Acupuncture Channel and Points I: Midterm - Fall 2020

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What are the functions of the Channels:

A conduit/channel for qi and blood; to circulate Connects the entire body: organs, muscles, tendons, ligaments / balance yin and yang Integrate the body: coordinate organ relationships, connect interior with exterior, and connect upper with lower Warm, nourish, and Moisten Defend body against Pathogens Promote function of muscles, tendons, and ligaments Regulate Yin-Yang balance

Large Intestine Luo Connecting Channel Clinical Application:

Excess: Toothache, gum disease, deafness, ear disorders Deficiency: Cold sensitivities or sensitive teeth, stifling sensation in the chest and diaphragm. Connects to shoulder, teeth, ear, and Lung channel **connection to the ear = LI channel connects to all 5 sense organs**

Lung Luo Connecting Channel Application:

Excess: burning pain, hot sensations in the palms and wrists. Deficiency: abnormal yawning, shortness of breath, frequent urination, enuresis Sadness, greif, anxiety, worry.

How do the 3 circuits circulate within the channels?

chest -> hand -> face -> foot -> chest

What does Luo mean?

net; or network the finer branches that connect

What is the physiology of the Heart Channel?

1) circulates qi and blood, and nourishes the heart, lungs, and eyes. 2) regulates the nervous system, calms shen, and stabilizes emotions. 3) regulates heat in the body 4) distributes qi and blood into areas along its channel pathway

Large Intestine "Organ" Pathology:

1) disorders of the large intestine- diarrhea, constipation, flatulence... 2) disorders of the lungs: cough, asthma, fatigue 3) disorders of the stomach: epigastric pain, vomiting, belching 4) disorders of the body fluids: excess diarrhea, runny nose, facial edema, sweating... deficinecy= dry mouth and throat, thirst, dry stool, lack of sweating

What is the Function of the Small Intestine channel?

1) distributes qi to the face and head (assists in the functioning of ears and eyes) 2) distributes and regulates qi along the channel pathway 3) distributes qi to the surface and strengthens the defensive function of the body 4) regulates body fluids 5) regulates function of the intestines (promotes absorption of fluids and nutrients) 6) regulates qi of the lower jiao

Large intestine physiology/ primary functions:

1) distributes qi to the face and head (assists with the functioning of associates sensory organs: mouth, nose, eyes) 2) regulates body fluids (Jin-Ye) 3) circulates qi to the arm, shoulder, and neck 4) maintains normal function of the Large Intestine 5) clears heat from the blood and channels 6) tonifies qi and blood

Describe the pathology of an EPI (External Pathogenic Influence)

1) enters through the nose, skin, injection, sex, or open wound 2) If a deficiency of "Wei Qi" (protective Qi) and Blood, the body/ divergent channel will divert the pathogen into the deepest level of "jing" there is 3) The body will surround and tax its own "Jing" to keep it cold/ frozen in storage.

What are the 5 principal functions of the Lung Channel?

1) govern qi and control respiration 2) controlling and dispersing qi downward 3) regulating water passages 4) controlling skin and body hair 5) opening into the nose

What are the Hearts' 5 Principal functions?

1) govern the blood and blood vessels 2) housing the spirit 3) opening onto the tongue 4) governs sweating 5) manifesting in complexion

What are the Functions of the Spleen?

1) promotes and regulates the digestive and absorption of food and drink 2) regulates the transportation of body fluids and prevents the formation of dampness in the middle jiao 3) tonifies qi and blood 4) raises and stabilizes qi 5) nourishes muscles and extremities

What are the functions of the Stomach / physiology?

1) regulates digestion 2) regulates upper, middle and lower jiao 3) tonifies qi and blood 4) distributes qi and blood to the head and normalizes the function of sensory organs 5) "yangming" = abundant in qi and blood 6) nourishes and strengthens the four limbs 7) regulates "heart / spirit"

Stomach ORGAN Pathology:

1) yangming fu syndrome = fever, constipation, abdomen fullness, yellow urination 2) stomach Disorders: frequent hunger, emptiness, indigestion, pain of epigastrium*, nausea*, vomiting* 3) intestinal disorders: abdominal distention, fullness*, pain*, diarrhea*, constipation... 4) manic-depressive mental disorders= violent behaviors, yawning and moaning abnormally

The Chinese clock time for Small Intestine is...

1-3 pm

What are the Sinews areas of Union?

