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CH 7

The document describes acupuncture points associated with the Taiyin and Yangming meridians, specifically focusing on the Lung Meridian of Hand-Taiyin and the Large Intestine Meridian of Hand-Yangming. It provides detailed anatomical locations, indications for treatment, and methods for puncturing each point, along with relevant regional anatomy. The text emphasizes the importance of proper technique to avoid injury and highlights the applicability of moxibustion for certain points.

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0% found this document useful (0 votes)
7 views29 pages

CH 7

The document describes acupuncture points associated with the Taiyin and Yangming meridians, specifically focusing on the Lung Meridian of Hand-Taiyin and the Large Intestine Meridian of Hand-Yangming. It provides detailed anatomical locations, indications for treatment, and methods for puncturing each point, along with relevant regional anatomy. The text emphasizes the importance of proper technique to avoid injury and highlights the applicability of moxibustion for certain points.

Uploaded by

Larissa H
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Chapter7

ACUPUNCTURE POINTS OF THE TAIYIN AND


YANGMING MERIDIANS

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

1. Zhongfu (Front-Mu Point of


the Lung, LV 1)
Location: Laterosuperior to the ster-
num, 1 cun below Yunmen (LV 2), at the
level of the first intercostal space, 6 cun
lateral to the anterior midline. (See
Fig. 55)
Indications: Cough, asthma, pain in
the chest, shoulder and back, fullness of
the chest. fig. 55
Method: Puncture obliquely 0.5-0.8
135
136 CHINESE ACUPUNCTURE AND MOXIBUSTION

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

6. Kongzui (Xi-Cleft Point, LV 6)


Location: On the palmar aspect of the
forearm, on the line joining Taiyuan (LV
9) and Chize (LV 5), 7 cun above the
transverse crease of the wrist. (See
Fig. 57)
Indications: Cough, pain in the chest,
-asthma, hemoptysis, sore throat, spas-
modic pain of the elbow and arm.
Method: Puncture perpendicularly
0.5-1 inch. Moxibustion is applicable.
Regional anatomy
--- Chize(LU 5)
Vasculature: The cephalic vein, the
radial artery and vein.
Innervation: The lateral antebrachial
Fig. 56
cutaneous nerve and the superficial ra-
mus of the radial nerve.
I),r'"'''' ><'lV+'.(.... .. L.5~f,,'..j
7. Lieque (Luo-Connecting Point,
Confluent Point, LV 7)
Location: Superior to the styloid pro-
cess of the radius, 1.5 cun above the
5cun
transverse crease of the wrist between
brachioradial muscle and the tendon of
Kongzui (LU 6) long abductor muscle of the thumb. (See
Fig. 57) When the index fingers and
Ueque(LU7) 7 cun thumbs of both hands are crossed with
the index finger of one hand placed on
the styloid process of the radius of the
other, the point is in the depression right
under the tip of the index finger. (See
... Fig. 58)
--
...
-~
..J Indications: Headache, migraine, neck
rigidity, cough, asthma, sore throat, fa-
cial paralysis, toothache, pain and weak-
ness of the wrist.
Method: Puncture 0.3-0.5 inch
obliquely upward. Moxibustion is appli-
Fig. 57 cable.
138 CHINESE ACUPUNCTURE AND MOXIBUSTION

9. Taiyuan (Shu-Stream and


If
Yuan- Primary Point,
Ueque (LU 7)
Influential Point of
I
I ,.:\.', Vessels, LV 9)
I
I
Location: At the radial end of the
transverse crease of the wrist, in the de-
pression on the lateral side of the radial
artery. (See Fig. 57)
Indications: Cough, asthma, hemop-
tysis, sore throat, palpitation, pain in the
chest, wrist and arm.
Fig. 58 Method: Puncture perpendicularly
0.2-0.3 inch. Avoid puncturing the radial
artery. Moxibustion is applicable.
Regional anatomy Regional anatomy
Vasculature: The cephalic vein, Vasculature: The radial artery and
branches of the radial artery and vein. vem.
Innervation: The lateral antebrachial Innervation: The lateral antebrachial
cutaneous nerve and the superficial ra- cutaneous nerve and superficial ramus of
mus of the radial nerve. the radial nerve.

8. Jingqu (Jing-River Point, LV 8) ¥iff'10. Yuji (Ying-Spring Point,


.,. LV 10)
Location: 1 cun above the transverse
crease of the wrist in the depression on Location: On the radial aspect of the
the lateral side of the radial artery. (See midpoint of the first metacarpal bone, on
Fig. 57) the junction of the red and white skin
Indications: Cough, asthma, fever, (i.e., the junction of the dorsum and palm
pain in the chest, sore throat, pain in the of the hand). (See Fig. 57)
wrist. Indications: Cough hemoptysis, sore
Method: Puncture perpendicularly throat, loss of voice, fever, feverish sen-
0.1-0.3 inch. Avoid puncturing the radial sation in the palm.
artery. Method: Puncture perpendicularly
Regional anatomy 0.5-0.8 inch. Moxibustion is applicable.
Vasculature: Laterally, the radial ar- Regional anatomy
tery and vein. Vasculature: Venules of the thumb
Innervation: The lateral antebrachial draining to the cephalic vein.
cutaneous nerve and the superficial ra- Innervation: The superficial ramus of
mus of the radial nerve. the radial nerve.
CHAPTER 7 ACUPUNCTURE POINTS OF THE T AIYIN AND YANGMING MERIDIANS 139

11. Shaoshang (Jing-Well Point,


/- LV 11)

