecranon process &

medial epicondyle of humerus at SI8, • runs along posterior aspect of upper arm (intersecting Large Intestine channel at

LI14) to posterior aspect of shoulder joint at SI10, • zig-zags from inferior fossa to superior fossa of scapula thru SI11 & SI12, & then to

medial aspect of scapular spine at SI13, • crosses via SI14 & SI15 to DU14 under C7 SP (mtg. pt. of yang meridians), where it

intersects w/ BL41 & BL11, then it descends & dips into supraclavicular fossa at ST12 • one branch goes & connects w/ HT & descends along esophagus, intersects

Conception vessel at REN17 & passes thru diaphragm to Stomach, intersects Conception vessel at REN13 & REN12 & enters the small intestine (pertaining organ); from there a branch continues to ST channel & meets w/ ST39 (the lower he-sea point of small intestine)

• A branch (more superficial) ascends from supraclavicular fossa to cross neck to face & cheek & goes to outer canthus of eye, where it meets GB1, then travels posteriorly on top of & behind ear, where it intersects GB11, SJ20 & SJ22 & enters ear at SI19.

• Another branch separates from previous branch on cheek & ascends to infra-orbital region (SI18) then along lateral aspect of nose to enter inner canthus of eye where it meets w/ BL1.

• Connecting zangfu: SI, HT, ST • Crossing points:

- ST12 - LI 14 - DU14 - UB 1, UB 11, UB 41 - REN 12, REN 13, REN 17, - GB 1, GB 11 - SJ 20, SJ 22

External Symptoms • Numbness of mouth & tongue, neck pain, sore throat, pain along the lateral aspect of

the arm Internal Symptoms • Abdominal pain & distention; lower abdominal pain that radiates to the waist, groin,

& genitals; diarrhea, constipation

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SMALL INTESTINE MERIDIAN OF HAND TAIYANG Point Location Actions Indications Method

SI 1 • Jing-Well pt.

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

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

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

Subcutaneous 0.1” or prick to bleed

SI 2 • Ying-Spring pt.

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

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

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

Perpendicular 0.3”-0.5”

SI 3 • Shu-Stream pt. • Confluent pt. to

Du meridian

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

• Expels wind-heat • Benefits tendons/sinews • Resolves damp • Clears jaundice or damp-heat • Clears the mind (b/c SI connects to HT & Du

meridian enters brain) • Alleviates low back pain (b/c connected to Du) • Regulates the Governing Vessel & extinguishes

interior & exterior wind • Benefits the eyes, nose, & ears

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

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

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

SI 4 • Yuan-1° pt.

Ulnar side of palm, in depression b/w base of 5

th

metacarpal & hamate on

• Clears damp-heat • Removes obstructions from the channel

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

Perpendicular 0.3”-0.5”

SI 5 • Jing-River pt.

Depression b/w ulnar styloid process & triquetrium

• Clears heat • Calms the mind • Benefits ears & eyes

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

Perpendicular 0.3”-0.5” Avoid posterior carpal a.

SI 6 • Xi-Cleft pt.

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

• Benefits eyes & tendons/sinews • Removes obstructions from channel

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

Perpendicular 0.3”-0.5”

SI 7 – seldom used • Luo-Connecting

pt.

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

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

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

Perpendicular 0.5”-0.8”

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SMALL INTESTINE MERIDIAN OF HAND TAIYANG Point Location Actions Indications Method

SI 8 – seldom used • He-Sea pt.

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

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

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

Perpendicular 0.3”-0.5” Avoid ulnar n.

SI 9

Upper shoulder, 1 cun above posterior axillary fold

• Removes obstructions from channel • Local pain • Motor impairment of hand/arm

Perpendicular 0.5”-1.0”

SI 10 • Crossing pt. of

Yang Linking & Yang Heel meridians

Above SI 9, under scapular spine

• Removes obstructions from channel • Shoulder probs – usually tender in basketball & baseball players

• Swelling

Perpendicular 0.5”-1.0”

SI 11

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

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

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

Perpendicular or Oblique 0.5”-1.0”

SI 12 – seldom used • SI, LI, SJ & GB

mtg. pt.

Lift arm – center of suprascapular fossa above SI 11

• Removes obstructions from channel • Local probs • Pain in scapular region • Motor impairment of shoulder/arm

Perpendicular 0.5”-0.7”

SI 13 – seldom used Midway b/w T2 SP & SI 10 • Expels wind • Removes obstructions from channel

• Pain & stiffness of scapular region Perpendicular 0.3”-0.5”

SI 14 3 cun lateral to lower border of T1 SP

• Expels wind • Removes obstructions from channel

• Aching of shoulder & back • Pain & rigidity of neck

Oblique 0.3”-0.7”

SI 15 2 cun lateral to C7 SP or Du 14

• Promotes the descending of Lung-Qi • Removes obstructions from channel

• Cough & asthma • Hemoptysis • Pain in the shoulder/back

Oblique 0.3”-0.6”

SI 16 At level of laryngeal prominence, posterior border of SCM

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

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

Perpendicular 0.3”-0.7”

SI 17 Posterior to angle of mandible, anterior border of SCM

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

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

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

SI 18 • SI & SJ mtg. pt.

Below outer canthus on lower border of zygomatic

• Relieves wind & pain • Clears heat & resolves swelling

• Facial paralysis • Yellowish sclera

Perpendicular 0.5”-0.8”

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SMALL INTESTINE MERIDIAN OF HAND TAIYANG Point Location Actions Indications Method

arch • Toothache • Twitching of eyelids • Swelling of cheek

SI 19 Depression formed when mouth is open, anterior to tragus & posterior to condyloid process of mandible

• Benefits the ears • Acute deafness or tinnitus • TMJ • Otorrhea • Toothache

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

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URINARY BLADDER MERIDIAN OF FOOT TAIYANG Pathway • begins at the inner canthus of the eye at BLl and ascends along the forehead to the vertex, where a branch (1) travels diagonally and intersects with GB15, DU24 and DU20, • from the vertex, a branch descends to the temples in the region above the ear, intersecting the GB channel at points GB7-12, • from the vertex, another branch enters and goes through the brain, meets the Governing channel and emerges at DU17 to descend the nape of the neck (posterior to head) and crosses DU14 & 13, where the channel splits into two branches that travel down the spine. The first (medial) branch: the 1.5 cun has all back shu pts on it – mostly right on organs/close to organs they are related to • descends alongside the spine, 1.5 cun lateral to the midline, all the way down to the lumbar region, • penetrates deep into the interior via the paravertebral muscles to connect with the KD and link with the BL • a sub-branch separates in the lumbar region, descends along the sacrum, crosses the buttock & gluteal region and descends to the popliteal fossa of the knee at BL40 (meets the 2

nd branch).

The second (lateral) branch: mostly sensory – emotional ex. anger (LV); sadness (LU)) • separates at the nape of the neck and descends to the medial border of the scapula and then parallel to the spine, 3 cun lateral to the midline, to the gluteal region, • crosses the buttock to intersect at GB30, then descends along the postero-lateral aspect of the thigh to meet with the previous branch of the channel in the popliteal fossa at BL40 (meets the previous branch), • descends the medial gastrocnemius muscle and emerges posterior to the lateral malleolus at BL60, then follows along the fifth metatarsal bone (where the skin color changes) to temrinate at BL67 o the lateral side of the tip of the fifth toe, where it meets with the KD channel. related zangfu: KD, BL, (goes on the GB channel) + HT (but not main branch) crossing points: DU20, DU24, GB15, GB7-12, DU17, DU14, DU13, GB 15, GB30 **Note: although not mentioned in the classical pathway described above, the following points are also traditionally said to be meeting points with the Bladder channel: LI14, SI10 and GB23. External Symptoms • Chills & fever, headache, stiff neck & back, nasal congestion, eye probs Internal Symptoms • Any urinary probs (urine retention, lower abdominal pain, dysuria), mental

disorders

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URINARY BLADDER MERIDIAN Point Location Actions Indications Method

UB 1 • Mtg. pt. of Yin

Heel, Yang Heel, ST & SI meridians

0.1 cun medial to inner canthus

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

• Lacrimation • Itching of eyes • Any eye probs

Perpendicular 0.3”-0.7” Puncture slowly & leave alone! NO MOXA Avoid: angular artery and vein; ophthalmic VAN; supratrochlear and infratrochlear nerves; oculomotor nerve

UB 2 Medial end of eyebrow, on supraorbital notch

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

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

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

UB 3 Above UB 2, 0.5 cun w/in hairline

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

• Nasal obstruction • Epilepsy

Subcutaneously Laterally 0.3”-0.5” Same as UB 2

UB 4 0.5 w/in hairline, 1.5 cun lateral to midline

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

• Eye probs • Local probs • Nasal congestion

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

UB 5 1.5 cun lateral to midline, 0.5 cun posterior to UB 4 – 1.0 cun w/in hairline, 1.5 cun lateral to midline

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

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

Subcutaneously 0.3”-0.5” Same as UB 4

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URINARY BLADDER MERIDIAN Point Location Actions Indications Method

UB 6 – seldom used 1.5 cun posterior to UB 5 & 1.5 cun lateral to midline – 2.5 w/in hairline

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

• Vertex headache, wind dizziness, superficial visual obstruction, blurred vision, short sightedness, copious clear nasal discharge, nasal congestion, inability to distinguish the fragrant from the foul, deviation of the mouth.

• Vomiting, agitation of the Heart with vomiting, febrile disease with absence of sweating

Subcutaneously 0.3”-0.5” Avoid: frontal VAN; Superficial temporal artery; occipital artery and vein; great occipital nerve

UB 7 1.5 cun posterior to UB 6 & 1.5 cun lateral to midline - 4.0 cun to ant. hairline

• Subdues wind • Clears the nose • Brightens the eyes • Opens the orifices • Stops convulsions • Subdues Liver-Yang • Benefits the nose

• Headache, deviation of eye and mouth, stiff neck, a feeling of heaviness of the head, loss of consciousness

• Nasal congestion and discharge, loss of sense of smell, nosebleed, nasal sores

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

UB 8 1.5 cun posterior to UB 7 & 1.5 cun lateral to midline – 5.5 cun to ant. hairline

• Benefits the sense organs • Pacifies wind • Transforms phlegm • Calms the spirit

• Tinnitus • Mania

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

UB 9 1.3 cun lateral to Du 17 – posterior border of EOP

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

• Eye probs b/c almost above vision area of brain

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

UB 10 – seldom used

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

• Clears brain • Brightens eyes • Expels wind • Soothes the sinews • Opens the orifices • Invigorates “tight” lower back • Extinguishes wind • Subdues Liver-Yang • Strengthens the Greater Yang channels

• Speech probs • Headache • Throat probs

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

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URINARY BLADDER MERIDIAN Point Location Actions Indications Method

UB 11 • Influential bone

pt. • Sea of blood pt. • UB & SI mtg. pt.

1.5 cun lateral lower border of T1 SP

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

Restores the descending of Lung-Qi

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

chronic rhinitis, propensity to catching colds • Bone diseases, rigidity of the neck and spine,

pain in the back and scapula, lower backache, collapse, inability to stand for long periods

• Cough, a feeling of fullness of the chest, breathlessness

Oblique – towards spine 0.5”-0.7” Avoid: Intercostal AV; cutaneous branches of posterior rami of 1

st and 2

nd

thoracic nerves

UB 12 Level w/ T2, 1.5 cun lateral • Dispels wind • Releases exterior • Stimulates dispersing function of Lung • Regulates Wei Qi & Ying Qi • Consolidates the space between skin and

muscles • Stimulates the descending of Lung-Qi • Strengthens the back • Benefits the nose

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

nosebleed

Oblique – towards spine 0.5”-0.7” Avoid: Intercostal AV; cutaneous branches of posterior rami of 2

nd and 3rd

thoracic nerves

UB 13 • Back shu pt. of

LU

1.5 cun lateral to T3 • Helps dispersing & descending function of Lung • Regulates Lung Qi • Regulates Wei Qi & Ying Qi • Stops cough • Clears heat • Expels external wind • Tonifies Lung-Qi and Nourishes Lung-Yin • Calms the mind

• Lung probs of deficiency nature • Spitting of blood • Afternoon fever

Oblique – towards spine 0.5”-0.7” Avoid: Intercostal AV; cutaneous branches of posterior rami of 3

rd and 4

th

thoracic nerves

UB 14 • Back shu pt. of

PC

1.5 cun lateral to T4 • Regulates heart • Opens the chest • Stops pain

• Vomiting • Heart pain, palpitations, agitation, mental

restlessness • Coughing, breathlessness, a feeling of

fullness of the chest, chest pain

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

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URINARY BLADDER MERIDIAN Point Location Actions Indications Method

4th

and 5th

thoracic nerves

UB 15 Back shu pt. of HT

1.5 cun lateral to T5 • Calms the mind • Nourishes the heart • Clears the heat • Invigorates the blood • Stimulates the brain • Regulates Heart-Qi

• Mania • Nocturnal emission • Night sweats

Oblique – towards spine 0.5”-0.7” Avoid: Intercostal AV; cutaneous branches of posterior rami of 5

th and 6

th

thoracic nerves

UB 16 • Back shu pt. of

Du

1.5 cun lateral to T6 • Regulates the heart • Invigorates the blood • Moves Qi

• Heart pain • Epigastric pain, abdominal distention, breast

abscess

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

UB 17 • Influential blood

pt.