3 Leg Yang: Cheek (Stomach, Bladder, Gall Bladder) 3 Arm Yang: Forehead (Large Intestine, Small Intestine, San Jaio) 3 Leg Yin: Genitals (Spleen, Kidney, Liver) 3 Arm Yin: Thorax (Lung, Pericardium, Heart)

The Chinese clock time for Lungs is...

3-5 am

Spleens' ENTRY Point is?

SP1 on medial side of the big toe

What is Spleen's EXIT Point?

SP21

Where and what is the ENTRY point of the Stomach Channel?

ST1 @ infraorbital ridge directly below the pupil

What and where is the EXIT point of the Stomach Channel?

ST42 - on the dorsal of the foot, in the junction between second and third metatarsal and cuneiform bones

Where does the Stomach Channel break off on the foot to connect with SP1?

ST42 -> the medial aspect of the big toe

What and where is the LAST point of the Stomach Channel?

ST45- (jing well point): on the dorsal aspect of the second toe, at the lateral boarder of the base of the nail

The skin areas classified according to the distribution route of the twelve regular meridians

The 12 Cutaneous Regions

What do the 5 Shu-Transport points correspond to?

The 5 Elements (wood, fire, earth, metal, water) (they are distal to elbows and knees)

Characteristics of Divergent Channels:

All branch from the primary channel Begin near major joints superficially Run deeper than the primary channel End superficially near head or neck Contain Wei Qi (channel to organs)

Channel pathology may manifest as -Abnormal sensations & changes in skin color -Tenderness along channel or on points -Organ imbalances wherever channel travels -All of the above

All the above

Channel pathology may manifest as.... -Organ imbalances wherever channel travels -Tenderness along channel or on points -All of the above -Abnormal sensations & changes in skin color

All the above

The head is said to be the place where all the Yang Qi meets because

All the yang meridians go to the head

Where do the Hand Yin Meridians and Foot Yin meridians meet?

The Chest

What does "Superficial Flow of Qi and Blood" refer to?

The Chinese Clock

Heart Luo Connecting Channel Clinical Application:

Excess: Distention and fullness in the chest and diaphragm Deficiency: Aphasia, disorders: cardiac pain, chest pain, anxiety, cough, shortness of breath. Disorders of the tongue and vocal cords. Post Stroke/ post-traumatic aphasia loss of voice/nodules on vocal cords Heart Fire shifting tot he small intestine: red tongue tip w/ irritability, burning, painful concentrated urination

Small Intestine Luo Channel Clinical Application:

Excess: Instability and weakness of the joints, weakness and paralysis of the elbow and arm. Deficiency: Flat Worm Channel Disorders: Wei syndrome, weakness and instability of the joints of the upper extremity. Skin Disorders: rashes, hives, urticaria, herpes, psoriasis, eczema, "liver spots", cosmetic skin treatments.

What is Stomach channels Luo Connecting Channel Application?

Excess: Mental Disorders, "Dian and Huang" syndrome Deficiency: atrophy and weakness of legs and feet Rebellious Qi: swelling, pain, and hoarseness of the throat.

Great Luo of the Spleen Channel Clinical Application:

Excess: Pain through the body, blood stagnation Deficiency: Flaccid joints through the body

What is the full name of the Lung Channel...

Lung Channel of Hand Taiyin

Which organ dominates the qi of the whole body? Lungs Heart Spleen Stomach

Lungs

What are zangfu of the Lungs' internal pathway?

Lungs Large Intestine Stomach

Which type of secondary vessel is used in the treatment of psycho-emotional disorders?

Luo Connecting Channel

Longitudinal Luo are _____ and begin at the _____ of the primary channel.

Part of "Transverse Luo" "Lou Point"

Small Intestine Sinew Channel Clinical Application:

Pulling of the pinky finger Pain on the medial condyle of the humerus Pain and pulling on sensation in the axillary fossa, including the area below and posterior Pain in the scapula referring to the neck Tinnitus, pain in the ear from the mandible Eye fatigue Pain and spasm of the neck Stiffness and swelling of the neck

Spleen Sinew Channel Clinical Application:

Pulling sensation of the big toe, referring to the medial malleolus to cause pain and spasms Pain on the medial aspect of the knee Spasms and pain on the medial aspect of the thigh, referring to the inguinal groove Spasm, pulling pain, or cold sensation of the external genitalia. (umbilicus, hypochondriac region, chest and spinal column internally).