Location: On the radial side of the


thumb, about 0.1 cun posterior to the
corner of the nail. (See Fig. 57) - -- HeguIII 4)
Indications: Sore throat, cough, asth- - - SanjianIII 3)
ma, epistaxis, fever, loss of conscious-
ness, mania, spasmodic pain of the
thumb.
Method: Puncture 0.1 inch, or prick
the point to cause bleeding.
Regional anatomy
Vasculature: The arterial and venous
network formed by the palmar digital
proprial artery and veins. Fig. 59
Innervation: The terminal nerve net-
work formed by the mixed branches of Vasculature: The arterial and venous
the lateral antebrachial cutaneous nerve .network formed by the dorsal digital ar-
and the superficial ramus of the radial teries and veins.
nerve as well as the palmar digital propri- Innervation: The palmar digital pro-
al nerve of the median nerve. prial nerve derived from the median
nerve.
II. THE LARGE INTESTINE
2. Erjian (Ying-Spring Point, LI 2)
MERIDIAN OF
HAND-YANGMING Location: In the depression of the ra-
dial side of the index finger, distal to
1. Shangyang (Jing-Well Point, LI 1)
the 2nd metacarpal-phalangeal joint. The
point is located with the finger slightly
Location: On the radial side of the flexed. (See Fig. 59)
index finger, about 0.1 cun posterior to Indications: Blurring of vision, Epis-
the corner of the nail. (See Fig. 59) taxis, toothache, sore throat, febrile di-
Indications: Toothache, sore throat, seases.
swelling of the submandibular region, Method: Puncture perpendicularly
numbness of fingers, febrile diseases with 0.2-0.3 inch. Moxibustion is applicable.
anhidrosis, loss of consciousness. Regional anatomy
Method: Puncture 0.1 inch, or prick Vasculature: The dorsal digital and
the point to cause bleeding. pia mar digital proprial arteries and veins
Regional anatomy derived from the radial artery and vein.
140 CHINESE ACUPUNCTURE AND MOXIBUSTION

Innervation: The dorsal digital nerve


Hegu III 4)
of the radial nerve, and the palmar digital
proprial nerve of the median nerve. -....."
"-
....
"- ....
3. Sanjian (Shu-Stream Point, LI 3)
Location: When a loose fist is made,
the point is on the radial side of the index
finger, in the depression proximal to the
head of the second metacarpal bone. (See
Fig. 59) Fig. 60
Indications: Toothache, ophthalmal-
gia, sore throat, redness and swelling of paralysis, febrile diseases with anhidrosis,
fingers and the dorsum of the hand. hidrosis, abdominal pain, dysentery, con-
. Method: Puncture perpendicularly stipation, amenorrhea, delayed labour,
0.5-0.8 inch. Moxibustion is applicable. infantile convulsion, pain, weakness and
Regional anatomy motor impairment of the upper limbs.
Vasculature: The dorsal venous net- Method: Puncture perpendicularly
work of the hand and the branch of the 0.5-1 inch. Moxibustion is applicable.
first dorsal metacarpal artery. Acupuncture and moxibustion are con-
Innervation: The superficial ramus of traindicated in pregnant women.
the radial nerve. Regional anatomy
Vasculature: The venous network of
4. Hegu (Yuan-Primary Point, LI 4) the dorsum of the hand.
Location: On the dorsum of the hand, Innervation: The superficial ramus of
between the 1st and 2nd metacarpal the radial nerve.
bones, approximately in the middle of the
2nd metacarpal bone on the radial side. 5. Yangxi (Jing-River Point, LI 5)
(See Fig. 59) Or, place in coincident po-
sition the transverse crease of the inter- Location: On the radial side of the
phalangeal joint of the thumb with the wrist. When the thumb is tilted upward,
margin of the web between the thumb it is in the depression between the ten-
and the index finger of the other hand. dons of m. extensor pollicis longus and
The point is where the tip of the thumb brevis. (See Fig. 59)
touches. (See Fig. 60) Indications: Headache, redness, pain
Indications: Headache, pain in the and swelling of the eye, toothache, sore
neck, redness, swelling and pain of the throat, pain of the wrist.
eye, epistaxis, nasal obstruction, rhinor- Method: Puncture perpendicularly
rhea, toothache, deafness, swelling of the 0.3-0.5 inch. Moxibustion is applicable.
face, sore throat, parotitis, trismus, facial Regional anatomy
CHAPTER 7 ACUPUNCTURE POINTS OF THE TAIYIN AND YANGMING MERIDIANS 141

Vasculature: The cephalic vein, the Regional anatomy


radial artery and its dorsal carpal branch. Vasculature: The cephalic vein.
Innervation: The superficial ramus of Innervation: On the radial side, the
the radial nerve. lateral antebrachial cutaneous nerve and
the superficial ramus of the radial nerve;
6. Pian Ii (Luo-Connecting Point, LI 6) on the ulnar side, the posterior antebra-
chial cutaneous nerve and the posterior
Location: With the elbow flexed and antebrachial interosseous nerve.
the radial side of arm upward, the point
is on the line joining Yangxi (LI 5) and 7. Wenliu (Xi-Cleft Point, LI 7)
Quchi (LI 11), 3 cun above the crease of
the wrist. (See Fig. 61) Location: With the elbow flexed and
Indications: Redness of the eye, tin- the radial side of arm upward, the point
nitus, deafness, epistaxis, aching of the is on the line connecting Yangxi (LI 5)
hand and arm, sore throat, edema. and Quchi (LI 11), 5 cun above the crease
Method: Puncture perpendicularly or of the wrist. (See Fig. 61)
obliquely 0.5-0.8 inch. Moxibustion is ap- Indications: Headache, swelling of
plicable. the face, sore throat, borborygmus, ab-
dominal pain, aching of the shoulder
and arm.
Method: Puncture perpendicularly
0.5-1.0 inch. Moxibustion is applicable.
Regional anatomy
Vasculature: The muscular branch of
I
-r-- - Quchi (Ll11) the radial artery, the cephalic vein.
\-~---ShO"~"'1 (Ll1.] Innervation: The posterior antebra-
7 cun chial cutaneous nerve and the deep ramus
of the radial nerve.
,1- - - Wenliu III 7)

