PRACTICAL EXAM REVISION AND PREPARATION GUIDE SUBJECT: CMAC Acupuncture Channel Theory EXAM: Practical exam LENGTH OF EXAM: 3 minutes WEIGHT: 3% TOTAL MARKS: 3 marks SESSIONS COVERED: SN 2-5 EXAM: Practical exam 2 LENGTH OF EXAM: 3 minutes WEIGHT: 3% TOTAL MARKS: 35 marks SESSIONS COVERED: SN8-2 Exam Format: Practical exam Students are required to bring: Towels or sheets Chinagraph pencil or water-soluble marker Exam Instructions: Locate the external pathway of the selected channels (2 in total) on a randomly selected human model within the nominated time period, observing WH&S and CMBA Code of Practice. s will be awarded based on the anatomical landmarks, proportional measurements and acupuncture points in session presentations and located in class in line with the rubrics below. Learning Outcomes Covered in the Exam: 2. Demonstrate knowledge and skill when locating key channels (jing) on fellow students. 4. Demonstrate ability to conduct proportional measurements when locating channels and acupuncture points. 5. Apply work health and safety practices. 6. Evaluate patient individual needs and modify practices showing due respect for privacy, cultural and other differences in line with CMBA Code of Conduct. Last updated on 26-Feb-8 Version: 2. Page of 4
Channel Pathways marks s Channel pathway is located within a 5mm (inclusive) radius of the correct pathway or acupoint. Channel pathway is located within a mm (inclusive) radius of the correct pathway or acupoint. Channel pathway is located in excess of a mm radius of the correct pathway or acupoint, OR on the incorrect side of a major vessel/ bone/ tendon, OR Incorrectly crosses the pathway or merges with another channel. OR Pathway is not located within required time frame. Lung Channel of the Hand Tai Yin s Chest LU- LU-2 Upper Arm Forearm Lateral border of Biceps Brachii Straight line from LU-5 to LU-6 LU-7 (.5 cun proximal to the distal wrist crease) LU-9 Hand Red & white border of thenar eminence LU- /8 Last updated on 26-Feb-8 Version: 2. Page 2 of 4
Pericardium Channel of the Hand Jue Yin s Chest PC- (oral description of this location will be accepted) Links PC to upper arm Upper Arm Forearm Between heads of Biceps Brachii. PC-3 PC-6 located 2 cun above distal wrist crease (using proportional measurement) Between tendons palmaris longus and flexor carpi radialis Hand Straight line from PC-7 to PC-9 PC-9 /8 Heart Channel of the Hand Shao Yin s Upper Arm Forearm HT- Medial border of biceps brachii HT-3 HT-4 (.5 cun proximal to the distal wrist crease) Runs on radial side of t. flexor carpi ulnaris HT-7 Hand Passes over palm of hand between 4 th & 5 th metacarpals HT-9 /8 Last updated on 26-Feb-8 Version: 2. Page 3 of 4
Large Intestine Channel of the Hand Yang Ming s Hand LI- Red & white border of skin on index (2 nd ) finger Radial side of 2 nd metacarpal Wrist Forearm LI-5 Straight line from LI-5 to LI-. LI- located 2 cun distal to LI- (using proportional measurement) and on the straight line from LI-5 to LI-. LI- Upper arm Straight line from LI- to LI-5, passing through LI-4 LI-5 Shoulder LI-6 Runs superior to scapula to GV-4 GV-4 Runs anterior from GV-4 into supra-clavicular fossa ST-2 Neck Ascends neck, crossing posterior head of SCM LI-8 Face CV-24 Circles lips GV-26 LI-2 /2 Last updated on 26-Feb-8 Version: 2. Page 4 of 4
Triple Energizer Channel of the Hand Shao Yang s Hand TE- On dorsum of hand between 4 th & 5 th metacarpals TE-4 Between ext. digitorum communis & ext. digiti minimi (Ulnar to ext. digitorum communis) Forearm Travels between radius and ulna at wrist Channel goes to TE-6 before heading to TE-7 TE-6 located 3 cun above wrist crease (using proportional measurement) and on radial side of ext. digitorum communis muscle. TE-7 located 3 cun above wrist crease using proportional measurement and on ulnar side of ext. digitorum communis muscle. Channel returns to radial side of ext. digitorum communis then follows straight line to tip of olecranon. Upper arm Shoulder TE- Posterolateral aspect of upper arm on straight line from TE- to TE-4 TE-4 Travels superior to the scapula GV-4 GB-2 Neck Head Pathway runs internally to TE-6 (do not deduct marks if drawn from GB-2 to TE-6) TE-7 Pathway curves close to ear (does not encroach on GB channel.) but not under helix. TE-2 Channel curves through templar hairline from TE-2 to TE-23 TE-23 /2 Last updated on 26-Feb-8 Version: 2. Page 5 of 4
