THE SMALL INTESTINE CHANNEL OF HAND-TAIYANG

1. The Small Intestine Channel of Hand-Taiyang starts from the ulmar side of the tip of the little finger (Shaoze, S.I. 1) (see Diagram)
1. Following the ulnar side the dorsum of hand it reaches the wrist where it emerges from the styloid process of the ulna.
2. From there it ascends along the posterior aspect of the forearm,
3. passes between the olecranon of the ulna and the medial epicondyle of the humerus, and runs along the posterior border of the lateral aspect of the upper arm
4. to the shoulder.
5. Circling around the scapular region,
6. it meets the Du Channel on the superior aspect of the shoulder at Dazhui (Du 14.)
7. Then, turning downward to the supraclavicular fossa,
8. it connects with the heart.
9. From there it descends along the esophagus,
10. passes through the diaphragm,
11. reaches the stomach,
12. and finally enters the small intestine, its pertaining organ.
13. The branch from the supraclavicuar fossa
14. ascends to the neck,
15. and further to the check.
16. Via the outer conathus,
17. its enters the ear (Tinggon, S.I. 19.)
18. The branch from the cheek
19. runs upward to the infraorbital region (Quanlia, S.I. 18) and further to the lateral side of the nose.
2. Then it reaches the inner canthus (Jingming, U.B.1) to link with the Urinary Bladder Channel of Foot-Taiyang (20) (see Diagram)
1. Note: The small intestine has an Inferior He-Sea Point - Xiajuxu (St. 39) (see Diagram)
3. The following are the 19 points of this channel:
1. Shaoze (Jing-Well Point, S.I. 1)
1. Location: On the ulnar side of the little finger, about 0.1 cun posterior to the corner of the nail (see Diagram)
2. Indications: Febrile diseases, loss of consciousness, lactation deficiency, sore throat, and cloudiness of cornea.
3. Method: Puncture obliquely 0.1 inch. Moxibustion is applicable.
4. Regional anatomy
1. Vasculature: The arterial and venous network formed by the palmar digital proprial artery and vein and the dorsal digital artery and vein.
2. Innervation: The palmar digital proprial nerve and the dorsal digital nerve derived from the ulnar nerve.
2. Qiangu (Ying-Spring Point, S.I.2)
1. Location: When a loose first is made, the point is distal to the metacarpophalangeal joint, at the junction of the red and white skin (see Diagram)
2. Indications: Numbness of fingers, and febrile diseases.
3. Method: Puncture perpendicularly 0.2-0.3 inch. Moxibustion is applicable.
4. Regional anatomy
1. Vasculature: The dorsal digital artery and vein arising from the ulnar artery and vein.
2. Innervation: The dorsal digital nerve and palmar digital proprial nerve derived from the ulnar nerve.
3. Houxi (Shu-Stream Point, S.I. 3)
1. Location: When a loose fist is made, the point is proximal to the head of the 5^th metacarpal bone on the ulnar side, in the depression at the junction of the read and white skin (see Diagram)
2. Indications: Headache, neck rigidity, congestion of the eye, deafness, contracture and twitching of the elbow, arm and fingers, febrile diseases, epilepsy, and night sweating.
3. Method: Puncture perpendicularly 0.5-0.7 inch. Moxibustion is applicable.
4. Regional anatomy
1. Vasculature: The dorsal digital artery and vein, the dorsal venous network of the hand.
2. Innervation: The dorsal branch derived from the ulnar nerve.
5. Note: This is one of the Eight Confluent Points communicating with the Du Channel.
4. Hand-Wangu (Yuan-Source Point, S.I.4)
1. Location: On the ulnar side of the palm, in the depression between the base of the 5^th metacarpal bone and the triquetral bone (see Diagram)
2. Indications: Headache, neck rigidity, cloudiness of cornea, pain in the hypochondriac region, jaundice, and febrile diseases.
3. Method: Puncture perpendicularly 0.3-0.5 inch. Moxibustion is applicable.
4. Regional anatomy
1. Vasculature: The posterior carpal artery (the branch of the ulnar artery), the dorsal venous network of the hand.
2. Innervation: The dorsal branch of the ulnar nerve.
5. Yanggu (Jing-River Point, S.I. 5)
1. Location: On the ulnar side of the wrist, in the depression between the styloid process of the ulna and the triquetral bone (see Diagram)
2. Indications: Swelling of the neck and submandibular region, pain in the wrist and the lateral aspect of the arm, and febrile diseases.
3. Method: Puncture perpendicularly 0.3-0.4 inch. Moxibustion is applicable.
4. Regional anatomy
1. Vasculature: The posterior carpal artery.
2. Innervation: The dorsal branch of the ulnar nerve.
6. Yanglao (Xi-Cleft Point, S.I. 6)
1. Location: Dorsal to the head of the ulna. When the palm faces the chest, the point is in the bony cleft on the radial side of the styloid process of the ulna (see Diagram)
2. Indications: Blurring of vision, aching of the shoulder, back, elbow and arm.
3. Method: Puncture perpendicularly 0.3-0.5 inch. Moxibustion is applicable.
4. Regional anatomy
1. Vasculature: The terminal branches of the posterior interosseous artery and vein, the dorsal venous network of the wrist.