1.5 cun lateral to T7 • Nourishes & invigorates blood • Tonifies Qi & blood • Clears the heat • Calms the mind • Opens the chest • Removes obstruction from diaphragm • Cools the blood • Stops bleeding • Subdues rebellious Qi • Benefits the sinews

• Any blood probs • Night sweats • Measles

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

UB 18 • Back shu pt. of

LV

1.5 cun lateral to T9 • Resolves damp heat • Benefits Liver & Gallbladder • Removes wind • Clears heat • Moves Liver-Qi and eliminates stagnation • Brightens the eyes

• Jaundice • Night blindness • Spitting blood • Epistaxis

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

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URINARY BLADDER MERIDIAN Point Location Actions Indications Method

• Benefits the sinews • Nourishes and invigorates Liver-Blood • Stops Bleeding

branches of posterior rami of T9-10

UB 19 • Back shu pt. of

GB

1.5 cun lateral to T10 • Removes damp heat from Liver & Gallbladder • Relaxes diaphragm • Pacifies Stomach • Subdues rebellious Qi • Tonifies GB Qi • Regulates the Lesser Yang • Tonifies deficiency

• Pulmonary TB • Jaundice • Bitter taste in mouth

Oblique – towards spine 0.5”-0.8” Avoid: Intercostal AV; cutaneous branches of posterior rami of T10-11

UB 20 • Back shu pt. of

SP

1.5 cun lateral to T11 • Relieve damp • Nourishes blood • Tonifies spleen & stomach • Regulates the intestines • Lifts spleen Qi and stops bleeding

• Profuse menstruation • Bloody stools • Edema • Diarrhea • Any probs related to spleen function

Oblique – towards spine 0.5”-0.7” Avoid: Intercostal AV; cutaneous branches of posterior rami of T11-12

UB 21 • Back shu pt. of

ST

1.5 cun lateral to T12 • Regulate & tonifies ST QI • Relieves food retention • Resolves damp • Subdues rebellious stomach Qi

• Any probs w/ stomach: nausea, vomiting, diarrhea, borborygmus

Oblique – towards spine 0.5”-0.8” Avoid: subcostal AV; Cutaneous branches of T12

UB 22 • Back shu pt. of SJ

1.5 cun lateral to L1 • Resolves damp • Regulates fluid transformation of in Lower Jiao • Opens water passages • Invigorates blood • Regulates the Lesser Yang

• Dysentery or diarrhea • Indigestion • Abdominal distension

Perpendicular 0.5”-0.1” Avoid: 1

st lumbar

VAN; lateral cutaneous branch of T10; he kidney

UB 23 • Back shu pt. of

1.5 cun lateral to L2 • Tonifies KD, Essence, Blood • Strengthens lower back

• Elderly patients • Deafness, tinnitus

Perpendicular 1.0”-1.2”

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URINARY BLADDER MERIDIAN Point Location Actions Indications Method

KD • Commonly used

• Benefits marrow & bone • Strengthens KD’s function of grasping Qi from

LU • Brightens eyes & benefits ears • Consolidates Kidney-Qi • Resolves dampness and benefits urination • Strengthens the Uterus and the directing,

Governing, and Penetrating vessels

• Edema

Avoid: L2 AV; branches of L1 cutaneous nerves

UB 24 • Sea of Qi pt.

1.5 cun lateral to L3 • Regulates Qi & Blood • Strengthens lower back • Regulates menstruation

• Irregular menstruation or dysmenorrhea • Asthma

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

UB 25 • Back shu pt. of LI

1.5 cun lateral to L4 • Increases functions of LI • Relieves fullness & swelling • Strengthens the low back

• Low back probs • Sciatica

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

UB 26 1.5 cun lateral to L5 • Strengthens lower back • Moves Qi and Blood in the lower burner • Benefits urination

• Frequent urination Perpendicular 0.8”-1.2” Avoid: L5 VAN

UB 27 • Back shu pt. of SI

1.5 cun lateral to 1st

posterior sacral foramen

• Resolves damp & clear heat • Benefits urination • Helps functions of SI

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

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

UB 28 • Back shu pt. of

UB

1.5 cun lateral to 2nd

posterior sacral foramen

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

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

genitals, itching in genitals, swelling and pain of the vagina, swelling of the penis

• Abdominal pain, abdominal masses (Ji Ju), constipation

• Stiffness and pain of the sacrum, lower backache, stiffness of the lower back, pain in the buttocks, numbness of legs, sciatica

Perpendicular 0.8”-1.2” Avoid: lateral sacral AV; S1 and S2 nerves

UB 29 – seldom used

1.5 cun lateral to 3rd

posterior sacral foramen

• Benefits the Lumbar region • Dispels cold

• Local probs like hernia Perpendicular 0.8”-1.2”

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URINARY BLADDER MERIDIAN Point Location Actions Indications Method

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

UB 30 1.5 cun lateral to 4th

posterior sacral foramen

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

• Any prob related to anus: prolapsed of rectum, hernia

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

UB 31 In 1st

posterior sacral foramen

• Regulate LJ • Regulates KD & tonifies lumbar region • Regulates the Lower Jiao • Facilitates urination and defecation • Regulates menstruation • Stops Leukorrhea • Benefits the legs

• Dysuria • Prolapse of uterus

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

UB 32 In 2nd

posterior sacral foramen

• Tonifies KD & Essence • Benefits urination and defecation • Strengthens the lower back • Regulates menstruation and resolves damp

• Empirical pt. for dysmenorrhea (painful menstruation)

• Hemorrhoids • Female infertility

Perpendicular 0.8”-1.2” Avoid: lateral sacral AV; S2 nerve

UB 33 In 3rd

posterior sacral foramen

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

• Morbid leucorrhea Perpendicular 0.8”-1.2” Avoid: lateral sacral AV; S3 nerve

UB 34 In 4th

posterior sacral foramen

• Same as UB 32 & UB 33 • Regulates the lower Jiao • Stops Leukorrhea • Benefits the lumbar region and legs

• Lower abdominal pain • Diarrhea • Dysmenorrhea • Lumbar pain

Perpendicular 0.8”-1.2” Avoid: inferior gluteal AV; S4 nerve

UB 35 – seldom used

0.5 cun lateral to tip of coccyx

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

• Bloody stools or diarrhea • Impotence

Perpendicular 0.5”-1.0” Avoid: inferior

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URINARY BLADDER MERIDIAN Point Location Actions Indications Method

gluteal AV; coccygeal nerve

UB 36 Halfway b/w gluteal crease • Removes obstruction from the channel • Treats Hemorrhoids

• Sciatica • LE numbness & motor impairment

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

UB 37 b/w UB 40 & UB 36 – 6 cun below UB 36

• Benefits the lower back • Sciatica Perpendicular 1.0”-2.0” Avoid: 3

rd

perforating branches of deep femoral AV; posterior femoral cutaneous nerve; sciatic nerve

UB 38 – seldom used

1 cun above UB 39 • Relaxes the sinews • Alleviates pain • Clears heat • Soothes contraction

• Numbness of the buttock, contraction of the sinews of the popliteal fossa, contraction and pain of the outer thigh, sudden turmoil disorder with crams

• Small Intestine heat, knotting of the Large Intestine, hot urination

Perpendicular 0.5”-1.0” Avoid: superolateral genicular AV; posterior femoral cutaneous nerve; sciatic nerve

UB 39 • Lower He-Sea pt.

of SJ

In popliteal fossa on medial side of biceps femoris tendon

• Opens water passages esp., in LJ • Stimulates transformation & excretion of fluids • Benefits the UB

• Any damp probs • Edema • Dysuria

Perpendicular 0.5”-1.0” Avoid: Same as UB 38

UB 40 • He-Sea pt. • Empirical pt. for

LBP • Commonly used

In popliteal fossa b/w biceps femoris & semitendinosus tendons

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

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

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

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URINARY BLADDER MERIDIAN Point Location Actions Indications Method

• Removes obstructions form channel black to red Avoid: femoro-popliteal vein; popliteal AV; posterior femoral cutaneous nerve; tibial nerve

UB 41 • Ghost attack

2nd

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

• When ppl w/ high fever hallucinate that ghosts are attacking them

• Activates the channel • Alleviates pain • Expels wind and cold

• ON TEST MARK PEPENDICULAR b/c that way in book

• Contraction of the shoulder, scapula and back, pain and stiffness of the neck, back pain radiating to the head numbness of the elbow and upper arm

• Wind-cold lodged in the interstices, wind-taxation

In clinic= Oblique outwards (away from spine) 0.3”-0.5” ON TEST = perpendicular 0.3-0.5” Avoid: Transverse cervical artery, intercostal AV; posterior rami of T1-2 (lateral branch); dorsal scapular nerve

UB 42 3 cun lateral at same level of T3 SP; 1.5 cun lateral to Back-shu pt. of Lung

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

• Local probs: upper back pain, muscle stiffness

• Consumption, dry cough • Sadness, grief, feeling of oppression of the

chest, depression, suicidal thoughts, ‘three corpses flowing’

• Cough, wheezing, breathlessness

Oblique outwards 0.3”-0.5” Avoid: intercostal artery; descending branch of transverse cervical artery; cutaneous T2-3; dorsoscapular nerve

UB 43 3 cun lateral to 4th

TP; level w/ Back shu pt. of PC

• Tonifies Qi • Strengthens deficiencies • Nourishes Essence & LU Yin • Invigorates mind

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

Oblique outwards 0.3”-0.5” Avoid: intercostal

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URINARY BLADDER MERIDIAN Point Location Actions Indications Method

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

exhaustion, night sweating, consumption, weight loss

• Deficiency of Stomach and Spleen, undigested food in the stools, weak limbs

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

UB 44 Level w/ 5th

TP; level w/ back shu of heart

• Calms the mind • Subdues rebellious Qi

• Insomnia & anxiety (combine w/ UB 18) • Depression

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

UB 45 – seldom used

6th

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

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

• Cough, dyspnea, febrile disease with absence of sweating, attack by wind with absence of sweating, visual dizziness, eye pain, nosebleed, malaria, headache in children whilst eating, five palms agitated and hot

• Pain of the shoulder, scapula and back, chest pain that radiates to the lumbar region, pain of the lateral costal region accompanied by distention and pain of the hypogastrium, pain of the lateral costal region radiating to the Heart and Lung, abdominal distention, contraction of the axilla

Oblique downwards 0.3”-0.5” Avoid: Intercostal AV; cutaneous branches of T5-6

UB 46 7th

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

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

• Hiccups • Dysphagia • Belching, vomiting

Oblique 0.3”-0.5” Avoid: Intercostal AV; cutaneous branches of T6-7

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URINARY BLADDER MERIDIAN Point Location Actions Indications Method

UB 47 9th

thoracic; level of back-shu pt. of LV

• Regulates liver • Roots ethereal soul • Benefits the sinews

• Emotional probs: depression • Vomiting, diarrhea

Oblique 0.3”-0.5” Avoid: Intercostal AV; cutaneous branches of T7-8

UB 48 Level w/ back-shu pt. of GB 10

th thoracic

• Regulates the GB • Clears damp-heat • Harmonizes Middle Jiao

• Diahrrea & jaundice

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

UB 49 11th

thoracic, level w/ back-shu pt. of SP

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

• Abdominal fullness, hypochondrial distension, diarrhea, vomiting, a feeling of heat, yellow sclera and complexion

• Poor memory, poor concentration, worry, pensiveness, obsessive thinking

Oblique 0.3”-0.5” Avoid: Intercostal AV; cutaneous branches of T10-11

UB 50 12th

thoracic Level w/ back-shu pt. of ST

• Harmonizes the Middle Jiao • Distention, vomiting, diarrhea Oblique 0.3”-0.5” Avoid: subcostal AV; lateral cutaneous branch of T11

UB 51 3 cun lateral to 1st

lumbar; level w/ SJ

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

• Abdominal mass • Fullness and hardness below the heart • Breast disease, fullness, distention and pain

of the breasts, breast lumps

Oblique 0.3”-0.5” Avoid: L1 AV; T12 nerve

UB 52 Lateral to 2nd

lumbar; level w/ KD

• Strengthens the back & tonifies the KD • Tonifies Kidney essence • Benefits urination • Strengthens the back • Strengthens will-power

• Willpower • Frequent urination • Impotence • Nocturnal emission

Perpendicular 0.5”-1.0” Avoid: L2 AV; T12-L1 nerves

UB 53 3 cun lateral to 2nd

sacral foramen; level w/ back-shut pt. of UB

• Opens water passages of LJ • Simulates transformation & excretion of fluids • Benefits the bladder

• Anuria • Hardness and fullness of the hypogastrium,

retention of urine, dribbling urination,

Perpendicular 0.8”-1.2”

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URINARY BLADDER MERIDIAN Point Location Actions Indications Method

edema Avoid: superior gluteal VAN; superior cluneal nerve

UB 54 3 cun lateral to sacral hiatus;

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

• Hemorrhoids • Swelling around external genitalia

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

UB 55 – seldom used

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

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

• Lumbar pain radiating to the abdomen, heat sensation of the inner thigh, pain, heat and heaviness of the knees, difficulty in walking

• Uterine bleeding, leucorrhea, pain of the genitals, sudden violent pain of the genitals, cold shan disorder

Perpendicular 0.7-1.0 Avoid: Small saphenous vein; popliteal AV; medial sural cutaneous nerve; tibial nerve

UB 56 – seldom used

Midway b/w UB 55 & 57 • Relaxes the sinews • Activates the channel • Alleviates pain • Benefits the foot and heel

• Contraction and pain of the lumbar spine, painful obstruction of the lower leg, shivering with inability to stand for long, heat sensation in the soles with inability to stand for long, pain and contraction of the foot and heel, swelling of the axilla

• Hemorrhoids, constipation, incontinence of both urine and feces

• Nosebleed, rhinitis, head in the head, dizziness and headache, sudden turmoil disorder with cramps, clonic spasm, urticaria

Perpendicular 0.8-1.2 Avoid: small saphenous vein; posterior tibial AV; medial sural cutaneous nerve; tibial nerve

UB 57 8 cun above tendon • Relaxes the sinews and removes obstructions from channel

• Treats hemorrhoids

• Hemorrhoids, constipation, prolapsed of the rectum

• Pain and stiffness of the lumbar region, sciatica, difficulty sitting and standing, inability to stand for long, cramps, pain and contraction of the sinews, leg qi with swollen knee, heavy legs, flaccidity and weakness of the leg, pain of the heel, heat sensation in

Perpendicular 0.8-1.2 Avoid: same as UB 56

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URINARY BLADDER MERIDIAN Point Location Actions Indications Method

the soles with inability to stand for long • Sivering, malaria, sudden turmoil disorder,

nosebleed, sore throat, heat in the head

UB 58 • Luo-Connecting

pt.

