TCM test review #3

brachial artery and vein

blood supply to forelimb

what is the needlign caution KI 11, KI 12, & KI 13 hae in common?

deep insertion may penetrate a full bladder . these point are needled with a perpendicular insertion

SP 12

deep lateral insertion will injure the femoral nerve. . this point is needled with a perpendicular insertion. deep needling in a medial direction can injure the femoral artery

what is needling cautio fo rPC 1

deep needling may cause a pneumothorax . the point is needle with a transverse-oblique insertion posteriorly along the intercostal space

SP 15

deep needling may penetrate an enlarged spleen or liver

LR 14

deep perpendicular or oblique needling may puncture the lungs . the point is needled with a oblique medial or lateral insertion

DU 16 AND DU 15

deep perpendicular or superior oblique insertion strictly contraindicated in which points.

LU 9

earth point, shu stream, yuan source points. meeting point of the vessels and tonification point. .yuan source point where the yuan qi originating in the Ki and transmitted to the point via the envoy the Sanjiao, surfaces and lingers . shu stream points are where the qi pours htrougn theinyin shu-stream poitns treat disorders of the zang LU 9 tonifies the LU qi and Yin. the yin channel and joint pain LU 9 wrist pain, shoulder pain supraclavicular pain. Lu 9 is a tonification point treats deficiency as it is an earth point on a metal meridian (earth is the mother of Metal) Point action Lu 9 tonifies the LU and transforms phlegm, descends the Lu qi, regulates and harmonies the vessels, activates the channel and stops pain

TB 10

earth, he-sea, sedation points. . the he-sea points where the qi goes inward. TB 10 treat scope to the nature off He-sea point. it treat skin disorder, tx urticaria, it is the lower he-sea point BL 39 is selected to treat the u ST 39 activates the lower burner,m the bladder with the manifestation of urinary disorders. TB 10 is a sedation point treat excess as it it s an earth point on the fire meridian (earth is the son of fire). TB 10 transforms phlegm, and dissipates nodules, regulates and descends i, calms the spirit, clears triple burner channel heat, activates the channel and stops pain

LR 13 Deep insertion needling of LR 13 may damage

enlarged liver or spleen . the point is needled with a transverse or oblique insertion or laterally along the line of the rib.

TB 6

fire, jing river point, horary points (9-11 PM). jing river points are where the qi flows treat cough, dyspnea, chills and fever. treat cough, treat fever without sweating, sudden loss of voice, some treat diseases of the sinews and bones.

In thin patient a deep insertion at RN 14, RN 15 can damage which organif enlarged?

heart or left lobe of liver . for both points na oblique superior insertion towards the HT is contraindicated in all cases. . RN 14 is needled with a perpendicular insertion or an oblique insertion directed downward; RN 15 is needled with an oblique insertion directed inferiorly

RN 1

is contraindicated in pregnancy

PC5

malaria, non-substantial phlegm . PC 5; treat wind-cold aversion, fever impaired breathing .Loss of voice, halting speech, . transforms phlegm, calms the spirit, descend rebellious qi and regulates the ST and regulates menstruation

PC 6

median nerve can induce a significant electrical sensation when needled. . the electrical sensation is an acceptable manifestation of the arrival of qi but once the electrical sensation occurs there should not be any further needle manipulation to avoid injuring the median nerve. the point is needled with a perpendicular insertion or joined to SJ 5 to treat chest disorders use on oblique proximal insertion of numbness in the fingers use on oblique distal insertion.

Yuan Source Points

of yin channel - tonify own zang organ of yang channel - regulate yang and move qi in the channel , dispel shi pathogens, tx disorders along channel ST and SJ only points tx fu organ

SI 13

on medial extremity of suprascapular fossa about midway between SI-10 and spinous process of 2nd thoracic vertebra . too medial an insertion or deep medial oblique nedlignma puncture the lungs . needle with a perpendicular insertion or oblique lateral insertion

SI 4

on ulnar side of palm in depression between base of 5th metacarpal bone and hamate bone Treat: Rigidity of the neck, pain in the wrist, jaundice

In infants whose fontanelle have yet to close

should not be needled DU 22, & DU 21

PC 3 SHOULD be avoided when needling

the brachial artery & veins the point is needled with a perpendicular insertion

in thin pt. deep needling the points on the RN Channel from RN 13 TO RN 5 may penetrate

the peritoneal cavity except for RN 8 which should not be needled, all the other points are needled with perpendicular insertion, some classical texts prohibit using RN 5 during pregnancy

what can be damaged if extra point Shizhuixia is needled too deeply?

the spinal canal . the spinal column is between 1.25 to 1.75 below the skin surface; the point is needled with a perpendicular insertion

extra point Shiqizhuixi

the spinal column is between 1.25 to 1.75 below the skin surface, the point is needled with a perpendicular insertion.

