4.2 The Large Intestine Channel System – Hand yangming(shou yang ming jing luo)
Location
With the thumb abducted, in a depression between the tendons
of the extensor pollicis longus and brevis muscles (‘anatomical
snuffbox’), on the radial aspect of the wrist.
How to find
The anatomical snuffbox is a depression on the radial aspect of
the wrist formed when abducting the thumb. Holding the hand in
a horizontal position, it opens towards the body. L.I.-5is located
on the wrist joint space, which becomes palpable by moving the
wrist. ➞LU-9is also located on the wrist joint space and can be
found by moving anteriorly from L.I.-5across the short tendon
of the extensor pollicis muscle.
Needling
Vertically 0.5–1 cun. Caution: Avoid the superficial cephalic vein.
Actions/Indications
● Supports the wrist joint
● Clears Fire and expels Wind
● Clears Fire from the yangming(L.I., ST) and calms the shen
Special features
Jing-river point, Fire point. Important local point for disorders
of the wrist, together with T.B.-4, S.I.-5, HE-7, P-7and LU-9.
Yang Stream YANGXI L.I.-5
L.I.-5
Tendon of the extensor
pollicis longus
Tendon of the extensor
pollicis brevis
Styloid process
of the radius
T.B.-9
L.I.-7
S.I.-7
T.B.- 6
T.B.- 5
T.B.- 4
L.I.-6
S.I.-6
L.I.-5
L.I.-10
T.B.-10 L.I.-11
S.I.-8
1
9
2 3 4 5 6 7 8
10
11
(^12) cun
Joint space
Radial artery
Lu-9
Carpal bones
Abductor
pollicis longus
Lu-8
1cun
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