Class 8 - Hand Shao-Yang San-Jiao Channel

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    Hand Shao-Yang San-Jiao

    Channel

    By: Dr. Chuanxin Wang, DAOM, AP

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    SJ-1, Guan-Chong

    Location: On the ulnal side of the distal

    segment of the 4th finger, 0.1 cun from the

    corner of the nail.

    Jin-Well point

    Metalpoint

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    Indications: Headache, deafness, ear ringing, sore-throat, stiffness of the tongue, fever, irritability.Method:Puncture superficially 0.1 cun, or prick with athree-edged needle to cause bleeding. Moxibustion is

    applicable.Regional anatomyVasculature: The arterial and venous network formedby the palmar digitalproprial artery and vein.

    Innervation:The palmar digital proprial nerve derivedfrom the ulnar nerve.

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    SJ-2, Ye-Men

    Location: On the dorsum of the hand,

    between the 4th and 5th fingers , at the

    junction of the red and white skin, proximal to

    the margin of the web.

    Ying-Springpoint

    Waterpoint

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    Indications: Headache, conjunctival congerstion,sore-throat, sudden deafness, malaria,brachialgia.Method:Puncture obliquely 0.3-0.5 cun towards

    the interspace of the metacarpal bones.Moxibustion is applicable.Regional anatomyVasculature:The dorsal digital artery of the ulnar

    artery.Innervation: The dorsal branch of the ulnarnerve.

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    SJ-3, Zhong-Zhu

    Location: On the dorsm of the to the 4th

    metacarpophalangeal joint ,in the depression

    between the 4th and 5th metacarpal bones.

    Shu-Stream point

    Woodpoint

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    Indications: Headache, conjunctival congestion,sore-throat, deafness, tinnitus, fever, brachialgia,stiffness of the fingers.Method:Puncture perpendicularly 0.3-0.5 cun.

    Moxibustion is applicable.Regional anatomyVasculature:The dorsal venous network of handand the fourth dorsal metacarpal artery.

    Innervation:The dorsal branch of the ulnarnerve.

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    SJ-4, yang-Chi

    Location: At the midpoint of the dorsal crease

    of the wrist ,in the depression on the ulnal

    side of the tendon of the extensor muscle of

    the fingers.

    Yuan-Sourcepoint

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    Indications: Pain in the shoulder and arm, pain inthe wrist, malaria, deafness, diabetes.Method:Puncture perpendicularly 0.3-0.5 cun.Moxibustion is applicable.

    Regional anatomyVasculature:The dorsal venous network of thewrist and the posterior carpalartery.

    Innervation:The terminal branch of the posteriorantebrachial cutaneousnerve and the dorsal branch of the ulnar nerve.

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    SJ-5, Wai-Guan

    Location:On the dorsal side of the forearm

    and on the line connection Yangchi(SJ4) and

    the tip of the olecranon, 2 cun proximal to the

    dorsal crease of the wrist, between the radius

    and ulna.

    Luo-Connectingpoint

    Masterpoint of Yang-Wei

    (Linking) Vessel

    http://www.tcmadvisory.com/2007/8-22/200782295929.htmlhttp://www.tcmadvisory.com/2007/8-22/200782295929.html
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    Indications: Fever, headache, pain in the cheek, stiffneck, deafness, tinnitus, pain in the hypochondriacregion, dyscinesia of the elbow, pain in the fingers,tremor of the hand.

    Method:Puncture perpendicularly 0.5-1.0 cun.Moxibustion is applicable.Regional anatomyVasculature: Deeper, the posterior and anteriorantebrachial interosseous atteries and veins.

    Innervation: The posterior antebrachinal cutaneousnerve; deeper,the posterior interosseous nerve and theanterior interosseous nerve.

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    SJ-6, Zhi-Gou

    Location:On the dorsal side of the forearm

    and on the line connecting Yangchi(SJ4) and

    the tip of the olecranon, 3 cun proximal to the

    dorsal crease of the wrist, between the radius

    and ulna.