What are the 2 Primary functions of the 12 Cutaneous Regions?

Regulate sweating Protect body form EPI's (1st line of defense) --treated with very shallow needling and surface techniques like cupping and gua sha.

Which of the following are functions of the Spleen in Chinese Medicine? -0pens into the eyes and manifests in the cheeks; -Regulates the transformation of fluids and prevents accumulation of dampness; -Nourishes muscles and extremities; -Raises and stabilizes Qi; -Descends rebellious Qi and anchors the Spirit

Regulates the transformation of fluids and prevents accumulation of dampness. Nourishes muscles and extremities. Raises and stabilizes Qi.

Heart Divergent Clinical Application:

Reinforces connection between the heart and chest (does not connect with SI). Connects to the throat and vocal cords: laryngitis, pharyngitis, hoarseness, aphonia. Connect to the inner canthus of the eye.

Small Intestine Sinew Channel Application:

Reinforces relationship between small intestine and Heart - treats heart pathology = heart fire transferring to small intestine Transportation of Qi to the Heart and SI, diarrhea, indigestion, abnormal urination, chest pain, palpations, hypertension. Swelling / pain of the axilla due to stagnation and accumulation of heat toxin, transferring from areas of face and neck.

What is the Large Intestines' Divergent Channel Clinical Application?

Reinforces relationship to the Lung Distributes in the chest and breast - mastitis, fibrocystic breast, chest pain.

What is the Small Intestines Exit point? and Where?

SI 19: depression between the middle of the tragus and condyloid process of the mandible (little indent that occurs in the anterior portion of the ear when we open and close our jaw)

What is the Small Intestines Entry Point?

SI1

Where does the Small Intestine Primary Channel begin?

SI1 @ the ulnar side of the little finger

T/F: A branch of the LI channel (from the supracavicular fossa) connects to the lower teeth and gums? If true, where does it go from there...?

True: After it connects with ST4 on sides of smile/ directly below the pupils, it curves around the upper lip to land on the opposite side of the face just lateral to the nose @ LI 21 where it meets with Stomach Channel of Foot Yangming

T/F: Lung descending qi compliments the ascending of Liver Qi?

True: together they harmonize the movement of Qi.

The joining of Divergent Channels of each yin/yang pair of channels at the head or neck on the primary yang channel is known as -The Twelve External Dragons -The 8 Emperors -The Six Confluences -The Celestial Windows

the Six Confluences

The joining of Divergent Channels of each yin/yang pair of channels at the head or neck on the primary yang channel is known as....

the Six Confluences

The Large Intestine Chinese Clock time is

5-7am

The Chinese Clock time for Stomach is

7-9am

Lungs also assist in...

"letting go", maintaining boundaries, order, and justice

What is the crease line called where ST4 is located?

"naso-labial groove"

What is the Zangfu of the LI internal pathway?

Large Intestine Lungs

What is the Stomach energetic / hand & foot organ pair?

Large Intestine (yangming)

The full name of the Large Intestine Channel is:

Large Intestine Channel of Hand Yangming

What is the Lungs' Divergent Channel clinical application?

Large intestine disorders such as constipation and diarrhea. Throat disorders.

The Large intestine travels along what portion of the arm?

Latero-posterior portion / radial side and posterior

Where are the Luo Connecting Points?

Located on each of the 12 primary channels on the extremities (some list a 4th on the trunk like the spleen)

What is the Large Intestines' Zangfu organ pair?

Lung

The Large Intestine Channel connects with which of the following organs?

Lung Large Intestine

What is the spleens energetic / hand & foot organ pair?

Lung (hand taiyin)

Which of the following meridians mainly distribute along the posterior aspect (i.e.-back) of the head? -None of the above -The shaoyang meridians -The taiyin meridians -The yangming meridians

None of the above

The 3 yin channels of the hand (LU, PC, HT), flow from....

chest to hand

The 3 yin channels of the foot (SP, LV, KI), flow from...

foot to chest

Large Intestine channel connects to the Stomach channel how?

from LI20 at the lateral edge of the ala nasi, travels internally to inner canthus, where it meets with BL1 and descends laterally to the infraorbital ridge.

The 3 yang channels of the hand (LI, TB, SI), flow from....

hand to face

The Stomach Sinew channel can be used for treatment of which of the following? scapula knee jaw elbow lumbar spine eye

knee jaw lumbar spine eye

"Wei" level is where the pathogens enter the body and the "Yuan" is the location of.....

latent pathogens (divergence between Wei and yuan occurs in the bones and joints)

What is LI 1st Point?