TB 2

when the fist is clenched, this point is located in the depression proximal to the margin of the web between the ring and small fingers, at the junction of the red and white skin. water & ying spring points, Ying spring points are where the qi glides, .. clears heat, at the upper end of the channel, teat disorders of channel arm pain, inability to raise the arm, neck pain TB 2 disperses the upper burner and benefits the ars, calms the spirit, activates the channel and stops pain

according to TCM five element, if a pt has a strong pulse in the Inch position of the left wrist, which o the following points would you needle?

"classic of dificutlies" Cun= inch, front 1st position. sedation of SI 8. sedate the point of its channel associated with its child element

ST 38

*8 cun below ST 35, one finger breadth* from anterior border of tibia Treat: pain and motor impairment of the shoulder, abdominal pain

BL 51 & BL 52

. Deep perpendicular needling carries a risk of injuring the kidney

SP 17, SP 18, SP 19, SP 20 & SP 21 NEEDLIGN CAUTION

. Perpendicular insertion may induce pneumothorax . needle with a transverse-oblique insertion along he intercostal space

WHAT IS the needlign precaution 2 cun lateral to midline and 4 cun inferior to the navel?

. deep insertion can penetrate a full bladder the point ST 29. this point is level with RN 3, THE POINT IS NEEDLED WITH A PERPENDICULAR INSERTION. THE SAME PRECAUTIONS APPLY TO ST 28 & ST 30

What is the needlin caution for KI 14 through KI 20

. deep needling ma penetrate the peritoneal cavity . all needling may penetrate the peritoneal cavity

on the anterior chest wall, in the 7th intercostal space, just below the niple nad 4 cun lateral to the midline

. deep or perpendicular needing induce a pneumothorax this point is GB 24. needled with a transverse -oblique along the intercostal space.

Which point can cause pneumothorax when needled perpendicularly or obliquely away from the spine?

. extra point Weiguanxiashu. the point is needled with an oblique insertion towards the spine or a transverse-oblique insertion

Which point should be needled with a slow insertion without lifting, thrusting or rotating?

. extra point qiuhou . ask the pt to close their eye & look up; use one finger to push the eyeball up and insert the needled first, slightly inferiorly & then perpendicularly between the eyeball & the inferior wall of the orbit. 0.5 to 1.0 cun needle first when the needle is withdrawn press firmly with a cotton ball for about one minute to prevent bleeding. .

deep needlign of GB 25 and GB 26 in thin patients may

. penetrate the peritoneal cavity both points are needled with a perpendicular insertion

DU 4 needlign precaution

. the spinal canal lies between 1.25 and 1.75 cun deep to the skin surface, varying according to body build . needle with a perpendicular insertion

Which is the needlign caution for the PC 7

..Needlign commonly induces a significant electric sensation. . the median nerve is directly under the point and needling can produce a significant electrical sensation (de qi) after which no further needle manipulation should be used to avoid injuring the nerve. . the point is needled with a perpendicular insertion to treat carpal tunnel syndrome use an oblique distal insertion along the carpal tunnel

LU 8

1 cun above the transverse crease of the wrist in the depression on the lateral side of the radial artery . treats cough, asthma, wheezing, fever without sweating, horary point: descends Lu qi and alleviates cough and wheezing.