    Jing-Springpoint

    Firepoint

    http://www.tcmadvisory.com/2007/8-22/200782295929.htmlhttp://www.tcmadvisory.com/2007/8-22/200782295929.html
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    Indications:Deafness, tinnitus, pain in thehypochondriac region, vomiting, constipation, fever,soreness and heaviness sensation in the shoulder andback, sudden loss of voice.

    Method: Puncture perpendicularly 0.8-1.2 cun.Moxibustion is applicable.Regional anatomyVasculature:Deeper, the posterior and anteriorantebrachial interosseous atteries and veins.

    Innervation: The posterior antebrachinal cutaneousnerve; deeper, the posterior interosseous nerve andthe anterior interosseous nerve.

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    SJ-7, Hui-Zong

    Location : On the dorsal side of the forearm,

    3 cun proximal to the dorsal crease of the

    wrist, on the ulnar side of Zhigou(SJ6) and on

    the radial border of the ulna.

    Xi-Cleftpoint

    http://www.tcmadvisory.com/2007/8-22/200782210521.htmlhttp://www.tcmadvisory.com/2007/8-22/200782210521.html
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    Indications:Deafness, otalgia, epilepsy,brachialgia.Method: Puncture perpendicularly 0.5-1.0

    icun. Moxibustion is applicable.Regional anatomyVasculature:The posterior antebrachialinterosseous artery and vein.

    Innervation:The posterior and medialantebrachial cutaneous nerves; deeper,theposterior and anterior interosseous nerves.

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    SJ-8, San-Yang-Luo

    Location:On the dorsal side of the forearm, 4

    cun proximal to the dorsal crease of the wrist,

    between the radius

    and the ulna.

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    Indications:Deafness, sudden loss of voice, painin the chest and hypochondriac region,brachialgia, toothache.Method:Puncture perpendicularly 0.5-1.0 cun.

    Moxibustion is applicable.Regional anatomyVasculature:The posterior antebrachialinterosseous artery and vein.

    Innervation:The posterior and medialantebrachial cutaneous nerves; deeper,the posterior and anterior interosseous nerves.

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    SJ-9, Si-Du

    Location:On the dorsal side of the forearm

    and on the line connecting Yangchi(SJ4) and

    the tip of the olecranon, 5 cun distal to the tip

    of the olecranon, 5 cun distal to the tip of theolecranon, between the radius and ulna.

    http://www.tcmadvisory.com/2007/8-22/200782295929.htmlhttp://www.tcmadvisory.com/2007/8-22/200782295929.html
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    Indications:Deafness, toothache, migraine,sudden loss of voice, pain in the forearm.Method:Puncture perpendicularly0.5-1.0 cun. Moxibustion is applicable.Regional anatomyVasculature:The posterior antebrachialinterosseous artery and vein.

    Innervation:The posterior and medialantebrachial cutaneous nerves; deeper,the posterior and anterior interosseous nerves.

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    SJ-10, Tian-Jin

    Location:On the lateral side of the upper arm,

    in the depression 1 cun proximal to the tip of

    the olecranon when

    the elbow is flexed.

    He-Seapoint

    Earthpoint

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    Indications:Migraine, pain in the neck, nape,shoulders and arms, epilepsy, scrofula, goiter dueto Qi disorderMethod:Puncture perpendicularly

    0.3-0.5 cun. Moxibustion is applicable.Regional anatomyVasculature:The arterial and venous network ofthe elbow.

    Innervation:The posterior brachial cutaneousnerve and the muscular branch of the radialnerve.

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    SJ-11, Qing-Leng-Yuan

    Location:With the elbow flexed, on the lateral

    side of the upper arm, 2 cun above the tip of

    the olecranon and 1

    cun above Tianjing(SJ10).

    http://www.tcmadvisory.com/2007/8-22/2007822101657.htmlhttp://www.tcmadvisory.com/2007/8-22/2007822101657.html
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    Indications: Inability to raise arm due to pain inthe shoulder and arm, migraine.Method: Puncture perpendicularly 0.3-0.5 cun.Moxibustion is applicable.

    Regional anatomyVasculature: The terminal branches of themedian collateral artery and vein.Innervation:The posterior brachial cutaneous

    nerve and the muscular branch of the radialnerve.