5 cun --- Pianli III 6)


8. Xialian (LI 8)
--- Yangxi III 5)

Location: On the line joining Yangxi


(LI 5) and Quchi (LI 11),4 cun below the
cubital crease. (See Col Fig. 2)
Indications: Abdominal pain, borbor-
ygmus, pain in the elbow and arm, motor
impairment of the upper limbs.
Method: Puncture perpendicularly
Fig. 61 0.5-1.0 inch. Moxibustion is applicable.
Regional anatomy: See Wenliu (LI 7)
142 CHINESE ACUPUNCTURE AND MOXIBCSTION

9. Shanglian (LI 9) ing, diarrhea, febrile diseases.


Method: Puncture perpendicularly
Location: On the line joining Yangxi 1.0-1.5 inches. Moxibustion is applicable.
(LI5) and Quchi (LIll), 3 cun below the Regional anatomy
cubital crease. (See Col Fig. 2) Vasculature: The branches of the ra-
Indications: Aching of the shoulder dial recurrent artery and vein.
and arm, motor impairment of the upper Innervation: The posterior antebra-
limbs, numbness of the hand and arm, chial cutaneous nerve; deeper, on the me-
borborygmus, abdominal pain. dial side, the radial nerve.
Method: Puncture perpendicularly
0.5-1.0 inch. Moxibustion is applicable. 12. Zhouliao (LI 12)
Regional anatomy: See Wenliu (LI 7).
Location: When the elbow is flexed,
10. Shousanli (LI 10) the point is on the lateral side of the
upper arm, 1 cun above Quchi (LI 11), on
Location: On the line joining Yangxi the border of humerus. (See Col. Fig. 2)
(LI 5) and Quchi (LI 11), 2 cun below the Indications: Pain, numbness and con-
cubital crease. (See Fig. 61) tracture of the elbow and arm.
Indications: Abdominal pain, diar- Method: Puncture perpendicularly
rhea, toothache, swelling of the cheek, 0.5-1.0 inch. Moxibustion is applicable.
motor impairment of the upper limbs, Regional anatomy
pain in the shoulder and back. Vasculature: The radial collateral ar-
Method: Puncture perpendicularly tery and vein.
0.8-1.2 inches. Moxibustion is applicable. Innervation: The posterior antebra-
Regional anatomy chial cutaneous nerve; deeper, on the me-
Vasculature: The branches of the ra- dial side, the radial nerve.
dial recurrent artery and vein.
Innervation: See Wenliu (LI 7). 13. Shouwuli (LI 13)

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

Innervation: The posterior antebra-


chial cutaneous nerve; deeper, the radial
nerve.

14. Binao (LI 14)


Jianyu (LI 15) --
Location: On the lateral side of the
upper arm, on the line joining Quchi
(LI 11) and Jianyu (LI 15), 7 cun above
Quchi (LI 11), at the insertion of m.
deltoideus. (See Col. Fig. 2)
Indications: Pain in the shoulder and
arm, rigidity of the neck, scrofula. QuchiILl11) -----
Method: Puncture perpendicularly or
obliquely upward 0.8-1.5 inches. Moxi-
bustion is applicable.
Regional anatomy
Vasculature: The branches of posteri- Fig.62
or circumflex humeral artery and vein,
the deep brachial artery and vein. lar nerve and axillary nerve.
Innervation: The posterior brachial
cutaneous nerve; deeper, the radial nerve.
16. Jugu (LI 16)
15. Jianyu (LI 15)
Location: In the upper aspect of the
Location: Antero-inferior to the ac- shoulder, in the depression between the
romion, on the upper portion of m. del- acromial extremity of the clavicle and the
toideus. When the arm is in full ab- scapular spine. (See Co!. Fig. 2)
duction, the point is in the depression Indications: Pain and motor impair-
appearing at the anterior border of the ment of the upper extremities, pain in the
acromioclavicular joint. (See Fig. 62) shoulder and back.
Indications: Pain in the shoulder and Method: Puncture perpendicularly
arm, motor impairment of the upper ex-
0.5-0.7 inch. Moxibustion is applicable.
tremities, rubella, scrofula.
Regional anatomy
Method: Puncture perpendicularly or
obliquely 0.8-1.5 inches. Moxibustion is Vasculature: Deeper, the suprascapu-
applicable. lar artery and vein.
Regional anatomy Innervation: Superficially, the lateral
Vasculature: The posterior circumflex supraclavicular nerve, the branch of the
artery and vein. accessory nerve; deeper, the suprascapu-
Innervation: The lateral supraclavicu- lar nerve.
144 CHINESE ACUPUNCTURE AND MOXIBUSTION

