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CMAC121

Point Location
Session 3
Hand Jue Yin (Pericardium) Channel

Chinese Medicine Department


All channel diagrams used with permission.

Deadman, P., Al-Khafaji, M., & Baker, K. (2007). A manual of acupuncture (2nd ed.).
Hove, East Sussex: Journal of Chinese Medicine Publications.

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Session 3 Content
• Review
• 5 Shu Command Points
• Points of the Pericardium Channel
o Location
o Categories
o Actions, indications, contraindications &
cautions

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Review
Group Discussion
Outcomes of readings on point
categories.

Any other questions from last week.

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5 SHU POINTS

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Five Shu Points

• Jing-Well
• Ying-Spring
• Shu-Stream
• Jing-River
• He-Sea
Waterfall (Willaert, 2013)

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Five Shu
o Located below the elbows and knees

o Qi is more dynamic and therefore able to


affect change within the body more rapidly.

o The Five Shu describe a flow of Qi within the


body which is different to the normal flow of
Qi through the 12 main meridians.

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Five Shu as Distal Points

Five Shu (Maciocia, 2006, p. 113)

Points located distally can exert a powerful


effect on the other end of the channel.

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Flow of Qi through 5 Shu

5 Shu Qi flow (Deadman, Al-Khafaji & Baker, 2007)

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Location of 5 Shu
• Jing Well - the finger tips and tips of the toes and
bottom of the feet. First or last point in channel.
• Ying Spring – always second from extremity
• Shu stream – third from extremity. At wrist or ankle
on yin channels
• Jing river – between yuan-source and he-sea points
• He sea – elbow or knee.

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Flow of Qi through 5 Shu
• The flow of Qi can be likened to a river
• Emerging through a well,
• Starting to flow at the spring and
• Gathering in width and depth until it
• Enters inwards at the Sea.

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Jing-Well

“The use of well points in case of


excess and stasis may be likened
to restoring movement to a river
that is blocked by debris.”
Wang & Robertson (2008, p. 451)

Jing well (Wang & Robertson, 2008, p. 451)

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Jing-Well
• Clear Heat
• Treat uppermost reaches of the channels
• Treat fullness below the Heart
• Treat disorders of Spirit (Shen)

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Ying-Spring

“Spring points are where channel qi


collects and begins to slowly flow in
a particular directions. They
generally have cooling, yin-
nourishing natures.”
Wang & Robertson (2008, p. 451)

Ying spring (Wang & Robertson, 2008, p. 451)

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Ying-Spring
• Clear heat
• Treat changes in complexion
• Diseases of the yang channels
• Diseases of the Zang

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Shu-Stream

“The stream points are areas of


lively qi circulations. Here, channel
qi begins to truly pour along with
great activity – but still without large
volume”
Wang & Robertson (2008, p. 457)

Shu stream (Wang & Robertson, 2008, p. 457)

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Shu-Stream
• Disorders of the Zang
• Disorders of the yang channels
• Heaviness of body and pain of joints
• Diseases manifesting intermittently

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Jing-River

“The strong channel flow of the


river points can be used to
forcefully clear the surface”
Wang & Robertson (2008, p. 460)

Jing river (Wang & Robertson, 2008, p. 460)

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Jing-River

• Cough & dyspnoea, chills & fever


• Diseases manifesting in the voice
• Diseases of the sinews and bones

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He-Sea

“The ability of the sea points to


regulate comes from their location
at places where deep, strong
channel qi enters the sea of the
internal organs. The place of
intersection can regulate large-
scale counterflow.”
Wang & Robertson (2008, p. 464)

He sea (Wang & Robertson, 2008, p. 464)

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He-Sea
• Counterflow qi and diarrhoea
• Diseases of the Stomach & disorders
resulting from irregular eating and
drinking
• Diseases of the Fu
• Diseases of the skin

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5 Shu & Elements
5 shu Yin Yang
Meridians Meridians
Jing-Well Wood Metal

Ying-Spring Fire Water

Shu-Stream Earth Wood

Jing-River Metal Fire

He-Sea Water Earth

Table 1. 5 Elements

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Sheng Cycle

Fire .

Earth
Jing Well
Yin channels
Wood

Water Metal Jing Well


Yang channels

Sheng Cycle E.C.H.N., 2015)

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Shu points of the Yin Meridians
Yin Jing-Well Ying-Spring Shu-Stream Jing-River He-Sea
Meridian Wood Fire Earth Metal Water
Lung LU-11 LU10- LU-9 LU-8 LU-5

Spleen SP-1 SP-2 SP-3 SP-5 SP-9

Heart HT-9 HT-8 HT-7 HT-4 HT-3

Kidney KD-1 KD-2 KD-3 KD-7 KD-10

Pericardium PC-9 PC-8 PC-7 PC-5 PC-3

Liver LR-1 LR-2 LR-3 LR-4 LR-8


Table 2. Shu points yin

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Shu points of the Yang Meridians
Yang Jing-Well Ying-Spring Shu-Stream Jing-River He-Sea
Meridian Metal Water Wood Fire Earth
Large LI-1 LI-2 LI-3 LI-5 LI-11
Intestine
Stomach ST-45 ST-44 ST-43 ST-41 ST-36

