Huatuojiaji (Hua Tuo s Paravertebral Points)

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Justin Dalton
6 years ago
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1 Extra points

Perpendicular-oblique insertion towards the spine, 0.5 to 1 cun.

2 Huatuojiaji (Hua Tuo s Paravertebral Points) 0.5 to 1 cun lateral to the depressions below the spinous processes of the twelve thoracic and five lumbar vertebrae. Perpendicular-oblique insertion towards the spine, 0.5 to 1 cun. Note: the intention of needling these points is to stimulate the appropriate spinal nerve. The superficial location of the point is chosen as 0.5 to 1 cun lateral to the midline according to depth and angle of needle insertion. In some patients a more perpendicular, and in others a more oblique, line of insertion will give easier access to these points.

3 Huatuojiaji (Hua Tuo s Paravertebral Points) 1. local problems: spinal pain, arm pain, leg pain, nerve pain from shingles. Hemi-paralysis, spinal injury C1-C7: head, neck C4-C7: upper extremities C3-T9: chest, thoracic cavity and its related internal organ C5-L5: abdominal cavity and its related internal organ T11-S2: lower back and sacral area L1-L4: pelvic cavity and related internal organ L2-S2: lower extremities 2. related internal organs problems: LU, HT, SP, LIV, KI (substitute for back-shu points) 3. balance the body: general pain, psycho-emotional problems (dragon cross, or just choose tender spots)

lateral to it. Transverse insertion 0.5-1.5 cun. 1.

4 Sishencong 四神聪 Four Alert Spirit Four points at the vertex of the scalp, grouped around DU20 and located 1 cun anterior, posterior and lateral to it. Transverse insertion cun. 1. Local problems: 2. benefit brain, clear mind: 3. open orifice: psycho-emotional problems

5 Yintang (Hall of Impression) At the glabella, at the midpoint between the medial extremities of the eyebrows. With the fingers of one hand pinch up the skin over the point, and with the other hand needle transversely in aninferior or lateral direction, cun. 1. Pacifies wind and calms the shen : 2. local problems: eyes, nose, facial problems

6 Yuyao (Fish Waist) In the centre of the eyebrow. Transverse insertion medially or laterally, 0.5 to 1 cun. Local problems: 1. eyes problems: 2. eye lid: 3. headache:

Qiuhou (Behind the Ball) LOCATION Along the inferior border of the orbit, at the junction of the lateral one quarter and medial three quarters of the infra-orbital margin.

Use a finger to push the eyeball upwards and insert the needle, first slightly inferiorly, then perpendicularly, between the eyeball and the inferior wall of the orbit, 0.5 to 1 cun.

7 Qiuhou (Behind the Ball) LOCATION Along the inferior border of the orbit, at the junction of the lateral one quarter and medial three quarters of the infra-orbital margin. NEEDLING Ask the patient to close their eyes and look upwards. Use a finger to push the eyeball upwards and insert the needle, first slightly inferiorly, then perpendicularly, between the eyeball and the inferior wall of the orbit, 0.5 to 1 cun. Caution: i. the needle should be inserted slowly without lifting, thrusting or rotating; ii. immediately on withdrawal of the needle, press firmly with a cotton wool ball for about a minute to prevent haematoma; iii. this needling method should not be attempted by those who have not had appropriate clinical supervision. Benefits the eyes

Transverse insertion posteriorly towards Shuaigu GB-8, 1 to 1.5 cun; iii. Oblique insertion anteriorly 0.3 to 0.5 cun; iv.

8 Taiyang - Sun (Supreme Yang) At the temple, in the tender depression approximately 1 cun posterior to the midpoint between the lateral extremity of the eyebrow and the outer canthus of the eye. i. Perpendicular needling 0.5 to 0.8 cun; ii. Transverse insertion posteriorly towards Shuaigu GB-8, 1 to 1.5 cun; iii. Oblique insertion anteriorly 0.3 to 0.5 cun; iv. Prick to bleed. 1. local problems: 1) headache, dizziness, 2) painful around eyes, red eyes, burning or itching of eyes, blurred vision

9 Erjian (Tip of the Ear) When the ear is folded forwards, this point lies at the apex of the ear. i. Perpendicular insertion 0.1 cun or prick to bleed; ii. moxibustion 3-5 cones. 1. local: 2. clear heat, benefit the eyes:

