The Channel Colin Chan

THE SMALL INTESTINE CHANNEL OF HAND-TAIYANG PART 1

General Information of the Small Instestine (TCM) The Small Intestine Channel of Hand-TaiYang General Information of the Small Instestine (TCM) It is located in the abdomen, connected with the stomach at the pylorus in the upper and the large intestine at the ileocecal junction at the lower abdomen. Physiological functions of the Small Intestine (TCM) To receive the chyle. To separate lucid from turbid. Relationship of the Small Intestine to other organs (TCM) Internal-External related with the Heart. Copy right: Colin Chan

The Small Intestine Channel of Hand-TaiYang Route Surface pathway The Small Intestine channel starts from the tip of the little finger, runs upwards along the ulnar side of the hand, along junction of the red and white skin and reaches the wrist. It continues from the styloid process of the ulnar, ascends upward along the posterior border of the ulnar aspect of the forearm. It passes between the olecranon of the ulnar and the medial epicondyle of the humerus and climbs along the posterior border of the lateral aspect of the upper arm to the shoulder join. 4 3 2 1 Copy right: Colin Chan

The Small Intestine Channel of Hand-TaiYang Route It continues to zig-zag along the scapula region, reaches the superior aspect of the shoulder and turns anteriorly downwards to the SC fossa; enters the thoracic cavity and connects with the heart. It continues to descend along the esophagus, through the diaphragm, reaches the stomach and enters the Small Intestine where it pertains. 5 4 6 7 Copy right: Colin Chan

Route-Branch 10 A branch arises from the SC fossa, moves upwards along the neck to the cheek, reaches the outer canthus and goes into the ear. Another branch arises from the cheek region, runs upwards to the zygoma bone reaching the lateral aspect of the nose and ends at the inner canthus (Joins with the Bladder channel). 11 9 8 Copy right: Colin Chan

Principal Syndrome Sore-throat, stiff and pain of the neck. Swelling of chin and cheek. Severe pain of shoulder and posterior aspect of the upper extremity. Deafness, tinnitus.

Commonly used acupoint SI 1 Shaoze 少泽 Location : On the ulnar aspect of the distal phalanx of the little finger, acupoint is located 0.1 cun distance from the corner of the nail. Classification: Jing-Well point. Approach: shallow insertion technique, prick to bleed. 少为小, 泽为 经起之初 故为少泽 Copy right: Colin Chan

Commonly used acupoint SI 2 Qiangu 前谷 Location : On the ulnar aspect of the hand, acupoint is located distal to the 5th MCP joint, at the end of (distal to) the transverse crease of the MCP joint, at the junction of red and white skin when a loose fist is made. Classification: Ylng-Spring point. Approach: perpendicular insertion technique, 0.2-0.3 cun. 穴在第五指掌关节之前, 形凹陷如山谷 故为前谷 Copy right: Colin Chan

Commonly used acupoint SI 3 Houxi 后溪 Location : On the ulnar aspect of the hand, acupoint is located proximal to the 5th MCP, at the top of the transverse crease of the palm, at the junction of red and white skin when a loose fist is made. Classification: Shu-Stream point and one of the 8 confluent point linking with the GV. Approach: perpendicular insertion technique, 0.5-0.8 cun. 穴在小指本节之后的凹线, 形如小溪 故为后溪 Copy right: Colin Chan

Commonly used acupoint SI 4 Wangu 腕骨 Location : On the ulnar aspect of the hand, acupoint is located in the depression between the 5th metacarpal bone and the hamate bone at the junction of red and white skin. Classification: Yuan-Source point. Approach: perpendicular insertion technique, 0.3-0.5 cun. 穴即因其近于腕骨而得名 故为腕骨 Copy right: Colin Chan

Commonly used acupoint SI 5 Yanggu 阳谷 Location : On the ulnar aspect of the wrist, acupoint is located in the depression between the styloid process of the ulnar and the triquetral bone. Classification: Jing-River point. Approach: perpendicular insertion technique, 0.3-0.5 cun. 穴即因其在腕关节阳侧凹陷中 故为阳谷 Copy right: Colin Chan