7 cun above UB 60; 1 cun lateral & inferior to UB 57

Removes obstructions from channel Subdues rebellious Qi from the head Strengthens the kidneys Treats hemorrhoids

• Lower back pain, sciatica, inability to stand, atrophy of legs

• Headache, dizziness, neck ache, occipital headache, nosebleed

• Lower backache, tinnitus, dizziness • Hemorrhoids

Perpendicular 0.7-1.0 Avoid: lateral sural cutaneous nerve

UB 59 • Xi-Cleft pt. of

Yang Heel meridian

3 cun directly above UB 60 • Removes obstructions from the channel • Invigorates the Yang Stepping Vessel • Benefits the back

• Thigh pain, Wind Painful Obstruction Syndrome (Bi Syndrome) of legs, atrophy of legs, inability to raise leg, feeling of heaviness of the legs, sciatica, ulcers on legs, redness and swelling of lateral malleolus, lower backache with pronounced stiffness

Perpendicular 0.5-1.0 Avoid: Sural nerve; small saphenous vein; peroneal artery

UB 60 • Jing-River pt. • Contraindicated

in pregnancy

Posterior to lateral malleolus

• Clears heat • Extinguishes interior Wind and subdues

rebellious Qi from the head • Removes obstructions from channel • Strengthens the back • Invigorates blood and Promotes Labor

• A feeling of heat in the head, redness, pain and swelling of the eye, bursting eye pain, nosebleed

• Epilepsy, lockjaw, headache, dizziness • Stiff neck, backache, upper backache,

sciatica • Chronic lower backache • Difficult labor, retention of placenta

Perpendicular 0.5-1.0 Avoid: Small saphenous vein; posteroexternal malleolar AV; sural nerve Contraindicated in pregnancy

UB 61 – seldom used

Posteroinferior to UB 60 • Relaxes the sinews • Activates the channel • Alleviates pain

• Headache, heavy head, heaviness of the head like a stone

• Mania, manic raving, seeing ghosts, loss of consciousness, childhood epilepsy, vomiting, turbid painful urinary dysfunction

• Lumbar pain, atrophy disorder of the leg, leg qi, sudden turmoil disorder with cramps, swelling of the knee, heel pain

Perpendicular 0.3-0.5 Avoid: External calcaneal branch of peroneal AV; external calcaneal branch of sural nerve

UB 62 • Confluent pt. of

Yang Heel

• Removes obstructions from channel • Benefits the eyes • Opens the Yang Stepping Vessel and

harmonizes the left and right of the YSV

• Stiff neck, occipital headache, stiff back, Cold Painful Obstruction Syndrome (Bi Syndrome) of the back, pain in the legs

• Insomnia, somnolence, red eyes, eye pain

Perpendicular 0.3-0.5 Avoid: External

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URINARY BLADDER MERIDIAN Point Location Actions Indications Method

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

• Imbalances between left and right (one leg longer than the other, one scapula higher than the other, sweating on one side of the body, hemiplegia, etc), excess of Yang in the head

• Epilepsy (attacks in daytime), opisthotonos, lockjaw, tremors, Wind-strke, deviation of eye and mouth

• Headache, dizziness • Aversion to cold, fever, occipital headache

and stiffness • Manic behavior, insomnia

malleolar arterial network; sural nerve

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

Linking meridian

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

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

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

Perpendicular 0.3-0.5 Avoid: lateral plantar VAN; lateral dorsal cutaneous nerve of foot

UB 64 Yuan-1 pt.

Below 5th

metatarsal bone where skin color changes

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

• Headache, dizziness, redness of inner canthus of eye

• Tremor of the head, epilepsy • Palpitations, insomnia, manic depression,

fright

Perpendicular 0.3-0.5 Avoid: Same as UB 63

UB 65 • Shu-Stream pt. • Sedation pt.

Posterior to head of 5th

metarsal bone

• Clears heat • Eliminates wind • Subdues rebellious Qi from the head

• Headache, dizziness, occipital headache • Redness and pain of the eye, redness of

inner canthus of eye, yellow sclera • Aversion to cold, fever, occipital stiffness

and ache

Perpendicular 0.3-0.5 Avoid: 4

th

common plantar digital VAN; lateral dorsal cutaneous nerve

UB 66 • Ying-Spring pt.

In depression anterior to MTP jt. where color changes

• Eliminates wind • Clears heat & fire • Promotes the rising of clear Qi to the head

• Difficult urination, burning pain on urination, scanty dark urine, red eyes, nosebleed

• A feeling of heaviness of the head, dizziness

Perpendicular 0.2-0.3 Avoid: plantar digital AV; plantar digital proprial

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URINARY BLADDER MERIDIAN Point Location Actions Indications Method

nerve; lateral dorsal cutaneous nerve

UB 67 • Jing-Well pt. • Tonification pt. • Contraindicated

in pregnancy

0.1 cun lateral to corner of nail of little toe

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

• Headache, dizziness, occipital headache, neck ache

• Red eyes, eye pain • Difficult urination, painful urination • Retention of placenta, mal-position of fetus,

delayed labor, prolonged or difficult labor

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

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KIDNEY MERIDIAN OF THE FOOT SHAOYIN

The 12 Primary Meridians

Page 46 of 83 5/1/2012

KIDNEY MERIDIAN OF THE FOOT SHAOYIN

point Location Action Indication Method

KI-01 (Yong Quan) Jing-Well

On the sole, in the depression when the foot is in plantar flexion, approximately at the junction of the anterior one-third and posterior two-thirds of the line connecting the base of the 2nd and 3rd toes and the heel.

Descends excess from the head

Calms the spirit Revives consciousness and rescues yang

Headache, blurring of vision, dizziness, sore throat, dryness of the tongue, loss of voice, dysuria, infantile, convulsions, feverish sensation in the sole, loss of consciousness.

P 0.3-0.5

KI-02 (Ran Gu) Ying-Spring

Anterior and inferior to the medial malleolus, in the depression on the lower border of the tuberosity of the navicular bone.

Clears deficiency heat Regulates the Kidneys Regulates the lower jiao

Pruritus vulvae, prolapse of uterus, irregular menstruation, nocturnal emission, hemoptysis, thirst, diarrhea, swelling and pain of the dorsum of foot, acute infantile omphalitis.

p 0.3-0.5

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

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

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

Sore throat, toothache, deafness, tinnitus, dizziness, spitting of blood, asthma, thirst, irregular menstruation, insomnia, nocturnal emission, impotence, frequency of micturition, pain in the lower back.

P 0.3-0.5

KI-04 (Da Zhong)

Luo (Connecting) Point

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

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

Spitting of blood, asthma, stiffness and pain of the lower back, dysuria, constipation, pain in the heel, dementia.

P 0.3-0.5 i

KI-05 (Shui Quan) Xi (Cleft)

1 cun directly below Taixi (KI-3), in the depression of the medial side of the tuberosity of the calcaneum.

Regulates the Penetrating and Conception vessels and benefits menstruation

Amenorrhea, irregular menstruation, dysmenorrhea, prolapse of uterus, dysuria, blurring of vision

P 0.3-0.5

KI-06 (Zhao Hai)

Confluent Point of the Yin Motility Vessel

In the depression below the tip of the medial malleolus.

Benefits the throat Nourishes the Kidneys and clears deficiency heat.Regulates the Yin Motility vessel Calms the spirit Regulates the lower jiao

Irregular menstruation, morbid leukorrhea, prolapse of uterus, pruritus vulvae, frequency of micturition, retention of urine, constipation, epilepsy, insomnia, sore throat, asthma

P 0.3-0.5

KI-07 (Fu Liu) Jing-River

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

Benefits the Kidneys Regulates the water passages and treats edema Regulates sweating Drains damp and clears damp-heat Strengthens the lumbar region

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

P 0.5-0.7

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

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

Regulates the Conception and Penetrating vessels and adjusts menstruation Stops uterine bleeding

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

P 0.5-0.7

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Motility Vessel Clears heat and drains damp from the lower jiao

KI-09 (Zhu Bin) Xi-Cleft of the Yin Linking Vessel

5 cun directly above Taixi (KI-3) at the lower end of the belly of m. gastrocnemius, on the line drawn from Taixi (KI-3) to Yingu (KI l0).

Clears the Heart and transforms phlegm Regulates Qi and alleviates pain

Mental disorders, pain in the foot and lower leg, hernia.

P 0.5-0.7

KI-10 (Yin Gu) He-Sea

When the knee is flexed, the point is on the medial side of the popliteal fossa, between the tendons of m. semitendinosus and semimembranosus, at the level with Weizhong (BL-40)

Clears damp-heat from the lower jiao Benefits the Kidneys Activates the channel and alleviates pain

Impotence, hernia, uterine bleeding, dysuria, pain in the knee and popliteal fossa, mental disorders

P 0.8-1.0

KI-11 (Heng Gu) Meeting Point of the Kidney Channel with the Penetrating Vessel

5 cun below the umbilicus, on the superior border of symphysis pubis, 0.5 cun lateral to Qugu (REN-2)

Benefits the lower jiao

Fullness and pain of the lower abdomen, dysuria enuresis, nocturnal emission, impotence, pain of genitalia

P 0.5-1.0

KI-12 (Da He) Mpt with the penetrating Vessel

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

Tonifies the Kidneys and astringes essence

Nocturnal emission, impotence, morbid leukorrhea, pain in the external genitalia, prolapse of uterus.

P 0.5-1.0

KI-13 (Qi Xue) Mpt with the penetrating Vessel

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

Regulates the Penetrating and Conception vessels Regulates the lower jiao

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

P 0.5-1.0

KI-14 (Si Man) Mpt with the penetrating Vesse

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

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

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

P 0.5-1.0

KI-15 (Zhong Zhu) Mpt with the penetrating Vessel

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

Regulates the intestines

Regulates the lower jiao

Irregular menstruation, abdominal pain, constipation

P 0.5-1.0

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

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

Regulates Qi and alleviates pain Regulates and warms the intestines

Abdominal pain and distension, vomiting, constipation, diarrhea

P 0.5-1.0

KI-17 (Shang Qu) Mpt with the

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

Harmonizes the middle jiao Unbinds the chest and transforms phlegm

Abdominal pain and distension, vomiting, indigestion.

P 0.5-1.0

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penetrating Vessel

KI-18 (Shi Guan) Mpt with the penetrating Vessel

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

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

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

P 0.5-1.0

KI-19 (Yin Du) Mpt with the penetrating Vessel

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

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

Borborygmus, abdominal pain, epigastric pain, constipation, vomiting

P 0.5-1.0

KI-20 (Tong Gu) Mpt with the penetrating Vessel

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

Harmonizes the middle jiao Unbinds the chest and transforms phlegm

Abdominal pain and distension, vomiting, indigestion.

P 0.5-1.0

KI-21 (You Men) Mpt with the penetrating Vessel

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

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

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

P 0.3-0.7

KI-22 (Bu Lang)

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

Unbinds the chest Lowers rebellious Lung and Stomach Qi

Cough, asthma, distension and fullness in the chest and hypochondriac region vomiting, anorexia.