17. Tianding (LI 17) 19. KouheUao (LI 19)


Location: On the lateral side of the Location: Right below the lateral mar-
neck, at the posterior border of sterno- gin of the nostril, level with Renzhong
cleidomastoid muscle, beside the larynge- (Shuigou, GV 26). (See Co!. Fig. 2)
al protuberance, at the midpoint of the Indications: Nasal obstruction, epis-
line connecting Futu (LI 18) and Quepen taxis, deviation of the mouth.
(ST 12). (See Co!. Fig. 2) Method: Puncture obliquely 0.2-0.3
Indications: Sudden loss of voice, sore inch.
throat, scrofula, goiter. Regional anatomy
Method: Puncture perpendicularly Vasculature: The superior labial
0.3-0.5 inch. Moxibustion is applicable. branches of the facial artery and vein.
Regional anatomy Innervation: The anastomotic branch
Vasculature: The external jugular of the facial nerve and the infraorbital
vem. nerve.
Innervation: Superficially, the supra-
clavicular nerve. It is on the posterior 20. Yingxiang (LI 20)
border of m. sternocleidomastoideus just
where the cutaneous cervical nerve Location: In the nasolabial groove, at
emerges. Deeper, the phrenic nerve. the level of the midpoint of the lateral
border of ala nasi. (See Fig. 63)
18. Futu (LI 18) Indications: Nasal obstruction, hypos-
mia, epistaxis, rhinorrhea, deviation of
Location: On the lateral side of the the mouth, itching and swelling of the
neck, level with the tip of Adam's apple, face.
between the sternal head and clavicular
head of m. sternoc1eidomastoideus. (See
Col. Fig. 2)
Indications: Cough, asthma, sore
throat, sudden loss of voice, scrofula,
goiter. o
Method: Puncture perpendicularly N
:J
0.3-0.5 inch. Moxibustion is applicable. ~ ---
Regional anatomy 'x'"
Vasculature: Deeper, on the medial '"c
>=
side, the ascending cervical artery and
vem.
Innervation: The great auricular
nerve, cutaneous cervical nerve, lesser oc-
cipital nerve and accessory nerve. Fig. 63
CHAPTER 7 ACUPUNCTURE POINTS OF THE TAIYIN AND YANGMING MERIDIANS 145

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.

1. Chengqi (ST 1) 2. Sibai (ST 2)

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

ing of lips and cheek. Puncture obliquely 0.3-0.5 inch. Moxi-


Method: Puncture perpendicularly bustion is applicable.
0.3-0.5 inch. Moxibustion is applicable. Regional anatomy
Regional anatomy Vasculature: Anteriorly, the facial ar-
Vasculature: The branches of the fa- tery and vein.
cial and infraorbital arteries and veins. Innervation: The facial and buccal
Innervation: The branches of the fa- nerves.
cial and infraorbital nerves.
6. Jiache (ST 6)
4. Dicang (ST 4)
Location: One finger-breadth (middle
Location: Lateral to the corner of the finger) anterior and superior to the lower
mouth, directly below the pupil. (See angle of the mandible where m. mas-
Fig. 64)
seter is prominence when the teeth are
Indications: Deviation of the mouth, clenched, and depressive when it is
salivation, twitching of eyelids.
pressed. (See Fig. 65)
Method: Puncture subcutaneously
Indications: Facial paralysis, tooth-
1.0-1.5 inches with the tip of the needle
ache, swelling of the cheek and face,
directed towards jiache (ST 6). Moxibus-
mumps, trismus.
tion is applicable.
Regional anatomy Method: Puncture perpendicularly
Vasculature: The facial artery and 0.3-0.5 inch, or subcutaneously with the
tip of the needle directed towards Oicang
velD.
Innervation: Superficially, the branch- (ST 4). Moxibustion is applicable.
es of the facial and infraorbital nerves;
deeper, the terminal branch of the buccal
nerve.
...;-1..----
5. Daying (ST 5) ,
Location: Anterior to the angle of
~ )
~ -~
n~
mandible, on the anterior border of the "'O
l_x:.aguan1ST 7)
__-
attached portion of m. masseter where ~~
~
the pulsation of facial artery is palpable,
in the groove-like depression appearing
t
~:.._--
\~ L JiachelST6)

when the cheek is bulged. (See Co!. 'I


Fig. 3) ~I
Indications: Facial paralysis, trismus,
swelling of the cheek, pain in the face,
toothache. Fig.
65
Method: Avoid puncturing the artery.
CHAPTER 7 ACUPUNCTURE POINTS OF THE TAIYIN AND YANG:-'IING MERIDIANS 147

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

10. Shuitu (ST 10) anterior midline. (See Co!. Fig. 3)


Indications: Cough, asthma, sore
Location: At the midpoint of the line throat, pain in the supraclavicular fossa.
joining Renying (ST 9) and Qishe (ST Method: Avoid puncturing the artery.
11), on the anterior border of m. sterno- Puncture perpendicularly 0.3-0.5 inch.
cleidomastoideus. (See Co!. Fig. 3) Deep puncture is not advisable. Moxibus-
Indications: Sore throat, asthma, tion is applicable.
cough. Regional anatomy
Method: Puncture perpendicularly Vasculature: Superiorly, the trans-
0.3-0.5 inch. Moxibustion is applicable. verse cervical artery.
Regional anatomy Innervation: Superficially, the inter-
Vasculature: The common carotid ar- mediate supraclavicular nerve; deeper,
tery. the supraclavicular portion of brachial
Innervation: Superficially, the cu- plexus.
taneous cervical nerve; deeper, the super-
ior cardiac nerve issued from the sym- 13. Qihu (ST 13)
pathetic nerve and the sympathetic trunk.
Location: At the lower border of the
11. Qishe (ST 11) middle of the clavicle, 4 cun lateral to the
anterior midline. (See Col. Fig. 3)
Location: At the superior border of Indications: Fullness in the chest,
the sternal extremity of the clavicle, be- asthma, cough, hiccup, pain in the chest
tween the sternal head and clavicular and hypochondrium.
head of m. sternocleidomastoideus. (See Method: Puncture obliquely 0.3-0.5
Co!. Fig. 3) inch. Moxibustion is applicable.
Indications: Sore throat, pain and ri- Regional anatomy
gidity of the neck, asthma, hiccup, goiter. Vasculature: The branches of the
Method: Puncture perpendicularly thoracoacromial artery and vein; super-
0.3-0.5 inch. Moxibustion is applicable. iorly, the subclavicular vein.
Regional anatomy Innervation: The branches of the su-
Vasculature: Superficially, the anteri- praclavicular nerve and the anterior tho-
or jugular vein; deeper, the common ca- raCIC nerve.
rotid artery.
Innervation: The medial supraclavicu- 14. KuCang (ST 14)
lar nerve and the muscular branch of
ansa hypoglossi. Location: In the first intercostal
space, 4 cun lateral to the anterior mid-
12. Quepen (ST 12) line. (See Co!. Fig. 3)
Indications: Sensation of fullness and
Location: In the midpoint of the su- pain in the chest, cough.
praclavicular fossa, 4 cun lateral to the Method: Puncture obliquely 0.3-0.5
CHAPTER 7 ACUPUNCTURE POINTS OF THE TAIYIN AND YANGMING MERIDIANS 149

