WAIGUAN SJ

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WAIGUAN SJ Powered By Docstoc
					     L. Intestine
 CONTENTS
    CONTENTS
   CONTENTS
    CONTENTS                  Points Index General Index Indications Index Point Names Index Glossary
                                 Points Index General Index Indications Index Point Names Index Glossary
                                 Points Index General Index Indications Index Point Names Index Glossary
                                  Points Index General Index Indications Index Point Names Index Glossary
   CONTENTS
     CONTENTS                   Points Index General Index Indications Index Point Names Index Glossary
                                  Points Index General Index Indications Index Point Names Index Glossary
     Stomach                  Combinations Index                         Previous Point Next Point
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Sanjiao Channel
                                 Combinations Index
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                                  Combinations Index     See Notes          Previous Point Next Point
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     Spleen
     Heart
  S. Intestine
WAIGUAN SJ-5                                                  ACTIONS
    Bladder
Outer Pass                                                    Expels wind and releases the exterior
    Kidney                                                    Benefits the head and ears
Luo-Connecting point of the Sanjiao channel
    Pericardium                                               Opens the Yang Linking vessel
Confluent point of the Yang Linking vessel
     Sanjiao                                                  Clears heat
                                                              Activates the channel and alleviates pain
     Gall Bladder
LOCATION
2 cunLiver
      proximal to Yangchi SJ-4, in the depression between     INDICATIONS
     Conception
the radius and the ulna, on the radial side of the extensor   • Injury by cold, chills and fever, sweating with heat
digitorum communis tendons.
     Governing                                                  on the exterior, febrile disease.
     Extra Points                                             • Headache, thunder head wind, head wind, Kidney
                                                                deficiency headache, one-sided headache, pain of the
                                                                vertex, frontal headache, pain of the nape, dizziness,
                                                                phlegm inversion dizziness, wind dizziness, hyper-
                                                                tension.
                                                              • Deafness, impaired hearing, tinnitus, pain of the ear,
                                                                itching of the ear, redness, pain and swelling of the
                                                                root of the ear.
                                                              • Redness, pain and swelling of the eyes, cold and pain
                                                                of the eyes, superficial visual obstruction, lacrimation
                                                                on exposure to wind, cold lacrimation.
                                                              • Swelling and pain of the cheek, stiffness of the
     10 c




                                                                tongue with difficulty in speaking, toothache, ulcera-
         un




                                                                tion of the mouth, cracked lips, nosebleed, scrofula,
                                                                mumps.
                                                              • Constipation, abdominal pain, oppression and tight-
                                             Waiguan SJ-5       ness of the chest, pain of the lateral costal region,
              2 cu




                                                                vomiting blood, knotting of heat in the five zang and
               n




                                              Yangchi SJ-4      six fu.
                                                              • Pain of the shoulder and back, stiff neck, pain of the
                                                                ribs and lateral costal region, numbness and pain of
                                                                the elbow and arm, contraction of the elbow, flaccid-
                                                                ity of the elbow, soreness and heaviness of the elbow
                                                                and wrist, swelling and redness of the arm, paralysis
                                                                and numbness of the arm, hemiplegia, severe pain of
                                                                the fingers with inability to grasp objects, coldness,
                                                                numbness and pain of the hands and feet, tremor of
                                                                the hand, redness, swelling and pain of the ankle,
                                                                pain of the toes, pain of the hundred joints.