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    SJ-12, Xiao-Luo

    Location:On the lateral side of the upper arm,

    at the midpoint of the line connecting

    Qinglengyuan(SJ11)

    and Naohui(SJ13).

    http://www.tcmadvisory.com/2007/8-23/2007823105931.htmlhttp://www.tcmadvisory.com/2007/8-23/2007823105931.html
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    Indications: Headache, stiffness of the neck andnape, inability to raise arm due to brachialgia.Method:Puncture perpendicularly 0.5-0.7 cun.Moxibustion is applicable.Regional anatomyVasculature:The median collateral artery andvein.Innervation:The posterior brachial cutaneousnerve and the muscular branch of the radialnerve.

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    SJ-13, Nao-Hui

    Location:On the lateral side of the upper arm

    and on the line connecting the tip of the

    olecranon and Jianliao (SJ14), 3 cun below

    Jianliao(SJ14) , and on the posteroinferiorborder of the deltoid muscle.

    http://www.tcmadvisory.com/2007/8-29/200782916515.htmlhttp://www.tcmadvisory.com/2007/8-29/200782916515.htmlhttp://www.tcmadvisory.com/2007/8-29/200782916515.htmlhttp://www.tcmadvisory.com/2007/8-29/200782916515.html
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    Indications:Goiter due to Qi disorders, achingpain in the shoulder and arm.Method:Puncture perpendicularly 0.5-0.8 cun.Moxibustion is applicable.

    Regional anatomyVasculature:The median collateral artery andvein.Innervation:The posterior brachial cutaneousnerve, the muscular branch of the radial nerve;deeper, the radial nerve.

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    SJ-14, Jian-Liao

    Location:On the shoulder, posterior to

    Jianyu(LI15), in the depression inferior and

    posterior to the acromion when the arm is

    abducted.

    http://www.tcmadvisory.com/2007/8-29/200782916515.htmlhttp://www.tcmadvisory.com/2007/8-13/200781317930.htmlhttp://www.tcmadvisory.com/2007/8-13/200781317930.htmlhttp://www.tcmadvisory.com/2007/8-29/200782916515.html
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    Indications:Inability to raise arm due to pain inthe shoulder and arm, flaccidity of the upperlimb.Method:Puncture perpendicularly 0.7-1.0 cun.

    Moxibustion is applicable.Regional anatomyVasculature:The muscular branch of theposterior circumflex humeral artery.Innervation:The muscular branch of the axillarynerve.

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    SJ-15, Tian-Liao

    Location: On the scapula, at the midpoint

    between Jianjing(GB21) and Quyuan(SI13), at

    the superior angle of the scapula.

    http://www.tcmadvisory.com/2007/8-29/200782916515.htmlhttp://www.tcmadvisory.com/2007/8-23/2007823161320.htmlhttp://www.tcmadvisory.com/2007/8-16/2007816174152.htmlhttp://www.tcmadvisory.com/2007/8-16/2007816174152.htmlhttp://www.tcmadvisory.com/2007/8-16/2007816174152.htmlhttp://www.tcmadvisory.com/2007/8-16/2007816174152.htmlhttp://www.tcmadvisory.com/2007/8-23/2007823161320.htmlhttp://www.tcmadvisory.com/2007/8-29/200782916515.html
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    Indications:Pain in the shoulder and elbow,stiffness of the neck and nape.Method: Puncture perpendicularly 0.3-0.5 cun.Moxibustion is applicable.

    Regional anatomyVasculature: The descending branch of thetransverse cervical artery; deeper, the muscularbranch of the suprascapular artery.Innervation: The accessory nerve and the branchof the suprascapular nerve.

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    SJ-16, Tian-You

    Location:On the lateral side of the neck,

    directly below the posterior border of the

    mastoid process, on the level of the

    mandibular angle,and on theposterior borderof the sternocleidomastoid muscle.

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    Indications: Headache, stiffness of the nape,

    edema of face, blurred vision, sudden

    deafness.

    Method:Puncture perpendicularly 0.3-0.5cun. Moxibustion is applicable.

    Regional anatomy

    Vasculature:The posterior auricular artery.Innervation:The lesser occipital nerve.

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    SJ-17, Yi-Feng

    Loeation:Posterior to the ear lobe. in the

    depression between the mastoid process and

    mandibular angle.

