CH 7
CH 7
The Lung Meridian of Hand-Taiyin inch towards the lateral aspect of the
running from the chest to the hand, and chest. To avoid injuring the lung, never
the Large Intestine Meridian of Hand- puncture deeply towards the medial as-
Yangming going from the hand to the pect. Moxibustion is applicable.
head, are exteriorly-interiorly related, so Regional anatomy
are the Stomach Meridian of Foot- Vasculature: Superolaterally, the axil-
Yangming travelling from the head to the lary artery and vein, the thoracoacromial
foot and the Spleen Meridian of Foot- artery and vein.
Taiyin travelling from the foot to the Innervation: The intermediate supra-
abdomen (chest). The four meridians are clavicular nerve, the branches of the an-
mainly distributed on the extremities and terior thoracic nerve, and the lateral cu-
in the anterior aspect of the trunk. Their taneous branch of the first intercostal
acupuncture points are described as fol- nerve.
lows.
-ft p~ - ~j1~:f
I. THE LUNG MERIDIAN OF
HAND-TAIYIN
2. Yunmen (LV 2) ~
,
-
4. Xiabai (LV 4)
Location: In the superior lateral part Location: On the medial aspect of the
of the anterior thoracic wall, superior to upper arm, 4 cun below the anterior end
the coracoid process of scapula, in the of the axillary fold, or 5 cun above the
depression of the infraclavicular fossa, 6 cubital crease, on the radial side of m.
cun lateral to the anterior midline. biceps brachii. (See Co!. Fig. 1)
Indications: Cough, asthma, pain in Indications: Cough, fullness in the
the chest, shoulder and arm, fullness in chest, pain in the medial aspect of the
the chest. upper arm.
Method: Puncture obliquely 0.5-0.8 Method: Puncture perpendicularly
inch towards the lateral aspect of the 0.5-1 inch. Moxibustion is applicable.
chest. To avoid injuring the lung, never Regional anatomy
puncture deeply towards the medial as- Vasculature: The cephalic vein and
pect. Moxibustion is applicable. mus,cular branches of the brachial artery
Regional anatomy and vein.
. Vasculature: The cephalic vein, the
Innervation: The lateral brachial cu-
thoracoacromial artery and vein; infer- taneous nerve at the place where the
iorly, the axillary artery.
musculo-cutaneous never passes through.
Innervation: The intermediate and la-
teral supraclavicular nerve, the branches t~~ 5. Chize (He-Sea Point, LV 5)
of the anterior thoracic nerve, and the
lateral cord of the brachial plexus. ,~,) -."
Location: On the cubital crease, in the
::" depression of the radial side of the ten-
x 3. Tianfu (LV 3) don of m. biceps brachii. This point is
Location: On the medial aspect of the located with the elbow slightly flexed.
upper arm, 3 cun below the end of axil- (See Fig. 56)
c'f UI",.,)
lary fold, on the radial side of m. biceps Indications: Cough, hemoptysis, after-
brachii. (See Co!. Fig. 1) noon fever, asthma, sore throat, fullness
Indications: Asthma, epistaxis, pain in in the chest, infantile convulsions, spas-
the medial aspect of the upper arm. modic pain of the elbow and arm, masti-
Method: Puncture perpendicularly tis.
0.5-1 inch. Method: Puncture perpendicularly
Regional anatomy 0.5-1 inch.
Vasculature: The cephalic vein and Regional anatomy
muscular branches of the brachial artery Vasculature: The branches of the ra-
and vein. dial recurrent artery and vein, the cephal-
Innervation: The lateral brachial cu- ic vein.
taneous nerve at the place where the mus- Innervation: The lateral antebrachial
culocutaneous nerve passes through. cutaneous nerve and the radial nerve.
CHAPTER 7 ACUPUNCTURE POINTS OF THE TAIYIN AND YANGMING
L
MERIDIANS 137
11. Quchi (He-Sea Point, LI 11) Location: On the lateral side of the
upper arm, on the line connecting Quchi
Location: When the elbow is flexed, (LI 11) and Jianyu (LI 15), 3 cun above
the point is in the depression at the later- Quchi (LI 11). (See Co!. Fig. 2)
al end of the transverse cubital crease, Indications: Contracture and pain of
midway between Chize (LU 5) and the the elbow and arm, scrofula.
lateral epicondyle of the humerus. (See Method: Puncture perpendicularly
Fig. 61) 0.5-1.0 inch. Avoid injuring the artery.
