Atlas of Acupuncture

4.9 The Pericardium Channel System – Hand jueyin(shou jue yin jing luo)

Location

3 cun proximal to the anterior wrist joint space (‘most distal wrist

crease’), between the tendons of the palmaris longus and flexor

carpi radialis muscles.

How to find

As the location of the wrist crease varies, the wrist joint space is

a more reliable reference point (➞3.3.3). It can easily be pal-

pated by moving the patient’s hand in a relaxed way. From the

centre of the joint space (➞P-7), measure 3 cun in a proximal

direction and locate P-5between the two tendons, which become

more pronounced when the fingertips are pressed together. If only

one tendon is visible, this will be the tendon of the flexor carpi

radialis muscle. P-5is located at its ulnar aspect.

Needling

0.5–1 cun vertically or obliquely in a proximal direction. Caution:

The median nerve here is only covered by the radial head of

the flexor digitorum superficialis. Vertical needling should not

exceed 0.5 cun; no strong needle stimulation.

Actions/Indications

● Calms the shenand the Heart

● Harmonises the Middle Burner

● Clears Heart Fire

● Unbinds the chest

● Transforms invisible Phlegm

Special features

Jing-river point, Metal point. Important point for transforming

Phlegm blocking the orifices.

Intermediary Messenger JIANSHI P-5

P-7

Tendon of the

flexor carpi

radialis

Tendon of the

palmaris

longus

Wrist joint space

Pressing the thumb and little

finger together for better

presentation of the tendons

P-5

3 cun

Pisiform

P-7

Brachialis

Brachioradialis

Extensor carpi

radialis longus

Lateral

epicondyle

Extensor

digitorum

Triceps brachii,

medial head

Tendon of the

triceps brachii

Olecranon

Flexor carpi

ulnaris

Extensor carpi

ulnaris

Triceps brachii,

lateral head

L.I.-11

T.B.-10

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