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Acutechniques 3: Handouts for Midterm (work in progress)

Terms in this set (56)

-On the postero-lateral aspect of the hip joint, one third of the distance between the prominence of the greater trochanter and the sacro-coccygeal hiatus (DU-2).
-Perpendicular, towards genitals, 2-3.5 cun
-Meeting pt of UB & GB meridians
-Ma Dan-yang Heavenly Star point
GB-30 Huántiào
-Activates the channel and alleviates pain
-Benefits the hip joint and leg
-Dispels wind-damp

-Pain of the buttocks, pain or sprain of the hip and leg, sciatica, painful obstruction of the lower limb, pain of the lumbar region
-Hemiplegia, numbness of the leg, inability to flex and extend the knee
-Urticaria, eczema
GB-30 Huántiào
-1.5 cun lateral to the lower border of the spinous process of the 3rd lumbar vertebra
-Locate at the visible highest point of the paraspinal muscles
-Perpendicular 1-1.5 cun
UB-24 Qìhǎishū
-Strengthens the lumbar region and legs
-Regulates the lower jiao

1. Lumbar pain and stiffness, pain of the lower limb, atrophy
2. Dysmenorrhea, irregular menstruation, leukorrhea
3. Hemorrhoids, bleeding hemorrhoids, diarrhea, diarrhea w/ blood, abdominal pain
UB-24 Qìhǎishū
-1.5 cun lateral to the lower border of the spinous process of the 4th lumbar vertebra
-Locate at the visible highest point of the paraspinal muscles
-Perpendicular 1-1.5 cun
UB-25 Dàchángshū
-Regulates the intestines
-Transforms stagnation and alleviates pain
-Strengthens the lumbar region and legs

-Borborygmus, cold or damp diarrhea, undigested food in stool, dysenteric disorder, blood in the stool, intestinal abscess, difficulty in urination and defecation, constipation, prolapse of the rectum
-Distention and pain of the abdomen hypogastric pain, twisting pain of the lower abdomen, inability to eat and drink, remains thin despite much eating
-Lumbar pain, stiffness and rigidity of the lumbar spine, pain of the lower limbs, atrophy disorder
-Dysmenorrhea
UB-25 Dàchángshū
-1.5 cun lateral to the lower border of the spinous process of the 5th lumbar vertebra
-Locate at the visible highest point of the paraspinal muscles
-Perpendicular 1-1.5 cun
UB-26 Guānyuánshū
-Stengthens the lumbar region
-Regulates the lower jiao

-Lumbar pain, wind-taxation lumbar pain
-Abdominal distention, deficiency distention, abdominal masses in women
-Diarrhea, constipation
-Enuresis, frequent urination, difficult urination
-Wasting and thirsting disorder

Palpate for tenderness
UB-26 Guānyuánshū
-1.5 cun lateral to the midline, at the level of the first posterior sacral foramen
-Perpendicular 0.5-1 cun
UB-27 Xiǎochángshū
-Separates the pure from the turbid
-Regulates the intestines and bladder
-Drains turbid dampness and clears damp-heat
-Regulates small intestine qi

-Diarrhea, dysenteric disorder, blood and mucus in stool, hemorrhoids, constipation
-Dark yellow urine, enuresis, retention of urine, difficult urination and defecation, blood in urine
-Leukorrhea, seminal emission
-Lower abdominal pain, painful shan disorder, testicular pain that radiates to the lumbar region
-Wasting and thirsting disorder, dry mouth that is hard to endure, agitation of the hearth w/ SOB, swollen feet
UB-27 Xiǎochángshū
-1.5 cun lateral to the midline, at the level of the 2nd posterior sacral foramen
-Perpendicular 0.5-1 cun
UB-28 Pángguāngshū
-Regulates the Bladder
-Clears damp-heat from the lower jiao
-Dispels stagnation and resolves masses (esp fibroids in women)
-Benefits the lumbar region and legs

