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LI&ST point location
As per Deadman LI-16-20 and ST-1-12
Question | Answer |
---|---|
Which point lies in the depression b/w the clavicle and the scapular spine just medial to the acromion? | LI-16 JÙGǓ Great Bone |
Great Bone (jugu) LI-16 is in the V made by the meeting point of what bones? | lateral end of clavicle and scapular spine |
The Great Bone jugu LI-16 utilizes what needling technique? | perpendicular OR oblique insertion 0.5-1cun |
What is the caution for needling the Great Bone? | deep medial insertion carries a risk of causing a pneumothorax, particularly in thin patients |
TIĀNDǏNG or Heaven's Tripod LI-17 is found where? | lateral side of the neck 1 cun inferior to LI-18 on the posterior border of the SCM |
When needling Heaven's Tripod LI-17, what artery or vein should be avoided? What type of needling could puncture these vessels? | carotid artery and jugular vein Deep needling |
What point utilizes this needling technique: Perpendicular insertion 0.3 to 0.5 cun OR Oblique insertion 0.5 to 0.8 cun? | Heaven's Tripod LI-17 tianding and LI-18 futu Support the Prominence |
LI-17 tianding Heaven's Tripod is 1 cun inferior to LI-18 which is where? | level with laryngeal prominence between the heads of the SCM |
LI-18 FÚTÚ or Support the Prominence is level with what? | the laryngeal prominence |
What is the needling technique used for LI-18 futu Support the Prominence? | The same as LI-17 tianding Heaven's Tripod: Perpendicular insertion 0.3 to 0.5 cun OR Oblique insertion 0.5 to 0.8 cun? |
True or False? The caution for LI-17 and LI-18 are the same. | True |
Below the lateral margin of the nostril (lateral DU-26) you can find what point? | LI-19 KǑUHÉLIÁO Mouth Grain Crevice |
What is important to remember about the trajectory of the LI channel when locating the face points? | It crosses the midline and goes round to opposite side from rest of channel |
according to some classical texts what is LI-19 kouheliao Mouth Grain Crevice contraindicated to? | moxa |
What is the insertion angle for LI-19 kouheliao Mouth Grain Crevice? What is the depth? | Oblique insertion 0.3 to 0.5 cun |
Where is Bi Tong? | at the highest point of the lateral border of the a la nasi |
What LI point is next below Bi Tong? | LI-20 YÍNGXIĀNG Welcome Frangrance |
LI-20 Welcome Fragrance is located where? | at the mid-point of the lateral border of the a la nasi |
What is the Container of Tears? | ST-1 CHÉNGQÌ |
Where is ST-1 chengqi located? | directly below pupil eye looking straight forward between the eyeball and the infraorbital ridge |
What is the maximum needle depth for ST-1 chengqi? | 0.5-1 cun |
What should be avoided when needling Container of Fluids? | the needle should be inserted slowly without lifting, thrusting or rotating immediately on withdrawal of the needle, press firmly with a cotton wool ball for about a minute to prevent haematoma |
Qiu Hou is located where? | between the eyeball and the infraorbital ridge midway b/w ST-1 and the outer canthus of the eye |
Which point should you needle slightly inferiorly, then perpendicularly, between the eyeball and the inferior wall of the orbit? | ST-1 chengqi |
which point is located directly below the pupil with the eye looking forward approx. 1 cun below the pupil in a depression at the infraorbital foramen? | ST-2 SÌBÁI Four Whites |
Four Whites ST-2 has 3 needling technique options. What are they? | 1. Perpendicular insertion 0.2 to 0.4 cun 2. Transverse insertion to join with such points as Quánliáo SI-18, Yíngxiāng L.I.-20 etc. 3. Perpendicular-oblique insertion slightly laterally into the infraorbital foramen, 0.3 to 0.5 cun |
What is the classical contraindication for ST-2 sibai? | moxa |
What are the cautions for ST-2 Four Whites? | 1. deep insertion along the foramen may injure the eyeball 2. manipulation by lifting and thrusting due to the risk of damaging the infraorbital nerve which emerges from the foramen |
ST-3 juliao Great Crevice needling technique? | 1. Perpendicular insertion 0.3 to 0.4 cun 2. Transverse insertion to join with such points as Dìcāng ST-4, Quánliáo SI-18 etc. |
Where is ST-3 Great Crevice located? | directly below the pupil eye looking forward approx. level with lower border of a la nasi along inferior border of zygomatic bone |
True or False? There are no cautions or contraindications for ST-3 juliao and ST-4 dicang. | True |
Which point lies at the corner of the mouth at the end of the naso-labial groove? | ST-4 DÌCĀNG Earth Granary |
How many cun from the corner of the mouth is ST-4 dicang? | 0.4 cun |
