Pericardium Channel and Points

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1 Pericardium Channel and Points

2 Primary channel pathway Center of the chest (hypochondriac area) Emerge in the P1 PC SJ arches over the axilla The midline of the upper arm and fore arm (between the tendons of the palmaris longus and flexor carpi radialis muscles) follows the radial aspect of the ring finger to its tip (exit point P8) Along the middle finger

3 Pericardium Luo-connecting channel P 6 Travels along with the Pericardium primary channel to the Pericardium and then connects with the Heart system The SJ channel Excess conditions: sudden of HT pain Deficiency conditions: irritability

4 Pericardium divergent channel Diverge Hypochondriac area (GB 22 or PC1) Enter Exit The chest and connect with the SJ and then connects with the throat Back of the ear Converge The SJ channel (SJ 16)

5 Pericardium muscular region Start Middle finger Bundle Big joints (wrist, elbow, shoulder ) Distributed Along the PC channel Unite Hypochondria area GB 22 (3 arm yin channels) GB 13 (3 arm yang channels) RN 3 (3 leg yin channels) ST3, SI 18 (3 leg yang channels)

6 Indications of PC channel 1). HT organ problems Such as: palpitation, irregular heart beat, cheat pain, chest tightness 2). Mental problems Such as: insomnia, dream-disturbs sleep, anxiety, worry, depression 3). SJ problems: more focus on upper jiao (HT/LU), middle jiao (ST/LV) 4). Local problems

7 P 1 P 2 P 3 1 cun lateral and slightly superior to the nipple, in the 4th intercostal space. 2 cun below the anterior axillary fold, between the two heads of the biceps brachii muscle. On the transverse cubital crease, on the ulnar side of the tendon of the biceps brachii. Transverseoblique insertion posteriorly along the inter-costal space, 0.5 to 1 cun. Caution: deep needling pneumothorax. Oblique insertion distally or proximally along the line of the channel, 1 to 1.5 cun. Perpendicular insertion 0.5 to 1 cun, or prick to bleed. Caution: the brachial artery and veins lie deeply, just medial to this point.

8 P 1 (entry point) Window of sky point P 2 P 3 He-sea point (water) 1. Upper jiao problems: (HT/LU) Chest tightness, chronic cough 1. Window of sky point: various manifestations of inversion qi (chaotic and rebellious qi), in this case affecting the Lung (uprising qi, cough etc.), head (headache), sense organs (blurred vision) and neck region (scrofula). Mostly for excess patterns. 2. local problems: breast tenderness, mastitis, lack of lactation 1. local problems: arm pain 2. irregular heart beat 1. He-sea point: 1) Counterflow qi and diarrhea, disease of the Stomach disorders resulting from irregular eating and drinking: diarrhea, dysentery-like disorders, and vomiting, especially when due to summer-heat. (P 3, BL 40) 2) Diseases of the skin: wind rash. 3) HT problems: palpitation, irregular HT beat, chest tightness, Shen disorder 2. Clear heat from Ying (nutritive) and Xue (bood) level: agitation and restlessness, dry mouth and hemorrhage from the LU and ST. 3. local problems: arm pain, elbow pain

9 P4 P5 P6 P7 between the tendons of palmaris longus and flexor carpi radialis 5 cun proximal to P7 3 cun proximal to P7 Perpendicular 0.5 to 1 cun or oblique 1 to 1.5 cun. 2 cun proximal to P7 On the transverse crease on the wrist i. Perpendicular insertion 0.5 to 1 cun, or joined to SJ 5; ii. Oblique proximal insertion 1 to 1.5 cun for diseases of the chest; iii. Oblique distal insertion 1 to 1.5 cun for numbness of the fingers. i. Perpendicular insertion 0.3 to 0.5 cun; ii. Oblique distal insertion along the carpal tunnel for carpal tunnel syndrome, 0.5 to 1 cun. Caution: the median nerve lies directly under this point and needling commonly induces a significant electric sensation. This is an acceptable manifestation of deqi (arrival of qi), but once elicited, further manipulation is inappropriate and may damage the nerve.