Indications: Sore throat, toothache, Moxibustion is applicable.
redness and pain of the eye, scrofula, Regional anatomy
urticaria, motor impairment of the up- Vasculature: The radial collateral ar-
per extremities, abdominal pain, vomit- tery and vein.
CHAPTER 7 ACUPUNCTURE POINTS OF THE TAIYIN AND YANGMING MERIDIANS 143
Method: Puncture obliquely or subcu- with the left thumb and puncture perpen-
taneously 0.3-0.5 inch. dicularly and slowly 0.5-1.0 inch along
Regional anatomy the infraorbital ridge. It is not advisable
Vasculature: The facial artery and to manipulate the needle with large am-
vein, the branches of the infraorbital ar- plitude.
tery and vein. Regional anatomy
Innervation: The anastomotic branch Vasculature: The branches of the in-
of the facial and infraorbital nerves. fraorbital and ophthalmic arteries and
vems.
Innervation: The branch of the in-
III. THE STOMACH fraorbital nerve, the inferior branch of
MERIDIAN OF the oculomotor nerve and the muscular
FOOT-YANGMING branch of the facial nerve.
Location: With the eyes looking Location: Directly below the pupil, in
straight forward, the point is directly be- the depression at the infraorbital fora-
men. (See Fig. 64)
low toe pupil, between the eyeball and the
Indications: Redness, pain and itching
infraorbital ridge. (See Fig. 64)
of the eye, facial paralysis, twitching of
Indications: Redness, swelling and
eye lids, pain in the face.
pain of the eye, lacrimation, night blind-
Method: Puncture perpendicularly
ness, twitching of eyelids, facial paralysis.
0.2-0.3 inch. It is not advisable to punc-
Method: Push the eyeball upward
ture deeply.
Regional anatomy
Vasculature: The branches of facial
artery and vein, the infraorbital artery
-"'''''''''''''''
and vein.
{ Innervation: The branches of the fa-
cial nerve. The point is right on 'the
(~ course of the infraorbital nerve.
ChengqilST 1~ ~~__~
SibaiIST2)---- 3. Juliao (ST 3)
JuliaolST 3) __ ~ CI
-- Location: Directly below the pupil, at
Dicang 1ST4) ___\.._ the level of the lower border of ala
nasi, on the lateral side of the nasolabi-
al groove. (See Fig. 64)
Indications: Facial paralysis, twitch-
Fig. 64 ing of eyelids, epistaxis, toothache, swell-
146 CHINESE ACUPUNCTURE AND MOXIBL'STION
Regional anatomy
Vasculature: The masseteric artery.
Innervation: The great auricular
nerve, facial nerve and masseteric nerve.
7. Xiaguan (ST 7)
Location: On the face, anterior to the
ear, in the depression between the zygo-
matic arch and the mandibular notch.
This point is located with the mouth
closed. (See Fig. 65)
Indications: Deafness, tinnitus, otor-
rhea, toothache, facial paralysis, pain of
Fig.66
the face, motor impairment of the jaw.
Method: Puncture perpendicularly
OJ-0.5 inch. Moxibustion is applicable.
branch of the facial nerve.
Regional anatomy
Vasculature: Superficially, the trans-
verse facial artery and vein; in the deep- 9. Reoying (ST 9)
est layer, the maxillary artery and vein.
Location: Level with the tip of Adam's
Innervation: The zygomatic branch of
apple where the pulsation of common
the facial nerve and the branches of the
carotid artery is palpable, on the anteri-
auriculotemporal nerve.
or border of m. sternocleidomastoideus.
(See Fig. 66)
8. Touwei (ST 8)
Indications: Sore throat, asthma, goi-
Location: On the lateral side of the ter, dizziness, flushing of the face.
head, 0.5 cun above the anterior hairline Method: Avoid puncturing the com-
at the corner of the forehead, and 4.5 cun mon carotid artery, puncture perpendic-
lateral to the midline of the head. (See ularly 0.3-0.5 inch.