10 Bitong (Penetrating the Nose) At the highest point of the nasolabial groove. Transverse insertion towards the bridge of the nose 0.3 to 0.5 cun. 1. local problems

11 Bailao (Hundred Taxations) At the back of the neck, 2 cun superior to DU14, 1 cun lateral to the midline. Perpendicular insertion 0.5 to 0.8 cun. 1. local problems: stiff neck, scrofula 2. clear empty heat, benefit LU: cough, asthma, spontaneous sweating, night sweating (pulmonary TB)

12 Anmian (Peaceful Sleep) Behind the ear, midway between GB20 and SJ17. Perpendicular insertion 0.5 to 1 cun. 1. calm shen : Insomnia, dream disturb sleeping

Perpendicular-oblique insertion medially and inferiorly into the mental

13 Jiachenjiang (Adjacent to Container of Fluids) 1 cun lateral to REN24, over the mental foramen. i. Perpendicular-oblique insertion medially and inferiorly into the mental foramen, 0.3 to 0.5 cun; ii. Transverse insertion 0.5 to 1.5 cun. Local problems: facial problems, oral cavity problems

14 Jinjin Yuye (Golden Liquid & Jade Fluid) These paired points are located on the veins either side of the frenulum of the tongue, Jinjin to the left and Yuye to the right. Prick to bleed. 1. local problems: stiffness of tongue, slurred speech, tongue ucler 2. wasting and thirsty 3. vomit, diarrhea

15 Dingchuan (Calm Dyspnea) 0.5 to 1 cun lateral to the depression below the spinous process of the seventh cervical vertebra (DU14). Perpendicular-oblique insertion towards the spine, 0.5 to 1 cun. 1. Stop asthma: cough, asthma 2. local problems: 3. upper back: expel external wind, upper extremities, calm shen

NEEDLING Oblique insertion towards the spine, 0.5 to 1 cun, or transverse-oblique insertion 1 to 1.5 cun.

16 Weiguanxiashu (Stomach Controller Lower Shu) 1.5 cun lateral to the lower border of the spinous process of the eighth thoracic vertebra (T8). NEEDLING Oblique insertion towards the spine, 0.5 to 1 cun, or transverse-oblique insertion 1 to 1.5 cun. Caution: perpendicular needling or oblique needling away from the spine carries a substantial risk of causing a pneumothorax. 1. local problems: 2. digestive problems: 3. diabetes (back-shu point of pancreas)

Yaoyan (Lumbar Eyes), Shiqizhuixia (Below the

shiqizhuixia below the spinous process of the

17 Yaoyan (Lumbar Eyes), Shiqizhuixia (Below the Seventeenth Vertebra) Yaoyan In the depression approximately 3.5 cun lateral to the lower border of L4 shiqizhuixia below the spinous process of the fifth lumbar vertebra. Perpendicular insertion, 1 to 1.5 cun. Local problems: lower back pain

18 Zigong (Palace of the Child (Uterus)), Tituo (Lift and Support) zigong Tituo On the lower abdomen, 3 cun lateral to the midline, level with RN3. ( 3 cun lateral to RN3) On the lower abdomen, 4 cun lateral to the midline, level with RN4. (4 cun lateral to RN4) i. Perpendicular insertion 0.8 to 1.2 cun; ii. For prolapse of the uterus: Direct the needle from points towards RN2 through the muscular layer. Then rotate the needle until it wraps the muscle fibres, firmly pull it upwards and outwards, and tape it to the skin in thisraised position for minutes. 1. local problems: 1) abdominal pain, gas, bloatiing 2) reproductive problems: esp. GYN problems 3) prolapse of internal organs

19 Sanjiaojiu (Triangle Moxibustion) On the lower abdomen. Construct an equilateral triangle of which the apex is the umbilicus, and the sides are equal to the length of the patient s smile. These points are located at the three points of the triangle. moxibustion only 1.local problems: reproductive problems, pain around the umbilicus, hernia

20 Shixuan (Ten Diffusions) On the tips of the ten fingers, approximately 0.1 cun from the fingernail. Three-edge needle prickle. 1. local problems: 2. Loss of consciousness, wind stroke, summer-heat stroke, febrile disease, swelling and pain of the throat, acute childhood fright wind

21 Sifeng (Four Seams) On the palmar surface of the hand, at the midpoints of the transverse creases of the proximal interphalangeal joints of the index, middle, ring and little fingers. Prick to bleed, or prick and squeeze until a yellow-white liquid appears. Childhood nutritional impairment, childhood accumulation disorder, childhood diarrhea, whooping cough.