Du 16

1 cun directly superior to the midpoint of the posterior hairline, directly inferior to the external occipital protuberance, in the depression between the trapezius muscles on either side

PC 1

1 cun lateral to the nipple, in the 4th intercostal space

BL 11

1.5 cun lateral to the lower border of the spinous process of the first thoracic vertebra (T1). . Perpendicular needling carries a substantial risk of causing a pneumothorax . needled with a oblique insertion towards the spine or a transverse-oblique insertion

SP 10 Sea of Blood (Xue Hai)

2 cun proximal to the superior border of the patella, in the tender depression on the bulge of the vastus medialis muscle, directly above SP-9

SP 16

3 cun above center of umbilicus, 4 cun lateral to anterior midline . deep needling at the point may penetrate an enlarged spleen

BL-48

3 cun lateral to the midline, level with the lower border of the spinous process of T10 and level with BL-19 . T10 ios level with BL 19. this caution also applies to BL 49 these two points should have an oblique insertion 0.3-0.5 cun

PC 4

5 cun proximal to the transverse crease of the wrist, on the line connecting Pc 3 and Pc 7, between the tendons of palmaris longus and flexor carpi radialis. treat: cardiac pain, palpitation, hematemesis

SP 11

6 cun above Sp-10 on line drawn from Sp-10 to Sp-12 , deep needling of SP 11 may injure the femoral artery . needle with a perpendicular or oblique insertion

SP 11

6 cun above Sp-10 on line drawn from Sp-10 to Sp-12 . deep needling can injure he femoral artery. SP 11 is needled with a perpendicular or oblique insertion

KI 21 Youmen

6 cun above the umbilicus, .5 cun lateral to the Central Vessel. . deep needling in thin pt can injure the liver on the right side or the peritoneum on the left side. KI 21 should be needled with a perpendicular insertion

UB 58

7 cun directly superior to UB 60, on the posterior border of the fibula, about 1 cun lateral and inferior to UB 57. Treat: Headache, blurring of vision, epistaxis. back pain, hemorrhoids.

ST 40

8 cun superior to the prominence of the lateral malleolus, lateral to St 38; about two finger breadths lateral to the anterior border of the tibia.

ST 40

8 cun superior to the prominence of the lateral malleolus, lateral to St 38; about two finger breadths lateral to the anterior border of the tibia. . treat: dizziness, asthma, excessive sputum, mania

GB 39

Above the ankle joint, 3 cun superior to the prominence of the lateral malleolus, between the posterior border of the fibula and the tendons of peroneus longus and brevis treat: Apoplexy, hemiplegia, pain in the neck, beriberi

KI 2

Anterior and inferior to the medial malleolus, in the depression on the inferior border of the tuberosity of the navicular bone. . treat pruritus vulvae, prolapse of uterus, irregular menstruation, nocturnal emission

PC 8

At the "center" of the palm, between the 2nd and 3rd metacarpal bones, but closer to the latter. When a loose fist is made, the tip of the middle finger will touch the point. treat: Cardiac pain, mental disorder, vomiting, nausea

LU 5

At the cubital crease on the radial side of the biceps brachii tendon. . water, he-sea, and sedation points . sedation point: clears heat form the LU, descends rebellious qi, regulates the water passages, relaxes the sinews and stops pain

which of the following points have a needling caution for causing a possible pneumothorax?

BL 18, BL 21, BL 11

at which point does deep perpendicular needling carry a risk of injuring the Kidney?

BL 22. should be needled an oblique or perpendicular-oblique insertion, bad needling at BL 21 can injure the lung. deep needling at DU 4 OR DU 6 can injure the spine

Which of the following points have a needlign caution for causing a possible pneumothorax

BL 47, BL 17, BL 20

GB 41

Between the 4th and 5th metatarsal bones, in the depression between the 4th metatarsal bone and the lateral side of the extensor digiti minimi tendon of the foot. treat: headache, pain of the outer canthus, irregular menstruation

HT 7

Calms the spirit Regulates and tonifies the Heart At the wrist joint, on the radial side of flexor carpi ulnaris, in the depression at the proximal border of the pisiform bone. . should be avoided during needling the ulnar artery and ulnar nerve

HT 3

Calms the spirit, transforms phlegm and clears heat; activates the channel and benefits the arm . ht 3 IS WATER point & He-Sea point. treat counter flow qi diarrhea, or diseases arising form an irregular diet. tx vomiting, foamy saliva, and skin disorders. treats wind rash.

