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THE SANJIAO CHANNEL OF HAND SHAOYANG

THE SANJIAO CHANNEL OF HAND SHAOYANG. Presented By- Dr. M. K. Sastry. THE SANJIAO PRIMARY CHANNEL. begins at the ulnar aspect of the tip of the ring finger and runs between the fourth and fifth metacarpal bones along the dorsum of the hand ,. THE SANJIAO PRIMARY CHANNEL.

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THE SANJIAO CHANNEL OF HAND SHAOYANG

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  1. THE SANJIAO CHANNEL OF HAND SHAOYANG Presented By- Dr. M. K. Sastry

  2. THE SANJIAO PRIMARY CHANNEL • begins at the ulnar aspect of the tip of the ring finger and runs between the fourth and fifth metacarpal bones along the dorsum of the hand,

  3. THE SANJIAO PRIMARY CHANNEL • travels up the posterior aspect of the forearm between the radius and the ulna and between the Large and Small Intestine channels, • traverses the olecranon of the ulna at TianjingSJ-10 and continues up the postero-lateral aspect of the upper arm to the shoulder where it intersects the Small Intestine channel at Bingfeng SI-12,

  4. THE SANJIAO PRIMARY CHANNEL • travels towards the spine via Dazhu BL-11 where it intersects the Governing vessel at Dazhui DU-14, • ascends laterally to the highest point of the shoulder where it intersects the Gall Bladder channel at JianjingGB-21, • descends anteriorly into the supraclavicular fossa at QuepenST-12, then disperses midway between the breasts at Shanzhong REN-17,

  5. THE SANJIAO PRIMARY CHANNEL • connects with the Pericardium then descends through the diaphragm to the abdomen via ZhongwanREN-12, linking along its pathway the upper, middle and lower jiao. A branch of the channel • separates in the region of Shanzhong REN-17, • ascends to emerge from the supraclavicular fossa,

  6. THE SANJIAO PRIMARY CHANNEL A branch of the channel • rises along the neck to the posterior aspect of the ear, • circles behind the ear via Touqiaoyin GB-11 to the temples where it intersects the Gall Bladder channel at XuanliGB-6, Xuanlu GB-5, Hanyan GB-4 and YangbaiGB-14, • winds down across the cheek, intersecting the Small Intestine channel at Quanliao SI-18,

  7. THE SANJIAO PRIMARY CHANNEL A branch of the channel • ascends to the inferior aspect of the eye. Another branch • separates behind the ear and enters the ear, • emerges in front of the ear to intersect the Small Intestine and Gall Bladder channels at TinggongSI-19 and Shangguan GB-3,

  8. THE SANJIAO PRIMARY CHANNEL Another branch • crosses the previous branch on the cheek to terminate at the outer canthus of the eye at SizhukongSJ-23, linking with Tongziliao GB-1.

  9. THE SANJIAO LUO-CONNECTING CHANNEL • separates from the Sanjiao primary channel at WaiguanSJ-5, • proceeds up the posterior aspect of the arm and over the shoulder, converging with the Pericardium channel in the chest.

  10. THE SANJIAO DIVERGENT CHANNEL • separates from the primary channel on the head and branches to the vertex, • descends into the supraclavicular fossa and across the three jiao, dispersing in the chest.

  11. THE SANJIAO SINEW CHANNEL • begins at the ulnar side of the ring finger and binds at the dorsum of the wrist, • follows the posterior aspect of the arm and binds at the tip of the elbow, • ascends the lateral aspect of the upper arm and over the shoulder to the neck where it joins with the Small Intestine sinew channel.

  12. THE SANJIAO SINEW CHANNEL A branch • separates at the angle of the mandible and enters internally to link with the root of the tongue.

  13. THE SANJIAO SINEW CHANNEL Another branch • ascends anterior to the ear to join at the outer canthus of the eye, • then ascends across the temple to bind at the corner of the forehead.

  14. GUANCHONG SJ-1 Rushing Pass

  15. GuanchongSJ-1 LOCATION On the dorsal aspect of the ring finger, at the junction of lines drawn along the ulnar border of the nail and the base of the nail, approximately 0.1 cun from the corner of the nail.

  16. GuanchongSJ-1 NEEDLING Perpendicular or oblique insertion directed proximally 0.1 to 0.2 cun, or prick to bleed. ACTIONS • Clears upper jiao heat • Benefits the ears and tongue • Activates the channel and alleviates pain

  17. GuanchongSJ-1 INDICATIONS • Tinnitus, deafness, earache, stiff tongue, curled tongue, pain at the root of the tongue, cracked tongue, dryness of the mouth, dry lips, bitter taste in the mouth, headache, wind dizziness and headache, redness of the eyes, superficial visual obstruction, throat painful obstruction, pain of the submandibular region, dark complexion.