-Difficult urination, turbid painful urinary dysfunction, retention of urine, enuresis
-Seminal emission, swelling and pain of the external genitals, genital ulceration, damp itching, swelling and pain of the vagina, deficiency swelling of the penis
-Diarrhea, diarrhea w/ abd pain, difficult defecation, constipation, abd fullness, abd masses in women, hard abd masses, wasting & thirsting disorder, diminished qi
-Stiffness and pain: sacrum, coccyx, lumbar spine. Inability to sit for long, weakness of leg & knee, sciatica, cold & contraction of leg.
UB-28 Pángguāngshū
-1.5 cun lateral to the midline, at the level of the 3rd posterior sacral foramen
-Perpendicular 0.5-1 cun
UB-29 Zhōnglǔshū
-Benefits lumbar region
-Dispels cold and stops diarrhea

-Dysenteric disorder, cold in the intestines, shan disorder, abd distention, pain of the lateral costal region, KI def, wasting & thirsting, absence of sweating
-Stiffness & pain of lumbar spine, inability to turn the spine
UB-29 Zhōnglǔshū
-1.5 cun lateral to the midline, at the level of the 4th posterior sacral foramen
-Perpendicular 0.5-1 cun
-No moxibustion
UB-30 Báihuánshū
-Benefits lumbar region & legs
-Regulates menstruation
-Stops leukorrhea and seminal emission

-Pain of the lumbar spine & sacrum, lumbar pain d/t cold, pain of the coccyx, difficulty in sitting & standing, debility of the leg & knee, contracted sinews assoc w/ painful obstr
-Irregular menstr, dysmeno, uterine bleeding, infertility
-Seminal emission, seminal emission w/ dreams, r&w leukorrhea, difficult defecation & urination, prolapse of the rectum, dark urine, white turbidity, shan disorder, warm malaria
UB-30 Báihuánshū
-Over the second posterior sacral foramen
-Perpendicular 0.5-1 cun, or 1.5-2 cun through the foramen

-Meeting point of the UB & GB channels
UB-32 Cìliáo
-Regulates the lower jiao and facilitates urination & defecation
-Regulates menstr & stops leukorrhea
-Benefits the lumbar region & legs

-Painful urinary dysfunction, dark urine, retention of urine, enuresis, difficulty in urination & defecation, constipation, borborygmus, watery diarrhea
-Hardness & distention below the heart
-R&w leukorrhea, dysmeno, irregular menstr, infertility, pain of childbirth
-Lumbar pain, sacral pain, numbness of the lumbar region extending down to the feet, cold sensation of the lumbar region, lumbar pain radiating to the genitals, sciatica, pain & painful obstr of the lower limb, hemiplegia
UB-32 Cìliáo
-On the midline, in the sacro-coccygeal hiatus
-Oblique superior 0.5-1 cun
DU-2 Yāoshū
-Benefits the lumbar region & legs
-Dispels wind-damp

-Pain of the sacrum, lumbar region &/or hips w/ inability to flex & extend. Lumbar pain radiating to the foot, cold painful obstr w/ numbness of the leg.
-Irregular menstr, r&w leukorrhea, dark urine, hemorrhoids
-Warm malaria w/o sweating, epilepsy, injury by cold w/ ceaseless heat in the four limbs
DU-2 Yāoshū
-On the midline of the lower back, in the depression below the spinous process of the fourth lumbar vertebra
-Perpendicular 0.5-1 cun
-Caution: spinal canal
DU-3 Yāoyángguān
-Dispels wind-damp
-Benefits lumbar region & legs
-Regulates the lower jiao

-Inability to flex & extend the knee, pain of the outer aspect of the knee, wind painful obstr w/ numbness, contraction of the sinews, inability to walk, pain of the crotch & lumbar region d/t taxation injury
-Seminal emission, impotence, white turbidity, disorders of menstruation, leukorrhea

-Main point on back to treat disorders of lower limb
DU-3 Yāoyángguān
Abdominal Pain: Food Retention
-Method: Choose points of Ren & Yangming of Foot (ST). Apply reducing method to remove retention of food.
-Rx: Ren-12, ST-25, Ren-6, ST-36, Inner-Neiting
-Additional possibilities: LV-13, LV-14, P-6, LI-4, LI-11
-On the midline of the abdomen, 4 cun above the umbilicus and midway between the umbilicus & the sternocostal angle
-Perpendicular 0.8-1.5 cun
-Caution: Deep needling may penetrate the peritoneal cavity