22 Baxie (Eight Pathogens) When the hand is made into a fist, six of these points lie in the depressions between the metacarpal heads, proximal to the web margins. Perpendicular insertion along the line between the shafts of the metacarpal bones, 0.5 to 1 cun. Local problems:

23 Yaotongxue (Lumbar Pain Point) On the dorsum of the hand, two points located between the second and third and the fourth and fifth metacarpal bones, in the depressions lying immediately distal to the bases of the metacarpals. Perpendicular insertion 0.5 to 1 cun. 1. Acute lumbar sprain.

24 Luozhen (Stiff Neck) On the dorsum of the hand, in the depression just proximal to the second and third metacarpophalangeal joints. Perpendicular or oblique insertion directed proximally, 0.5 to 1 cun. 1. problems along neck: Stiffness and pain of the neck, inability to turn the head, headache, pain of the shoulder and arm. 2. gastro-intestinal problems: Pain of the epigastrium, diarrhea, acute and chronic childhood fright wind

25 Erbai (Two Whites) On the flexor aspect of the forearm, 4 cun proximal to P7, either side of the tendon of flexor carpi radialis. Perpendicular insertion, 0.5 to 1 cun or oblique proximal insertion 1 to 1.5 cun. 1. Problems around the anus: Hemorrhoids, prolapse of the rectum, itching of the anus, blood in the stool, tenesmus.

26 Zhoujian (Elbow Tip) On the tip of the olecranon process of the ulna. This point is treated by moxibustion only. 1. Transform phlegm: Scrofula, carbuncles and furuncles, deep-rooted ulcers, intestinal abscess.

27 Jianqian (Front of the Shoulder) On the anterior aspect of the shoulder joint, midway between the anterior axillary crease and LI 15. i. Perpendicular insertion 1 to 1.5 cun; ii. Oblique or oblique-transverse insertion distally towards the elbow, 2 to 3 cun. Local problems

28 Baichongwo (Hundred Insect Burrow) 1 cun proximal to SP10. Perpendicular or oblique insertion 1 to 1.5 cun. 1. local problems: Soreness of the leg 2. expel wind: wind rash, itching of the skin.

Xiyan (Eyes of the Knee), Heding (Crane s Summit) Heding In the depression at the midpoint of the superior border of the patella. Perpendicular insertion 0.5 to 1 cun.

29 Xiyan (Eyes of the Knee), Heding (Crane s Summit) Heding In the depression at the midpoint of the superior border of the patella. Perpendicular insertion 0.5 to 1 cun. Local problems: Xiyan On the knee, in the hollows formed when the knee is flexed, immediately below the patella and both medial and lateral to the patellar ligament. With the knee flexed and supported by a rolled pillow, i. Perpendicular insertion, directed towards BL40, 1 to 2 cun; ii. Oblique insertion in a medial and superior direction, behind the patella 1 to 2 cun; iii. Through-needling between lateral and medial Xiyan, behind the patellar ligament.

30 Lanweixue (Appendix Point) DanLangxue (Gallbladder Point) Lanweixue Approximately 2 cun distal to ST36. Danlangxue Between 1 and 2 cun distal to GB34. Perpendicular insertion 1 to 1.5 cun. 1. local problems: 1. Appendix problems: Acute and chronic appendicitis, indigestion 1. Gallbladder problems: Acute and chronic cholecystitis, acute and chronic cholelithiasis, disease of the bile duct, biliary ascariasis, distention and pain of the lateral costal region

31 Bafeng (Eight Winds) On the dorsum of the foot, between the toes, 0.5 cun proximal to the margin of the web. Oblique insertion directed proximally, 0.5 to 1 cun. 1. Local problems 2. clear heat (LIV2, ST44, GB43 ying-spring point)

Pericardium Channel and Points

Pericardium Channel and Points 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