LOCATION NOTE                                                 COMMENTARY
The point is located between the radius and the extensor      Waiguan SJ-5, the confluent point of the Yang Linking
digitorum communis tendons, close to the border of the        vessel, is the most important and frequently used distal
radius.                                                       point of the Sanjiao channel with wide clinical applica-
                                                              tion. The Yang Linking vessel, which has no points of its
NEEDLING                                                      own, links the six yang channels and the Governing
i. Slightly oblique insertion towards the ulnar side or       vessel. Yang corresponds to the exterior while yin corre-
oblique proximal or distal insertion towards the elbow or     sponds to the interior, and the yang channels as a whole
wrist respectively, 0.5 to 1.5 cun, ii. Joined by through-    therefore relate more to the exterior portion of the body.
needling to Neiguan P-6.                                      According to the Classic of Difficulties7 “when the Yang
Caution: movement of the patient’s arm or hand after          Linking vessel is diseased, there will be severe chills and
needling this point can result in a bent needle.              fever”, whilst the Song of Points for Miscellaneous Diseases
   L. Intestine
 CONTENTS
    CONTENTS
   CONTENTS
    CONTENTS                    Points Index General Index Indications Index Point Names Index Glossary
                                   Points Index General Index Indications Index Point Names Index Glossary
                                   Points Index General Index Indications Index Point Names Index Glossary
                                    Points Index General Index Indications Index Point Names Index Glossary
   CONTENTS
   CONTENTS
    CONTENTS                       Points Index General Index Indications Index Point Names Index Glossary
                                  Points Index General Index Indications Index Point Names Index Glossary
                                   Points Index General Index Indications Index Point Names Index Glossary
   Stomach                      Combinations Index                         Previous Point Next Point
2                                  Combinations Index
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                                    Combinations Index   See Notes            Previous Point Next Point
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                                                                              Previous Point Next Point Channel
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                                                                                                Sanjiao
   Spleen
   Heart
    S. Intestine
says “use Waiguan SJ-5 for all wind, cold, summer-heat            ney deficiency, head wind and ‘thunder head wind’ (se-
andBladder
     damp pathogens, headaches and fever”. In the Ode of          vere headache with a thundering sound in the head). The
    Kidney
the Obstructed River the use of Waiguan SJ-5 is referred to       widespread action of Waiguan SJ-5 on such varied kinds
as one of the ‘eight therapeutic methods’. In this descrip-
    Pericardium                                                   of headache may be explained by a number of different
     of the
tionSanjiaoapplication of the eight confluent points of the       factors: i. as stated above, Waiguan SJ-5 is an important
extraordinary vessels to affect specific symptoms and             point to expel pathogenic factors and may be used in the
    Gall Bladder
areas of the body, Waiguan SJ-5 is indicated for injury by        treatment of headache due to penetration by wind-cold,
    Liver
cold to the exterior accompanied by headache. These               wind-heat or wind-damp; ii. the Yang Linking vessel
    Conception
classical references emphasise two of the principle appli-        links all the yang channels (the occipital region is gov-
cations of Waiguan SJ-5 namely: i. dispelling exterior
    Governing                                                     erned by the Governing vessel and taiyang channel, the
pathogenic factors, and ii. treating headache.
    Extra Points                                                  temporal region by the Yang Linking vessel and shaoyang
   Exterior pathogenic factors attack the superficial por-        channel, and the frontal region by yangming channel); iii.
tion of the body first, giving rise to the typical symptoms       the Sanjiao channel specifically connects with such im-
of chills and fever, and at this stage of progression the         portant points for headaches as Benshen GB-13 through to
treatment principle is to release the exterior. In current        Fengchi GB-20, Touwei ST-8 and Fengfu DU-16; iv. the
clinical practice some authorities emphasise the special          Sanjiao and Gall Bladder shaoyang channels are linked
ability of Waiguan SJ-5 to resolve wind-heat and Hegu             according to six channel theory, and the Sanjiao channel
L.I.-4 to resolve wind-cold, whilst others take the opposite      intersects the Gall Bladder channel at points Tongziliao
view. This inevitably raises the question of when to use          GB-1, Shangguan GB-3, Hanyan GB-4, Xuanli GB-6 and
Waiguan SJ-5 and when to use Hegu L.I.-4. Although                Jianjing GB-21, whilst the Gall Bladder and Liver channels
there is no clear-cut answer, it is worth noting that whilst      are interiorly-exteriorly coupled. Waiguan SJ-5 is there-
Hegu L.I.-4 is classically indicated for chills and fever         fore an especially important point in the treatment of
accompanied by absence of sweating (characteristic of             headaches due to Liver disharmony, especially when this
wind-cold), the only reference to sweating and Waiguan            gives rise to one-sided temporal headache (shaoyang
SJ-5 in classical sources is ‘sweating with heat on the           region). For this purpose Waiguan SJ-5 is often combined
exterior’ (characteristic of wind-heat). Hegu L.I.-4 be-          with Gall Bladder channel points such as Zulinqi GB-41
longs to yangming channel which dominates the central             (predominantly for headaches due to Liver qi stagnation,
portion of the face and is strongly indicated for patho-          including premenstrual headaches), and Yangfu GB-38
genic factors giving rise to sneezing and nasal discharge,        and Xiaxi GB-43 (predominantly for headaches due to
whilst Waiguan SJ-5 belongs to the Sanjiao channel which          Liver fire or Liver yang rising).
traverses the lateral portion of the neck and is indicated           The Yang Linking vessel passes behind the ear whilst
for swelling of the glands (including scrofula and mumps).        the Sanjiao channel both encircles and enters the ear.
   When wind-dampness attacks the body, in addition to            Waiguan SJ-5 is therefore an important point in the treat-
chills and fever there is typically pain of the joints, and the   ment of various ear disorders including tinnitus, deafness,
Classic of the Jade Dragon recommends Waiguan SJ-5 for            earache and itching of the ear, and along with Zhongzhu
'chills and fever and pain of the hundred joints'. In terms       SJ-3 is one of the principal distal points in the treatment of
of the four levels theory of febrile diseases, Waiguan SJ-5       disorders of this region.
predominantly treats pathogens at the defensive and qi               The Sanjiao channel belongs to fire and its internal
levels. In terms of the Sanjiao theory of differentiating         pathway passes through all the three jiao. According to
fevers, it focuses on the more exterior upper jiao Lung           Methods of Acupuncture and Moxibustion from the Golden
pattern, rather than the Pericardium pattern. This is in          Mirror of Medicine Waiguan SJ-5 resolves knotting of heat
contrast to points of its coupled Pericardium channel,            in the five zang and six fu. Its action on clearing heat from
which predominantly treat pathogens at the nutritive and          the middle and lower jiao is reflected in its ability to treat
blood levels according to four level theory, and the Peri-        constipation, abdominal pain, pain of the lateral costal
cardium pattern according to the Sanjiao theory.                  region and vomiting, but it is especially effective in treat-
   As well as chills and fever, Waiguan SJ-5 is indicated for     ing heat disorders of the head (swelling and pain of the
either wind-cold or wind-heat attacking the eyes and ears         cheek, nosebleed, toothache, ulceration of the mouth,
and giving rise to symptoms such as redness, pain and             cracked lips etc.) and clearing heat and fire poison from
swelling, lacrimation, deafness and tinnitus etc.                 the Sanjiao channel in the neck (scrofula and mumps).
   Waiguan SJ-5 is classically indicated for many different       Waiguan SJ-5 is also a vital point in the treatment of a wide
kinds of headache, including temporal, vertex, frontal            variety of channel disorders affecting the shoulder, arm,
and occipital headaches as well as headache due to Kid-           elbow, wrist, hand and fingers. In this respect it acts
     L. Intestine
 CONTENTS
    CONTENTS
   CONTENTS
    CONTENTS                  Points Index General Index Indications Index Point Names Index Glossary
                                 Points Index General Index Indications Index Point Names Index Glossary
                                 Points Index General Index Indications Index Point Names Index Glossary
                                  Points Index General Index Indications Index Point Names Index Glossary
    CONTENTS
   CONTENTS
    CONTENTS                     Points Index General Index Indications Index Point Names Index Glossary
                                Points Index General Index Indications Index Point Names Index Glossary
                                 Points Index General Index Indications Index Point Names Index Glossary
     Stomach                  Combinations Index
                                 Combinations Index
                                 Combinations Index
                                  Combinations Index                     Previous Point Next Point
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Sanjiao Channel                  Combinations Index
                                Combinations Index
                                  Combinations Index     See Notes          Previous Point Next Point
                                                                            Previous Point Next Point
                                                                             Previous Point Next Point 3
     Spleen
     Heart
      S. Intestine
almost like a point of the hand yangming Large Intestine
      Bladder
channel, and is often incorporated with Jianyu L.I.-15,
      Kidney
Quchi L.I.-11 and Hegu L.I.-4 in the treatment of painful
obstruction, atrophy disorder and hemiplegia of the upper
      Pericardium
       The action of Waiguan SJ-5 on the elbow region is
limb.Sanjiao
emphasised in the Great Compendium of Acupuncture and
      Gall Bladder
Moxibustion which gives specific indications for excess
      Liver
and deficiency of the luo-connecting points. In the case of
      Conception
Waiguan SJ-5 these are contraction of the elbow (excess)
and flaccidity of the elbow (deficiency).
      Governing
   Finally, Waiguan SJ-5 is the luo-connecting point of the
      Extra Points
Sanjiao channel from where the luo-connecting channel
rises to converge with the Pericardium channel in the
chest. Although this strengthens the Sanjiao-Pericardium
relationship, with the exception of oppression and tight-
ness of the chest there are no specific indications of this
linkage. In clinical practice, however, the points Neiguan
P-6 and Waiguan SJ-5 are often joined by through-nee-
dling for pain of the chest which radiates to the back.