Small Intestine Channel of Hand Tai Yang s Hand SI- Red & white border of skin along little finger Red & white border of skin along 5 th metacarpal Wrist SI-5 SI-6 Forearm Follows straight line from SI-5 to SI-8 SI-7 located 5 cun proximal to SI-5 (using proportional measurement) SI-8 Upper arm Medio-posterior aspect of upper arm Connects with LI channel at LI-4 Ascends to SI-9 in line with posterior axillary fold Shoulder SI- SI- SI-2 SI-3 SI-4 SI-5 (SI-5 to GV-4 and then to ST-2 is internal. Do not deduct marks if drawn.) Neck Straight line from ST-2 to SI-7 Straight line from SI-7 to SI-8 SI-9 (No external pathway from SI-8 to SI-9. Do not deduct marks if drawn.) /2 Last updated on 26-Feb-8 Version: 2. Page 6 of 4
Spleen Channel of the Foot Tai Yin s Foot SP- Runs along red & white border of skin on st phalange and st metatarsal SP-5 Leg SP-6 located 3 cun superior to prominence of medial malleolus (using proportional measurement) and posterior to the medial border of the tibia. Runs on straight line from SP-6 to SP-9 Thigh Runs on straight line from SP- to SP-2 Abdomen Ascends on straight line 4 cun lateral to midline (using lateral border of rectus abdominus as landmark) from SP-3 to SP-6 Chest Runs 6 cun lateral to the midline from 5 th intercostal space to SP-2 Descends to SP2 /3 Last updated on 26-Feb-8 Version: 2. Page 7 of 4
Liver Channel of the Foot Jue Yin s Foot LR- Runs between st and 2 nd metacarpals LR-4 Leg Intersects SP-6 then passes through LR-5 located 5 cun superior to prominence of medial malleolus (using proportional measurement) and anterior to Spleen channel Crosses the Spleen channel 8 cun above the medial malleolus then travels posteriorly to intersect with LR-8 Thigh Groin & Abdomen Straight line from LR-8 to LR- Connects with Spleen channel (SP-2 & SP-3) in the inguinal area (oral description of this will be accepted) Circles the genitals (oral description of this is the requirement) before connecting with Conception Vessel Ribs & Chest Travels on to LR-3 to LR-4 /3 Last updated on 26-Feb-8 Version: 2. Page 8 of 4
Kidney Channel of the Foot Shao Yin s Foot Begins beneath the 5 th (little) toe and crosses the sole of the foot to KI- Connects with KI-3 KI-4 & KI-5 KI-6 Leg Connects with KI-7 Travels anteriorly to KI-8 Meets the spleen channel at SP-6 located 3 cun superior to prominence of medial malleolus (using proportional measurement) and posterior to the medial border of the tibia. Ascends the posteromedial aspect of the lower leg to KI- Thigh Abdomen Ascends the posteromedial aspect of the thigh to the tip of the coccyx Ascends the abdomen cun lateral to the midline from KI- to KI-2 Chest KI-22 to KI-27 /3 Last updated on 26-Feb-8 Version: 2. Page 9 of 4
Stomach Channel of the Foot Yang Ming s Head ST- Curves around the lips meeting GV26 and CV24. Passes through ST-4 ST-5 ST-6 ST-8 Neck & Chest Separates at ST-5, then descends between Adam s apple and SCM on throat Descends to the supraclavicular fossa at ST- ST-2 Runs 4 cun lateral to the midline to ST-8 Abdomen ST-9 Runs 2 cun lateral to midline using proportional measurement (/2 way from lateral border of rectus abdominus to midline) ST-3 Thigh Lower leg From ST-3 Traverses the anterolateral aspect of the thigh, on the straight line from ASIS to laterosuperior border of patella. ST-36 (located using proportional measurement) Travels fingerbreadth lateral to tibial crest (to ST-39) ST-39 ST-4 Foot Straight line to ST-4 Terminates at ST-45 /2 Last updated on 26-Feb-8 Version: 2. Page of 4
Gallbladder Channel of the Foot Shao Yang s Head & Neck GB - Straight line from GB- to GB-2 Curved line across face to GB-4 Descends to GB-7 Curves above ear passing through GB-8 Curves posteriorly behind hear to the mastoid process at GB-2 Ascends the side of the head passing through the anterior hairline to GB-4 Travels posteriorly over the head to GB-2, below the occiput Shoulder Chest & Ribs Descends to the top of the shoulder to GB-2 mark awarded if GB22 is correctly located. The external pathway has a gap from GB- 2 to GB-22 (Do not deduct marks if pathways is drawn between these two points). Straight line to GB-23 Passes through GB-24 Passes posteriorly through LR-3 to GB-25 Abdomen Hip Thigh & Lower leg Travels anteriorly to GB-27 anterior to the ASIS Descends posteriorly to GB-3 Descends the lateral side of the thigh to GB-34 Descends to GB-35 (located using proportional measurement) at the posterior border of the fibula Travels to the anterior border of the fibula intersecting with GB-36 Foot Travels along the anterior border of the fibula to GB-4. (This is in line with WHO location of GB-39.) Passes between the 4 th and 5 th metatarsals to end at GB-44 /2 Last updated on 26-Feb-8 Version: 2. Page of 4
