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NeedleInsertion Transverse(subcutaneous) Oblique45degrees // Perpendicular90degrees II Cun Thehumanbodyhastraditionallybeenmeasuredaccordingtoproportional measurementsknownasacun.equallyapplicabletoadults,childrenandthinan obese. NOdefinitivemeasurementforacun CunMeasurements: HeadandBack Distancebetweentheglabellaandthehairline 3cun Distancebetweentheanteriorandposteriorhairline(midline) 12cun Cornertocornerofforehead 9cun C7toposteriorhairlineis 3cun Betweenmedialboardersofthescapula 6cun
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ArmsandTorso Midclavicletomidclavicle 8cun usedinplaceofthenipplemeasurementbctoovariable Sternalcostalangletoumbilicus 8cun Anterioraxillaryfoldtocubitalcrease 9cun Elbowbendtowristbend 12cun Umbilicustoupperboarderpubicsympysis 5cun
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Legs Greatertrochantertopoplitealcrease(lateralside) 19cun Patellais 2cun Glutealfoldtopoplitealcrease(posterior) 14cun Medialmalleolustopoplitealcrease(medial) 15cun Lateralmalleolustopoplitealcrease(lateral) 16cun
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Primarychannels 12primarychannels,runningvertically,bilaterallyandsymmetrically Eachcorrespondswithoneofthe12zangfuororgans(zangfu=organ) Thezangareyinandthefuareyang o Therefore6yinand6yang o Threeyinchannelsandthreeyangchannelsonthearm o Threeyinchannelsandthreeyangchannelsontheleg o o o LungChannelisyinbecausethelungisyin RecallYinareontheyinportionofthebodyandyangontheyangportionofthebody Stomachistheonlyexception(runningalongfrontofthebodybutisyang) TheoryI STANDINGWITHBACKTOTHESUN Yangisthesidewhichthesunshines Yinportionshadowed
DivergentChannels Noacupuncturepoints,butstillexist BUThelpexplainwhatacupuncturedoes The12divergentchannelsbranchoutfromthe12primarychannelsandhavenospecific pointsoftheirown Itisimportant,however,tobefamiliarwiththeprinciplefeaturesofthedivergent channels,sincetheirpathwaysmakeinternallinkages,thatmaynotbemadebythe primarychannels,andthereforeservetoexplaintheactionsandindicationsofmany points. HelptoexplainLI4and **thepathwayofthedivergentchannelexplainstheuseofneedling ALSOyinandyangdivergentchannels o Yangdivergentchannelscomeoffoftheyangprimarychannels Theyentertheirrelatedorganaswellastheirinternallyexternallyrelatedorgan o Divergentchannelwillstemfromaprimarychanneltheconvergewiththepairedorgan o Basicallyitisjusttheyin/yangparing o Yinandyangcomeinpairs. o Ex:bladderdivergentchanneltravelstothebladderfuandthentothekidneyzang
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Luoconnectingchannels Strengthentheconnectionsbetweentherelatedchannelsandtheirorgans(bcthe channelandtheorgansaretwodifferentthings) Theyspreadfromtheluoconnectingpointoftheirownchanneltoconnectwiththeir internallyexternallyperiodchannel ***PointswillbelearnedinEnergetics Afterjoiningwiththeirpairedchannel,theyusuallycontinuetofollowtheirown pathway Breakofftheprimarychannelthencombinebacktothepairedchannel o Ayinluoconnectingchannelwillconnecttoayangprimarychannel o o Sinewchannels(wontquizbutgoodtoknowespiftxpain) Sinewchannelscirculatetheperipheryofthebody Thinkmuscles,tendonsligamentsetc Hugewithpainandsportsmedicine Donotpenetratethezangfu(organs) Areassociatedwithandtaketheirnamesfromthetwelveprimarycannels(ex:thelung sinewchannel) Alloriginateintheextremities(unliketheprimarychannels)andascendtotheheadand trunk Onlywillquizwithinformationfromslides usepicturesfromdeadmeanapporbook
LUNGMeridian
HandTaiYin endsonthehand
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isyin Consideredthemostexternal mostcontactwiththeenvironment Originates Descends Returns Penetrates Ascends Passes Ascends middlejiao(intheregionofthestomach) toconnecttotheLI(bcistheexternallyinternallypairedorgan) upwardstopassthecardiacorificeftheStomachandtransverses thediaphragm thelung tothethroat obliquelydownwardstowardsLUIwherethechannelemerges OneribspacetoLU2inthecenterofthehallowofthedelto pectoraltriangle
LU2
Yunmen/CloudGate
Levelwiththe1stIntercostalspace 6cunlateraltothemidline 1cunbelowLU2(extendthearmwith resistance) 0.50.8//awayformmidline Lateralaspectofthechest 6cunlateraltotheRenmeridian 1cunbelowcun2 Caution:Pneumothorax LU5 pts Chize/CubitMarsh LANDMARKwillbeusedtofindother
LU3
Tianfu/PalaceofHeaven
LU4
Xiabai/ClaspingtheWhite
LU9
Taiyuan/SupremeAbyss
LANDMARK
Attheradialendofthetransversewristcrease Inthedepressiononthelatersideoftheradial artery 0.20.3II Atthewristjoint Inthedepressionbetweentheradialarteryand thetendonofm.abductorpollicuslongus LevelwithHT7 Caution:radialartery *12cunbtLU5andLU9
LU6
Kongzui/MaximumOpening
LU7 Lieque/BrokenSequence BrokensequencebcoffofthenicelinebetweenLU5andLU9 Superiortothestyloidprocessoftheradius(longitude) Approx1.5cunabovethetransversewristcrease BetweenM.brachioradialisandthetendonofthelong abductormuscleofthethumb(latitude) 0.30.5//or= Ontheradialaspectoftheforearm Approximately1.5cunproximaltoLI5inthecleft betweenthetendonsofthem.brachioradialsand abductorpollicuslongus LU8 Jingqu/ChannelGutter 1cunabovethetransversewristcrease inthedepressiononthelateralsideoftheradial artery 0.10.3II 1cunproximaltolung9 onlinewithlung9andlung6 inthedepressionatthebaseofthestyloidprocessof theradius ontheradialsideoftheartery *noteLU8isdistaltoLU7 LU10 Yuji/FishBorder Ontheradialaspectofthemidpointofthe1stmetacarpalbone Atthejunctionoftheredandwhiteskin(dorsalandpalmar)
0.50.8II onthemajorthenareminence inthedepressionbetweenthemidpointoftheshaftofthe1stmetacarpalbone andthethenarmuscle *greatforsorethroatandsoretonsils LU11 Shaoshang/LesserShang Ontheradialsideofthethumb Approximately0.1cunproximaltothecornerofthenail 0.1 orpricktobleed Ontheextensoraspectothethumb Atthejunctionofthelinesdrawnalongtheradialboarderand baseofthenail 0.1cunformthecornerofthenail *Drawalinealongtheradialandinferiornailborder *thispointtakesheatoutofthebody *usefulforsorethroatsandfevers