O 0.3-0.5

KI-23 (Shen Feng)

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

Unbinds the chest Lowers rebellious Lung and Stomach Qi Benefits the breasts

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

O 0.3-0.5

KI-24 (Ling Xu)

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

Unbinds the chest Lowers rebellious Lung and Stomach Qi Benefits the breasts

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

O 0.3-0.5

KI-25 (Shen Cang)

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

Unbinds the chest Lowers rebellious Lung and Stomach Qi

Cough, asthma, chest pain O 0.3-0.5

KI-26 (Yu Zhong)

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

Unbinds the chest and benefits the breasts Transforms phlegm and lowers rebellious Lung and Stomach Qi

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

O 0.3-0.5

KI-27 (Shu Fu) In the depression on the lower border of the clavicle, 2 cun lateral to the anterior midline

Unbinds the chest Transforms phlegm and alleviates cough and wheezing Harmonizes the Stomach and lowers rebellious Qi

Cough, asthma, chest pain O 0.3-0.5

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PERICARDIUM MERIDIAN OF THE HAND JUEYIN

PERICARDIUM MERIDIAN OF THE HAND JUEYIN

The Pericardium Meridian starts from the chest, leaves the pericardium organ and runs downwards through the diaphragm to connect with the triple burner. A branch rising from the chest emerges from the lower chest region and travels upwards to the axilla (armpit). From the medial aspect of the upper arm, it makes its way down between the lung and heart channels, until it reaches the elbow crease. It then runs down the forearm and enters the palm ending at the tip of the middle finger. Another short branch splits off from the palm to connect with the Triple Burner Meridian at the end of the ring finger.

Symptoms: Disharmony of the Pericardium Meridian is related to the imbalance of the TCM heart and blood functions. The manifestation includes heart pain (precordial pain), chest discomfort, palpitations and an oppressed feeling in the chest. Since the Heart stores the “shen” or mental activities, Pericardium Meridian disorders are related to mania. In addition, swelling of the axilla and spasms of the elbow and arm can indicate a problem in this meridian, since it passes through these areas.

Main indications: Points in this meridian are used for heart, chest, and peptic diseases as well as mental illness. They are also indicated for symptoms manifested along the meridian’s pathway.

Unbinds The Chest Regulates Qi Benefits The Breasts Transforms Phlegm Lowers Rebellion Dissipates Nodules

Useful for: Axillary Pain And Swelling Chest Agitation Cough With Copious Phlegm Headache Lateral Costal Region Pain Shortness Of Breath Thoracic Oppression Uprising Qi

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PERICARDIUM MERIDIAN OF THE HAND JUEYIN

point Location Action Indication Method

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

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

Unbinds the chest, transforms phlegm and descends rebellion Regulates Qi and dissipates nodules Benefits the breasts

Suffocating sensation in the chest, pain in the hypochondriac region, swelling and pain of the axillary region

P

P-02 (Tian Quan)

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

Unbinds the chest, invigorates blood and alleviates pain

Cardiac pain, distension of the hypochondriac region, cough, pain in the chest, back and the medial aspect of the arm

p 0.5- 0.7

P-03 (Qu Ze) He-Sea

On the transverse cubital crease, at the ulnar side of the tendon of m. biceps brachii

Clears heat from the Qi, nutritive and blood levels Harmonizes the Stomach and intestines and stops vomiting Activates the channel and alleviates pain

Cardiac pain, palpitation, febrile diseases, irritability, stomachache, vomiting, pain in the elbow and arm, tremor of the hand and arm

P 0.5- 0.7

P-04 (Xi Men) Xi (Cleft)

5 cun above the transverse crease of the wrist, on the line connecting Quze (PER-3) and Daling (PER-7), between the tendons of m. palmaris longus and m. flexor carpi radialis.

Stagnation of the Blood in the chest and Heart with Heart, neck, and left arm pai Invigorates blood and dispels stasis Cools blood and stops bleeding Calms the spiritModerates acute conditions

Cardiac pain, palpitation, epistaxis, hematemesis, haemoptysis chest pain, furuncle, epilepsy.

P 0.5-1.0

P-05 (Jian Shi) Jing-River

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

Malaria

Transforms phlegm Settles and calms the spirit

Cardiac pain, palpitation, stomachache, vomiting, febrile diseases, irritability, malaria, mental disorders, epilepsy, swelling of the axilla, contracture of the elbow and arm.

P 0.5-1.0

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

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

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

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

P 0.5-0.8

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

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

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

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

P 0.3-0.5

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P-08 (Lao Gong) Ying-Spring Sun Si-miao Ghost Point

At the center of the palm, between the 2nd and 3rd metacarpal bones, but close to the latter, and in the part touching the tip of the middle finger when a fist is made

Clears heat from the Pericardium and revives consciousness Clears heat from the Heart and calms the spirit Harmonizes the Stomach and clears heat from the middle jiao Clears the nutritive level and cools blood

Cardiac pain, mental disorder, epilepsy, gastritis, foul breath, fungus infection of the hand and foot, vomiting, nausea.

P 0.3-0.5

P-09 (Zhong Chong) Jing-Well

In the centre of the tip of the middle finger.

Clears heat from the Pericardium and revives consciousness Clears the Heart and benefits the tongue Clears summer-heat

Cardiac pain, palpitation, loss of consciousness, aphasia with stiffness and swelling of the tongue, febrile diseases, heat stroke, convulsion, feverish sensation in the palm.

P 0.1 Or prick to cause bleeding

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SAN JIAO MERIDIAN SHAOYANG OF THE HAND

The San Jiao (also known as Triple Burner or Triple Heater) Meridian

begins at the outer tip of the ring finger and goes along the back of the

hand, wrist, forearm and upper arm, until it reaches the shoulder region

where it branches off. One branch travels internally into the chest and

passes through the pericardium and diaphragm uniting the upper,

middle and lower burner (triple warmer). The other branch runs

externally up the side of the neck, circles the ear and face, and finally

ends at the outer end of the eyebrow where it connects with the Gall

Bladder Meridian.

Symptoms:

Disharmony of the Triple Burner Meridian leads to symptoms like

abdominal distention, edema (swelling), urinary incontinence, difficulty

urinating, loss of hearing, and ringing in the ears (tinnitus). Pain in the

pharynx (throat), eyes, cheek, back of the ear, shoulder and the upper

arm can occur as these structures are located along this meridian’s

pathway.

Main indications:

Acupuncture points in this meridian are recommended for ailments of

the ears, eyes, chest, pharynx (throat), and the side of the head as well

as certain febrile conditions. They are also indicated for symptoms

along this meridian’s pathway.

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SAN JIAO MERIDIAN SHAOYANG OF THE HAND

point Location Action Indication Method

SJ-01 (Guan Chong) Jing-Well

On the lateral side of the ring finger, about 0.1 cun from the corner of the nail.

Clear Heat from the Upper JiaoClears upper jiao heat Benefits the ears and tongue Activates the channel and alleviates pain

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

P 0.1 or prick to cause bleeding

SJ-02 (Ye Men) Ying-Spring

When the fist is clenched, the point is located in the depression proximal to the margin of the web between the ring and small fingers, at the junction of the red and white skin

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

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

p 0.3-0.5

SJ-03 (Zhong Zhu) Shu-Stream

When the fist is clenched, the point is on dorsum of the hand between the fourth and fifth metacarpal bones, in the depression proximal to the fourth metacarpophalangeal joint.

Clears heat Benefits the ears Clears the head and eyes Activates the channel and alleviates pain

Headache, redness of the eyes, deafness, tinnitus, sore throat, febrile diseases, pain in the elbow and arm, motor impairment of fingers

P 0.3-0.5

SJ-04 (Yang Chi) Yuan

On the transverse crease of the dorsum of wrist, in the depression lateral to the tendon of m. extensor digitorum communis.

Relaxes the sinews and alleviates pain Clears heat

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

P 0.3-0.5 i

SJ-05 (Wai Guan) Luo Confluent Point of the Yang Linking

2 cun proximal to the dorsal crease of the wrist, on the line connecting Yangchi (SJ-4) and the tip of olecranon, between the radius and ulna.

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

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

P 0.5-1.0

SJ-06 (Zhi Gou) Jing-River

3 cun proximal to the dorsal crease of the wrist, on the line connecting Yangchi (SJ-4) and the tip of olecranon, between the radius and ulna, on the radial side of m. extensor digitorum

ConstipationRegulates Qi and clears heat in the three jiao Benefits the chest and lateral costal region Moves the stool Benefits the voice Activates the channel and alleviates pain

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

P 0.8-1.2

SJ-07 (Hui Zong) Xi (Cleft) Point

At the level with Zhigou (SJ-6), on the ulnar side of Zhigou (SJ-6), on the radial border of the ulna.

Clears the Sanjiao channel and benefits the ears

Deafness, pain in the ear, epilepsy, pain of the arm P 0.5-1.0

SJ-08 (San Yang Luo)

4 cun proximal to the dorsal crease of the wrist, between the radius and ulna.

Clears the Sanjiao channel Activates the channel and alleviates pain

Deafness, sudden hoarseness of voice, pain in the chest and hypochondriac region, pain in the hand and arm, toothache.

P 0.5-1.0

SJ-09 (Si Du)

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

Benefits the throat and ears Deafness, toothache, migraine, sudden hoarseness of voice, pain in the forearm.

P 0.5-1.0

The 12 Primary Meridians

Page 54 of 83 5/1/2012

SJ-10 (Tian Jing) He-Sea

When the elbow is flexed, the point is in the depression about 1 cun superior to the olecranon.

Transforms phlegm and dissipates nodules Regulates Qi and descends rebellion Calms the spirit Clears heat from the Sanjiao channel Activates the channel and alleviates pain

Migraine, pain in the neck, shoulder and arm, epilepsy, scrofula, goiter.

P 0.3-0.5

SJ-11 (Qing Leng Yuan)

1 cun above Tianjing (SJ-10) when the elbow is flexed.

Activates the channel and dispels wind-damp lears damp-heat

Motor impairment and pain of the shoulder and arm, migraine

P 0.3-0.5

SJ-12 (Xiao Luo)

On the line joining the olecranon and Jianliao (SJ-14), midway between Qinglengyuan (SJ-11) and Naohui (SJ-13).

Activates the channel and alleviates pain

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

P 0.5-0.7

SJ-13 (Nao Hui) mtp of GB, SJ and yang linking

On the line joining Jianliao (SJ-14) and the olecranon, on the posterior border of m. deltoideus

Regulates Qi and transforms phlegm Activates the channel and alleviates pain

Goiter, pain in the shoulder and arm P 0.5-0.8

SJ-14

(Jian Liao)

On the shoulder, posterior to Jianyu (LI-15), in the depression inferior and posterior to the acromion when the arm is abducted.

Dispels wind-damp Alleviates pain and benefits the shoulder joint

Pain and motor impairment of the shoulder and upper arm.

P 0.7-1.0

SJ-15 (Tian Liao) mtp of GB and yang linking

Midway between Jianjing (GB-21) and Quyuan (SI-13), on the superior angle of the scapula.

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

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

P 0.3-0.5

SJ-16 (Tian You) Point of the Window of Heaven

On the lateral side of the neck, directly below the posterior border of mastoid process, on the level of the mandibular angle, and on the posterior border of sternocleidomastoid muscle.

Benefits the head and sense organs Regulates and descends Q

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

P 0.3-0.5

SJ-17 (Yi Feng) MPT of the SJ and BG

Posterior to the lobule of the ear, in the depression between the mandible and mastoid process.

Benefits the ears Eliminates wind Clears heat Activates the channel and alleviates pain

Tinnitus, deafness, otorrhea, facial paralysis, toothache, swelling of the cheek, scrofula, trismus.

P 0.5-1.0

SJ-18 (Chi Mai)

In the centre of the mastoid process, at the junction of the middle and lower third of the curve formed by Yifeng (SJ-17) and Jiaosun (SJ-20) posterior to the helix.

Benefits the ears Calms fright and pacifies wind

Headache, tinnitus, deafness, infantile convulsion.

sub 0.3-0.5 or prick to cause bleeding

SJ-19 (Lu Xi) Posterior to the ear, at the junction of the upper and middle third of the curve formed by Yifeng (SJ-17) and Jiaosun (SJ-20) behind the helix.

Benefits the ears and clears heat Calms fright and relieves tetany

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

O 0.3-0.5

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

Directly above the ear apex, within the hair line.

Benefits the ears Benefits the teeth, gums and lips Clears heat

Tinnitus, redness, pain and swelling of the eye, swelling of gum, toothache, parotitis.

subcutaneously 0.3-0.5

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Page 55 of 83 5/1/2012

SJ-21 (Er Men)

In the depression anterior to the supratragic notch and behind the posterior border of the condyloid process of the mandible. The point is located with the mouth open.

Benefits the ears Clears heat

Tinnitus, deafness, otorrhea, toothache, stiffness of the lip.

P 0.3-0.5

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

Anterior and superior to Ermen (SJ-21), at the level with the root of the auricle, on the posterior border of the hairline of the temple where the superficial temporal artery passes.

Expels wind and alleviates pain

Migraine, tinnitus, lockjaw.

O 0.1-0.3 Avoid puncturing the artery

SJ-23 (Si Zhu Kong)

In the depression at the lateral end of the eyebrow.