LI 1 -> on radial tip of the index finger

What is the EXIT point for LI external pathway?

LI 20 (on side of the nose)

The Chinese Clock time for Heart is...

11am - 1pm

What is the ENTRY point for LI External pathway?

LI 4

The 3 yang channels of the foot (ST, GB, BL), flow from...

Face to foot

Divergent Channels protect the zangfu against....

Invading pathogens (EPI)

What is the Lungs last point?

LU11

Do Sinew channels have points of their own?

No

The collaterals that can be seen directly:

The Superficial Collaterals

Best ways to treat sinew Channels?

"Ashi Points" Opposite Side Area surrounding pain: acupuncture, cupping, guasha, massage, moxibustion

The 5 Shu-Transport Points are also called...

"Command Points"

T/F: Manifestations of channel imbalance, blue/green color (bruises from stagnation), dar/dull (obstruction of qi and blood), yellow/red, white/pale (cold), pimples, nodules, and abnormal skin sensations are all symptoms that can be seen through the...?

12 Cutaneous Regions

The Chinese Clock time for the Spleen is

9-11 am

Where does the Large Intestine channel begin?

@ LI 1, on the radial tip of the index finger

Where is HT3?

@ the "cubital crease" (crease in elbow)

What are Crossing Points?

A point where two or more acupuncture channels intersect Can influence more than one channel Name determined by only 1 organ

Lung "Organ" Pathology

Disorders of the lungs Disorders of the chest and heart Disorders of body fluid Disorders of the large intestine Disorders of the stomach- pain in upper stomach near epigastric region

Where do Sinew channel disperse and where do they end?

Disperse over chest or back; And end on the head or trunk.

If a meridian pertains to a Zang organ in the abdominal cavity, it should be named....?

A foot yin meridian

If a meridian belongs to a zang organ in the thoracic cavity, it should be named....

A hand yin meridian (chest -> hand)

Primary channels communicate with organs via what secondary channel?

Divergent

Which of the secondary channels diverts pathogens away from the Zang-Fu to store in the joints? -Sinew Channel -Extraordinary Vessel -Luo Channel -Divergent Channel

Divergent Channel

Secondary Vessels/ Channels include:

Divergent Channels Sinew Channels Luo-Connecting Channels 12 Cutaneous Regions

Small Intestine Pathology:

Dominates disorders of the "Ye" = body fluids

Where does the branch of the lung channel go to connect with the Large Intestine channel?

From LU7, spreads through the thenar eminance and palm to the radial side of the tip of the index finger at LI 1 (luo connecting channel)

Where is HT7?

At the wrist joint on the radial side of the tendon (flexor carpi ulnaris) and in the depression of the "pisiform" bone.

The Heart Channel begins where?

Begins in the heart and spreads through the heart system/ vessels where it connects to other organs.

Minute Luo Channels....

Branch from larger Luo Channels Spread over wide surfaces Link body tissue to channel tissue Distribute qi and blood to all tissues of the body

Superficial Luo....

Branch from the larger Luo Channels *Are observable near the surface of the SKIN (spider veins/ varicosities) Treatment = Bleeding

How do the 8 Extraordinary Vessels branch off and integrate?

Branch off the trunks of the primary channels Integrate and link the primary channels.

The 5 Shu-Transport points are commonly referred to as / represented by....

Downward flowing water

What causes injury to the Sinew Channels?

Cold Damp Wind Trauma Overuse Problems with Zangfu

Deep / Blood Channels are like?

Capillaries under the skin (go deeper than the superficial, regular Luo, and main channel) Also branch from the larger Luo Channels

Intermittent conditions, conditions that alternate from one side of the body to another, immune deficiencies, and __________ are reasons to consider using divergent channels in clinical practice.

Chronic Degenerative Diseases

What are the functions of the 8 Extraordinary Vessels?

Circulate Jing and Yuan Qi from Kidneys (Derived energy that contain essence from from the Kidneys that can be seen as a prenatal system that contains generations of information - involved in DNA and RNA) Help circulate Wei Qi, Ying Qi, Blood and body fluids. Regulate & continue to develop in "life cycles" (7 years females and 8 years males)

What are the functions of acupuncture channels?

