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Six Yang meridians (three each for head and foot) of the twelve
regular hand and foot meridians courses directly around the headface and neck. Another six Yin meridians pass through the Yang
meridians of the exterior and the interior to come into contact
with the head-face and neck. Chinese medicine has a saying:
All Yang meridians have confluence on the head. The Ren and
the Du meridians also course and cross on the head-face and
neck.
1) Yintang (EX-HN 3)
No. 3 point of the extra-meridian of the head and neck; it is on the forehead, at the
midpoint between bilateral eyebrows.
4) Touwei (ST 8)
No. 8 point of Stomach Meridian of Foot-Yangming; on the lateral side of the
head, 0.5 cun above the anterior hairline at the corner of the forehead, and 4.5
cun lateral to the middle of the head.
5) Quchai (BL 4)
No. 4 point of Bladder Meridian of Foot-Taiyang; on the head, 0.5 cun directly above
the midpoint of the anterior hairline and 1.5 cuns lateral to the midline, at the junction
of medial third and middle third of the line connecting Shenting (DU24) and Touwei
(ST8).
8) Sishencong (EX-HN 1)
No. 1 point of the extra-meridian of the head and neck, four points on the vertex
of the head, 1 cun anterior, posterior and lateral to Baihui (DU 20).
9) Taiyang (EX-HN 5)
No. 5 point of the extra-meridian of the head and neck; at the temporal part
of the head, between the lateral ends of the eyebrow and outer canthus, in the
depression one fingers breadth behind them.
10) Cuanzhu(BL 2)
No. 2 point of Bladder Meridian of Foot-Taiyang; on the face, in the depression of the
medial end of eyebrow, the supraorbital notch.
11) Yuyao(EX-HN 4)
No. 4 point of the extra-meridian of the head and neck, on the forehead, directly
above the pupil, in the eyebrow.
35) Quanliao(SI 18 )
No. 18 point of Small Intestine Meridian of Hand-Taiyang; directly below
the external canthus on the lower border of the zygomatic bone.
40) Shuaigu(GB 8)
No. 8 point of Gall bladder Meridian of Foot-Shaoyang; above the apex of
the auricles and 1.5 cuns above the natural line of the hair.
The basis of distribution theory for the faces stimulation areas is found more than 2000
years ago in the earliest extant general medical collection in China- The Yellow
Emperors Canon of Internal Medicine (WU SE PIAN ).
The faces stimulation areas, according to WU SE PIAN and clinical experience, are
divided into six parts.
1.The part of Upper-jiao from the horizontal line of the eye-orbital to the anterior hairline (the frontal and ocular zone).
2. The part of Middle-jiao, from the horizontal line of the wing of the nose to the
horizontal line of the eye-orbital (the nasal zone and the zone of zygoma).
3. The part of Lower-Jiao, below the horizontal line of the wing of the nose (the oral
zone and the zone of medial border of the cheek).
4. The part of the spine and the back, in the auditory zone.
5. The part of the upper limb that is the zone of zygoma.
6.The part of the lower limb in the zone of the cheek and the oral zone and mandible.
2). The part of Middle-Jiao----From the horizontal line of the wing of the
nose to the horizontal line of the eye-orbital (The nasal zone and the zone
of medial border of the zygomatic bone)
a) The liver area
Location: at the crossing between the nasal medial lines connecting the two
regions of zygoma.
Indication: the diseases of the liver.
b) The spleen area
Location: slightly above the center of the upper border of the apex of the
nose, called Mian Wang.
Indication: the diseases of the spleen.
c) The biliary area
Location: at both sides of the liver area, directly below the inner
canthus.
Indication: the diseases of the gallbladder.
d) The stomach area
Location: at both side of the spleen area, slightly above the center of the wing
of the nose, directly below the biliary area.
Indication: the diseases of the stomach.
e) The small intestine area
Location: at the medial border of the zygomatic bone and the outside of the
midpoint connecting the stomach area and the biliary area.
Indication: the diseases of the small intestine.
f) The large intestine area
Location: the center of the face, directly below the small intestine area, at the
crossing between the line of the small intestine area and the stomach area.
4). The part of the spine and the back (The auditory zone)
1) The spine and back area
Location: anterior to the tragus, at the middle between the
medial aspect of the tragus and the mandible joint.
Indication: pain in the spine and back.
5). The part of the upper limbs (The zone of zygoma)
a) The shoulder area
Location: at the cheekbone and the below the outer canthus.
Indication: diseases of the shoulder.
b) The arm area
Location: at the posterosuperior of the zygomatic bone,
posterior to the shoulder area, below the border of the
zygomatic bone.
Indication: arm diseases
c) The hand area
Location: below the arm area.
Indication: hand diseases
6).The part of the lower limbs (The zone of the cheek, the oral zone,
and the mandible.)
a) The groin area
Location: 0.5 cun lateral to the angle of the mouth, where the lips meet.