BL 48 & BL 49

Can injure the Lungs with deep perpendicular or deep oblique needling

SJ 3

Clears heat Benefits the ears Clears the head and eyes Activates the channel and alleviates pain . wood & shu stream points, tonification point, Yang shu-stream points have more of an action on the yang channel. TB 3 teats ears, head & eyes, than on the fu organ. . TB 3 is tonification points treats deficiency as it is wood point on a fire meridian. (jwood is the mother of the fire). TB 3 clears heat, benefits the ears, clears head and eyes, activates the channel and stops pain

LI 11

Clears heat Cools the blood, eliminates wind, drains damp and alleviates itching Regulates qi and blood Activates the channel and alleviates pain Earth point, he-sea, ghost point, heavenly star point, tonification point. LI 11: one of the 13 ghost points treat manic depression & epilepsy.

SI 8

Clears heat and dissipates swelling Calms the spirit Activates the channel and alleviates pain . the Ulna nerve lies deep to this point

SI 8

Clears heat and dissipates swelling Calms the spirit Activates the channel and alleviates pain Earth, he-sea and sedation points. He-sea point where qi goes inward, can treat digestive disorders, but SI 8 has little effect on the intestines. Disorders of the SI are treated with lower he-sea point ST 39. . SI 8 clears het & reduces swelling, calms the spirit, activates the channel and stops pain.

SI 3

Confluent point of Du. Wood, shu-stream point, Du mai confluent points and tonification point. Shu stream point where the qi pours through, . yang shu-stream point shave more of an action on the yang channel. ..SI 3 treats stiff neck back pain, headache, elbow pain, tinnitus, deafness, epistaxis, that on the fu organ. SI 3 is a tonification point opens the du mai vessel, benefits the occiput, neck, and back, .. activates the channel and stops pain, clears wind-heat, calms the spirit and teats epilepsy, clears heat and benefits the sensory orifices and a regulate the du mai

LR 13

Directly anterior and inferior to the free end of the 11th rib. . deep perpendicular needling can injure an enlarged liver or spleen. . This point is needled with a transverse or oblique insertion or laterally along the line of the rib

LV 14

Directly below the nipple, in the 6th intercostal space, 4 cun lateral to the anterior midline. . deep perpendicular or oblique needling can injure the lungs

GB 26

Directly inferior to Liv 13, at the intersection of a vertical line through the free end of the 11th rib and a horizontal line through the navel. . Has a caution to avoid deep needling in thin patient s as the peritoneal cavity can be penetrated

in needling LV 12 one should take caution not to puncutur

Femoral vein

HT 8

Holding the palm supinated, the point is located between the 4th and 5th metacarpal bones. When a loose fist is made, the point is where the tip of the little finger rests. . fire, ying-spring, horary points . ying spring poitns where qi glides, clears heat, HT 8 terts HT fire transmitted to SI intestine and the bladder HT 8 treats contraction of the little finer, contraction of elbow & axilla, Ying spring treat the zang, palpitation, fright agitation, HT 8 Horary points which corresponds to 11am to 1 pm when the HT channel qi is full. clears heat form HT and SI,calms the spirits, regulates HT qi, activates the channel and stops pain.

HT 8

Holding the palm supinated, the point is located between the 4th and 5th metacarpal bones. When a loose fist is made, the point is where the tip of the little finger rests. treat: palpitation, dysuria, pruritus of the external genitalia

SI 12

In the center of the suprascapular fossa, directly above SI-11 in a depression formed when the arm is raised . deep perpendicular insertion risks a pneumothorax.

PC 9

In the center of the tip of the middle finger. jing well point: where qi emanates, clears heat, and restore consciousness , treat coma, collapse, and high fever. . teat upper most reaches o the channel treat pain at the root of tongue, stiff tongue with inability to speak, treat fullness below the heart, PC 9 treat heart pain, heart agitation and oppression. tx disorders of the spirit, treat nighttime crying in children. tonification: teats deficiency as it is a wood point on a fire meridian. clears heat form the PC revives consciousness, clears the heat and benefits the tongue, and clears summer-heat,

PC 7

In the center of the transverse crease of the wrist, between the tendons of palmaris longus and flexor carpi radialis. Earth, shu-stream, yuan source, ghost point, & sedation point. PC 7 clears pathogenic factors for PC. treats wrist pin, elbow contraction, manic depression, & epilepsy, sedation point: treat excess, clears heat from HT and calms the spirit, harmonizes the ST and intestine, unbinds the chest, clears he nutrivive level and olls blood.