-Front-Mu pt of the ST
-Hui-Meeting pt of the Fu
-Meeting pt of Ren w/ SJ, SI, ST channels
Ren-12 Zhōngwǎn
-Harmonizes the middle jiao & descends rebellion
-Tonifies the Stomach & fortifies the Spleen
-Regulates qi & alleviates pain

-All diseases of Stomach & Spleen, excess or deficiency patterns
-Epig pain & fullness, difficult ingestion, nausea, stomach reflux, vomiting, vomiting blood, abd distention &/or pain, pain of the Spleen, hardness & pain of the lateral costal region
-Injury by worry, anxiety & overthinking, injury by the seven emotions leading to epig pain
-Diarrhea, undigested food in the stool, r&w dysenteric disorder, difficulty defecating, heat in SI, dark urine, sudden turmoil disorder
-Deficiency taxation, sallow complexion, post-partum blood deficiency
-Heart pain, chronic & acute childhood fright wind, LOC, mania-depression, epilepsy, tongue thrusting
-Cold body, scorched foul odor in the nose, running piglet qi, dyspnea
Ren-12 Zhōngwǎn
-On the midline of the lower abdomen, 1.5 cun inferior to the umbilicus and 3.5 cun superior to the pubic symphysis
-Perpendicular 0.8-1.5 cun
-Caution: Deep needling may penetrate the peritoneal cavity
Ren-6 Qìhǎi
-Fosters original qi
-Tonifies qi
-Tonifies the Kidneys and tonifies yang
-Rescues collapse of yang
-Regulates qi and harmonizes blood
Ren-6 Qìhǎi
-On the abdomen, 2 cun lateral to the umbilicus
-Perpendicular 1-1.5 cun
-Oblique inferior insertion towards the uterus for disease of the uterus

-Front-Mu of LI
ST-25 Tiānshū
-Regulates the intestines
-Regulates the Spleen & Stomach
-Resolves dampness & damp-heat
-Regulates qi & blood and eliminates stagnation

-Diarrhea
ST-25 Tiānshū
-Midline lower abd, 3 cun below the umbilicus, 2 cun superior to the pubic symphysis
-Perpendicular 0.5-1 cun. Oblique directed inferior 1-1.5 cun.
-Caution: Deep insertion may penetrate a full bladder

-Front-Mu pt of SI
-Meeting pt of the Conception vessel w/ SP, LV, & KI channels
Ren-4 Guānyuán
-Fortifies original qi & benefits essence
-Tonifies & nourishes the Kidneys
-Warms & fortifies the Spleen
-Benefits the Uterus & assists conception
-Regulates the lower jiao & benefits the Bladder
-Regulates Small Intestine qi
-Restores collapse

-Deficiencies
Ren-4 Guānyuán
-Abd, in the depression at the lateral border of the rectus abdominis m., level w/ umbilicus, 4 cun lateral
-Perpendicular 0.5-1 cun
-Caution: Deep needling may penetrate the peritoneal cavity. Deep needling may penetrate enlarged liver or spleen

-Meeting pt of SP channel w/ Yin Linking vessel
SP-15 Daheng
-Moves qi and regulates the intestines
-Constipation
SP-15 Daheng
-Directly below the nipple in the sixth intercostal space, 4 cun lateral to the anterior midline
-Oblique 0.3-0.5 cun
-Caution: No deep needling

-Front-Mu pt of LV
-Exit pt
-Intersection/Crossing pt w/ SP channel & Yin Wei
LV-14 Qimen
-Promotes smooth flow of LV qi
-Benefits stomach
-Transforms blood stasis in middle and upper jiao

-Hypochondriac pain, abd distention, hiccup
-Acid regurgitation
-Mastitis, depression, febrile disease