  18. GuanchongSJ-1 INDICATIONS • Febrile disease, congested heat of the Sanjiao, congested heat of the upper jiao, heat in the body like fire, fever, fever with absence of sweating, chills and fever, fever with agitation, oppression of the Heart with absence of sweating, Heart pain.

  19. GuanchongSJ-1 INDICATIONS • Sudden turmoil disorder, vomiting of sour fluid, no pleasure in eating. • Pain of the elbow and shoulder, pain of the shoulder and back with inability to turn and look backwards.

  20. GuanchongSJ-1 COMBINATIONS • Deafness: Guanchong SJ-1 and ZuqiaoyinGB-44 (Spiritual Pivot). • Tinnitus and deafness: Guanchong SJ-1, XiaguanST-7, YangxiL.I.-5, Yemen SJ-2 and Yanggu SI-5 (Systematic Classic).

  21. GuanchongSJ-1 COMBINATIONS • Ear pain, deafness and tinnitus: GuanchongSJ-1, Yemen SJ-2, Zhongzhu SJ-3, Tianchuang SI-16 and Yangxi L.I.-5, (Thousand Ducat Formulas). • Wind dizziness and headache: GuanchongSJ-1, Kunlun BL-60, Tianyou SJ-16, Fengmen BL-12 and GuanyuanREN-4 (Thousand Ducat Formulas).

  22. GuanchongSJ-1 COMBINATIONS • Throat painful obstruction, curled tongue and dry mouth: Guanchong SJ-1, Zuqiaoyin GB-44 and ShaozeSI-1 (Thousand Ducat Formulas). • Flaccid tongue with inability to speak: GuanchongSJ-1 and Yamen DU-15 (One Hundred Symptoms).

  23. GuanchongSJ-1 COMBINATIONS • Wasting and thirsting disorder with great desire to drink: Guanchong SJ-1, Chengjiang REN-24, RanguKID-2 and Yishe BL-49 (Thousand Ducat Formulas). • Heat sensation of the shoulder with inability to turn the head: Guanchong SJ-1, Jianzhen SI-9 and JianyuL.I.-15 (Thousand Ducat Formulas).

  24. YEMEN SJ-2 Fluid Gate

  25. Yemen SJ-2 LOCATION Between the ring and little fingers, 0.5 cun proximal to the margin of the web.

  26. Yemen SJ-2 LOCATION NOTE This point is usually located and needled with the hand resting in a loose fist; the point may then be located at the proximal end of the visible crease formed by the web space.

  27. Yemen SJ-2 NEEDLING Perpendicular insertion 0.3 to 0.5 cun. ACTIONS • Disperses upper jiao heat and benefits the ears • Calms the spirit • Activates the channel and alleviates pain

  28. Yemen SJ-2 INDICATIONS • Deafness, sudden deafness, tinnitus, earache, headache, red eyes, red face with lacrimation, dry eyes, swelling and pain of the throat, toothache, bleeding gums, pain of the gums. • Fright palpitations, raving, mania, propensity to fright, epilepsy, shortness of breath.

  29. Yemen SJ-2 INDICATIONS • Malaria, fever with absence of sweating. • Pain of the arm, inability to raise the arm due to pain, redness and swelling of the back of the hand, contraction of the five fingers, weakness of the wrist, neck pain.

  30. Yemen SJ-2 COMBINATIONS • Ear pain, deafness and tinnitus: Yemen SJ-2, TianchuangSI-16, YangxiL.I.-5, Guanchong SJ-1 and ZhongzhuSJ-3 (Thousand Ducat Formulas). • Tinnitus and deafness: Yemen SJ-2, GuanchongSJ-1, Yangxi L.I.-5, Xiaguan ST-7 and Yanggu SI-5 (Systematic Classic).

  31. Yemen SJ-2 COMBINATIONS • Sudden deafness: Yemen SJ-2 and SanyangluoSJ-8 (Supplementing Life). • Throat pain: Yemen SJ-2 and Yuji LU-10 (One Hundred Symptoms).

  32. Yemen SJ-2 COMBINATIONS • Toothache of the lower jaw: Yemen SJ-2, YangguSI-5, Shangyang L.I.-1, ErjianL.I.-2 and Sidu SJ-9 (Thousand Ducat Formulas). • Fright palpitations: Yemen SJ-2, Tianjing SJ-10, BaihuiDU-20 and Shendao DU-11 (Supplementing Life).

  33. ZHONGZHU SJ-3 Central Islet

  34. ZhongzhuSJ-3 LOCATION On the dorsum of the hand, in the depression just proximal to the fourth and fifth metacarpo-phalangeal joints.

  35. ZhongzhuSJ-3 LOCATION NOTE • Locate and needle with the hand resting in a loose fist; • This point may be located at the apex of an equilateral triangle formed by this point and the prominences of the metacarpo-phalangeal joints of the ring and little fingers.