Fig. 65) Regional anatomy
Indications: Headache, blurring of vi- Vasculature: The superior thyroid ar-
sion, ophthalmalgia, lacrimation. tery on the bifurcation of the internal
Method: Puncture 0.5-1.0 inch subcu- and the external carotid artery.
taneously. Innervation: Superficially, the cu-
Regional anatomy taneous cervical nerve, the cervical
Vasculature: The frontal branches of branch of the facial nerve; deeper, the
the superficial temporal artery and vein. sympathetic trunk; laterally, the descend-
Innervation: The branch of the au- ing branch of the hypoglossal nerve and
riculotemporal nerve and the temporal the vagus nerve.
148 CHINESE ACUPUNCTURE AND MOXIBUSTION
to the anterior midline. (See Fig. 67) 21. Liangmen (ST 21)
Indications: Pain in the chest, cough,
asthma, mastitis, insufficient lactation. Location: 4 cun above the umbilicus,
Method: Puncture obliquely 0.3-0.5 2 cun lateral to Zhongwan (CV 12). (See
inch. Moxibustion is applicable. Fig. 68)
Regional anatomy Indications: Gastric pain, vomiting,
Vasculature: The branches of the in- anorexia, abdominal distension, diarrhea.
tercostal artery and vein. Method: Puncture perpendicularly
Innervation: The branch of the fifth 0.8-1.0 inch. Moxibustion is applicable.
Regional ana"tomy
intercostal nerve.
Vasculature: The branches of the
eighth intercostal and superior epigastric
19. Durong (ST 19) arteries and veins.
Location: 6 cun above the umbilicus, Innervation: The branch of the eighth
2 cun lateral to Juque (CV 14). (See Col. intercostal nerve.
Fig. 3)
Indications: Abdominal distension, 22. Guanmen (ST 22)
vomiting, gastric pain, anorexia. Location: 3 cun above the umbilicus,
Method: Puncture perpendicularly 2 cun lateral to Jianli (CV 11). (See Col.
0.5-0.8 inch. Moxibustion is applicable. Fig. 3)
Regional anatomy Indications: Abdominal distension
Vasculature: The branches of the sev- and pain, anorexia, borborygmus, diar-
enth intercostal artery and vein, the rhea, edema.
branches of the superior epigastric artery Method: Puncture perpendicularly
and vein. 0.8-1.0 inch. Moxibustion is applicable.
Innervation: The branch of the sev- Regional anatomy: See Liangmen
enth intercostal nerve. (ST 21 )
Tianshu(ST25) .,---
Wailing
(ST26) ~---
5 cun
Guilai1ST29) ---
Fig.68
152 CHINESE ACUPUNCTURE AND MOXIBUSTION
from the anterior border of the tibia. (See Vasculature: The anterior tibial artery
Fig. 70) and vein.
Indications: Abdominal pain and dis- Innervation: The branches of the su-
tension, borborygmus, diarrhea, dysen- perficial peroneal nerve and the deep
tery, constipation, enteritis, paralysis due peroneal nerve.
to stroke, beriberi.
Method: Puncture perpendicularly 40. Fenglong (Luo-Connecting Point,
0.5-1.2 inches. Moxibustion is applicable. ST 40)
Regional anatomy: See Zusanli
(ST 36) Location: 8 cun superior to the tip of
the external malleolus, lateral to Tiaokou
38. Tiaokou (ST 38) (ST 38) about two finger-breadth lateral
to the anterior border of the tibia. (See
Location: 8 cun below Dubi (ST 35) Fig. 70)
and on finger breadth (middle finger) Indications: Headache, dizziness and
from the anterior border of the tibia. (See vertigo, cough, asthma, excessive spu-
Fig. 70) tum, pain in the chest, constipation, man-
Indications: Numbness, soreness and ia, epilepsy, muscular atrophy, motor im-
pain of the knee and leg, weakness and pairment, pain, swelling or paralysis of
motor impairment of the foot, pain and the lower extremities.
motor impairment of the shoulder, ab- Method: Puncture perpendicularly
dominal pain. 0.5-1.0 inch. Moxibustion is applicable.
Method: Puncture perpendicularly Regional anatomy
0.5-1.0 inch. Moxibustion is applicable. Vasculature: The branches of the an-
Regional anatomy: See Zusanli terior tibial artery and vein.
(ST 36) Innervation: The superficial peroneal
nerve.