Small SI-1 SI-2 SI-3 SI-5 SI-8


Intestine
Bladder BL-67 BL-66 BL-65 BL-60 BL-40

San Jiao SJ-1 SJ-2 SJ-3 SJ-6 SJ-10

Gall GB-44 GB-43 GB-41 GB-38 GB-34


Bladder
Table 3. Shu points yang

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5 Shu Points on Arm Yin Channels
Fire
Wood Earth Metal
Water

Jing-Well Shu-Stream
Ying-Spring Jing-River He-Sea

Arm yin shu (Deadman et al., 2007)

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PERICARDIUM CHANNEL

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Pericardium Channel Points

Pericardium Primary Channel


PC Channel (Deadman et al., 2007, p. 367)

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Review
Key Concept
Indications are determined by
• channel pathway both internal and external
• point location and position on channel
• organs that channel connects with
• special point categories to which a point belongs
• empirical evidence.
• Ellis, Wiseman & Boss 2004, p. 56

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Indications of
Pericardium Channel
Portion of Channel Indications
Chest Heart & Chest

Hand & Arm Heart, chest,


stomach
Mental disorders
Heat disease
Ellis, Wiseman, Boss & Cleaver (2004, pp. 57,276)
Table 4. PC point indications

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Group Work
Investigating the Pericardium Points
• Break into small groups
• Take ten minutes for each group to investigate actions,
indications, contraindications, cautions and categories of one or
two points for each group.
o Deadman has grouped indications for each point.
Summarize indications for each point into one or two words
for each group of indications in the text.
o Do any indications for your selected points relate to the
functions of the Pericardium Zang? Do any relate to the
channel pathway?
o How are indications reflected in the point actions?
o Is there a relationship between the category and actions?
• Share your findings with the class to help answer the questions
on the following slides.

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Common clinical use of
Pericardium points
What are 3 PC points that are indicated
from vomiting?
o What action relate to this indication?
Choose 3 PC points that calm the spirit.
o What are two indications that relate to this
action?
What are 2 PC points that clear heat from
the nutritive level and blood?

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Common clinical use of
Pericardium points
PC 5 transforms phlegm.
o What are two indications that relate to this
action? What organ does this point clear
phelgem from?
Which PC point regulates menstruation?
Which PC points unbind the chest?
o What are two indications that relate to this
action?

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BREAK

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Pericardium Channel
Key Anatomical Landmarks
• Lateral extremity of clavicle
• Heads of biceps brachii muscle
• Axillary fold
• Cubital crease
• t. palmaris longus & t. flexor carpi
radialis
• Distal wrist crease

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Point Location
Demonstration & Group Work
Lecturer demonstrates on a student how to use
proportional measurements on the arm and to locate
the points of the Pericardium channel.

Students form pairs or groups of three and locate the


points of the Pericardium and Lung channels on each
other.
Use appropriate coloured chinagraph pencils or
markers for the individual element points.

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Pericardium Channel
Case Study
Cindy is 8 weeks pregnant and suffering from severe
morning sickness.

At the moment she even has trouble keeping water


down. In her last pregnancy dehydration forced her to
by hospitalised due to her morning sickness. This time
she wants treatment before things get as bad as last
time. Her midwife suggested she try acupuncture this
time.

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Group Work
Break into small groups of 4 or 5 students.

Create a simple point prescription for Cindy based upon indication and
location of points.

• Select one point on the Pericardium channel.


• Select at least two points from other channels.
• Include at least one local point in your prescription.
• Discuss whether the indications of the points you have chosen reflect the
indications of other points on your chosen channels.
• What are the actions of your chosen points?
• Do any of these points have a caution?

*Note: The Indications Index in your set text will be helpful for case studies.

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Coming Events
• Session 4 – Heart Channel

• Xi-Cleft Points
• Luo-Connecting Points

• Investigate the 5 shu points.


Bring your discoveries to
share with the class next
session.

• Do activities and pre and post


reading outlined in SSG.
Cinemaaustralia (De Sousa, 2006)

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References
De Sousa, F. (2006). Cinemaaustralia [Image]. Retrieved June 17, 2015, from
https://commons.wikimedia.org/wiki/File:Cinemaaustralia.jpg

Deadman, P., Al-Khafaji, M., & Baker, K. (2007). A manual of acupuncture (2nd ed.). Hove, East Sussex: Journal of Chinese Medicine
Publications.

Ellis, A. W., Wiseman, N., Boss, K., & Feit, R. (1993). Fundamentals of Chinese acupuncture. Brookline, MA: Paradigm Publications :
Distributed by Redwing Book Co.

Endeavour College of Natural Health 2015, CMAC212 Lecture SN01, Endeavour College of Natural Health, Brisbane.

Maciocia, G 2006, The channels of acupuncture: clinical use of the secondary channels and eight extraordinary vessels, Churchill
Livingstone, Edinburgh.

Wang, J.-Y., & Robertson, J. D. (2008). Applied channel therapy in Chinese medicine: Wang Ju-Yi’s lectures on channel Therapeutics.
Seattle: Eastland Press.

Willaert. (2013). [Image] Retrieved Jan 22, 2015, from https://www.flickr.com/photos/rietje/8804443545/in/photolist-eq25jM-b17Hwp-


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