  36. ZhongzhuSJ-3 NEEDLING • Perpendicular or oblique insertion directed proximally, • 0.5 to 1 cun.

  37. ZhongzhuSJ-3 ACTIONS • Clears heat • Benefits the ears • Clears the head and eyes • Activates the channel and alleviates pain

  38. ZhongzhuSJ-3 INDICATIONS • Tinnitus, deafness, earache, one-sided headache, pain of the temples, dizziness, redness and pain of the eyes, superficial visual obstruction, throat painful obstruction. • Itching of the body and face, red face, red face with absence of sweating, febrile disease, febrile disease with headache, chills and fever, aversion to wind and cold, chronic malaria, mania.

  39. ZhongzhuSJ-3 INDICATIONS • Inability to flex and extend the fingers, redness, swelling and pain of the elbow and upper arm extending into the shoulder, numbness of the four limbs, pain of the spine at the level of the Heart.

  40. ZhongzhuSJ-3 COMBINATIONS • Deafness: Zhongzhu SJ-3, Waiguan SJ-5, ErheliaoSJ-22, TinghuiGB-2, Tinggong SI-19, HeguL.I.-4, ShangyangL.I.-1 and Zhongchong P-9 (Precious Mirror). • Deafness and tinnitus: Zhongzhu SJ-3, TianrongSI-17, Tinggong SI-19 and Tinghui GB-2 (Thousand Ducat Formulas).

  41. ZhongzhuSJ-3 COMBINATIONS • Tinnitus: Zhongzhu SJ-3, Tinggong SI-19, TinghuiGB-2, Ermen SJ-21, Baihui DU-20, LuoqueBL-8, Yangxi L.I.-5, Qiangu SI-2, Houxi SI-3, Wangu SI-4, Yemen SJ-2, ShangyangL.I.-1 and ShenshuBL-23 (Great Compendium).

  42. ZhongzhuSJ-3 COMBINATIONS • Ear pain, deafness and tinnitus: ZhongzhuSJ-3, GuanchongSJ-1, Yemen SJ-2, Tianchuang SI-16 and Yangxi L.I.-5, (Thousand Ducat Formulas). • Visual dizziness: Zhongzhu SJ-3 and ToulinqiGB-15 (Supplementing Life).

  43. ZhongzhuSJ-3 COMBINATIONS • Throat pain: Zhongzhu SJ-3, Zhigou SJ-6 and NeitingST-44 (Thousand Ducat Formulas). • Swelling of the throat: Zhongzhu SJ-3 and TaixiKID-3 (Supplementing Life). • Chronic malaria: Zhongzhu SJ-3, ShangyangL.I.-1 and Qiuxu GB-40 (Great Compendium).

  44. ZhongzhuSJ-3 COMBINATIONS • Malaria with generalised fever: ZhongzhuSJ-3, YinduKID-19, Shaohai HE-3, ShangyangL.I.-1 and Sanjian L.I.-3 (Supplementing Life). • Inability to bend the elbow and fingers: ZhongzhuSJ-3, QuchiL.I.-11, ShousanliL.I.-10 and WaiguanSJ-5 (Great Compendium).

  45. ZhongzhuSJ-3 COMBINATIONS • Pain of the elbow, at times cold: Zhongzhu SJ-3, QuchiL.I.-11, Guanchong SJ-1, ShousanliL.I.-10, YangguSI-5 and Chize LU-5 (Thousand Ducat Formulas). • Contraction of the five fingers with inability to flex and extend: Zhongzhu SJ-3 and Wangu SI-4 (Thousand Ducat Formulas).

  46. YANGCHI SJ-4 Yang Pool

  47. Yangchi SJ-4 LOCATION On the dorsum of the wrist, at the level of the wrist joint, in the depression between the tendons of extensor digitorumcommunis and extensor digitiminimi.

  48. Yangchi SJ-4 LOCATIONNOTE Follow the interspace between the fourth and fifth metacarpals proximally from Zhongzhu SJ-3 into the depression at the level of the wrist joint. This depression may be more clearly defined by extending the wrist and fingers, but the point should subsequently be needled with the tendons relaxed.

  49. Yangchi SJ-4 NEEDLING • Slightly oblique proximal insertion 0.3 to 0.5 cun; • Transverse insertion towards the radial side of the wrist beneath the tendons, 0.5 to 1 cun. ACTIONS • Relaxes the sinews and alleviates pain • Clears heat

  50. Yangchi SJ-4 INDICATIONS • Swelling and pain of the neck, pain of the shoulder and arm, weakness and pain of the wrist, redness and swelling of the wrist. • Deafness, throat painful obstruction. • Wasting and thirsting disorder, malaria, febrile disease with absence of sweating.

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