KI 3

In the depression between the prominence of the medial malleolus and the Achilles tendon, level with the prominence of the medial malleolus. treat: sore throat, tinnitus, dizziness, asthma, nocturnal emission, impotence

GB 20

In the depression between the superior portion of the sternocleidomastoideus and trapezius muscles, on the same level with Du 16. . deep needling may damage the spinal cord. . Needled with a slight oblique inferior insertion in the direction of the channel or with the needle directed towards the tip of the nose., . the opposite eye or opposite yintang, joined through needling to the other GB 20 on the opposite side can also be done using 2 to 3 cun

KI 22

In the fifth intercostal space, 2 cun lateral to the midline. . deep perpendicular or oblique meaning of KI 22 ma puncture the lung and/or liver. . the point is needled with a transverse -oblique insertion, directed laterally along he intercostal space

ST 14

In the first intercostal space, 4 cun lateral to the anterior midline. deep or perpendicular insertion can puncture the lung ST 14 is level with RN 20. the same caution applies to ST 15, both points are needled with a transverse-oblique insertion laterally or medially along the intercostal space or with a transverse incision inferiorly or inferiorly along the channel

LI 16

In the upper aspect of the shoulder, in the depression between the acromial extremity of the clavicle and the scapular spine. deep medial insertion risks pneumothorax . the point is needled with a perpendicular or oblique insertion

He-Sea Points

Indications: Rebellious qi. Diarrhea. ST diseases. Skin and muscle. Interior disease. Evil: Cold Labor: Standing too much Season: Winter

Jing Well Points

Indications: fullness below HT. Mental Irritation. Orifices. Yin Organs. Evil: Wind Labor: Walking too much Season: Spring

which points needling caution that deep perpendicualr or oblique needling may puncture the LU

KD 27, KD, 23, KI 26 . KI 21: can puncture the liver on the right & peritoneu on the left. needled with a perpendicular insertion . KI 23 & KI 26 needled with a transverse oblique insertion, directed laterally along the intercostal space . KI 27 needled with a transverse -oblique insertion with needle directed laterally along the inferior border of the clavicle.

which point have the needling caution that deep perpendicular or oblique needing may puncture the LU?

KI 25, KI 24, KI 26 .

1.5 cun proximal to the transverse crease of the wrist and superior to the radial styloid process?

LU-7. headache, asthma, toothache

Which of the following points have a needlign caution for causing a possible pneumothorax?

LV 14, GB 22, GB 24

LV 12

Lateral to the pubic tubercle, lateral and inferior to ST 30, in the inguinal groove where the pulsation of femoral artery is palpable, 2.5 cun lateral to the anterior midline.

ST 9

Level with the tip of and 1.5 cun lateral to the laryngeal prominence, in the depression between the anterior border of the sternocleidomastoid muscle and the lateral border of the thyroid cartilage . Avoid the carotid artery. first palpating it and then hold it laterally during needling. Use the index finger of one hand to define and enlarge the space between the lateral border of the artery and thyroid cartilage and needle into this space with the other hand. this point should be needled by practitioners who have received clinical supervision.

GB-21 location

Midway between DU-14 and the tip of the acromion, at the highest point of the trapezius; medial oblique or lateral to neck . deep perpendicular insertion can injure the lungs . the point below T7 IS DU 14, GB 21 can cause pneumothorax. this point is also contraindicated in pregnancy as it sends qi down. the point is needled a posterior oblique insertion.

SJ 15

Midway between GB 21 and SI 13, on the superior angle of the scapula . needling caution for SJ 15: Perpendicular insertion, especially in thin patients carries a substantial risk of during a pneumothorax . the point is needled with on oblique insertion directd according to clinical symptoms.

ST 11, BL 42, BL 45

Needling caution for causing a possible pneumothorax. BL 22 has the risk of injuring the kidney

SP 12

Needling deep medial direction will injury the femoral artery . deep lateral direction will injury the femoral nerve

RN 14

On anterior midline 6 cun above umbilicus . Oblique superior insertion towards the HT is contraindicated. RN 14 has a perpendicular insertion where one needs to avoid a deep perpendicular insertion, especially for thin patient, to avoid damage of he left lobe of the liver or the heart if either organ is enlarge. RN 14 is contraindicated for superior oblique insertion towards the heart.