Circulate Qi and blood Connect all the structures of the body Defend the body from pathogens Warm, nourish, and moisten

What does "Luo" mean?

Connecting or net

Transverse Luo Channels link what? And what do they regulate?

Coupled yin/yang channels "Ying" channel Qi

Heart ORGAN Pathology

Disorders of the Heart and Lung: cardiac pain, chest pain, palpations, irregular heart beat, restlessness... Disorders of Shen: mental disturbances, insomnia, dream disturbed sleep, hysteria, shallow breath Disorders of digestion: esophagitis, hernia

Spleen CHANNEL Pathology:

Dampness in the channel= heavy sensation in head and body, facial puffiness, swelling of legs, feet and joints. (foot taiyin) Tongue Disorders: loss in ability to roll or extend the tongue, stiffness, and impaired speech Channel Obstruction: pain, coldness, heat sensations along the medial thigh, knee, leg, foot, toe. Wei Syndromes: flaccidity/ atrophy of muscles (extremities)

How to diagnose and treat with the Luo Channels?

Diagnose by symptom, observation and palpation Look for broken blood vessels and where it aligns on a channel Check for Luo points for swelling and flaccidity Treat by "bleeding" / draining

What are the uses of the Chinese Clock?

Diagnosis in organ imbalance Treatment strategies (channel choice and pts) Clock opposites: treating opposite organ to rebalance

Spleen Luo Connecting Clinical Application:

Excess: Colic pain of the intestines Deficiency: flatulence Rebellious Qi, acute vomiting, diarrhea

T/F: The Heart Divergent Channel connects to the Small Intestine Channel, reinforcing this channel pairing in the treatment of digestive issues.

False

T/F: The Great Luo of the Spleen separates from the primary channel at Spleen 15 and spreads through the abdomen?

False The Great Luo of the Spleen is on Point SP21

T/F: There are 10 Primary Channels, they run bilaterally, are symmetrical, and run vertically.

False There are 12 Primary Channels

T/F: The 5 Shu-Transprt Points do NOT follow in a fixed sequence from fingers to elbows / toes to knees?

False They do follow a fixed sequence, and were created before meridian circulation model began.

T/F: There is a part of the body that is not connected and by this network or supplied by these channels.

False - there is no part of the body that isn't innervated by this system

T/F: Yin Divergent channels join their paired yang channels in the chest.

False. They pair with the yang channel pair in the neck or head

T/F: Sinew Channels are also called "Tendionskeletal" Meridians?

False: Sinew Channels are also called "Tendinomuscular Meridians" or "Muscle Sinew Channels".

T/F: The Spleen Sinew Channel treats pain on the lateral side of the knee....

False: The Medial side of the knee

T/F: Divergent channels divert pathogens away from the zangfu to store in fat.

False: The divergent channels divert pathogens away from the zangfu organs to store them in the JOINTS (uses essence to keep the pathogens in a latent state)

T/F: Luo Connecting channels branch from the primary channels, and are deep to the primary channel between the muscle and organs?

False: Yes, the Luo connecting channels branch from the primary channels (each primary channel has a Luo...) But, the Luo is located superficially to the primary channels between the SKIN and MUSCLE.

T/F: Of the 8 Extraordinary Vessels, 3 have points of their own.

False: 2 Have points of their own: -> Du Mai (GV or DU) & Ren Mai (REN) The remaining 6 share acupuncture points with primary channels.

T/F: Yang Divergent channels "emerge" on the back of the head where it rejoins its yang primary channel.

False: Each Yang Divergent Channel EMERGES at the NECK to rejoin its primary channel.

T/F: Longitudinal Luo are described as being longitudinal and distally follow the primary / paired channel.

False: They approximately follow the primary/ paired channel.

T/F: The 8 Extraordinary Vessels are apart of the "superficial flow of Qi and blood" and have their own entry and exit points.

False: They are not apart of the superficial flow of Qi and Blood and therefore do not have Entry or Exit points.

T/F: The 8 Extraordinary Vessels/Channels are associated with specific Zangfu organs?

False: They are not associated with or named after specific Zangfu organs

T/F: The Sinew Channels connect with the internal organs?

False: They do not connect with the internal organs

What are the functions of Sinew Channels?

Follow the contours of the major muscles overlying the main channels Govern the movement of joints and allow movement of the body; articulation Protect the body from trauma Maintain the integrity of the body by connecting the "100 bones"

Spleen Channel of....