10 P 4 P 5 P 6 P 7 Xi-cleft 1. jing-river (metal) 2. ghost point 1. HT problems: 1) physical problems: palpitation, irregular heart beat, cheat pain, chest tightness 2) mental problems: insomnia, dream-disturbs sleep, anxiety, worry, depression, mania 2. local problems: arm pain, numbness, tingling, movement limited Xi-cleft point: Acute problems, bleeding 1. the primary point for treating acute stasis of blood chest and Heart pain 1. Jing-river point: 1). Cough and dyspnea, chills and fever: aversion to wind and cold, febrile disease, malaria, obstruction of qi following windstroke leading to impaired breathing. 2). Diseases manifesting in the patient s voice: loss of voice, halting speech, manic raving as if seeing ghosts. See other page See other page 2. bleeding (due to heat) in the upper jiao: nosebleed, vomiting or coughing of blood. 2. ghost point: manic-depression (clear heat) 3. moves Qi: (jue yin channel) P6, P5 + 4 gates 4. harmonize SP and ST: digestion

11 DU 26 DU 16 DU 23 REN 24 LU 11 LI 11 ST 6 DU 26 DU 16 DU 24 REN 24 LU 11 ST 6 13 Ghost Points of Sun Si Miao SP 1 P 7 P 8 BL 62 Haiquan extra below tongue Yumentou - (extra) corresponding to REN 1 13 Ghost Points of Xu Qiu Fu SP 1 P 7 P 5 ST 17 (RN 17) LIV 2 GB 34 MIDLINE below the tongue

12 1. luo-connecting 2. opens to Yin Wei channel P6 1. Luo-connecting point 1) Treating disorders of their interiorlyexteriorly related channel or zangfu Middle Jiao: ST problems: nausea and vomiting. Stomachache, Belching, hiccups (PC and SJ channel descend through the upper, middle and lower jiao) RN12, ST 36, P 6 2) Treating disorders in regions reached by the luo-connecting channel Excess: chest pain Deficiency: irritability 3) Treating psycho-emotional disorders: insomnia, the five types of epilepsy, mania, poor memory, apprehensiveness, fear and fright, sadness, loss of memory following windstroke.

13 1. luo-connecting 2. opens to Yin Wei channel P6 2. Opens to Yin Wei (linking) channel Medial of leg (KI 9) thigh Abdomen (SP channel: SP 13, 15, 16, LIV 14) Chest Meet REN channel (REN 22, 23) 1) The Classic of Difficulties: When the Yin Linking vessel is diseased, Heart pain will result. the single most important point for the treatment of pain and/or fullness of the Heart, chest, and the lateral costal region, whatever the etiology. P 6 for disorders of the chest. (According to the Ode of the Obstructed River) 3. throat problems: (divergent channel) plum pit Qi, throat pain, loss of voice 4. breast problems: PMS, breast tenderness, breast nodules 5. irregular menstrual periods and amenorrhea Yin Wei (linking) channel

14 1. shu-stream (earth point) 2. yuan-source 3. ghost point P 7 1. Shu-stream point and Yuan-source point: 1). Disorders of the zang: clears pathogenic factors from the Pericardium during the course of febrile diseases and strongly calms the spirit when disturbed by heat. 2) child point (earth point): reduce excess heat or fire from the Pericardium. 2. ghost point: wide variety of emotional disorders and is especially used whenever heat rises to disturb the spirit, 3. Heart fire Small Intestine (taiyang) Bladder (Taiyang): bloody urination, difficult urination 4. Harmonize the Stomach and intestines (fire causes the Stomach qi to rebel upwards): foul breath, epigastric pain, vomiting, vomiting of blood, and sudden turmoil disorder.

15 P 8 P 9 Between the 2nd and 3rd metacarpal bones, proximal to the metacarpophalangeal joint, in a depression at the radial side of the third metacarpal bone Perpendicular insertion 0.5 cun. In the centre of the tip of the middle finger. Perpendicular or oblique insertion directed proximally 0.1 to 0.2 cun, or prick to bleed.

16 P8 1.Ying-spring point (fire) 2. exit point P9 1. jing-well point 1. mental problems: depression, mania, insomnia, epilepsy 2. loss of consciousness: (excess) heat stroke, epilepsy 3. local problems: finger pain, swollen, numbness, tingling Ying-spring points 1. clear heat: 1) powerful point to clear heat from the ying (nutritive) and xue (blood) levels 2) Clear heat from the Pericardium during febrile diseases, to cool Heart fire in the upperjiao (for which purpose it is more strongly indicated than HT 8): manic (five palm needle: P8, KI 1, DU 20), fever, insomnia, irritability, tongue ulcers 3) drain Stomach heat: bad breath 1. Jing-well point: 1) clearing heat, restoring consciousness and rescuing collapse: coma, fainting and collapse, (pricked and bled for collapse from windstroke or high fever) 2) treat the uppermost reaches of the channels: pain at the root of the tongue, stiffness of the tongue and inability to speak. 3) treat fullness below the Heart: Heart pain, agitation of the Heart and oppression of the Heart with absence of sweating. Ceaseless laughter: P 7 and P 8 (Supplementing Life).

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