inch. 17. Ruzhong (ST 17)


Moxibustion is applicable.
Regional anatomy Location: In the fourth intercostal
Vasculature: The thoracoacromial ar- space, in the centre of the nipple, 4 cun
tery and vein and the branches of the lateral to the anterior midline. (See Co!.
lateral thoracic artery and vein. Fig. 3)
Innervation: The branch of the anteri- Acupuncture and moxibustion on this
or thoracic nerve. point are contraindicated. This point
serves only as a landmark for locating
points on the chest and abdomen.
15. Wuyi (ST 15)
Regional anatomy
Location: In the second intercostal Innervation: The anterior and lateral
space, 4 cun lateral to the anterior mid- cutaneous branches of the fourth inter-
line. (See Col. Fig. 3) costal nerve.
Indications: Fullness and pain in the
chest and the costal region, cough, asth- 18. Rugen (ST 18)
ma, mastitis.
Method: Puncture obliquely 0.3-0.5 Location: On the chest, directly below
inch. Moxibustion is applicable. the nipple, on the lower border of breast,
Regional anatomy in the 5th intercostal space, 4 cun lateral
Vasculature: See Kufang (ST 14).
Innervation: On the course of the
branch of m. pectoralis major derived
from the anterior thoracic nerve.

16. Yingchuang (ST 16)


Location: In the third intercostal
space, 4 cun lateral to the anterior mid-
line. (See Co!. Fig. 3)
Indications: Fullness and pain in the
chest and hypochondrium, cough, asth-
- Rugen 1ST 18)
ma, mastitis.
Method: Puncture obliquely 0.3-0.5
inch. Moxibustion is applicable.
Regional anatomy
Vasculature: The lateral thoracic ar-
tery and vein.
Innervation: The branch of the anteri-
or thoracic nerve. Fig. 67
150 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 )

20. Chengman (ST 20) 23. Taiyi (ST 23)


Location: 5 cun above the umbilicus, Location: 2 cun above the umbilicus,
2 cun lateral to Shangwan (CV 13). (See 2 cun lateral to Xiawan (CV 10). (See
Col. Fig. 3) Co!. Fig. 3)
Indications: Gastric pain, abdominal Indications: Gastric pain, irritability,
distension, vomiting, anorexia. mania, indigestion.
Method: Puncture perpendicularly Method: Puncture perpendicularly
0.5-1.0 0.7-1.0 inch. Moxibustion is applicable.
inch. Moxibustion is applicable. Regional anatomy
Regional anatomy: See Burong Vasculature: The branches of the
(ST 19) eighth and ninth intercostal and inferior
CHAPTER 7 ACCPUNCTCRE POINTS OF THE TAIYIN AND YANG~IING MERIDIANS l~l

epigastric arteries and veins. intercostal nerve.


Innervation: The branches of the
eighth and ninth intercostal nerves. 25. Tianshu (Front-Mu Point of the
Large Intestine, ST 25)
24. Huaroumen (ST 24)
Location: 2 cun lateral to the centre of
Location: 1 cun above the umbilicus, the umbilicus. (See Fig. 68)
2 cun lateral to Shuifen (CV 9). (See Col. Indications: Abdominal pain and dis-
Fig. 3) tension, borborygmus, pain around the
Indications: Gastric pain, vomiting, umbilicus, constipation, diarrhea, dysen-
mama. tery, irregular menstruation, edema.
Method: Puncture perpendicularly Method: Puncture perpendicularly
0.7-1.0 inch. Moxibustion is applicable. 0.7-1.2 inches. Moxibustion is applicable.
Regional anatomy Regional anatomy
Vasculature: The branches of the Vasculature: The branches of the
ninth intercostal and inferior epigastric tenth intercostal and inferior epigastric
arteries and veins. arteries and veins.
Innervation: The branch of the ninth Innervation: The branch of the tenth

UangmenlST21) ---- 8 cun

Tianshu(ST25) .,---
Wailing
(ST26) ~---
5 cun
Guilai1ST29) ---

Fig.68
152 CHINESE ACUPUNCTURE AND MOXIBUSTION

intercostal nerve. 0.7-1.2 inches. Moxibustion is applicable.