COMBINATIONS
• Pain of the head and eyes: Waiguan SJ-5 and Houxi
  SI-3 (Divine Moxibustion).
• Impaired hearing and deafness: Waiguan SJ-5 and
  Huizong SJ-7 (Thousand Ducat Formulas).
• Impaired hearing and deafness: Waiguan SJ-5 and
  Tinghui GB-2 (Supplementing Life).
• Deafness: Waiguan SJ-5, Zhongzhu SJ-3, Shangyang
  L.I.-1, Erheliao SJ-22, Tinghui GB-2, Tinggong SI-19,
  Hegu L.I.-4 and Zhongchong P-9 (Precious Mirror).
• Deafness and tinnitus: Waiguan SJ-5 and Tianchuang
  SI-16 (Supplementing Life).
• Abdominal pain: Waiguan SJ-5 and Daling P-7 (Song
  of the Jade Dragon).
• Abdominal pain and constipation: Waiguan SJ-5,
  Zhigou SJ-6 and Daling P-7 (Ode of the Jade Dragon).
• Pain of the lateral costal region: Waiguan SJ-5,
  Zhigou SJ-6 and Zhangmen LIV-13 (Great Compen-
  dium).
• Inability to bend the elbow and fingers: Waiguan
  SJ-5, Zhongzhu SJ-3, Quchi L.I.-11 and Shousanli
  L.I.-10 (Great Compendium).
• Atrophy disorder and numbness of the arm:
  Waiguan SJ-5, Tianjing SJ-10 and Quchi L.I.-11 (Thou-
  sand Ducat Formulas).
• Sabre lumps of the axilla: Waiguan SJ-5, Zhigou SJ-6,
  Yuanye GB-22 and Zulinqi GB-41 (Illustrated Supple-
  ment).

				
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