Foot Taiyin

Generally speaking, the three yang meridians of hand go....

From the hand to head

What are the Functions of the Lungs?

Governs Qi and controls respiration = promotes the circulation of Qi to the chest, nourishing and harmonizing the functions of the lungs and heart Regulates the spreading and descending of Qi Regulates body fluid circulation and water passages; volume, color (the "upper sourse of water") Controls skin, body hair, and opens into the nose

The EXIT Point of the Heart channel is? And where?

H9 - radial side of little finger (pinky)

What and where is the first point (exteriorly) of the Heart Channel?

HT1 is in the "tent" of the armpit / the axilla

Heart Channel of....

Hand Shaoyin

Small Intestine channel of....

Hand Taiyang

The 12 regular channels are named based on what aspects -Hand or Foot -Zang Fu (organ) -Tissue -Energetics of the Channel -Element

Hand or Foot Zang Fu (organ) Energetics

What is Small Intestines zangfu organ pair?

Heart

By virtue of the Small Intestine being a fire organ, what other organs does it link with?

Heart Bladder

What is the Small intestines zangfu internal pathway organs?

Heart Small Intestine Stomach

What are the zangfu organs of the Hearts internal pathway?

Heart Small Intestine Lung

Stomach CHANNEL Pathology:

Heat syndromes, yangming channel syndromes-> The 4 Bigs: pulse, sweat, fever, thirst Head, face, and sensory organs Channel obstruction = pain, muscle spasms, redness, swelling, coldness along lower limbs (foot channel) Breast disorders

What is the entry point for the Lung Exterior Channel?

LU1

Longitudinal Luo prevent....?

Imbalances in the primary channels by directing issues away

What is the Exit Point of the Lung Channel? Describe its location:

LU7; on radial aspect of the forearm, in the cleft between two tendons

Heart Sinew Channel Clinical Application:

Internal cramping near the heart area Stiffness, pulling, spasm, pain along the pathway of the channel. Pulling sensation and flexing and stretching difficulties in the elbow. Passes through the diaphragm: hiccups, belching, hiatal hernia esophagitis.

Sinew Channels begin at the....

Jing Well Points

What aspect of the arm/hand does the Heart channel travel along?

Medial part of the anterior arm

What is another name for Channel?

Meridian, vessel, mai, jing Something that connects

The Lung Meridian of Hand-Taiyin starts in the...

Middle Jiao

Sinew Channels function like _____?

Muscles and connective tissues

Where do Sinew Channels begin?

On extremities at the "Jing-Well" Points

Which of the following is the Large Intestines CHANNEL pathology? -Abdominal disorders: abdominal pain, umbilical pain, borborygmus, flatulence, diarrhea, constipation -Exterior syndrome: fever, chills, nasal obstruction, Yangming headache -Disorders of body fluids -Pain, stiffness, swelling, hot or cold sensations along the channel -Disorders of head & face & sensory organs

Pain, stiffness, swelling, hot or cold sensations along the channel Disorders of head & face & sensory organs Exterior syndrome: fever, chills, nasal obstruction, Yangming headache

SP1 begins where?

On the medial side of the big toe, proximal to base of the toenail in the corner

Lung Sinew Channels Application:

Pain and spasm of the thumb, radial side of the wrist, lateral elbow, anterior aspect of shoulder, upper back, chest and hypochondria. Disorders of the breast and diaphragm, hiatal hernia, and hiccups Lumps and masses along the divergent channel pathway

Stomach Sinew Channel Clinical Application:

Pain and spasms of the toes, leg, quadriceps, abdomen, Supraclavicular fossa, and face Swelling and distention in the inguinal groove area and hernias. Sudden eyelid disorders and deviation of the mouth

Lung "Channel" Pathology

Pain and stiffness along channel pathway Exterior syndromes: aversion to cold, fever w/w/out sweating, nasal obstruction, headache Disorders of the nose and throat: frequent sneezing, watering and itching of the eyes/nose/throat, throat pain and swelling, rhinitis, sinusitis.

