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Course:

Point Location 2
Study Notes Exam 1

Date:

Jan 17, 2008

Heart Channel
What is Mu Xi and how does it relate to the Heart Channel?
Mu Xi is translated as 1) the eye system or 2) the tissues connecting the eyes to the brain.
Heart Channel ascends to the face and connects to Mu Xi. (Condition of Heart is expressed in the inner
and outer canthus of the eyes.)
What other channel is related to eyes?
Liver. Liver and Heart have yang aspects and are the only two yin channels traveling to the face.
What are the yang-like aspects of the Heart Channel?
1) Heart has fire
2) Goes to the face eyes and tongue.
Where does the Heart channel begin?
Heart organ.
What are the branches of the primary channel?
Branches:
1) Descends from Heart through diaphragm to Small Intestine organ
2) From Heart, ascends next to esophagus, to face/cheek/eye.
3) Heart to Lung to axilla
Some books say heart to lung, descends, then goes to axilla...
down medial aspect of arm to terminate at the radial corner of the nail on the pinkie.
Where on the tongue can you find Heart expressed?
Heart travels to root of tongue, upper surface of tongue (not lower surface! Thats spleen.)

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Point
HT 1

HT 2

Categories

Location
Depression at center of axilla.

Needling
Perpendicular 0.5 1 cun

To locate:
Method 1
Find deepest point of armpit (hollow
of axilla)
Method 2 (more accurate)
Find anterior and posterior ends of
the axillary fold.
Use a measure to get the distance
between the 2 and divide it in half.

Avoid the axillary artery.

3 cun proximal to the medial end of the


transverse cubital crease, in the groove
between the medial side of the biceps
brachii and the humeral shaft.

Perpendicular 0.5 1 cun

Beware the axillary


artery!

Great point for blurry


To locate:
vision due to the cnx
between heart and eyes.
Locate with elbow flexed
Find the medial end of the transverse
cubital crease.
Measure proximally 3 cun using hand
measure (or measuring tool, dividing
axillary crease end to med cub crease
end into 3rds).
Locate the point at this line in the
groove between the humeral shaft
and the medial border of the biceps
brachii.
Note: LU 3-4 and LI 13 are on the lateral
border of the biceps brachii. Also, this is
generally in line between HT 3 and HT 1,
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Caution/Contra
Medial insertion
towards chest may =
pneumothorax.

Point

Categories

Location
but more important to locate the point in the
groove between humerus and biceps.

Needling

HT 3

He Sea point

Medial end of the transverse cubital crease


when the elbow is fully flexed.

Perpendicular 0.5 1 cun

To locate:
Elbow slightly flexed:
Midway between end of cubital
crease and the bump of the humeral
epicondyle.
Elbow fully flexed:
Medial edge of the transverse cubital
crease.
HT 4

Jing River point

Radial side of the flexor carpi ulnaris, 1.5


cun proximal to HT 7.

Perpendicular 0.3 0.5 cun

To locate, first find HT 7, measure


proximally 1.5 cun.
Note: Ht 4-7 are all located inline. 1.5 cun
total between Ht 4 and Ht 7.
HT 5

Luo Connecting point

Radial side of the flexor carpi ulnaris, 1 cun


proximal to HT 7.
To locate, find HT 7 first, measure
proximally by 1 cun.
Note: Ht 4-7 are all located inline. 1.5 cun
total between Ht 4 and Ht 7.

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Perpendicular 0.3 0.5 cun

Caution/Contra

Point
HT 6

Categories
Xi Cleft point

Location
Radial side of the flexor carpi ulnaris, 0.5
cun proximal to HT 7.

Needling
Perpendicular 0.3 0.5 cun

Caution/Contra

Caution: ulnar nerve


and artery lie adjacent
to this point.

To locate, find HT 7 first, measure


proximally by 0.5 cun.
Note: Ht 4-7 are all located inline. 1.5 cun
total between Ht 4 and Ht 7.
HT 7

Shu-Stream and YuanSource point

At the wrist joint on the transverse crease


that runs through the pisiform bone. On the
radial side of the flexor carpi ulnaris in the
depression at the proximal border of the
pisiform bone.

Perpendicular 0.3 0.5 cun

HT 8

Ying Spring point

Between the 4th and 5th metacarpal bones


where the tip of the pinkie rests when you
make a fist.

Perpendicular 0.3 0.5 cun

Usually located between the two transverse


palmar creases.
HT 9

Jing-Well point

Dorsal aspect of pinkie on the radial corner


of the fingernail.

Small Intestine
Where does the Small Intestine channel begin?
Ulnar side of little finger on corner of fingernail.
What is the path of the SI primary channel?
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Perpendicular 0.1 0.2 cun

Ascends along the ulnar (yang) side of the arm, to medial side of elbow (but still on the yang aspect), to shoulder then to Du 14. Goes over
shoulder to anterior side of body, up neck to cheek below eye, around and into ear.
One branch descends to the lower he-sea point at ST 39.
To what organs does the SI channel connect?
Heart, Stomach, Small intestine.
Point
SI 1

Categories
Jing-Well point

Location
Ulnar corner of pinkie fingernail, opposite
side from HT 9.

