8 Point Categories and Point Selection
Shu-stream points (shu xue)
located at the distal ends of the metatarsal bones) as well as
LU-9, HE-7and P-7(all located on the wrist joint space).
Actions
They are considered to be the entry points for pathogenic factors;
needling these points can strengthen the Defensive Qi (wei qi)
(➞1.1.4) and eliminate pathogenic factors from the respective
channel. At the shu-stream points, the Qi flow is already somewhat
deeper: the bed of the river is widening and deepening.
Indications
For bi-syndromes of the joints, especially due to Damp or patho-
genic Wind. They are generally used for heaviness of the body
as well as for shaoyang syndrome with intermittent symptoms.
● Points on the Yang channels are predominantly used for Exterior
syndromes: they have a specific action on their respective channel.
● Points on the Yin channels are more commonly used for
Interior syndromes; they strengthen and harmonise their
respective zang-Organs (this is in part due to these points also
being the yuan-source points).
BL-66 BL-65 BL-64
T.B.-2
Proximal to the interdigital fold
Proximal to the G.B.-43
interdigital fold
According to the Five Phases (➞8.2.5) the shu-stream points of
the Yin channelscorrespond to the Earth pointsand yuan-
Source points(➞8.1.1), while those on the Yang channelscor-
respond to the Wood points.
Location:counting from the periphery, they are the third point
of each channel, the only exception being the G.B. channel (4th
point on the channel). They are located proximal to the metacar-
pophalangeal or metatarsophalangeal joints, except for KID-3
(posterior to the medial malleolus), LIV-3and SP-3 (both
Joint space
Radial artery
LU-9
Carpal bones
Abductor
pollicis longus
1 cunLU-8
SP-3
Tendon of
the flexor
carpi ulnaris
Pisiform HE-7
Joint space
Achilles
tendon
Highest prominence of
the medial malleolus KID-3
P-7
1,5–2 cun
LIV-3
Interdigital fold
LIV-2
Shu-transporting points of the Yin channels
Phase/ Wood Fire Earth Metal Water
channel point point point point point
LU LU-11 LU-10 LU-9 LU-8 LU-5
SP SP-1 SP-2 SP-3 SP-5 SP-9
HE HE-9 HE-8 HE-7 HE-4 HE-3
KID KID-1 KID-2 KID-3 KID-7 KID-10
P P-9 P-8 P-7 P-5 P-3
LIV LIV-1 LIV-2 LIV-3 LIV-4 LIV-8
Channel Jing-well Ying- Shu- Jing- He-sea
Qi flow point spring stream river point
point point point
Shu-transporting points of the Yang channels
Phase/ Metal Water Wood Fire Earth
channel point point point point point
L.I. L.I.-1 L.I.-2 L.I.-3 L.I.-5 L.I.-11
ST ST-45 ST-44 ST-43 ST-41 ST-36
S.I. S.I.-1 S.I.-2 S.I.-3 S.I.-5 S.I.-8
BL BL-67 BL-66 BL-65 BL-60 BL-40
T.B. T.B.-1 T.B.-2 T.B.-3 T.B.-6 T.B.-10
G.B. G.B.-44 G.B.-43 G.B.-41 G.B.-38G.B.-34
Channel Jing-well Ying- Shu- Jing- He-sea
Qi flow point spring stream river point
point point point
, tonification point; , sedation point
Ch08-F10028.qxd 2/23/08 4:40 PM Page 674