Large Intestine CHANNEL Pathology:

Pain and stiffness along the channel Exterior syndromes: fever, chills, nasal obstruction, "yangming headache" Disorders of the head and face: sensory organs, swelling and pain of the throat, toothache, swelling of gums, redness / pain in eye, etc. Skin disorders: swellings, rashes, itching, discoloration, pain

Small Intestine CHANNEL Pathology:

Pain and stiffness along the channel pathway Exterior syndromes: aversion to cold, fever, sweating/ absence of, aching, headache Heat syndromes: febrile diseases, fever, night sweating, yellow urination

Heart CHANNEL Pathology:

Pain and stiffness along the channel pathway Heat Syndromes: hot flashes, night sweating, red face, thirst, dry throat Eye disorders: redness, swelling of inner canthus, yellow sclera

What are entry and exit points?

Points that connect one channel to the next in the superficial circulation of Qi.

What are the four words that summarize Divergent Channels distribution?

Separating (from the regular channel) Entering (the body cavity) Emerging (from the body cavity) Converging (with the yang channel of the pair)

Which secondary channels function like muscles and connective tissue and bind the joints?

Sinew Channels

What are the 12 Cutaneous Regions?

Sites through which Qi and Blood are transferred to the body surface

Beyond channel pathology, the Small Intestine Luo Channel can treat

Skin disorders

What is the Hearts zangfu organ pair?

Small Intestine

Small Intestine primary channel connects to which organs?

Small Intestine Heart Stomach

The full name of the Small Intestine Channel is...

Small Intestine Channel of Hand Taiyang

Large Intestines Sinews Channel Clinical Application:

Spasm, pain, puling, swelling, stiffness, or hot/cold sensations along channel distribution Arthritis, tendonitis, carpal tunnel, frozen shoulder Can be used to treat the scapula and trapezius.

What is the Stomachs zangfu / internal & external organ pair?

Spleen

What is the spleens Internal organ pathway?

Spleen Stomach Heart

What is the LU energetic organ pair?

Spleen (foot taiyin)

What is the lungs' energetic organ pair?

Spleen (taiyin)

Stomach Divergent Channel Clinical Application:

Spleen and Heart Disorders = indigestion, hiatal hernia, and Shen disorders. Yangming headache and sinusitis Excess eye disorders

What are the primary clinical issues with Luo connecting channels? What is the treatment strategy?

Stagnation and stasis Open and Drain

What is the Spleen zangfu / internal & external organ pair?

Stomach

The Stomach Channel internal pathway connects to which organs...

Stomach Spleen

What are the organs of the Stomachs internal pathway?

Stomach Spleen

What is the Large Intestines' energetic organ pair?

Stomach (yangming)

Spleen ORGAN Pathology:

Stomach and Spleen disorders = epigastric pain*, loose stools, diarrhea*, vomiting*, nausea*, fullness, jaundice, abdominal qi masses Water Retention**- and dampness resulting in edema, phlegm, excessive difficult urination, leukorrhea

What are the other main functions of the Luo Channels

Strengthen yin/yang relationship between paired channels. Distribute Qi and Blood to all tissues of the body. Treats disorders of their interiorly/ exteriorly related channel or ZangFu Treats disorders in regions reached by the Luo-Connecting channel

Spleen Divergent Channel Clinical Application:

Strengthens connection between Spleen and stomach, as well as the heart. Emphasizes connection with the spleen channel and through; damp-phlegm in the throat, thyroid disorders Tongue and mouth disorders, especially when characterized by damp-phlegm. .

Which of the following is NOT a function of Small Intestine? -Strengthens the muscles and sinews of the low back and legs -Regulates body fluids (Ye), -Distributes Qi to the surface and strengthens the defensive function of the body -Regulates the function of the intestines and promotes the absorption of fluids and nutrients

Strengthens the muscles and sinews of the low back and legs

What are the functions of the Six Confluences?

Strengthens yin and yang relationship Strengthens primary channels relationship with zangfu organs Balances yin and yang in the interior. Brings Qi to the face and head and balances yin and yang in the head. Integrates "neglected" areas of the body

These are major branches of the primary channels, that go deep to the organ :

The Divergent Channels

These function primarily to control and connect the Twelve Regular Channels, serving as a "lake" of excess / stored qi and blood:

The Eight Extraordinary Vessels

T/F: Spleen includes the digestive functions of stomach, small intestine, pancreas and [certain] functions of the liver, and gallbladder + digestive enzymes?

True

Which of the following meridians follows the Liver meridian in the sequence of flow of qi and blood in the twelve regular meridians? -The large intestine meridian -The san-jiao meridian -The lung meridian -The small intestine meridian

The Lung meridian

The Twelve Regular Channels, plus the Du and the Ren channels, and the Major Collateral of the Spleen are the Major ________".