Eliminates wind and alleviates pain Benefits the eyes

Headache, redness and pain of the eye, blurring of vision, twitching of the eyelid, toothache, facial paralysis.

subcutaneously 0.3-0.5

The 12 Primary Meridians

Page 56 of 83 5/1/2012

GALL BLADDER MERIDIAN OF THE FOOT SHAOYANG

The Kidney Meridian starts from the inferior side of the

small toe. Crossing the middle of the sole and the arch of

the foot, it circles behind the inner ankle and travels along

the innermost side of the lower leg and thigh, until it enters

the body near the base of the backbone. After connecting

with the kidney, it comes out at the pubic bone. Over the

abdomen, it runs externally upwards until it reaches the

upper part of the chest (the inner side of clavicle). A

second branch emerges from the kidney and moves

internally upwards and passes through the liver,

diaphragm, lungs and throat, finally terminating at the root

of the tongue. Another small branch divides from the lung

to connect with the heart and the pericardium.

Symptoms:

Disharmony of Kidney Meridian can manifest as wheezing

or coughing because the kidneys “grasp the qi”. They also

are the “mansion of fire and water,” and the “residence of

yin and yang”. If there is insufficient nourishment and

warming of the kidney, symptoms like edema (swelling),

constipation, and diarrhea can indicate an imbalance in

this meridian. Pain in the groin and pharynx (throat), which

are located along the meridian’s pathway, also can

indicate a problem with the Kidney Meridian.

Main indications:

Points in this meridian are used for gynecological, genital,

kidney, lung, and pharynx (throat) diseases. They are also

indicated for symptoms associated with the pathway of the

meridian.

The Gall Bladder Meridian starts from the outer corner of the eye and divides into two branches. One branch runs externally and weaves back and forth at the lateral side of the head. After curving behind the ear, it reaches the top of the shoulder and crosses the lateral side of rib cage and abdomen, until it ends up at the side of the hip. The other branch enters the cheek and runs internally downward, through the neck and chest to connect with the gall bladder. It continues moving downwards and comes out in the lower abdomen, where it connects with the other branch at the hip. The hip branch then runs toward the lateral side of the thigh and lower leg. After crossing the ankle, it goes over the foot to reach to the tip of the fourth toe. Another small branch leaves the meridian and terminates at the big toe to connect with the Liver Meridian.

Symptoms: In TCM, the gall bladder is closely related to the liver. Hence, the disharmony of the Gall Bladder Meridian causes symptoms such as a bitter taste in the mouth, dizziness, headache, and pain at the outer angle of the eyelids. Pain along the meridian pathway such as in the axilla (armpit), chest, lower chest, buttocks and the lateral side of the lower limbs can also indicate a disorder of the Gall Bladder Meridian.

Main indications: Acupuncture points in this meridian are indicated for ailments of the eyes, ears, pharynx (throat), and lateral side of the head in addition to mental illness and fever. They are also recommended for symptoms along the meridian’s pathway.

The 12 Primary Meridians

Page 57 of 83 5/1/2012

GALL BLADDER MERIDIAN OF THE FOOT SHAOYANG

point Location Action Indication Method

GB-01 (Tong Zi Ziao)

Mtp of GB, SI, and SJ

0.5 cun lateral to the outer

canthus, in the depression on the

lateral side of the orbit.

Benefits the eyes, eliminates wind

and clears heat

Headache, redness and pain of the

eyes, failing of vision, lacrimation,

deviation of the eye and mouth.

subcuta

neously

3-0.5

GB-02 (Ting Hui)

Anterior to the intertragic notch,

at the posterior border of the

condyloid process of the

mandible. The point is located

with the mouth open

Benefits the ears, eliminates wind

and clears heat Activates the

channel and alleviates pain

Deafness, tinnitus, toothache, motor

impairment of the

temporomandibular joint, mumps,

deviation of the eye and mouth.

p

0.5-0.7

GB-03 (Shang Guan)

Mtp of GB, SJ, and ST

In the front of the ear, on the

upper border of the zygomatic

arch, in the depression directly

above Xiaguan (ST-7).

Eliminates wind andbenefits the

ears Activates the channel and

alleviates pain

Headache, deafness, tinnitus,

diplacusis, deviation of the eye and

mouth, toothache.

P

0.3-0.5

GB-04 (Han Yan)

Mtp of GB, SJ, and ST

Within the hairline of the

temporal region, at the junction

of the upper 1/4 and lower 3/4

of the distance between Touwei

(ST-8) and Qubin (GB-7).

Eliminates wind and clears heat

Activates the channel and

alleviates pain

Migraine, vertigo, tinnitus, pain in

the outer canthus, toothache,

convulsion, epilepsy.

Sub

0.3-0.5 i

GB-05

(Xuan Lu)

Mtp of GB, ST, SJ, and LI

Within the hairline of the

temporal region, midway of the

border line connecting Touwei

(ST-8) and Qubin (GB-7).

Expels wind and clears heat

Activates the channel and

alleviates pain

Migraine, pain in the outer canthus,

facial swelling.

Sub

0.3-0.5 i

GB-06 (Xuan Li)

Mtp of BG, SJ,

ST, and LI

Within the hairline, at the

junction of the lower 1/4 and

upper 3/4 of the distance

between Touwei (ST-8) and

Qubin (GB-7).

Expels wind and clears heat

Activates the channel and

alleviates pain

Migraine, pain in the outer canthus,

tinnitus, frequent sneezing.

Sub

0.3-0.5 i

The 12 Primary Meridians

Page 58 of 83 5/1/2012

GB-07

(Qu Bin) Mtp of UB and

GB

On the head, at a crossing point

of the vertical posterior border of

the temple and horizontal line

through the ear apex.

Eliminates wind and benefits the

mouth and jaw

Headache, swelling of the cheek,

trismus, pain in the temporal region,

infantile convulsion.

Sub

0.3-0.5

i

GB-08

(Shuai Gu) Mtp of UB and

GB The location of

this point differs among texts.

Superior to the apex of the

auricle, 1.5 cun within the

hairline.

Eliminates wind, benefits the head

and alleviates pain Harmonizes

the diaphragm and Stomach and

alleviates vomiting Treats alcohol

intoxication

Migraine, vertigo, vomiting, infantile

convulsion.

Sub

0.3-0.5

i

GB-09

(Tian Chong) Mtp of UB and

GB

Directly above the posterior

border of the auricle, 2 cun

within the hairline, about 0.5 cun

posterior to Shuaigu (GB-8).

Clears Gall Bladder channel heat

Calms the spirit and pacifies fright

Headache, epilepsy, swelling and pain

of the gums, convulsion.

Sub

0.3-0.5

i

GB-10

(Fu Bai) Mtp of UB and

GB

Posterior and superior to the

mastoid process, at the junction

of the middle third and upper

third of the curve line connecting

Tianchong (GB-9) and Wangu

(GB-12).

Clears the head and benefits the

neck region

Activates the channel and

alleviates pain

Headache, tinnitus, deafness.

Sub

0.3-0.5

i

GB-11 (Tou Qiao Yin)

Mtp of GB, UB, SI, and SJ

Posterior and superior to the

mastoid process, at the junction

of middle third and lower third of

the curved line connecting

Tianchong (GB-9) and Wangu

(GB-12).

Clears the head and benefits the

sense organs

Activates the channel and

alleviates pain

Pain of the head and neck, tinnitus,

deafness, pain in the ears.

Sub

0.3-0.5

i

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Page 59 of 83 5/1/2012

GB-12 (Wan Gu)

Mtp of UB and GB

In the depression posterior and

inferior to the mastoid process.

Eliminates wind, benefits the head

and alleviates pain Calms the

spirit

Headache, insomnia, swelling of the

cheek, retroauricular pain, deviation of

the eye and mouth, toothache.

O

0.3-0.5

GB-13

(Ben Shen) Mtp of GB and

Yang Linking

0.5 cun within the hairline of the

forehead, 3 cun lateral to

Shenting (DU-24).

Eliminates wind, resolves phlegm

and treats epilepsy Headache, insomnia, vertigo, epilepsy.

Sub

0.3-0.5

GB-14 (Yang Bai)

Mtp of GB , SJ, LI, and Yang

Linking

On the forehead, directly above

the pupil, 1 cun directly above

the midpoint of the eyebrow.

Eliminates wind, benefits the head

and alleviates pain

Benefits the eyes

Headache in the frontal region, pain of

the orbital ridge, eye pain, vertigo,

twitching of the eyelids, ptosis of the

eyelids, lacrimation.

Sub

0.3-0.5

GB-15

(Tou Lin Qi) Mtp of GB, UB,

and yang linking

On the head, directly above the

pupil and 0.5 cun above the

anterior hairline, at the midpoint

of the line connecting Shenting

(GV 24) and Touwei (ST 8).

Eliminates wind, benefits the head

and alleviates pain

Benefits the nose and eyes

Headache, vertigo, lacrimation, pain in

the outer canthus, rhinorrhea, nasal

obstruction.

Sub

0.3-0.5

GB-16 (Mu Chuang)

Mtp of GB and Yang linking

On the head, 1.5 cun above the

anterior hairline and 2.25 cun

lateral to the midline of the

head.

Benefits the eyes

Eliminates wind andalleviates pain

Headache, vertigo, red and painful

eyes, nasal obstruction.

Sub

0.3-0.5

GB-17

(Zheng Ying)

Mtp of GB and Yang linking

On the head, 2.5 cun above the

anterior hairline and 2.25 cun

lateral to the midline of the

head.

Benefits the head and alleviates

pain Pacifies the Stomach Migraine, vertigo.

Sub

0.3-0.5

The 12 Primary Meridians

Page 60 of 83 5/1/2012

GB-18 (Cheng Ling)

Mtp of GB and Yang linking

On the head, 4 cun above the

anterior hairline and 2.25 cun

lateral to the midline of the

head.

Benefits the head and alleviates

pain Benefits the nose and

descends Lung Qi

Headache, vertigo, epistaxis,

rhinorrhea.

Sub

0.3-0.5

GB-19 (Nao Kong)

Mtp of GB and Yang linking

On the head and on the level of

the upper border of external

occipital protuberance or Naohu

(DU-17), 2.25 cun lateral to the

midline of the head.

Benefits the head and alleviates

pain

Pacifies wind and clears the sense

organs

Headache, stiffness of the neck,

vertigo, painful eyes, tinnitus,

epilepsy.

Sub

0.3-0.5

GB-20

(Feng Chi)

Mtp of GB, SJ, Yang motility

and Yang linking

In the depression between the

upper portion of m.

sternocleidomastoideus and m.

trapezius, on the same level with

Fengfu (GV 16).

Eliminates wind Benefits the head

and eyes Clears the sense organs

Activates the channel and

alleviates pain

Headache, vertigo, insomnia, pain and

stiffness of the neck, blurred vision,

glaucoma, red and painful eyes,

tinnitus, convulsion, epilepsy, infantile

convulsion, febrile diseases, common

cold, nasal obstruction, rhinorrhea.

Sub

0.3-0.5

GB-21

(Jian Jing)

Mtp of GB, SJ, ST and Yang

linking

On the shoulder, directly above

the nipple, at the midpoint of the

line connecting Dazhui (DU-14)

and the acromion, at the highest

point of the shoulder.

Regulates Qi, activates the

channel and alleviates pain

Transforms and lowers phlegm

and dissipates nodules Benefits

the breasts and expedites delivery

pain and rigidity of the neck, pain in

the shoulder and back, motor

impairment of the arm, insufficient

lactation, mastitis, scrofula, apoplexy,

difficult labor.

p

0.3-0.5

GB-22 (Yuan

Ye)

On the mid-axillary line when the

arm is raised, 3 cun below the

axilla, in the 4th intercostal

space.

Regulates Qi and unbinds the

chest

Benefits the axilla

Fullness of the chest, swelling of the

axillary region, pain in the

hypochondriac region, pain and motor

impairment of the arm.

o

0.3-0.5

The 12 Primary Meridians

Page 61 of 83 5/1/2012

GB-23 (Zhe Jin)

Mtp of GB and UB

1 cun anterior to Yuanye (GB

22), at the level of the nipple, in

the 4th intercostal space

Unbinds the chest and lowers

rebellion Regulates Qi in the three

jiao

Fullness of the chest, pain in the

hypochondriac region, asthma.

o

0.3-0.5

GB-24 (Ri Yue) Mtp of GB and SP

Front Mu of th

Gallbladder

Directly below the nipple, in the

seventh intercostal space, 4 cun

lateral to the anterior midline.

Benefits the Gall Bladder and

spreads Liver Qi Lowers rebellious

Qi and harmonizes the middle jiao

Resolves damp-heat

Pain in the hypochondriac region,

vomiting, acid regurgitation, hiccup,

jaundice, mastitis.

O

0.3-0.5

GB-25 (Jing Men)

Front Mu of the

Kidneys

On the lateral side of the

abdomen, on the lower border of

the free end of the twelfth rib.

Tonifies the Kidneys and regulates

the water passages Fortifies the

Spleen and regulates the

intestines Strengthens the lumbar

region

Abdominal distention, borborygmus,

diarrhea, pain in the lumbar and

hypochondriac region.

p

0.3-0.5

GB-26

(Dai Mai) Mtp of GB and

Girdling Vessel

Directly below Zhangmen (LR

13), at the crossing point of a

vertical line through the free end

of the eleventh rib and a

horizontal line through the

umbilicus.