Indication: diseases of the mouth and lips, and pain of the groin area.
b) The thigh area
Location: at the boundary between the upper and middle 1/3 of the line
connecting the auricular lobe and the angle of the mandible.
Indication: diseases of the thigh
c) The knee area
Location: at the boundary between the lower and middle 1/3 of the line
connecting the auricular lobe and the angle of the mandible.
Indication: diseases of the knee
d) The knee and patella area
Location: at the muscular protuberance when the teeth are clenched,
anterior and superior to the angle of the mandible.
Indication: diseases of the knee or patella.
e) The tibia area
Location: anterior to the angle of the mandible, it is at the anterior and
lower area of the knee.
Indication: diseases of the tibia region.
f) The foot area
Location: at the anterior and lower areas of the tibia.
Indication: diseases of the foot.
Rubbing Manipulation
This manipulation is performed by rhythmically rubbing the treatment area in a
circular motion with the palm or the flats of the therapists fingers. Rubbing with the
therapists palm is called palm-rubbing manipulation; rubbing with the tips of fingers
is called fingertips-rubbing manipulation.
The therapist is in a siting position. He lowers his shoulder and drops his elbow
with his forearm in a prone position, palm facing downwards. In palm-rubbing
manipulation, the therapist slightly flexes his wrist with the whole palm pressing on
the affected part. In fingertips-rubbing manipulation, he flexes his wrist about 160
degrees, lifts up his palm, and uses the flats of his fingers as the power-applying
surface. With the synchronized motion of his shoulder, and elbow, and using the
palmar surface as the power center, the therapist continuously proceeds in a circular
motion, either clockwise or counter-clockwise. Rubing manipulation frequency
should be moderate, even and steady, about 100-120 circles per minute.
Rubbing has the effect of relieving the depressed liver and regulating the
circulation of qi, warming the middle-jiao and regulating the stomach, invigorating
the spleen, promoting digestion, removing stagnant food, and regulating
gastrointestinal peristalsis.
Patting Manipulation
The manipulation of patting-hitting with cupped palms on the body surface is
called patting manipulation or patting-hitting manipulation.
The therapist can be either in a sitting or a standing position. During treatment,
the therapists fingersare lined together and slightly stretched. The
metacarpophalangeal joints are slightly flexed to form a cupped palm. The therapist
lifts up the operating hand, and pats down the treatment area with elastic rebound
motion, that bounces the hand up right away, and restores it to its initial position for
the next patting. The stimulus of this therapy can be divided into light, intermediate
and heavy. The structure of this operation is similar to that of digital striking
manipulation.
This manipulation is mainly used on the shoulder and back, lumbosacral portion,
and the thigh. Light patting can also be used on thoracic, abdominal regions and the
head. Long and strong patting has the effect of sedation, analgesia, promoting blood
circulation and removing blood stasis, spasmolysis, and strengthening the body.
Short and light patting has a cephalocathartic and neurotonic effect, as well as
exciting the nerve, regulating the function of the stomach and intestine, soothing
chest oppression, and regulating the flow of qi.
Wiping Manipulation
Wiping manipulation is performed by softly rubbing the skin of the affected
part with the surface of one thumb or surfaces of both thumbs in a straight up
and down, or right and left direction.
In two- hand-wiping, if it is done in one direction, the two hands should
operate along a straight line, and up and down alternately; if in right and left
directions, the two hands should operate simultaneously. Frequency should be
even, about 100-120 times per minute. The force used should be moderate, not
too light so as to prevent superficial operation. To avoid skin scratches,
mediums such as talc powder can be used.
Wiping is a manipulation of lighter stimulus, mainly applied to the head, the
face, the five sensory organs, and the cervical part. It has the function of
inducing resuscitation, tranquilizing the mind, restoring consciousness,
improving vision, alleviating pain, and relaxing muscles and tendons to
promote blood circulation. It is also curative for symptoms like headache,
dizziness, facial paralysis, myopia, and stiffness and pain of the nape.
Traction Manipulation
The therapist uses a controled pulling-extending in opposite directions on
the upper and lower ends of joints along the longitudes of the limbs to
enlarge joint spaces. This is called traction, or pulling and leading.
With one hand holding and stabilizing the proximal end of the patients
joint, the other hand holding its distal end, the therapist uses controlled force
simultaneously in both hands and applies traction directionally to enlarge
joint space.
In the course of this manipulation, the force given should be even, lasting,
and slowly increased. Pulling in uncontrolled manner is contraindicated.
Direction of pulling force should always be along the longitudes of the joints
manipulated. The traction manipulation is used with caution if articular
deformity and rigidity is encountered.
This manipulation has the following effects: restoring and treating injured
soft tissues, correcting malpositioned joints, enlarging joint spaces, relieving
nerve compression, and relaxing adhesion.
THE END