Bladder Channel of the Foot Tai Yang s Head Straight line from BL- to BL-3 From BL-4 traverses the head at.5 cun lateral to the midline Neck Medial portion Channel splits into two portions at BL- Medial portion travels to the midline connecting with GV Travels laterally to connect with BL- Descends at.5 cun lateral to the midline to BL-3 Ascends to BL-3 in the st sacral foramen Travels over the sacrum and descends to BL35 Passes to BL-36 at the midpoint of the transverse gluteal fold Descends the posterior thigh to the popliteal fossa Passes through BL-39 Lateral portion Lateral portion descends the neck to BL-4 Descends at 3 cun lateral to the midline to BL-54 Crosses the buttock to intersect the GB channel at GB-3 Descends the posterior-lateral thigh Popliteal fossa Lower leg Medial and lateral portions of channel re-unite at BL-4 in the centre of the popliteal fossa on the crease Descends over the gastrocnemius muscle to BL-57 (located using proportional measurement) Passes through BL-58 (located using proportional measurement) Descends to BL-6 on the red and white border of skin Foot Follows the lateral side of the 5 th metatarsal to terminate at BL-67 /2 Last updated on 26-Feb-8 Version: 2. Page 2 of 4
WH&S and CBMA Code of Conduct Learning Outcome mark mark mark Apply WH&S practices a. Hand washing at appropriate times and correctly completed Both a. and b. are completed at all appropriate times. Either a. or b. are completed OR Criteria are not demonstrated OR b. Table cleaned & soiled linen placed in plastic bag at completion of exam There were minor omissions in both a. and b. There were errors that would lead to poor patient management. Evaluate patient individual needs and modify practices showing due respect for privacy cultural & other differences in line with CMBA Code of conduct. Both a. and b. are completed at all appropriate times. Either a. or b. are completed OR Criteria are not demonstrated OR a. Obtained consent at appropriate stages of channel location b. Effective table set up and draping including: There were minor omissions in both a. and b. There were errors that would lead to poor patient management. i. Towel on table ii. Face towel folded into face hole in a manner that provide for comfort and breathing of student partner iii. Student holds towel to provide for privacy and ease of movement when patient disrobes or rolls over. iv. When locating channels on abdomen and/or back, towel covers underwear /2 Last updated on 26-Feb-8 Version: 2. Page 3 of 4
Learning Outcomes Covered in the Exam: 2. Demonstrate knowledge and skill when locating key channels (jing) on fellow students. 4. Demonstrate ability to conduct proportional measurements when locating channels and acupuncture points. 5. Demonstrate work health and safety. 6. Evaluate patient individual needs and modify practices showing due respect for privacy, cultural and other differences in line with CMBA Code of Conduct. Major Points of Emphasis for Study: The practical exam requires students to locate the external pathway of one yin and one yang primary channel. Week 7 practical includes all primary arm channels. Week 4 practical includes all primary leg channels. Acupuncture points and anatomical landmarks used to trace the channels have been discussed in the lecture slides. Recommended General Study Strategies: Use in class practical time and revision in your own time to practice: Palpation of anatomical landmarks and point location skills. WH&S Demonstrating relevant patient interaction in line with CMBA Code of Conduct. Practice drawing these channels on a variety of body shapes and sizes, both in and out of class. A study group for this purpose is highly recommended. Important Reminders: Exams at Endeavour follow the Assessment Policy and Examination Policy. All students should be familiar with these policies: Assessment Policy https://source.endeavourlearninggroup.com.au/_layouts/5/docidredir.aspx?id=docid-3-275 Examination Policy https://source.endeavourlearninggroup.com.au/_layouts/5/docidredir.aspx?id=docid-3-964 Students are advised to never rely on word of mouth regarding the content or format of an exam, as Subject Outlines and exams change regularly. This guide is the best source of information to ensure that you know what to focus on in studying for your exam. Last updated on 26-Feb-8 Version: 2. Page 4 of 4