Regional anatomy
Vasculature: The branches of the sub-
26. Wailing (ST 26) costal artery and vein; laterally, the infer-
ior epigastric artery and vein.
Location: 1 cun below the umbilicus, Innervation: A branch of the subcos-
2 cun lateral to Yinjiao (CV 7). (See tal nerve.
Fig. 68)
Indications: Abdominal pain, hernia, 29. Guilai (ST 29)
dysmenorrhea.
Method: Puncture perpendicularly Location: 4 cun below the umbilicus,
0.7-1.2 inches. Moxibustion is applicable. 2 cun lateral to Zhongji (CV 3). (See
Regional anatomy: See Tianshu Fig. 68)
(ST 25) Indications: Abdominal pain, hernia,
dysmenorrhea, irregular menstruation,
27. Daju (ST 27) amenorrhea, leucorrhea, prolapse of the
uterus.
Location: 2 cun below the umbilicus, Method: Puncture perpendicularly
2 cun lateral to Shimen (CV 5). (See Col. 0.7-1.2 inches. Moxibustion is applicable.
Fig. 3) Regional anatomy
Indications: Lower abdominal disten- Vasculature: Laterally, the inferior
sion, dysuria, hernia, seminal emission, epigastric artery and vein.
premature ejaculation. Innervation: The iliohypogastric
Method: Puncture perpendicularly nerve.
0.7-1.2 inches. Moxibustion is applicable.
Regional anatomy 30. Qichong (ST 30)
Vasculature: The branches of the elev-
enth intercostal artery and vein; laterally, Location: 5 cun below the umbilicus,
the inferior epigastric artery and vein. 2 cun lateral to Qugu (CV 2). (See Co!.
Innervation: The eleventh intercostal Fig. 3)
nerve. Indications: Abdominal pain, borbor-
ygmus, hernia, swelling and pain of the
28. Shuidao (ST 28) external genitalia, impotence, dysmenor-
rhea, irregular menstruation.
Location: 3 cun below the umbilicus, Method: Puncture perpendicularly
2 cun lateral to Guanyuan (CV 4). (See 0.5-1.0 inch. Moxibustion is applicable.
Col. Fig. 3) Regional anatomy
Indications: Lower abdominal disten- Vasculature: The branches of the su-
sion, retention of urine, edema, hernia, perficial epigastric artery and vein. Later-
dysmenorrhea, sterility. ally, the inferior epigastric artery and
Method: Puncture perpendicularly vem.
CHAPTER 7 ACUPUNCTURE POINTS OF THE T AIYIN AND YANGMING MERIDIANS 153

Innervation: The pathway of the il- Regional anatomy


ioinguinal nerve. Vasculature: Deeper, the branches of
the lateral circumflex femoral artery and
31. Biguan (ST 31) vem.
Innervation: The lateral femoral cu-
Location: On the anterior side of the taneous nerve.
thigh and on the line connecting the an-
terosuperior iliac spine and the 32. Futu (ST 32)
superiolateral corner of the patella, on
the level of the perineum when the thigh Location: On the line connecting the
anterior superior iliac spine and lateral
is fixed, in the depression lateral to the
border of the patella, 6 cun above the
sartorius muscle. (See Fig. 69)
laterosuperior border of the patella. (See
Indications: Pain in the thigh, muscu-
Co!. Fig. 4)
lar atrophy, motor impairment, numb-
Indications: Pain in the lumbar and
ness and pain of the lower extremities. iliac region, coldness of the knee, paralys-
Method: Puncture perpendicularly
is or motor impairment and pain of the
1.0-1.5 inches. Moxibustion is applicable. lower extremities, beriberi.
Method: Puncture perpendicularly
1.0-1.5 inches. Moxibustion is applicable.
Regional anatomy
BiguanlST31) -- Vasculature: The branches of the lat-
eral circumflex femoral artery and vein.
Innervation: The anterior and lateral
femoral cutaneous nerves.

33. Yinshi (ST 33)


Location: When the knee is flexed, the
point is 3 cun above the laterosuperior
border of the patella, on the line joining
LiangQiu 1ST 34) ----
the laterosuperior border of the patella
and the anterior superior iliac spine. (See
Co!. Fig. 4)
Indications: Numbness, soreness, mo-
tor impairment of the leg and knee, mo-
tor impairment of the lower extremities.
Method: Puncture perpendicularly
0.7-1.0 inch. Moxibustion is applicable.
Fig.69 Regional anatomy
Vasculature: The descending branch
154 CHINESE ACUPUNCTURE AND MOXIBl'STION

of the lateral circumflex femoral artery.


Innervation: The anterior and lateral
femoral cutaneous nerves.
Dubi 1ST 35)

34. Liangqiu (Xi-Cleft Point, ST 34)


-- Zusanli 1ST 36)
Location: When the knee is flexed, the 8 cun
point is 2 cun above the laterosuperior j-r-r--ShangjUxu (ST 37)
___Fenglong 1ST 40)
border of the patella. (See Fig. 69) Tiaokou 1ST 38)
Indications: Pain and numbness of the
knee, gastric pain, mastitis, motor im-
pairment of the lower extremities. 8 cun

Method: Puncture perpendicularly


0.5-1.0 inch. Moxibustion is applicable.
Regional anatomy: See Yinshi (ST 33)