39. Xiajuxu (The Lower He-Sea Point
of the Small Intestine, ST 39) 41. Jiexi (Jing-River Point, ST 41)
Location: 9 cun below (Dubi (ST 35) Location: On the dorsum of the foot,
and one finger breadth (middle finger) at the midpoint of the transverse crease
from the anterior border of the tibia. (See of the ankle joint, in the depression be-
Fig. 70) tween the tendons of m. extensor digito-
Indications: Lower abdominal pain, rum longus and hallucis longus, approx-
backache referring to the testis, mastitis, imately at the level of the tip of the
numbness and paralysis of the lower ex- external malleolus. (See Fig. 71)
tremities. Indications: Pain of the ankle joint,
Method: Puncture perpendicularly muscular atrophy, motor impairment,
0.5-1.0 inch. Moxibustion is applicable. pain and paralysis of the lower extrem-
Regional anatomy ities, epilepsy, headache, dizziness and
156 CHINESE ACUPUNCTURE AND MOXIBUSTI01\
Fig. 71
Location: In the depression distal to
the junction of the second and third me-
tatarsal bones. (See Fig. 71)
vertigo, abdominal distension, constipa- Indications: Facial or general edema,
tion. abdominal pain, borborygmus, swelling
Method: Puncture perpendicularly and pain of the dorsum of the foot.
0.5-0.7 inch. Moxibustion is applicable. Method: Puncture perpendicularly
Regional anatomy 0.3-0.5 inch. Moxibustion is applicable.
Vasculature: The anterior tibial artery Regional anatomy
and vein. Vasculature: The dorsal venous net-
Innervation: The superficial and deep work of foot.
peroneal nerves. Innervation: The medial dorsal cu-
taneous nerve of foot.
42. Chongyang (Yuan-Primary Point, 44. Neiting (Ying-Spring Point, ST 44)
ST 42)
Location: Proximal to the web margin
Location: On the dome of the instep between the second and third toes, in the
of the foot, between the tendons of long depression distal and lateral to the second
extensor muscle of the great toe and long metatarsodigital joint. (See Fig. 71)
extensor muscle of toes, where the pulsa- Indications: Toothache, pain in the
tion of the dorsal artery of foot is palpa- face, deviation of the mouth, sore throat,
ble. (See Fig. 71) epistaxis, gastric pain, acid regurgitation.
Indications: Pain of the upper teeth, abdominal distension, diarrhea, dysen-
redness and swelling of the dorsum of the tery, constipation, swelling and pain of
CHAPTER 7 ACUPUNCTURE POINTS OF THE TAIYIN AND YANGMING MERIDIANS 157
the dorsum of the foot, febrile diseases. bloody stools, menorrhagia, uterine
Method: Puncture perpendicularly bleeding, mental disorders, dream-
0.3-0.5 inch. Moxibustion is applicable. disturbed sleep, convulsion.
Regional anatomy Method: Puncture subcutaneously 0.1
Vasculature: The dorsal venous net- inch. Moxibustion is applicable.
work of foot. Regional anatomy
Innervation: Just where the lateral Vasculature: The dorsal digital artery.
branch of the medial dorsal cutaneous Innervation: On the anastomosis of
nerve divides into dorsal digital nerves. the dorsal digital nerve derived from the
superficial peroneal nerve and the plan-
45. Lidui (Jing-Well Point, ST 45) tar digital proprial nerve.
Gongsun (SP 4)
""
Taibai(SP3) __
Yinbai(SP 1)
-- Dadu (SP 2)
Fig. 72
Indications: Abdominal pain, borbor- Iingquan (SP 9) and the medial malleo-
ygmus, abdominal distension, diarrhea, lus. (See Fig. 73) .
7. Lougu (SP 7)
Location: 6 cun from the tip of the
Yinlingquan (SP 9) _
medial malleolus, on the line connecting
the tip of the medial malleolus and Yin-
Jingquan (SP 9), posterior to the medial Diji(SP 8) __.._
7 cun
border of the tibia. (See Fig. 73)
Indications: Abdominal distension,
LougulSP7) __
borborygmus, coldness, numbness and
paralysis of the knee and leg.
Method: Puncture perpendicularly Sanyinjiao ISP 6) ---
0.5-1.0 inch. Moxibustion is applicable.