The Major Collaterals

These are tiny collaterals that distribute throughout the entire body

The Minute Collaterals

These are the muscles and tendons distributed along the routes of the Twelve Regular Channels:

The Muscle Sinew Channels

These branch from the primary channels and connect to the Yin-Yang pair:

The Transverse Luo Connecting Channels

What aspect of the foot/leg does the Stomach channel travel along?

The anterior portion of the lateral leg (fibula)

The Spleen channel travels along what aspect of the foot/leg?

The anterior portion of the medial leg (tibia)

You can treat all yangming disorders in the...

The head! (face, cheeks, forehead, eyes, nose, lips, gums, and teeth)

What are the Six Confluences?

The joining of Divergent Channels of each yin/yang pair at the head or neck on the primary channel.

The Lung travels on what portion of the arm/forearm?

The latero-anterior portion / radial aspect of the arm and forearm

What apsect of the hand/arm does the Small Intestine travel along?

The medial aspect of the posterior arm/forearm (ulnar side)

T/F: Spleen is related to "dampness" as heart is related to "heat".

True

T/F: Spleen qi is uplifting and connects with lungs to be dispersed?

True

"All blood pertains to the heart"

The qi of the heart and lung dominates the gathering of qi. They are both responsible for circulating it throughout the chest = rhythmic beat of heart

T/F: Stimulations of points along the channel can restore proper circulation of qi and blood?

True

T/F: The 12 Cutaneous Regions are the bodies FIRST line of defense in protecting the body against EPI's?

True

T/F: The FIRST and LAST spleen points are the same as its entry and exit points?

True

T/F: The small Intestine channel can treat disorders of the breast?

True

T/F: The small intestine connects to both the outer and inner canthus of the eye?

True

T/F: Yangming Channels are abundant in qi and blood and are used clinically to regulate qi and blood in the limbs and treat atrophy disorders/ pain of all kind.

True

T/F: the spleen channel connects with the base of the tongue and distributes over the lower surface of the tongue.

True

T/F: the stomach breaks down food, while the spleen transforms it.

True

T/F: The exit point for Stomach channel is before the end point of the channel.

True (ST42, where a branch goes to the medial side of the big toe)

T/F: All yang channels join in the superficial head and converge at DU 20?

True (Vertex Point)

Which channels will connect in the face?

The two yang channels with the same energetic name

T/F The lung Channel lifts the spirit?

True (associated with equanimity and appreciation of beauty) **We take fuller breaths when we are in a state of appreciation and joy**

T/F: Energy shifts and changes from yin -> yang (vise versa), occur in the extremities?

True - changes occur gradually btw. fingers and elbows / toes to knees (important points here)

Which meridians mainly distribute along the frontal aspect of the head (i.e.-face and forehead)?

The yangming meridians

What is the most prominent function of the 8 Extraordinary Vessels?

They are "reservoirs of energy" They stores excess qi, blood, and essence, when the primary channels are full, and release these vital substances when the primary channels become deficient.

Disorders of the nose and throat (sneezing, sore throat, runny nose...rhinitis) are possible Lung channel pathologies True False

True

T/F: Both the Lungs and Large Intestine assist in "letting go".

True

T/F: Divergent channels communicate between Wei (superficial) and Yuan (level of latency) levels in the effort to protect the Zang-Fu?

True

T/F: Divergent channels strengthen not only yin and yang but also Qi circulation btw left and right hemispheres of the body?

True

T/F: Extraordinary Channels are about dealing with heredity while Divergent Channels are more about dealing with pathogens.

True

T/F: Governing (GV or DU) 14 is where all the hand and foot yang meridians meet?

True

T/F: Sinew Channels are close to the surface of the body?

True

T/F: Sinew Channels distribute Qi and Blood to nourish the muscles, joints, and tendons?

True

What is the most unique or notable Function of the Luo Connecting channels?

Treats "Psycho-Emotional Disorders"

Both Lung and Large Intestine treat disorders of the skin True False

True

Where are the 12 Cutaneous Regions located and what are they daily used for?

Very superficial (think SKIN)- closely related to superficial Luo channels Mostly used diagnostically

Does the Lung Channel influences Wei Qi?

Yes (skin)

How does the Small Intestine Primary channel travel?

ascends up the ulnar-posterior aspect of arm

What does "jing" mean?

warp; or thread in a fabric the trunk and main branches


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