35. Dubi (ST 35)


Fig. 70
Location: When the knee is flexed, the
point is at the lower border of the patella,
in the depression lateral to the patellar mus, diarrhea, dysentery, constipation,
ligament. (See Fig. 70) mastitis, enteritis, aching of the knee
Indications: Pain, numbness and mo- joint and leg, beriberi. edema, cough,
tor impairment of the knee, beriberi. asthma, emaciation due to general defi-
Method: Puncture perpendicularly ciency, indigestion, apoplexy, hemiplegia,
0.7-1.0 inch. Moxibustion is applicable. dizziness, insomnia, mania.
. Regional anatomy Method: Puncture perpendicularly
Vasculature: The arterial and venous 0.5-1.2 inches. Moxibustion is applicable.
network around the knee joint. Regional anatomy
Innervation: The lateral sural cu- Vasculature: The anterior tibial artery
taneous nerve and the articular branch of and vein.
the common peroneal nerve. Innervation: Superficially, the lateral
sural cutaneous nerve and the cutaneous
36. Zusanli (He-Sea Point, ST 36) branch of the saphenous nerve; deeper,
the deep peroneal nerve.
Location: 3 cun below Dubi (ST 35),
one finger-breadth (middle finger) from 37. Shangjuxu (The Lower He-Sea
the anterior border of the tibia. (See Point of the Large Intestine, ST 37)
Fig. 70)
Indications: Gastric pain, vomiting Location: 6 cun below Dubi (ST 35),
hiccup, abdominal distension, borboryg- and one finger breadth (middle finger)
CHAPTER -; ACUPUNCTURE POI!\'TS OF THE TAIYIN AND YANGMING MERIDIANS 155

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\

foot, facial paralysis, muscular atrophy


and motor impairment of the foot.
Method: Avoid puncturing the artery.
Puncture perpendicularly 0.3-0.5 inch.
Moxibustion is applicable.
,___ Jiexi 1ST 41) Regional anatomy
Vasculature: The dorsal artery and
vein of foot, the dorsal venous network
Chongyang 1ST 42)
of foot.
Innervation: Superficially, the medial
dorsal cutaneous nerve of foot derived
___ Xiangu 1ST 43)
from the superficial peroneal nerve:
-- Neiting 1ST 44) deeper, the deep peroneal nerve.
Lidui 1ST 45)
43. Xiangu (Shu-Stream Point, ST 43)

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.

Location: On the lateral side of the 2. Dadu (Ying-Spring Point, SP 2)


2nd toe, 0.1 cun posterior to the corner
of the nail. (See Fig. 71) Location: On the medial side of the
Indications: Facial swelling, deviation great toe, distal and inferior to the first
of the mouth, epistaxis, toothache, sore metatarsodigital joint, in the depression
throat and hoarse voice, abdominal dis- of the junction of the red and white skin.
tension, coldness in the leg and foot, feb- (See Fig. 72)
rile diseases, dream-disturbed sleep, Indications: Abdominal distension,
mama. gastric pain, constipation, febrile diseases
Method: Puncture subcutaneously 0.1 with anhidrosis.
inch. Moxibustion is applicable. Method: Puncture perpendicularly
Regional anatomy 0.1-0.3 inch. Moxibustion is applicable.
Vasculature: The arterial and venous Regional anatomy
network formed by the dorsal digital ar- Vasculature: The branches of the me-
tery and vein of foot. dial plantar artery and vein.
Innervation: The dorsal digital nerve Innervation: The plantar digital pro-
derived from the superficial peroneal prial nerve derived from the medial plan-
nerve. tar nerve.

3. Taibai (Shu-Stream and


IV. THE SPLEEN MERIDIAN Yuan-Primary Point, SP 3)
OF FOOT-TAIYIN
Location: Proximal and inferior to the
1. Yinbai (Jing-Well Point, SP 1) 1st metatarsophalangeal joint, in the de-
pression of the junction of the red and
Location: On the medial side of the white skin. (See Fig. 72)
great toe, 0.1 cun posterior to the corner Indications: Gastric pain, abdominal
of the nail. (See Fig. 72) distension, constipation, dysentery, vom-
Indications: Abdominal distension, iting diarrhea, borborygmus, sluggish-
158 CHINESE ACUPUNCTCRE AND MOXIBUSTION'

Gongsun (SP 4)
""
Taibai(SP3) __

Yinbai(SP 1)
-- Dadu (SP 2)
Fig. 72

ness, beriberi. Innervation: The saphenous nerve and


Method: Puncture perpendicularly the branch of the superficial peroneal
0.3-0.5 inch. Moxibustion is applicable. nerve.
Regional anatomy
Vasculature: The dorsal venous net- 5. Shangqiu (Jing-River Point, SP 5)
work of the foot, the medial plantar ar-
tery and the branches of the medial tarsal Location: In the depression distal and
artery. inferior to the medial malleolus, midway
Innervation: The branches of the sa- between the tuberosity of the navicular
phenous nerve and superficial peroneal bone and the tip of the medial malleolus.
(See Fig. 72)
nerve.
Indications: Abdominal distension,
constipation, diarrhea, borborygmus,
4. Gongsun (Luo-Connecting Point, pain and rigidity of the tongue, pain in
Confluent Point, SP 4) the foot and ankle, hemorrhoid.
Method: Puncture perpendicularly
Location: In the depression distal and
0.2-0.3 inch. Moxibustion is applicable.
inferior to the base of the first metatarsal
Regional anatomy
bone, at the junction of the red and white
Vasculature: The medial tarsal artery
skin. (See Fig. 72) and the great saphenous vein.
Indications: Gastric pain, vomiting, Innervation: The medial crural cu-
abdominal pain and distension, diarrhea, taneous nerve and the branch of the su-
dysentery, borborygmus. perficial peroneal nerve.
Method: Puncture perpendicularly
0.5-0.8 inch. Moxibustion is applicable. 6. Sanyinjiao (SP 6)
Regional anatomy
Vasculature: The medial tarsal artery Location: 3 cun directly above the tip
and the dorsal venous network of the of the medial malleolus, posterior to the
foot. medial border of the tibia. (See Fig. 73)
CHAPTER 7 ACUPUNCTURE POINTS OF THE T AIYIN AND YANGMING MERIDIANS 159