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    Indications: Tinnitus, deafness, otitis mediasuppurariva, facial hemiparalysis, toothache,swelling of the cheek. scrofula, dyscinesia ofmaxillary joint.

    Method:Puncture perpendicularly 0.5-1.0 cun.Moxibustion is applicable.Regional anatomyVasculature:The posterior auricular artery andvein, the external jugular vein.Innervation:The great auricular nerve; deeper,the site where the facial nerve perforates out ofthe stylomastoid foramen.

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    SJ-18, Chi-Mai

    Location:On the head. at the centre of the

    mastoid process, and at the junction of the

    middle third and lower third of the line

    connecting Jiaosun(SJ20) and Yifeng(SJ17)along the curve of the ear helix.

    http://www.tcmadvisory.com/2007/8-22/200782210392.htmlhttp://www.tcmadvisory.com/2007/8-22/2007822103240.htmlhttp://www.tcmadvisory.com/2007/8-22/2007822103240.htmlhttp://www.tcmadvisory.com/2007/8-22/200782210392.html
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    Indications:Headache, tinnitus, deafness,infantile convulsion and epilepsy.Method:Puncture subcutaneously 0.3-0.5 cun orprick with a three-edged needle to cause

    bleeding. Moxibustion is applicable.Regional anatomyVasculature:The posterior auricular artery andvein.Innervation: The posterior auricular branch ofthe great auricular nerve.

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    SJ-19, Lu-Xi

    Location:On the head. at the junction of the

    upper third and middle third of the line

    connecting Jiaosun(SJ20) and Yifeng(SJ17)

    along the curve of the ear helix.

    http://www.tcmadvisory.com/2007/8-22/200782210392.htmlhttp://www.tcmadvisory.com/2007/8-22/2007822103240.htmlhttp://www.tcmadvisory.com/2007/8-22/2007822103240.htmlhttp://www.tcmadvisory.com/2007/8-22/200782210392.html
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    Indications:Headache. tinnitus, otalgia,deafness, infantile convulsion and epilepsy.Method:Puncture obliquely 0.3-0.5 cun.

    Moxibustion is applicable.Regional anatomyVasculature:The posterior auricular arteryand vein.

    Innervation:The anastomotic branch of thegreat auricular nerve and the lesser occipitalnerve.

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    SJ-20, Jiao-Sun

    Location:On the head. above the ear apex

    within the hairline.

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    Indications: Tinnitus, conjunctivtis, gingivalswelling pain, toothache, mumps.Method:Puncture subcutaneously 0.3-0.5

    cun. Moxibustion is applicable.Regional anatomyVasculature:The branches of the superficialtemporal artery and vein.

    Innervation:The branches of theauriculotemporal nerve.

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    SJ-21, Er-Men

    Location:On the face, anterior to the

    supratragic notch, in the depression behind

    the posterior border of the condyloid process

    of the mandible.

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    Indications:Tinnitus, deafness, otitls mediasuppurativa, toothache.Method;Puncture perpendicularly 0.3-0.5cun. Moxibustion is applicable.Regional anatomyVasculature:The superficial temporal arteryand vein.

    Innervation:The branches of theauriculotemporal nerve and facial nerve.

    SJ 22 H Li

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    SJ-22, He-Liao

    Location:On the lateral side of the head. on

    the posterior margin of the temples, anterior

    to the anterior border of the root of the ear

    auricle and posterior to the superficialtemporal artery.

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    Indications:Migraine. tinnitus, lockjaw.Method:Avoid puncturing the artery, punctureobliquely 0.1-0.3 cun. Moxibustion is applicable.Regional anatomy

    Vasculature:The superficial temporal artery andvein.Innervation: The branch of the auriculotemporalnerve, on the course of the temporal branch ofthe facial nerve.

    SJ 23 SI Zh K

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    SJ-23, SI-Zhu-Kong

    Location: In the depression on the

    supraorbtical margin, at the lateral end of the

    eyebrow.

    Needling: transverse 0.5-1.0 cun

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    Indications: Headaches, eye swelling, eye

    redness, toothache, dizziness, visual dizziness,

    tetany, epilepsy, blurred vision