Commonly used acupoint SI 6 Yanglao 养老 Location : On the dorsal ulnar aspect of the forearm, acupoint is located in the depression on the radial aspect of the proximal end of the capticulum (小头) of the ulnar. Classification: Xi-Cleft point. Approach: perpendicular insertion technique, 0.5-0.8 cun. 穴属小肠经, 小肠能吸水谷, 转化成 精以养身抗老 故为养老 Copy right: Colin Chan

Commonly used acupoint SI 7 Zhizheng 支正 Location : On the dorsal ulnar aspect of the forearm, acupoint is located 5 cun above the dorsal transverse crease of the wrist, on the line joining SI 5 Yanggu 阳谷and SI 8 Xiaohai 小海. Classification: Luo-Connecting point. Approach: perpendicular / oblique insertion technique, 0.5-0.8 cun 支指离, 正指正经 小肠之络在此络于心经 故为支正 Copy right: Colin Chan

The Collateral route of SI channel SI 7 Zhizheng 支正 Zhizheng: Is assigned as the Luo-Connecting point of the SI channel. Its route as a collateral starts from 5 cun above the wrist and it disperse into the forearm to link with the HT channel. A branch runs upwards along the ulnar aspect of the forearm, crosses the elbow region and has a connection relationship with LI 15 at the shoulder/scapular region. (A branch of the BL channel runs along the shoulder and scapular region). Copy right: Colin Chan

Commonly used acupoint SI 8 Xiaohai 小海 Location : On the elbow region, acupoint is located in the depression between the olecranon of the ulnar and the medial epicondyle of the humerus when the elbow is flexed. Classification: He-Sea point. Approach: perpendicular technique, 0.3- 0.5 cun. 穴在肘内大骨外凹陷中, 曲肘乃得 其处凹陷如海, 穴属小肠之合穴 故为小海 Copy right: Colin Chan

Commonly used acupoint SI 9 Jianzhen 肩贞 Commonly used acupoint Location : On the posterior aspect of the upper arm, acupoint is located posterior and inferior to the shoulder joint, 1 cun above the posterior end (top) of the axillary fold. Classification: - Approach: perpendicular technique, 1.0- 1.5 cun 贞, 指正. 穴当夹臂缝中 举手与垂手皆不移其陷中, 清静而贞 故为肩贞 Copy right: Colin Chan

Commonly used acupoint SI 10 Naoshu nao俞 Location : On the posterior aspect of the shoulder, acupoint is located directly above the posterior end (top) of the axillary fold, in the depression inferior to the scapular spine. Classification: Crossing point of SI channel, BL channel, Yang Link, Yang Heel vessels. Approach: perpendicular technique, 0.5- 1.2 cun. Nao, 为肉不着骨, 俞为通透之意 此穴有透骨通筋之功 故为 nao俞 Copy right: Colin Chan

Commonly used acupoint SI 11 Tianzhong 天宗 Location : In the region of the scapula, acupoint is located in the depresssion in the center of the sub-scapular fossa (at the junction of the upper 1/3 and lower 2/3 on the line between the lower border of the scapular spine and the inferior angle of the scapular) at the level with spinous process of T4. Classification: - Approach: perpendicular / oblique insertion technique, 0.5-1.0 cun. T4 上部为天, 遵属为宗. 穴治颊额肩臂上 肢之疾, 宗此针之而愈 故为天宗 Copy right: Colin Chan

Commonly used acupoint SI 12 Bingfeng 秉风 Location : In the region of the scapular, acupoint is located in the center of the supra-scapular fossa, directly above SI 11Tianzhong 天宗 , in the depression when the arm is lifted. Classification: Crossing point of the 3 Yang channels of the hand and GB channel. Approach: perpendicular / oblique insertion technique, 0.3-0.5 cun. 秉主掌握 穴治风邪之疾 故为秉风 Copy right: Colin Chan

Commonly used acupoint SI 13 Quyuan 曲垣 Commonly used acupoint Location : In the region of the scapular, acupoint is located on the medial end of the supra-scapular fossa, midpoint between the SI 10 Naoshu and the spinous process of T2. Classification: - Approach: perpendicular / oblique insertion technique, 0.5-0.8 cun. T2 曲垣有墙之意 穴在肩胛岗上窝凹曲处, 弯弯如墙 故为曲垣 Copy right: Colin Chan