Indications: Abdominal pain, borbor- Iingquan (SP 9) and the medial malleo-
ygmus, abdominal distension, diarrhea, lus. (See Fig. 73) .

dysmenorrhea, irregular menstruation, Indications: Abdominal pain and dis-


uterine bleeding, morbid leukorrhea, pro- tension, diarrhea, edema, dysuria, noctur-
lapse of the uterus, sterility, delayed la- nal emission, irregular menstruation, dys-
bour, nocturnal emission, impotence, en- menorrhea.
uresis, dysuria, edema, hernia, pain in the Method: Puncture perpendicularly
external genitalia, muscular atrophy, mo-
0.5-1.0 inch. Moxibustion is applicable.
tor impairment, paralysis and pain of the
Regional anatomy
lower extremities, headache, dizziness
and vertigo, insomnia. Vasculature: Anteriorly, the great sa-
Method: Puncture perpendicularly phenous vein and the branch of the genu
0.5-1.0 inch. Moxibustion is applicable. suprema artery; deeper, the posterior tib-
Acupuncture on this point is contraindi- ial artery and vein.
cated in pregnant women. Innervation: See Sanyinjiao (SP 6).
Regional anatomy
Vasculature: The great saphenous 9. Yinlingquan (He-Sea Point, SP 9)
vein, the posterior tibial artery and vein.
Innervation: Superficially, the medial
crural cutaneous nerve; deeper, in the
posterior aspect, the tibial nerve.

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).

8. Diji (Xi-Cleft Point, SP 8)


Location: 3 cun below Yinlingquan Fig.73
(SP 9), on the line connecting Yin-
160 CHINESE ACUPUNCTURE AND MOXIBUSTION

Location: On the lower border of the


medial condyle of the tibia, in the depres- Xuehai (SP 10)
,,
sion posterior and inferior to the midial ,
condyle of the tibia. (See Fig. 73)
Indications: Abdominal pain and dis-
tension, diarrhea, dysentery, edema,
jaundice, dysuria, enuresis, incontinence
of urine, pain in the external genitalia,
dysmenorrhea, pain in the knee.
Method: Puncture perpendicularly
0.5-1.0 inch. Moxibustion is applicable.
Regional anatomy
-\ Fig. 74

Vasculature: Anteriorly, the great sa-


phenous vein, the genu suprema artery; Vasculature: The muscular branches
deeper, the posterior tibial artery and of the femoral artery and vein.
vem. Innervation: The anterior femoral cu-
Innervation: Superficially, the medial taneous nerve and the muscular branch
crural cutaneous nerve; deeper, the tibial of the femoral nerve.
nerve.
11. Jimen (SP 11)
10. Xuehai (SP 10) Location: 6 cun above Xuehai (SP 10),
on the line drawn from Xuehai (SP 10) to
Location: When the knee is flexed, the Chongmen (SP 12). (See Col. Fig. 5)
point is 2 cun above the mediosuperior Indications: Dysuria, enuresis, pain
border of the patella, on the bulge of the and swelling in the inguinal region, mus-
medial portion of m. quadriceps femoris. cular atrophy, motor impairment, pain
Or when the patient's knee is flexed, cup and paralysis of the lower extremities.
your right palm to his left knee, with the Method: Puncture perpendicularly
thumb on the medial side and with the 0.5-1.0 inch. Moxibustion is applicable.
other four fingers directed proximally, Regional anatomy
and the thumb forming an angle of 45° Vasculature: Superficially, the great
with the index finger. The point is where saphenous vein; deeper on the lateral
the tip of your thumb rests. (See Fig. 74) side, the femoral artery and vein.
Indications: Irregular menstruation, Innervation: The anterior femoral cu-
dysmenorrhea, uterine bleeding, amenor- taneous nerve; deeper, the saphenous
rhea, urticaria, eczema, erysipelas, pain nerve.
in the medial aspect of the thigh.
Method: Puncture perpendicularly 12. Chongmen (SP 12)
0.5-1.2 inches. Moxibustion is applicable.
Regional anatomy Location: Superior to the lateral end
CHAPTER 7 ACUPUNCTURE POINTS OF THE TAIYIN AND YANGMING MERIDIANS 161

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\:

"-

Daheng (SP 15) ---- -e-

'\
"- -
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

20. Zhourong (SP 20) 21. Dabao (Major Luo-Connecting


Point of the Spleen, SP 21)
Location: In the second intercostal
space, 6 cun lateral to the anterior mid- Location: On the lateral side of the
line. (See Co!. Fig. 6) chest and on the middle axillary line, in
Indications: Fullness in the chest and the 6th intercostal space. (See Col. Fig. 6)
hypochondriac region, cough, hiccup. Indications: Pain in the chest and hy-
pochondriac region, asthma, general ach-
Method: Puncture obliquely 0.3-0.5
ing and weakness.
inch. Moxibustion is applicable.
Method: Puncture obliquely 0.3-0.5
Regional anatomy inch. Moxibustion is applicable.
Vasculature: The lateral thoracic ar- Regional anatomy
tery and vein, the second intercostal ar- Vasculature: The thoracodorsal artery
tery and vein. and vein, the seventh intercostal artery
Innervation: The muscular branch of and vein.
the anterior thoracic nerve, the lateral Innervation: The seventh intercostal
cutaneous branch of the second intercos- nerve and the terminal branch of the long
tal nerve. thoracic nerve.

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