Transverse insertion to join with such points as Jiáchē ST-6, Yíngxiāng L.I.-20, Chéngjiāng REN-24 etc. This is for what point? | ST-4 Earth Granary |
Great Welcome is located where? | just anterior to the masseter muscle at the level of the angle of the jaw |
Which point is Great Welcome? | ST-5 DÀYÍNG |
What should you ask your patient to do in order to locate the points ST-5 and ST-6? | press teeth together gently to flex masseter |
Great Welcome ST-5 daying advises caution for what? What should be avoided? | facial artery and vein; vigorous manipulation |
What is the needling technique for ST-5 Great Welcome daying? | 1. Oblique insertion 0.3 to 0.5 cun 2. Transverse insertion to join with such points as Dìcāng ST-4, Jiáchē ST-6 etc. |
ST-6 JIÁCHĒ Jaw Bone is located where? | the prominence of the masseter muscle approx 1 fingerbreadth anterior and superior to the angle of the jaw |
There are 3 needling techniques options for ST-6 jiache Jaw Bone. Which one is for toothache? | Transverse insertion towards the upper or lower jaw |
ST-6 jiache can be perpendicularly needled to what depth? | 0.5 cun |
Jaw Bone ST-6 can be transversely needled to do what? | join with such points as Dìcāng ST-4, Dàyíng ST-5, Xiàguān ST-7 etc |
True or False? ST-6 Jaw Bone and ST-5 Great Welcome do not have cautions. | False: ST-5 Great Welcome is cautioned against vigorous manipulation to protect facial artery and vein ST-6 Jaw Bone has none |
XIÀGUĀN Below the Joint is which point? | ST-7 |
How is ST-7 xiaguan located? | place pads of 1st 2 fingers anterior to ear and ask them to open their mouth. Feel the condyloid process rise up. Place index finger on condyloid process. Ask to close mouth. Finger will fall into a depression at the lower border of the zygomatic arch |
For what issues can you needle ST-7 xiaguan Below the Joint transversly to join with such points as Tīnggōng SI-19, Jiáchē ST-6, Quánliáo SI-18 etc? | diseases of ear teeth face and jaw |
What is the perpendicular needling depth and technique for ST-7 Below the Joint? | slightly inferiorly 0.5 to 1 cun |
Which point is found by coming 0.5 cun into the lateral and anterior hairlines and drawing lines until they meet at the corner of the head? | ST-8 |
How many cun posterior to the hairline should ST-8 sit? | approx 0.5 cun |
ST-8 TÓUWÉI Head's Binding is contraindicated to what, classically? | moxa |
ST-8 Head's Binding touwei has what needling technique? | Transverse insertion 0.5 to 1 cun |
ST-9 is level with what? | laryngeal prominence |
Level with the laryngeal prominence and in a depression between what borders can you find ST-9 RÉNYÍNG Man's Welcome? | between the anterior border of the SCM and the lateral border of the thyroid cartilage |
What should you locate prior to needling? Why? | The carotid artery; so you can keep your finger on it while needling to avoid puncturing it |
Most classical texts contraindicate what for ST-9 renying Man's Welcome? | moxa |
Needle ST-9 renying Man's Welcome how? | Perpendicular insertion 0.5 to 1 cun |
Before locating ST-10 it is helpful to do what? Why? | Locate ST-11 and ST-9 because ST-10 is halfway between them |
which point is directly inferior to ST-9 renying and superior to the medial end of the clavicle? What is it between? | ST-11; heads of the SCM |
Abode of Qi QÌSHÈ has a caution about one of its needling techniques. What is it? | Perpendicular insertion 0.2 to 0.3 cun then the needle may be directed inferiorly along the posterior border of the clavicle, up to 0.5 cun deep insertion may penetrate the subclavian vessels or lung |
What is the main needling technique for ST-11 qishe Abode of Qi? | Perpendicular insertion 0.2-0.3 cun |
ST-10 SHUǏTÚ Water Prominence is located halfway between ST-11 and ST-9 and anterior to what? | SCM |
True or False? ST-10 Water Prominence shuitu shares a caution for the carotid artery with ST-9 renying Man's Welcome. | True |
Perpendicular-oblique insertion directed medially to avoid the carotid artery, 0.5 to 1 cun is the needling technique for Water Prominence OR | ST-10 shuitu |
ST-12 QUĒPÉN is called what in English? | Empty Basin |
Empty Basin quepen ST-12 is located superior and posterior to what? How many cun from midline? | clavicle; 4 cun |
The needling technique for ST-12 is perpendicular how deep and which direction? | Perpendicular insertion 0.3 to 0.5 cun along the posterior border of the clavicle. |
According to a classical text ST-12 Empty Basin quepen is contraindicated for what? | pregnancy |
Deep or posterior insertion into ST-12 may puncture the LU or injure what? | subclavian vessels |