ST 21

On the abdomen, 2 cun lateral to the midline and 4 cun superior to the umbilicus, level with REN-12 . deep needling can penetrate an enlarged liver. also in thin patients deep needling can injure the peritoneal cavity. .. the point is needled with a perpendicular insertion.

GB 44

On the dorsal aspect of the 4th toe, at the junction of lines drawn along the lateral border of the nail and the base of the nail, approximately 0.1 cun from the corner of the nail. Treat: migraine, tinnitus, dream-disturbed sleep

GB 25

On the lateral side of the abdomen, on the lower border of the free end of the 12th rib

LI 18

On the lateral side of the neck, level with the tip of the laryngeal prominence, between the sternal and clavicular heads of the sternocleidomastoid muscle. . deep puncture can injure the carotid artery or jugular vein the same caution applies to LI 17. these points should be needled with perpendicular or oblique insertion.

SJ 1

On the lateral side of the ring finger, about 0.1 cun from the corner of the nail. treat: redness of the eyes, sore throat, stiffness of tongue, febrile diseases

SP 13 Fushe Abode of the Fu

On the lower abdomen, 0.7 cun superior and 0.5 cun lateral to SP 12, 4 cun lateral to the midline. The point is also defined as 4.3 cun inferior to SP 15. *Peritoneal cavity. in thin patients deep needling may penetrate the peritoneal cavity

KI 11 & KI 12

On the lower abdomen, 5 cun below the umbilicus, at the superior border of the symphysis pubis, 0.5 cun lateral to the midline (REN-2) . KI 11 & KI 12 may penetrate with deep insertion a ull bladder

LU 10

On the medial aspect of the midpoint of the first metacarpal bone, on the junction of the red and pigmented skin. fire, Ying spring points LU 10 treats: heat in the throat, dry heat in the LUs, palm and thumb pain . yin ying spring treats the zang Lu 10 treats coughing, coughing blood, benefits throat, clears LU heat, descends rebellious qi harmonized the ST and HT

GB 22

On the mid-axillary line when the arm is abducted, 3 cun inferior to the axilla, in the 4th intercostal space.

GB 22

On the mid-axillary line when the arm is abducted, 3 cun inferior to the axilla, in the 4th intercostal space. . deep or perpendicular needling can cause pneumothorax the same caution applies to GB 23 located one cun anterior to GB 22 at the level of he nipple. these two point are needled with a transverse-oblique insertion along the intercostal space

GB 22 & G 23

On the mid-axillary line when the arm is abducted, 3 cun inferior to the axilla, in the 4th intercostal space. . with deep or perpendicular needling may induce a pneumothorax

LU 6

On the palmar aspect of the forearm, on the line joining Lu 9 and Lu 5, 7 cun proximal to Lu 9 (or 5 cun distal to Lu 5). treat: pain in the chest, asthma, spasmodic pain of the elbow and arm

LI 2

On the radial border of the index finger, in a depression just distal to the metacarpo-phalangeal joint. WATER, ying spring, sedation points . ying spring point: LI 2 clears heat, affecting upper part of channel, treats head, face, shoulder and back. LI 2 sedation point (treat excess) expels wind, clears wind, clears heat, reduces swelling and stops pain .

LU 11

On the radial side of the dorsum of the thumb, about 0.1 cun from the proximal corner of the nail. . LU 11 is wood, jing well, a ghost point. LU 11 treats coma, collapse, and fever, treat the upper most reaches the channel treat sore throat, fullness belwo the HT, heart agitation, fullness below the heart, . teat disorders of the spirit, mania, childhood fright. one of the 13 ghost point treat manic depression adn epilepsy. revives consciousness, clears heat and benefits the throat

LI 1

On the radial side of the index finger, about 0.1 cun posterior to the corner of the nail. . metal, jing well, horary points. LI 1 treat coma, collapse, & high fever, . treat the uppermost reaches of the channel , treat painful throat, deafness, tinnitus, toothache. . clears heat, reduces swelling and stops pain, and revives consciousness

LI 3 location

On the radial side of the index finger, in the substantial depression proximal to the head of the second metacarpal bone. wood point & shu stream. shu stream point are where the qi pours thorough. most yang shu-stream points do not treat organ disorders like the yin shu-stream. Most yang stream points treat disorders of the channel, LI 3 clears wind-heat form the head, throat, teeth, eyes, mouth. and treat joint pain . treat difficulty flexing & extending fingers. expels wind-heat, clears heat & benefits the throat and teeth, dispels fullness & treats diarrhea.