Commonly used acupoint SI 14 Jianwaishu 肩外俞 Commonly used acupoint T1 Location : On the back, acupoint is located 3 cun lateral to the lower border of the spinous process of T1. Classification: - Approach: oblique insertion technique, 0.5-0.8 cun. 穴在肩胛上廉, 主治肩胛外部疼痛 故为肩外俞 Copy right: Colin Chan

Commonly used acupoint SI 15 Jianzhongshu 肩中俞 Commonly used acupoint Location : On the back, acupoint is located 2 cun lateral to the lower border of the spinous process of C7. Classification: - Approach: oblique insertion technique, 0.5-0.8 cun. 穴在肩井与大椎连线中点 主治肩胛疼痛 故为肩中俞 Copy right: Colin Chan

Commonly used acupoint SI 17 Tianrong 天容 Location : On the lateral aspect of the neck, acupoint is located posterior to the angle of the mandible, in the depression of the anterior border of the m. sternocleidomastoideus. Classification: - Approach: oblique insertion technique, 0.5-0.8 cun. 容, 容纳, 引申为治疗 穴居天部, 主治头项,耳部,口部疾病 故为天容 Copy right: Colin Chan

Commonly used acupoint SI 18 Quanliao 颧蓼 Commonly used acupoint Location : On the face, acupoint is located in the depression on the lower border of the zygoma, directly below the outer canthus. Classification: Crossing point of the TE and SI channel. Approach: perpendicular insertion technique, 0.3-0.5 cun. 颧为颧骨,蓼为骨之凹陷处 穴居颧骨尖处凹陷中 故为颧蓼 Copy right: Colin Chan

Commonly used acupoint SI 19 Tinggong 听宫 Location : On the region of the face, acupoint is located in the depression anterior to the tragus and posterior to the condyloid process of the mandible when the mouth is open. Classification: Crossing point of the TE, GB and SI channel. Approach: perpendicular insertion technique, 1.0-1.5 cun. 宫指要处 穴居耳屏前方, 主治耳聋耳疾 故为 听宫 Copy right: Colin Chan

END OF PART 1 Copy right: Colin Chan

THE SMALL INTESTINE CHANNEL OF HAND-TAIYANG PART 2: TUITORIAL Copy right: Colin Chan

The Small Intestine Channel of Hand-Taiyang S.Intestine (TaiYang) S.Intestine (TaiYang) Tutorial 1 Starts: Tip of the little finger Pertain: Small Intestine Runs: along the ulnar aspect of the hand, ulnar posterior border of the ulnar aspect of the forearm, climbs along the posterior border of the posterior aspect of the upper arm to the shoulder join, enters the SC fossa, into the chest and down to the small intestine Ends: anterior to the tragus. 7 4 2 5 3 3 6 4 5 6 7 2 1 Copy right: Colin Chan

Tutorial Communicates: Communicates with Heart channel through SI 7 Zhizheng 支正 Breaks/Joins: channel breaks at the cheek and joins the Bladder channel at the inner canthus Acupoints: total 19 acupoints. Copy right: Colin Chan

COMMON CLINICAL POINTS SI 1 Shaoze 少泽 SI 3 Houxi 后溪 SI 4 Wangu 腕骨 SI 7 Zhizheng 支正 SI 11 Tianzhong 天宗 SI 18 Quanliao 颧蓼 SI 19 Tinggong 听宫 Copy right: Colin Chan

OVERVIEW OF MEDICAL CONDITION POINTS ON HAND, ARM AND ELBOW MAIN TX: HEAD, NECK, EYE, EAR, THROAT, FEBRILE DISEASE SHOULDER AND SCAPULAR MAIN TX: REGIONAL ILLNESS NECK MAIN TX: THROAT AND EAR FACE MAIN TX: MOUTH, TOOTH AND EAR Copy right: Colin Chan

PRECAUTIONS POINTS ON NECK AND FACE NO THRUSTING Copy right: Colin Chan

END OF PART 2 Copy right: Colin Chan