Needling
Perpendicular 0.1 0.2 cun

SI 2

Ying-Spring point

Ulnar border (where skin changes


Perpendicular 0.2 0.3 cun
color/txture) of little finger in a depression
just distal to the metacarpo-phalangeal joint.
Make a loose fist and palpate for the
depression its usually right at the end of
the crease.
(You locate LI 2 this same basic way.)

SI 3

SI 4

Shu-Stream point
Ulnar border of hand where skin changes
Confluent pt of Du vessel color in a big depression proximal to the
head of the 5th metacarpal bone.
Du = Governing
Make a loose fist and its easier to find.

Perpendicular 0.3 0.8 cun

Yuan-Source point

Perpendicular 0.3 0.5


cun.

Ulnar border of the hand where the skin


changes colors in a depression between the
base of the 5th metacarpal bone and the
triquetral bone.
Just distal to triquetral bone.
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Needle it with hand in a


loose fist also.

Caution/Contra

Point
SI 5

Categories
Jing-River point

Location
On the transverse crease of the wrist in the
depression between the head of the ulna and
the triquetral bone.

Needling
Perpendicular 0.3 0.5 cun

SI 6

Xi Cleft point

Dorsal aspect of the head of the ulna in a


cleft level with and to the radial side of the
high point of the styloid process of the ulna.

Perpendicular 0.5 0.8 cun

KNOW:
Indicated for
1) eye degeneration
due to aging.
2) Headaches
3) Acute lower back
pain
4) Shoulder joint
pain such as
bursitis or
tendonitis.
SI 7

Luo-connecting point

Caution/Contra

To locate:
1) lie hand flat on table.
2) Place point of finger on the styloid
high point of the ulna.
3) Have patient rotate the wrist toward
their own body and the finger will
fall into a depression.
4) Be sure to locate the point on the
distal side of this depression, not the
proximal side.
Inline with SI-5 and SI-8, 5 cun proximal to
SI-5.

Perpendicular 0.5 1 cun

(5 to 5just like LI 7 is 5 to 7. Both are 5


cun proximal to transverse crease of wrist.)
SI 8

He-Sea point

Funny bone point


In depression between the tip of the
olecranon process of the ulna and the tip of
the medial epicondyle of the humerus.

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Perpendicular 0.3 0.5 cun

Ulnar nerve lies deep to


the point.
Zap isnt Qi here!
Its the ulnar nerve!
Pull out a bit, change
direction and no
damage if you do it
quick.

Point
SI 9

Categories

Location
1 cun superior to the posterior tip of the
axillary crease when the shoulders are
dropped and the arms are at the sides
normally.

Needling
Perpendicular 1-1.5cun

SI 10

Meeting of SI and BL
with Yin Linking and
Yang Motility

Depression directly below the acromion on


the lateral side of the scapular spine. This
point should be directly above the posterior
tip of the axillary crease.

Perpendicular 1-1.5cun

In a depression on the infrascapular angle


line. To find this point:
1. Locate the mid point of the lower
border of the scapular spine
2. Locate the posterior border of the
scapula.
3. Draw a line between these two
points and divide into thirds. SI 11 is
located at the meeting point of the
upper 1/3 and the lower 1/3.

Perpendicular or oblique
toward manifestation .51.5 cun

SI 11

SI 12

Meeting of SI, LI, SJ, GB In the suprascapular fossa at the mid point
of the upper border of the scapular spine.
Locate the point just above the bone.

Caution/Contra

Perpendicular 0.5-1cun

Risk of pneumothorax
with deep puncture!

SI 13

Depression at the medial end of and


superior to the scapular spine. To locate,
find the medial border of the scapula.
Should be about midway between SI 10 and
the spinous process of T2.

Perpendicular or oblique
toward the scapula 0.5-0.8
cun

Risk of pneumothorax
if point is angled to
medially.

SI 14

3 cun lateral to the lower border of the


spinous process of T1 (Du 13) on or near
the medial border of the scapula.

Oblique scapula 0.5-1


cun

Risk of pneumothorax

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Point
SI 15

Categories

Location
2 cun lateral to Du 14 (lower border of C7
spin process

Needling
Oblique scapula 0.5-1
cun

SI 16

Window of Sky

On lateral aspect of neck level with


laryngeal prominence. Locate the point on
this level on posterior border of SCM.
(in horizontal line with ST 9 on anterior
border and LI 18 between the two heads of
the SCM)

Perp 0.3-0.8 cun

SI 17

Window of Sky

In a depression between the angle of the jaw Perp 0.3-0.8


and the anterior border of the SCM. Point is
level with the angle of the jaw/mandible

SI 18

Meeting of SI and SJ

Directly below the outer canthus of the eye


and on the inferior border of the zygomatic
bone.

Perp 0.3-0.5 cun

SI 19

Meeting of SI, SJ, GB

Just anterior to the tragus of the ear (or the


lower tragus if the pt has 2 of them) and
posterior to the condyloid process of the
mandible/jaw.

Perp 0.5-1cun

Note: with the mouth open theres a


depression. Locate and needle with the
mouth open, then pt can close jaw.

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Caution/Contra
Risk of pneumothorax

Contra: moxa