HT 9

On the radial side of the little finger, about 0.1 cun from the proximal radial corner of the nail. wood, jing well, tonification points , Jing well point clears heat, restore consciousness, HT 9 treat coma, collapse, and high fever, treat upper most reaches o the HT 9 treat pain at root of tongue, swollen tongue, throat painful obstruction. treat HT pain, mania, revives consciousness, clears heat, benefit the tongue, eyes and throat, regulates the HT qi and calms the spirit

HT 9

On the radial side of the little finger, about 0.1 cun from the proximal radial corner of the nail. treat: Palpitation, mania, febrile diseases

HT 4

On the radial side of the tendon of flexor carpi ulnaris, 1.5 cun proximal to HT-7 . Metal, jing river, points. HT 4 treat sudden voice loss, treats diseases of the sinew and bones. , treats cold bones, clonic spasm, calms the spirit benefits the voice, relaxes the muscles and sinews.

LI 5

On the radial side of the wrist, in the center of the hollow formed by the tendons of extensor pollicis longus and brevis (anatomical snuffbox) FIRE & JING RIVER points. LI 5 treats cough, fever with sweating, manic ravings, propensity to laugh and treat diseases of the sinew and bones, tx wrist pain, construction the five fingers, difficulty raising elbow, clear heat, stops pain, clears yanging fire, calms the spirit and benefits the wrist joint.

PC 3

On the transverse cubital crease, at the ulnar side of the tendon of m. biceps brachii. . water & her-sea points where the qi goes inward . he-sea points treat counterflow qi, diarrhea, or diseases arising from an irregular diet (PC 3 treats diarrhea, vomiting) skin disorders, wind-rash. PC 3 clears heat from the qi, nutritive, & blood levels, harmonises the ST and intestines, stops vomting., activates the channel and stops pain

PC 3

On the transverse cubital crease, at the ulnar side of the tendon of the biceps brachii muscle. treat: Cardiac pain, palpitation, tremor of the hand and arm

ST 44

Proximal to the web margin between the 2nd and 3rd toes, in the depression distal and lateral to the 2nd metatarsodigital joint. treat: toothache, epistaxis, diarrhea, febrile diseases

accordign to TCN if a pt has a stong pulse in the Gate positon wich point would you choose.

Sedate ST 45. "classic of difficulties" guan =bar=gate=middle=2nd position

ulnar nerve

Sensory-motor nerve that, with its branches, affects the little-finger side of the arm and palm of the hand.

SI 14

Should be needled with an oblique medial insertion towards the spine.

according to TCM five element theory, if a patient has a strong pulse in the foot position of the right wrist, which o the following point would you needle?

When there is an excess in an organ, sedate the point on its channel associated withits child element, five-elements pulses diagnosis uses the pulse position form the Sedatio of TB 10 . "Classic of difficulties" Chi=foot, rear = 3rd position.

Ying Spring Points

Where the Qi of the Channel trickles Located just proximal to the Jing-well points Actions & Effects Clears heat from the meridian/organ Effect on the opposite end of the channel (less than Jing-well) Clears Heat over the entire course of the channel (Jing-well works on the distal end)

deep insertion on RN 4, RN 3, RN 2 MAY penetrate

a full bladder . RN 2 & RN 3 NEEDLED WITH A PERPENDICULAR INSETON RN 4 : needled with a perpendicular insertion or with an oblique insertion directed inferiorly

ulnar artery

artery that supplies blood to the muscle of the little finger side of the arm and palm of the hand

HT 7

at ulnar end of transverse crease of wrist in depression on radial side of tendon of flexor carpi ulnaris . earth, yuan source, shu-stream, and sedation point . shu-stream: where qi pours thorugn . Yin Shu stream: treat disorders of the zang HT 7 tonifies and nourishes the HT and the Yin channel. Yuan source: where the yuan qi, originating Ki and transmitted to the points via the envoy the sanjiao, surfaces and Lingers. HT 7 is a sedation point: treat sexcess as it is an earth point on a fire meridian. (earth is the son of the fire) HT 7 calms the spirit and regulates and tonifies the HT .