Regulates the Girdling vessel and

drains dampness Regulates

menstruation and stops

leucorrhoea Activates the channel

and alleviates pain

Irregular menstruation, amenorrhea,

leukorrhea, abdominal pain, hernia,

pain in the lumbar and hypochondriac

region.

p

0.5-

0.8

GB-27

(Wu Shu)

Mtp of GB and

Girdling Vessel

In the lateral side of the

abdomen, anterior to the

superior iliac spine, 3 cun below

the level of the umbilicus.

Regulates the Girdling vessel

Regulates the lower jiao and

transforms stagnation

Leukorrhea, lower abdominal pain,

lumbar pain, hernia, constipation.

p

0.5-1.0

GB-28

(Wei Dao)Mtp of

GB and Girdling

Vessel

Anterior and inferior to the

anterior superior iliac spine, 0.5

cun anterior and inferior to

Wushu (GB-27).

Regulates the Girdling vessel

Regulates the lower jiao and

transforms stagnation

Leukorrhea, lower abdominal pain,

hernia, prolapse of uterus.

p

0.5-1.0

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Page 62 of 83 5/1/2012

GB-29

(Ju Liao)

Mtp of the GB and

Yang Motility Vessel

In the depression of the midpoint

between the anterosuperior iliac

spine and the prominence of the

great trochanter.

Activates the channel and

alleviates pain Benefits the hip

joint

Pain and numbness in the thigh and

lumbar region, paralysis, muscular

atrophy of the lower limbs.

p

0.5-1.0

GB-30 (Huan

Tiao) Mtp of GB

and UBMa Dan-

yang Heavenly Star

Point

At the junction of the lateral 1/3

and medial 2/3 of the distance

between the prominence of the

great trochanter and the hiatus

of the sacrum (Yaoshu, GV 2).

When locating the point, put the

patient in lateral recumbent

position with the thigh flexed.

Activates the channel and

alleviates pain Benefits the hip

joint and leg Dispels wind-damp

Pain of the lumbar region and thigh,

muscular atrophy of the lower limbs,

hemiplegia.

p

1.5-

1.25

GB-31

(Feng Shi)

On the midline of the lateral

aspect of the thigh, 7 cun above

the transverse popliteal crease.

When the patient is standing

erect with the hands close to the

sides, the point is where the tip

of the middle finger touches.

Eliminates wind Alleviates itching

Activates the channel and

alleviates pain

Pain and soreness in the thigh and

lumbar region, paralysis of the lower

limbs, beriberi, general pruritus.

p

0.7-1.2

GB-32

(Zhong Du)

On the lateral aspect of the

thigh, 2 cun below Fengshi (GB-

31), or 5 cun above the

transverse popliteal crease,

between m. vastus lateralis and

m. biceps femoris.

Expels wind, damp and

coldActivates the channel and

alleviates pain

Pain and soreness of the thigh and

knee, numbness and weakness of the

lower limbs, hemiplegia.

p

0.7-1.2

GB-33

(Xi Yang Guan)

3 cun above Yangliangquan (GB-

34), lateral to the knee joint, in

the depression above the

external epicondyle of femur.

Relaxes the sinews and benefits

the joints Dispels wind-damp

Swelling and pain of the knee,

contracture of the tendons in popliteal

fossa, numbness of the leg.

p

0.5-1.0

GB-34 (Yang Ling

Quan)He-Sea Hui-Meeting Point of the SinewsMa Dan-yang Heavenly Star

Point

In the depression anterior and

inferior to the head of the fibula.

Benefits the sinews and joints

Activates the channel and alleviates

pain Spreads Liver Qi and benefits the

lateral costal region Clears Liver and

Gall Bladder damp-heat Harmonizes

shaoyang

Hemiplegia, weakness, numbness and

pain of the lower extremities, swelling

and pain of the knee, beriberi,

hypochondriac pain, bitter taste in the

mouth, vomiting, jaundice, infantile

convulsion.

p

0.8-1.2

The 12 Primary Meridians

Page 63 of 83 5/1/2012

GB-35 (Yang Jiao)

Xi-Cleft Point of the Yang Linking

Vessel

7 cun above the tip of the

external malleolus, on the

posterior border of the fibula.

Activates the channel and

alleviates pain Regulates Gall

Bladder Qi and calms the spirit

Fullness of the chest and

hypochondriac region, muscular

atrophy and paralysis of the leg.

p

0.5-0.8

GB-36 (Wai Qiu)

Xi (Cleft) Point

7 cun above the tip of the

external malleolus, on the

anterior border of the fibula.

Activates the channel and

alleviates pain Clears heat and

detoxifies poison

Pain in the neck, chest, thigh and

hypochondriac region, rabies.

p

0.5-0.8

GB-37

(Guang Ming)

Luo (Connecting)

Point

5 cun directly above the tip of

the external malleolus, on the

anterior border of the fibula.

Stops lactationBenefits the eyes

Dispels wind-damp, activates the

channel and alleviates pain

Pain in the knee, muscular atrophy,

motor impairment and pain of the

lower extremities, blurring of vision,

ophthalmalgia, night blindness,

distending pain of the breast.

p

0.7-1.0

GB-38

(Yang Fu) Jing-River

4 cun above the tip of the

external malleolus, slightly

anterior to the anterior border of

the fibula, between m. extensor

digitorum longus and m.

peronaeus brevis.

Clears Gall Bladder channel heat

Harmonizes shaoyangBenefits the

sinews and bones Activates the

channel and alleviates pain

Migraine, pain of the outer canthus,

pain in the axillary region, scrofula,

lumbar pain, pain in the chest,

hypochondriac region and lateral

aspect of the lower extremities,

malaria.

p

0.5-0.7

GB-39

(Xuan Zhong) Hui-Meeting

Point for Marrow

3 cun above the tip of the

external malleolus, on the

anterior border of fibula.

Benefits the sinews and bones

Benefits the neck Dispels wind-

damp Clears Gall Bladder fire

Activates the channel and

alleviates pain

Apoplexy, hemiplegia, pain of the

neck, abdominal distension, pain in the

hypochondriac region, muscular

atrophy of the lower limbs, spastic pain

of the leg, beriberi.

p

0.3-

0.5

GB-40 (Qiu Xu)

Yuan

Anterior and inferior to the

external malleolus, in the

depression on the lateral side of

the tendon of m. extensor

digitorum longus.

Spreads Liver Qi and clears Gall

Bladder heat and damp-heat

Activates the channel, alleviates

pain and benefits the joints

Regulates shaoyang

Pain in the neck, swelling in the

axillary region, pain in the

hypochondriac region, vomiting, acid

regurgitation, muscular atrophy of the

lower limbs, pain and swelling of the

external malleolus, malaria.

p

0.5-0.8

GB-41 (Zu Lin Qi)

Shu-Stream Confluent Point

of the Girdling Vessel

Posterior to the fourth

metatarsophalangeal joint, in the

depression lateral to the tendon

of m. extensor digiti minimi of

the foot.

Stops lactation Spreads Liver Qi

Stagnation along the course of the

Gallbladder Spreads Liver Qi

Benefits the chest, lateral costal

region and breasts Clears the

head and benefits the eyes

Transforms phlegm and dissipates

nodules

Headache, vertigo, pain of the outer

canthus, scrofula, pain in the

hypochondriac region, distending pain

of the breast, irregular menstruation,

pain and swelling of the dorsum of

foot, spastic pain of the foot and toe.

p

0.3-0.5

The 12 Primary Meridians

Page 64 of 83 5/1/2012

GB-42

(Di Wu Hui)

Posterior to the fourth

metatarsophalangeal joint,

between the fourth and fifth

metatarsal bones, on the medial

side of the tendon of m. extensor

digiti minimi of foot.

Spreads Liver Qi Clears Gall

Bladder heat

Pain of the canthus, tinnitus,

distending pain of the breast, swelling

and pain of the dorsum of foot.

p

0.30.5

GB-43

(Xia Xi) Ying-Spring

On the dorsum of foot, between

the fourth and fifth toe, proximal

to the margin of the web, at the

junction of the red and white

skin.

Clears heat and benefits the head,

ears and eyes Clears damp-heat

from the channel and reduces

swelling

Headache, dizziness and vertigo, pain

of the outer canthus, tinnitus,

deafness, swelling of the cheek, pain in

the hypochondriac region, distending

pain of the breast, febrile diseases.

p

0.3-0.5

GB-44 (Zu Qiao Yin)

Jing-Well

On the lateral side of the fourth

toe, about 0.1 cun from the

corner of the nail.

Clears heat and benefits the head

Benefits the chest and lateral

costal region Calms the spirit

Migraine, deafness, tinnitus,

ophthalmalgia, dream-disturbed sleep,

febrile diseases.

Punctur

e

0.1

The 12 Primary Meridians

Page 65 of 83 5/1/2012

LIVER MERIDIAN OF THE FOOT JUEYIN

The Liver Meridian starts from the top of the big toe and goes across the top of the foot. After crossing the inner ankle, it continues to go upwards along the inner side of the lower leg and the thigh, until it reaches the pubic region. It then circulates around the external genitalia and enters the lower abdomen. Afterwards, it goes up the abdomen and reaches the lower chest to connect with the liver and gall bladder. The meridian further travels upwards along the throat and connects with the eyes. Finally it emerges from the forehead to reach the vertex of the head. One of its internal branches originates internally from the eye and moves downwards to the cheek where it curves around the inner surface of the lips. Another branch starts from the liver and passes through the diaphragm to reach the lung where it connects with the Lung Meridian and completes the cycle of the twelve meridians.

Symptoms: Disharmony of the Liver Meridian leads to groin pain, chest fullness, urinary incontinence, difficulty urinating, swelling of the lower abdomen and hernias. Main indications:Points in this meridian are indicated for liver, gynecological and genital diseases. They are also recommended for symptoms along the meridian’s pathway.

The 12 Primary Meridians

Page 66 of 83 5/1/2012

LIVER MERIDIAN OF THE FOOT JUEYIN

point Location Action Indication Method LIV-01

(Da Dun)

Jing-Well

On the lateral side of the terminal

phalanx of the great toe, 0.1 cun

from the corner of the nail.

Regulates Qi in the lower jiao,

treats shan disorder and alleviates

pain Benefits the genitals and

adjusts urination Regulates Liver

Qi and stops menstrual bleeding

Revives consciousness and calms

the spirit

Hernia, enuresis, uterine bleeding,

prolapse of the uterus, epilepsy. sub

0.1-0.2

LIV-02

(Xing Jian)

Ying-Spring

On the dorsum of the foot

between the first and second toe,

proximal to the margin of the web

at the junction of the red and

white skin.

Clears Liver fire Spreads Liver Qi

Pacifies Liver wind Clears heat and

stops bleeding Benefits the lower

jiao

Pain in the hypochondrium,

abdominal distension, headache,

dizziness and vertigo, congestion,

swelling and pain of the eye,

deviation of the mouth, hernia,

painful urination, retention of urine,

irregular menstruation, epilepsy,

insomnia, convulsion.

0

0.3-0.5

LIV-03

(Tai Chong)

Yuan

Shu-StreamMa

Dan-yang

Heavenly Star

Point

On the dorsum of the foot, in the

depression distal to the junction

of the first and second metatarsal

bones.

Promotes the free flow of Liver

QiSpreads Liver Qi Subdues Liver

yang and extinguishes

windNourishes Liver blood and

Liver yin Clears the head and eyes

Regulates menstruation Regulates

the lower jiao

Headache, dizziness and vertigo,

insomnia, congestion, swelling and

pain of the eye, depression, infantile

convulsion, deviation of the mouth,

pain in the hypochondriac region,

uterine bleeding, hernia, enuresis,

retention of urine, epilepsy, pain in

the anterior aspect of the medial

malleolus.

P

0.3-0.5

LIV-04

(Zhong Feng)

Jing-River

Anterior to the medial malleolus,

midway between Shangqiu (SP-5)

and Jiexi (ST-41), in the

depression on the medial side of

the tendon of m. tibialis anterior.

Spreads Liver Qi and regulates the

lower jiao Clears Liver channel

stagnant heat

Hernia, pain in the external genitalia,

nocturnal emission, retention of

urine, distending pain in the

hypochondrium.

P

0.3-0.5 i

LIV-05

(Li Gou)

Luo

5 cun above the tip of the medial

malleolus, on the midline of the

medial surface of the tibia.

Spreads the Liver, regulates Qi

and benefits the genitalsClears

dampness and heat from the

lower jiao Regulates menstruation

Treats plumstone Qi

Retention of urine, enuresis, hernia,

irregular menstruation, leukorrhea,

pruritus valvae, weakness and

atrophy of the leg.

sub

0.3-0.5

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Page 67 of 83 5/1/2012

LIV-06

(Zhong Du)

Xi (Cleft) Point

7 cun above the tip of the medial

malleolus, on the midline of the

medial surface of the tibia.