Regional anatomy: See Sanyinjiao
(SP 6).
of the inguinal groove, lateral to the pul- Vasculature: The eleventh intercostal
sating external iliac artery, at the level of artery and vein.
the upper border of symphysis pubis, 3.5 Innervation: The eleventh intercostal
cun lateral to Qugu (CV 2). (See Co!. nerve.
Fig. 6)
Indications: Abdominal pain, hernia, 15. Daheng (SP 15)
dysuria.
Method: Avoid puncturing the artery. Location: 4 cun lateral to the center of
Puncture perpendicularly 0.5-1.0 inch. the umbilicus, lateral to m. rectus abdom-
Moxibustion is applicable. inis. (See Fig. 75)
Regional anatomy Indications: Abdominal pain and dis-
Vasculature: On the medial side, the tension, diarrhea, dysentery, constipa-
femoral artery. tion.
Innervation: Just where the femoral Method: Puncture perpendicularly
nerve traverses. 0.7-1.2 inches. Moxibustion is applicable.
Regional anatomy
13. Fushe (SP 13) Vasculature: The tenth intercostal ar-
tery and vein.
Location: 4 cun below the centre of Innervation: The tenth intercostal
the umbilicus, 0.7 cun superior to Chong- nerve.
men (SP 12),4 cun lateral to the anterior
midline. (See Co!. Fig. 6) 16. Fuai (SP 16)
Indications: Lower abdominal pain,
hernia. Location: 3 cun above the centre of
Method: Puncture perpendicularly the umbilicus, and 4 cun lateral to the
0.5-1.0 inch. Moxibustion is applicable. anterior midline. (Col. Fig. 6)
Regional anatomy Indications: Abdominal pain, indiges-
Innervation: The ilioinguinal nerve. tion, constipation, dysentery.
Method: Puncture perpendicularly
14. Fujie (SP 14) 0.5-1.0 inch. Moxibustion is applicable.
Regional anatomy
Location: 1.3 cun below Oaheng (SP Vasculature: The eighth intercostal
15), 4 cun lateral to the anterior midline, artery and vein.
on the lateral side of m. rectus abdornin- Innervation: The eighth intercostal
is. (See Co!. Fig. 6) nerve.
Indications: Pain around the umbili-
cal region, abdominal distension, hernia, 17. Shidou (SP 17)
diarrhea, constipation.
Method: Puncture perpendicularly Location: In the fifth intercostal
0.5-1.0 inch. Moxibustion is applicable. space, 6 cun lateral to the anterior mid-
Regional anatomy line. (See Co!. Fig. 6)
162 CHII\:ESE ACUPUNCTURE AI\:D MOXIBUSTIOI\:
"-
'\
"- -
Fig. 75
Indications: Fullness and pain in the eral thoracic artery and vein, the thoraco-
chest and hypochondriac region. epigastric artery and vein, the fourth in-
Method: Puncture obliquely 0.3-0.5 tercostal artery and vein.
inch. Moxibustion is applicable. Innervation: The lateral cutaneous
Regional anatomy branch of the fourth intercostal nerve.
Vasculature: The thoracoepigastric
vem.
19. Xiongxiang (SP 19)
Innervation: The lateral cutaneous
branch of the fifth intercostal nerve. Location: In the third intercostal
space, 6 cun lateral to the anterior mid-
18. Tianxi (SP 18) line. (See Col. Fig. 6)
Location: In the fourth intercostal Indications: Fullness and pain in the
space, 6 cun lateral to the anterior mid- chest and hypochondriac region.
line. (See Co!. Fig. 6) Method: Puncture obliquely 0.3-0.5
Indications: Fullness and pain in the inch. Moxibustion is applicable.
chest and hypochondrium, cough, hic- Regional anatomy
cup, mastitis, insufficient lactation. Vasculature: The lateral thoracic ar-
Method: Puncture obliquely 0.3-0.5 tery and vein, the third intercostal artery
inch. Moxibustion is applicable. and vein.
Regional anatomy Innervation: The lateral cutaneous
Vasculature: The branches of the lat- branch of the third intercostal nerve.
CHAPTER 7 ACUPUNCTURE POINTS OF THE T AIYIN AND YANGMING MERIDIANS 163