-Shingles
-Nervous Stomach
LV-14 Qimen
-On the lateral side of the abd, below the free end of the 11th rib
-Perp 0.5-0.8 cun

-Front-Mu pt of SP
-Hui-meeting pt of Zang
-Intersection/crossing pt w/ GB & Dai Mai
LV-13 Zhangmen
-Promotes smooth flow of LV qi
-Quickens blood and transforms blood stasis
-Relieves food retention and food stagnation

-Abd distention, borborygmus, pain in the hypochondriac region, vomiting, diarrhea, indigestion

-Enlarged LV or SP
LV-13 Zhangmen
-On the midline at the base of the neck, in the depression below the spinous process of the 7th cervical vertebra
-Perp-obl superior 0.5-1 cun
-Caution: Spinal canal 1.25-1.75 cun deep to skin surface

-Pt of Sea of Qi
Du-14 Dazhui
-Expels wind and firms the exterior
-Clears heat
-Treats malaria
-Tonifies deficiency
-Pacifies wind
DU-14 Dazhui
-1.5 cun lateral to the lower border of the spinous process of the T3
-Obl towards the spine, 0.5-1 cun
-Caution: Perpendicular needling or oblique needling away from the spine carries a substantial risk of causing a pneumothorax

-Back-Shu of LU
UB-13 Feishu
-Tonifies LU qi and nourishes LU yin
-Descends and disseminates LU qi
-Clears heat from the LU
-Releases the exterior
UB-13 Feishu
-3 cun lateral to the midline, level w/ the lower border of the spinous process of T4, level w/ UB-14
-Obl 0.3-0.5 cun (downward)
-Caution: Deep perp or deep obl needling in a medial direction carries risk of pneumothorax
UB-43 Gaohuangshu
-Tonifies and nourishes the LU, HT, KI, SP & ST
-Nourishes yin and clears heat
-Calms the spirit
-Fosters the original qi
-Resolves phlegm
(often used for asthma)
UB-43 Gaohuangshu
UB-22 => UB-28
Perpendicular
UB-11 => UB-21
Oblique
UB-41 => UB-51
Some points oblique, some perpendicular. All very superficial.
-Below the occiput, appr midway between Du-16 & GB-12, in the hollow between the origins of the sternomastoid & trapezius
-1) obl inferior 1-1.5 cun in direction of channel; 2) direct towards tip of nose 0.5-1 cun
-Caution: Deep needling may injure spinal cord
GB-20 Fengchi
-Eliminates wind
-Benefits the head and eyes
-Clears the sense organs
-Activates channel and alleviates pain
GB-20 Fengchi
-On the midline at the nape of the neck, in the depression immediately below the external occipital protuberance
-Perp slightly inferior 0.5-1 cun
-No moxa according to some texts
-Caution: Spinal canal lies 1.5-2 cun deep. Deep perp or superior obl insertion is CI'd

-Pt of Sea of Marrow
Du-16 Fengfu
-Eliminates wind
-Nourishes the Sea of Marrow and benefits the head and neck
-Calms the spirit
Du-16 Fengfu
-0.5 cun directly above the midpoint of the posterior hairline, in the depression below the spinous process of C1
-Perp 0.5-0.8
-Caution: spinal cord

-Sea of Qi pt
Du-15 Yamen
-Clear the mind and stimulate speech

-Speaking difficulties> needle SQ towards Du-16
-Talking too much> needle SQ towards Du-14

-Aphasia, esp sudden aphasia resulting from either stroke or intense emotional trauma; combine w/ HT-5
Du-15 Yamen
-On the lateral aspect of the trapezius, 1.3 cun lateral to Du-15
-Perp 0.5-0.8 cun
UB-10 Tianzhu
-Regulates the Qi and pacifies wind
-Benefits the head and sensory orifices
-Calms the spirit
-Activates the channel and alleviates pain
UB-10 Tianzhu
-At midpoint between SJ-17 & GB-20
-Perp 0.5-0.8 cun
Anmian
-Insomnia, vertigo, headache, palpitation, mental disorders
Anmian
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