Spreads Liver Qi and regulates the

lower jiao Regulates blood Drains

damp

Abdominal pain, hypochondriac pain,

diarrhea, hernia, uterine bleeding,

prolonged lochia.

sub

0.5- 0.8

LIV-07

(Xi Guan) Posterior and inferior to the

medial condyle of the tibia, in the

upper portion of the medial head

of m. gastrocnemius, 1 cun

posterior to Yinlingquan (SP 9).

Dispels wind-damp Benefits the

knee and relaxes the sinews Pain of the knee. P

0.5-1.0

LIV-08

(Qu Quan)

He-Sea

When knee is flexed, the point is

at the medial end of the

transverse popliteal crease,

posterior to the medial epicondyle

of the tibia, in the depression of

the anterior border of the

insertions of m.

semimembranosus and m.

semitendinosus.

Clears damp-heat from the lower

jiao Benefits the genitals

Invigorates blood and benefits the

uterus Nourishes blood and yin

Prolapse of uterus, lower abdominal

pain, retention of urine, nocturnal

emission, pain in the external

genitalia, pruritus vulvae, pain in the

medial aspect of the knee and thigh.

P

0.5-0.8

LIV-09

(Yin Bao) 4 cun above the medial

epicondyle of the femur, between

m. vastus medialis and m.

sartorius

Adjusts menstruation and

regulates the lower jiao Pain in the lumbosacral region, lower

abdominal pain, enuresis, retention

of urine, irregular menstruation.

P

0.5-0.7

LIV-10

(Zu Wu Li) 3 cun directly below Qichong (ST

30), at the proximal end of the

thigh, below the pubic tubercle

and on the lateral border of m.

abductor longus.

Clears damp-heat and benefits

the lower jiao

Lower abdominal distention and

fullness, retention of urine. P

0.5-1.0

LIV-11

(Yin Lian) 2 cun directly below Qichong (ST

30), at the proximal end of the

thigh, below the pubic tubercle

and on the lateral border of m.

abductor longus.

Benefits the uterus Irregular menstruation, leukorrhea,

lower abdominal pain, pain in the

thigh and leg.

P

0.5-1.0

LIV-12

(Ji Mai) Lateral to the pubic tubercle,

lateral and inferior to Qichong (ST

30), in the inguinal groove where

the pulsation of femoral artery is

palpable, 2.5 cun lateral to the

anterior midline.

Eliminates cold from the Liver

channel and benefits the lower

jiao

Lower abdominal pain, hernia, pain

in the external genitalia. MOXA

LIV-13 ꜜ

The 12 Primary Meridians

Page 68 of 83 5/1/2012

LIV-13

(Zhang Men) Hui-

Meeting Point of

the Zang,

Mtp of LV and GB

Front Mu of the

Spleen

On the lateral side of the

abdomen, below the free end of

the eleventh rib.

Harmonizes the Liver and Spleen

Regulates the middle and lower

jiao Fortifies the Spleen Spreads

the Liver and regulates Qi

Abdominal distention, borborygmus,

pain in the hypochondriac region,

vomiting, diarrhea, indigestion.

P

0.5-0.8

LIV-14

(Qi Men)

Mtp of LV, SP, and

Yin Linking Vessel

Front Mu of the

Liver

Directly below the nipple, in the

sixth intercostal space, 4 cun

lateral to the anterior midline.

Spreads the Liver and regulates Qi

Invigorates blood and disperses

masses Harmonizes the Liver and

Stomach

Hypochondriac pain, abdominal

distention, hiccup, acid regurgitation,

mastitis, depression, febrile diseases.

0

0.3- 0.5

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Page 69 of 83 5/1/2012

GOVERNING VESSEL –DU- MERIDIAN

The Governor Vessel is one of the standard nomenclatures of the eight extra meridians. It starts just before the anus, runs upward along the midline of back to the head and stops on inside of the upper lip. This meridian is also called the “sea of the yang meridians,” which is responsible for governing the qi for all the yang meridians inside the body. It has close relationships with the brain, spinal cord and kidney respectively. Since it communicates with the brain, it can be regarded as a link similar to the pituitary-adrenal axis in Western medicine.

The 12 Primary Meridians

Page 70 of 83 5/1/2012

GOVERNING VESSEL –DU- MERIDIAN

point Location Action Indication Method

DU-01 (Chang Qiang) Long

Strong Luo (Connecting) Point,

MT pt of the GV w/CV and the GB

and KDChannels

Midway between the tip of

the coccyx and the anus,

locating the point in prone

position.

Treats hemorrhoids

Benefits the two lower yin

Activates the channel and

alleviates pain

Calms the spirit

Diarrhea, bloody stools,

hemorrhoids, prolapse of the

rectum, constipation, pain in

the lower back, epilepsy.

P

0.5-1.0 Moxa ok

DU-02 (Yao Shu) Lumbar Shu

In the hiatus of the

sacrum.

Benefits the lumbar region and

legs Dispels wind-damp

Irregular menstruation, pain

and stiffness of the lower

back, hemorrhoids, muscular

atrophy of the lower

extremities, epilepsy.

O Up 0.5-1.0 Moxa ok

DU-03 (Yao Yang Guan) Lumbar

Yang Pass

Below the spinous process

of the fourth lumbar

vertebra, at the level with

the crista iliaca.

Dispels wind-damp

Benefits the lumbar region and

legs

Regulates the lower jiao

Irregular menstruation,

nocturnal emission,

impotence, pain in the

lumbosacral region, muscular

atrophy, motor impairment,

numbness and pain of the

lower extremities.

P

0.5-1.0 Moxa ok

DU-04 (Ming Men)

Life Gate Below the spinous process

of the second lumbar vertebra.

Clears heat, Regulates the

Governing vessel Tonifies the

Kidneys ,Benefits the lumbar

spine

Stiffness of the back,

lumbago, impotence,

nocturnal emission, irregular

menstruation, diarrhea,

indigestion, leukorrhea.

P

0.5-1.0 Moxa ok

DU-05 (Xuan Shu)

Suspended Pivot Below the spinous process

of the first lumbar

vertebra.

Benefits the lumbar spine

Benefits the lower jiao

Pain and stiffness in the lower

back, diarrhea, indigestion.

P

0.5-1.0 Moxa ok

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Page 71 of 83 5/1/2012

DU-06 (Ji Zhong) Spinal Center

Below the spinous process

of the eleventh thoracic

vertebra.

Fortifies the Spleen and drains

damp, Benefits the spine

Pain in the epigastric region,

diarrhea, jaundice, epilepsy,

stiffness and pain of the back.

P 0.5-1.0

DU-07 (ZhongShu)

Below the spinous process

of the tenth thoracic

vertebra.

Benefits the spine

Benefits the middle jiao

Pain in the epigastric region,

low back pain, stiffness of the

back.

P 0.5-1.0 Moxa ok

DU-08 (Jin Suo) Sinew Contraction

Below the spinous process

of the ninth thoracic

vertebra.

Soothes the Liver, pacifies wind

and relieves spasm

Calms the spirit

Epilepsy, stiffness of the back,

gastric pain.

P 0.5-1.0 Moxa ok

DU-09 (Zhi Yang) Extremity of Yang

Below the spinous process

of the seventh thoracic

vertebra, approximately at

the level with the inferior

angle of the scapula.

Fortifies the Spleen, drains

dampness and regulates the

middle jiao.

Treats jaundice

Unbinds the chest

Jaundice, cough, asthma,

stiffness of the back, pain in

the chest and back.

O Up

0.5-1.0 Moxa ok

DU-10 (Ling Tai) Spirit Tower

Below the spinous process

of the sixth thoracic

vertebra.

Alleviates cough and wheezing

Clears heat and detoxifies poison

Carbuncles, furnicles, boils

Cough, asthma, furuncles,

back pain, neck rigidity.

O Up

0.5-1.0 Moxa ok

DU-11 (Shen Dao) Spirit Path

Below the spinous process of the fifth thoracic

vertebra.

Tonifies the Heart and Lung and

calms the spirit.

Clears heat and pacifies wind

Poor memory, anxiety,

palpitation, pain and stiffness

of the back, cough, cardiac

pain.

O Up

0.5-1.0 Moxa ok

DU-12 (Shen Zhu) Body Pillar

Below the spinous process

of the third thoracic

vertebra.

Clears heat from the Lung and

Heart

Calms the spirit

Pacifies wind

Cough, asthma, epilepsy, pain

and stiffness of the back,

furuncles.

O Up 0.5-1.0 Moxa ok

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Page 72 of 83 5/1/2012

DU-13 (Tao Dao) Kiln Path

Below the spinous process

of the first thoracic

vertebra.

Clears heat and treats malaria

Regulates the Governing vessel

Stiffness of the back,

headache, malaria, febrile

diseases.

O Up

0.5-1.0 Moxa ok

DU-14 (Da Zhu) Great Hammer

Below the spinous process

of the seventh cervical

vertebra, approximately at

the level of the shoulders.

Expels wind and firms the

exterior Clears heat

Treats malaria

Tonifies deficiency

Pacifies wind

Neck pain and rigidity,

malaria, febrile diseases,

epilepsy, afternoon fever,

cough, asthma, common cold,

back stiffness.

O Up 0.5-1.0 Moxa oka

DU-15 (Ya Men) Mute's Gate

Sea of Qi, MT pt/ Governing and Yang

Linking Vessels

0.5 cun directly above the

midpoint of the posterior

hairline, in the depression

below the spinous process

of the first cervical

vertebra.

Benefits the tongue and treats

muteness

Eliminates wind

Benefits the neck and spine

Mental disorders, epilepsy,

deafness and mute, sudden hoarseness of voice, apoplexy, stiffness of the tongue and

aphasia, occipital headache, neck rigidity.

P

0.5-0.8 * no O-up nor deep.

*medullary bulb

DU-16 (Feng Fu) Wind Mansion

Sea of Marrow, MT pt of the Governing

and Yang Linking Vessels; Pt of the Window of Heaven,

Sun Si-miao Ghost Point

1 cun directly above the

midpoint of the posterior

hairline, directly below the

external occipital

protuberance, in the

depression between m.

trapezius of both sides.

Eliminates wind

Nourishes the sea of marrow and

benefits the head and neck

Calms the spirit

Headache, neck rigidity,

blurring of vision, epistaxis,

sore throat, post-apoplexy

aphasia, hemiplegia, mental

disorders.

P

0.5-0.8 *No deep

puncture * watch for

medullary

bulb

DU-17 (Nao Hu) Brain's Door MT pt/ Governing Vessel with the UB

2.5 cun directly above the

midpoint of the posterior

hairline, 1.5 cun directly

above Fengfu (DU-16), in

Eliminates wind and alleviates

pain

Epilepsy, dizziness, pain and

stiffness of the neck.

S

0.3-0.5

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Page 73 of 83 5/1/2012

Channel

the depression on the

upper border of the

external occipital

protuberance.

Benefits the eyes

Calms the spirit

DU-18 (Qiang Jian) Unyielding Spac

4 cun directly above the

midpoint of the posterior

hairline and 1.5 cun above

Naohu (DU-17).

Pacifies wind and alleviates pain

Calms the spirit

Headache, neck rigidity,

blurring of vision, mania.

S 0.3-0.5 Moxa ok

DU-19 (Hou Ding) Behind the Vertex

5.5 cun directly above the

midpoint of the posterior

hairline, 1.5 cun directly

above Qiangjian (DU-18).

Eliminates wind and alleviates

pain

Calms the spirit

Headache, vertigo, mania,

epilepsy.

S 0.3-0.5 Moxa ok

DU-20 (Bai Hui) Hundred Convergences

Sea Of Marrow, MT pt of the GV w/ the

UB, GB, SJ and LV Channels

On the midline of the

head, 5 cun directly above

the midpoint of the

anterior hairline,

approximately on the

midpoint of the line

connecting the apexes of

both ears.

Pacifies wind and subdues yang

Raises yang and counters

prolapse ;Benefits the head and

sense organs ;Nourishes the sea

of marrow Benefits the brain and

calms the spirit

Headache, vertigo, tinnitus,

nasal obstruction, aphasia by

apoplexy, coma, mental

disorders, prolapse of the

rectum and the uterus.

S 0.3-0.5 Moxa ok

DU-21 (Qian Ding) Before the Vertex

3.5 cun directly above the

midpoint of the anterior

hairline and 1.5 cun

anterior to Baihui (DU-20).

Eliminates wind and treats

convulsions

Benefits the head

Epilepsy, dizziness, blurring of

vision, vertical headache,

rhinorrhea.

S 0.3-0.5 Moxa ok

DU-22 (Xin Hui) 2 cun posterior to the

midpoint of the anterior

Benefits the nose

Eliminates wind and benefits the

Headache, blurring of vision,

rhinorrhea, infantile

S 0.3-0.5

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Page 74 of 83 5/1/2012

Fontanel Meeting

hairline, 3 cun anterior to

Baihui (DU-20).

head

convulsion.

This point is prohibited in

infants with metopism (as

is the metopic suture of the

frontal skull bone).

DU-23 (Shang

Xing) Upper Star

Sun Si-miao Ghost

Point

1 cun directly above the

midpoint of the anterior

hairline.

Benefits the nose and eyes

Eliminates wind, benefits the

head and face and dispels

swelling

Calms the spirit

Headache, ophthalmalgia,

epistaxis. rhinorrhea, mental

disorders.

This point is prohibited in

infants with metopism (as

is the metopic suture of the

frontal skull bone).

S

0.3-0.5 Moxa ok Or prick to bleed

DU-24 (Shen Ting) Spirit Court

MT pt of the GV w/ UB and ST

0.5 cun directly above the

midpoint of the anterior

hairline.

Benefits the brain and calms the

spirit ;Eliminates wind and

benefits the head ;Benefits the

nose and eyes

Epilepsy, anxiety, palpitation,

insomnia, headache, vertigo,

rhinorrhea.

S

0.3-0.5 Moxa ok Or prick to

bleed

DU-25 (Su Liao) White Bone Hole

On the tip of the nose. Benefits the nose Loss of consciousness, nasal

obstruction, epistaxis,

rhinorrhea, rosacea.

P 0.2-0.3 Prick bleed.

DU-26 (Shui Gou) Water Trough MT pt of the GV w/ LI and ST; Sun Si-

miao Ghost Pt

At the junction of the

upper third and middle

third of the philtrum.

Restores consciousness and

calms the spirit ;Benefits the

face and nose and expels wind

;Benefits the spine and treats

acute lumbar sprain

Mental disorders, epilepsy,

hysteria, infantile convulsion,

coma, apoplexy-faint, trismus,

deviation of the mouth and

eyes, puffiness of the face,

pain and stiffness of the lower

O Up 0.3-0.5

The 12 Primary Meridians

Page 75 of 83 5/1/2012

back.

DU-27 (Dui Duan) Extremity of the Mouth

On the labial tubercle of

the upper lip, on the

vermilion border between

the philtrum and upper lip.

Clears heat, generates fluid and

benefits the mouth

Calms the spirit

Mental disorders, lip twitching,

lip stiffness, pain and swelling

of the gums.

O Up 0.2-0.3

DU-28 (Yin Jiao) Gum Intersection MT pt of the GV

w/CV and the ST

At the junction of the gum

and the frenulum of the

upper lip.

Clear heat and benefits the

gums ;Benefits the nose and

eyes

Mental disorders, pain and

swelling of the gums,

rhinorrhea.

O Up 0.1-0.2 Prick bleed

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Page 76 of 83 5/1/2012

CONCEPTION VESSEL –REN- MERIDIAN

The Conception Vessel meridian begins at the perineum and runs up along the midline

of the abdomen and chest, passes through the cheek and enters into the eye sockets.

At the mouth it splits and goes around the lips before sending branches to the lower

eyes.

This meridian meets all the yin meridians, and thus is called the “sea of the yin

meridians.” It is responsible for receiving and bearing the qi of the yin meridians.

The 12 Primary Meridians

Page 77 of 83 5/1/2012

CONCEPTION VESSEL –REN- MERIDIAN point Location Action Indication Method

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

Between the anus and the root of

the scrotum in males and between

the anus and the posterior labial

commissure in females.

Regulates the anterior and posterior yin

Drains damp heat

Calms the spirit

Promotes resuscitation and revives from

drowning

Vaginitis, retention of urine

hemorrhoids, nocturnal emission,

enuresis, irregular menstruation, mental

disorders.

P 0.5-1.0

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

On the midpoint of the upper border

of the symphysis pubis.

Benefits urination

Regulates the lower jiao

Warms and invigorates the Kidneys

Retention and dribbling of urine,

enuresis, nocturnal emission,

impotence, morbid leukorrhea, irregular

menstruation, dysmenorrhea, hernia.

Great care should be taken to puncture

the points from Qugu (REN-02) to

Shangwan (REN-13) of this meridian in

pregnant women.

p 0.5-1.0

REN-03

(Zhong Ji) Central Pole

MT. PT. of the

Conception Vessel

with the SP, LV, and

KD Channels

Front Mu of the BL

On the anterior midline, 4 cun below

the umbilicus.

Benefits the Bladder, regulates Qi

transformation and drains damp-heat

Drains dampness and treats leucorrhoea

Benefits the uterus and regulates

menstruation

Dispels stagnation and benefits the lower

jiao

Fortifies the Kidneys

Enuresis, nocturnal emission,

impotence, hernia, uterine bleeding,

irregular menstruation, dysmenorrhea,

morbid leukorrhea, frequency of

urination, retention of urine, pain in the

lower abdomen, prolapse of the uterus,

vaginitis.

P 0.5-1.0

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Page 78 of 83 5/1/2012

REN-04 (Guan Yuan)

Origin Pass

MT pt of the

Conception Vessel

w/SP,LV , and KD

Channels

Front Mu of the SI

On the anterior midline, 3 cun below the umbilicus.

Fortifies the original Qi and benefits

essence ,Tonifies and nourishes the

Kidneys Warms and fortifies the Spleen

Benefits the uterus and assists

conception,Regulates the lower jiao and

benefits the Bladder

Regulates Small Intestine Qi Restores

collapse

Enuresis, nocturnal emission, frequency

of urination, retention of urine, hernia,

irregular menstruation, morbid

leukorrhea, dysmenorrhea, uterine

bleeding, postpartum hemorrhage,

lower abdominal pain, indigestion,

diarrhea, prolapse of the rectum, flaccid

type of apoplexy.

P 0.8-1.2 Tonify pt Moxa ok

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

On the anterior midline, 2 cun below the umbilicus.

Moves and benefits the water passages

Regulates Qi and alleviates pain Regulates

the uterus

Abdominal pain, diarrhea, edema,

hernia, anuria, enuresis, amenorrhea,

morbid leukorrhea, uterine bleeding,

postpartum hemorrhage.

P 0.5-1.0 inch Moxa ok

REN-06 (Qi Hai) Sea of Qi

On the anterior midline, 1.5 cun

below the umbilicus.

Fosters original Qi

Tonifies Qi

Tonifies the Kidneys and fortifies yang

Rescues collapse of yang

Regulates Qi and harmonizes blood

Abdominal pain, enuresis, nocturnal

emission, impotence, hernia, edema,

diarrhea, dysentery, uterine bleeding,

irregular menstruation, dysmenorrhea,

amenorrhea, morbid leukorrhea,

postpartum hemorrhage, constipation,

flaccid type of apoplexy, asthma.

P 0.8-1.2 Tonifiy Moxa ok

REN-07 (Yin Jiao) Yin Intersection MT pt of the Conception and Penetrating Vessels and the KDChannel

On the anterior midline, 1 cun below

the umbilicus.

Regulates menstruation

Benefits the lower abdomen and genital

region

Abdominal distention, edema, hernia,

irregular menstruation, uterine

bleeding, morbid leukorrhea, pruritus

vulvae, postpartum hemorrhage,

abdominal pain around the umbilicus.

P 0.8-1.2 Moxa ok

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REN-08 (Shen Que) Spirit Gate

In the center of the umbilicus.

Warms the yang and rescues collapse

Warms and harmonizes the intestines

Abdominal pain, borborygmus, flaccid

type of apoplexy, prolapse of the

rectum, unchecked diarrhea.

NO puncture. Moxa ok

REN-09 (Shui Fen) Water Divide

On the anterior midline, 1 cun above

the umbilicus.

Regulates the water passages and treats

edema, Harmonizes the intestines and

dispelsaccumulation

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

P 0.5-1.0 Moxa ok

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

On the anterior midline, 2 cun above the umbilicus.

Harmonizes the Stomach and regulates Qi

Dispels food stagnation

Food retention

Epigastric pain, abdominal pain,

borborygmus, indigestion, vomiting,

diarrhea.

P 0.5-1.2 Moxa ok

REN-11 (Jian Li) Interior Strengthening

On the anterior midline, 3 cun above the umbilicus

Harmonizes the middle jiao and regulates

Qi

Stomachache, vomiting, abdominal

distention, borborygmus, edema,

anorexia.

P 0.5-1.2 Moxa ok

REN-12 (Zhong Wan) Central Venter Hui-MT pt of the Fu, MT pt of the Conception Vessel w/SI, SJ and ST Channels Front Mu of the ST

On the anterior midline, 4 cun above

the umbilicus.

Harmonizes the middle jiao and descends

rebellion

Tonifies the Stomach and fortifies the

Spleen

Regulates Qi and alleviates pain

Epigatric pain in the Stomach due to Qi

Stagnation from any of the Seven

Emotions

Stomachache, abdominal distention,

borborygmus, nausea, vomiting, acid

regurgitation, diarrhea, dysentery,

jaundice, indigestion, insomnia.

P 0.5-1.2 Moxa ok

REN-13 (Shang Wan) On the anterior midline, 5 cun above Harmonizes the Stomach and regulates Qi Stomachache, abdominal distention, P

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Upper Venter MT of the CV w/ST, SI

the umbilicus.

Descends rebellion and alleviates

vomiting

Regulates the Heart

nausea, vomiting, epilepsy, insomnia. 0.5-1.2 Moxa ok

REN-14 (Ju Que) Great Tower Gate

Front Mu of the HT

On the anterior midline of the

abdomen, 6 cun above the umbilicus.

Regulates the Heart and alleviates pain,

Descends Lung Qi and unbinds the chest,

Transforms phlegm and calms the spirit

Harmonizes the Stomach and descends

rebellion

Pain in the cardiac region and the chest,

nausea, acid regurgitation, difficulty in

swallowing, vomiting, mental disorders,

epilepsy, palpitation.

P 0.3-0.8 Moxa ok

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

On the anterior midline, 1 cun below

the xiphosternal synchondrosis.

Locate the point in supine position

with the arms uplifted.

Regulates the Heart and calms the spirit

Descends Lung Qi and unbinds the chest

Pain in the cardiac region and the chest,

nausea, mental disorders, epilepsy.

O Down 0.4-0.6 Mxoa ok

REN-16 (Zhong Ting) Center Palace

On the anterior midline, at the level

with the fifth intercostal space, on

the xiphosternal synchondrosis.

Unbinds the chest

Regulates the Stomach and descends

rebellion

Distension and fullness in the chest and

intercostal region, hiccup, nausea,

anorexia.

S 0.3-0.5 Moxa ok

REN-17 (Shan Zhong) Chest Center Hui-MT pt of the Qi, Pt of the Sea of Qi, MT pt of the CV with the SP, KD, SI and SJ Channels Front Mu of the PC

On the anterior midline, at the level

with the fourth intercostal space,

midway between the nipples.

Regulates Qi and unbinds the chest

Descends rebellion of the Lung and

Stomach

Benefits gathering Qi

Benefits the breasts and promotes

lactation

Asthma, pain in the chest, fullness in the

chest, palpitation, insufficient lactation,

hiccup, difficulty in swallowing.

S 0.3-0.5 Moxa ok

REN-18 (Yu Tang) Jade Hall

On the anterior midline, at the level Unbinds the chest pain in the chest, cough, asthma, S 0.3-0.5 Moxa ok

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Page 81 of 83 5/1/2012

with the third intercostal space.

Regulates and descends Qi

vomiting.

REN-19 (Zi Gong) Purple Palace

On the anterior midline, at the level

with the 2nd ICS

Unbinds the chest

Regulates and descends Qi

Pain in the chest, asthma, cough. S 0.3-0.5 Moxa ok

REN-20 (Hua Gai) Florid Canopy

On the anterior midline, at the

midpoint of the sternal angle, at the

level with the first intercostal space.

Unbinds the chest

Regulates and descends Qi

Pain and fullness in the chest and

intercostal region, asthma, cough.

S 0.3-0.5 Moxa ok

REN-21 (Xuan Ji) Jade Pivot

On the anterior midline, in the centre

of the sternal manubrium, 1 cun

below Tiantu (REN-22).

Descends Stomach Qi and dispels food

accumulation, Unbinds the chest and

descends Lung Qi Benefits the throat

Pain in the chest, cough, asthma. S 0.3-0.5 Moxa ok

REN-22 (Tian Tu) Celestial Chimney

MT pt of the

Conception and Yin

Linking Vessels

Pt of the Window of

Heaven

In the centre of the suprasternal

fossa.

Descends rebellious Qi and alleviates

cough and wheezing

Benefits the throat and voice

Asthma, cough, sore throat, dry throat,

hiccup, sudden hoarseness of the voice,

difficulty in swallowing, goiter.

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

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

Above the Adam's apple, in the

depression of the upper border of

the hyoid bone.

Benefits the tongue

Descends Qi and alleviates cough

Swelling and pain of the subglossal

region, salivation with glossoplegia,

aphasia with stiffness of tongue by

apoplexy, sudden hoarseness of the

voice, difficulty in swallowing.

O 0.5-1.0 Toward tongue root. Moxa ok

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REN-24 (Cheng Jiang) Suace Recepticle MT pt of the CV with the Governing Vessel and the LI and ST Channels

Sun Si-miao Ghost

Point

In the depression in the centre of the

mentolabial groove.

Extinguishes wind and benefits the face

Regulates the Conception vessel

Facial puffiness, swelling of the gums,

toothache, salivation, mental disorders,

deviation of the eyes and mouth.

O Up 0.2-0.3 Moxa ok

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