2. Innervation: The anastomotic branches of the posterior antebrachial cutaneous nerve and the dorsal branch of the ulnar nerve.
7. Zhizheng (Luo-Connecting Point, S.I. 7)
1. Location: 5 cun proximal to the wrist, on the line joining Yanggu (S.I. 5) and Xiaohai (S.I. 8) (see Diagram)
2. Indications: Neck rigidity, contracture and twitching of elbow, pain in fingers, febrile diseases, and mental disorders.
3. Method: Puncture perpendicularly 0.3-0.5 inch. Moxibustion is applicable.
4. Regional anatomy
1. Vasculature: The terminal branches of the posterior interosseous artery and vein.
2. Innervation: Superficially, the branch of the medial antebrachial cutaneous nerve; deeper, on the radial side, the posterior interosseous nerve.
5. Note: The distance from Yanggu (S.I. 5) to Xiaohai (S.I. 8) is measured as 12 cun.
8. Xiaohai (He-Sea Point, S.I. 8)
1. Location: Between the olecranon of the ulna and the medial epicondyle of the humerus. The point is located with elbow flexed (see Diagram)
2. Indications: Swelling of the cheek, pain in the nape and the lateroposterior aspect of the shoulder and epilepsy.
3. Method: Puncture perpendicularly 0.3-0.7 inch. Moxibustion is applicable.
4. Regional anatomy
1. Vasculature: The superior and inferior ulnar collateral arteries and veins, the ulnar recurrent artery and vein.
2. Innervation: The branches of the medial antebrachial cutaneous nerve, and ulnar nerve.
5. Note: The Inferior He-Sea Point of the small intestine is Xiajuxu (St. 39), which is indicated in disorders of the small intestine.
9. Jianzhen (S.I. 9)
1. Location: Posterior and inferior to the shoulder joint. When the arm is adducted, the point is 1 cun above the posterior end of the axillary fold, (see Diagram)
2. Indications: Pain in the scapular region, pain and motor impairment of the hand and arm.
3. Method: Puncture perpendicularly 0.5-1.0 inch. Moxibustion is applicable.
4. Regional anatomy
1. Vasculature: The circumflex scapular artery and vein.
2. Innervation: The branch of the axillary nerve; deeper in the superior aspect, the radial nerve.
10. Naoshu (S.I. 10)
1. Location: When the arm is adducted, the point is directly above Jianzhen (S.I. 9), in the depression inferior and lateral to the scapular spine (see Diagram)
2. Indications: Aching and weakness of the shoulder and arm.
3. Method: Puncture perpendicularly 0.8-1.0 inch. Moxibustion is applicable.
4. Regional anatomy
1. Vasculature: The posterior circumflex humeral artery and vein; deeper, the suprascapular artery and vein.
2. Innervation: The posterior cutaneous nerve of the arm, the axillary nerve; deeper, the suprascapular nerve.
11. Tianzong (S.I. 11)
1. Location: In the infrascapular fossa, at the junction of the upper and middle third of the distance between the lower border of the scapular spine and the inferior angel of the scapular (see Diagram)
2. Indications: Pain in the scapular region, pain in the lateroposterior aspect of the elbow and arm.
3. Method: Puncture obliquely 0.5-1.0 inch. Moxibustion is applicable.
4. Regional anatomy
1. Vasculature: The muscular branches of the circumflex scapular artery and vein.
2. Innervation: The suprascapular nerve.
12. Bingfeng (S.I. 12)
1. Location: In the center of the suprascapular fossa, directly above Tianzong (S.I. 11.) When the arm is lifter, the point is at the site of the depression (see Diagram)
2. Indications: Pain in the scapular region, numbness an aching of the upper extremities.
3. Method: Puncture perpendicularly 0.5-0.7. Moxibustion is applicable.
4. Regional anatomy
1. Vasculature: The suprascapular artery and vein.
2. Innervation: The lateral suprascapular nerve and accessory nerve; deeper, the suprascapular nerve.
13. Quyuan (S.I. 13)
1. Location: On the medial extremity of the suprascapular fossa, about midway between Naoshu (S.I. 10) and the spinouse process of the 2^nd thoracic vertebra (see Diagram)
2. Indications: Pain and stiffness of the scapular region.
3. Method: Puncture perpendicularly 0.3-0.5 inch. Moxibustion is applicable.
4. Regional anatomy
1. Vasculature: The suprascapular artery and vein.
2. Innervation: Superficially, the lateral branch of the posterior ramus of the 2^nd thoracic nerve, the accessory nerve; deeper, the muscular branch of the suprascapular nerve.
14. Jianwaishu (S.I. 14)
1. Location: 3 cun lateral to the lower border of the spinous process of the 1^st thoracic vertebra (Taodao, Du 13), on the vertical line drawn from the vertebral border of the scapula (see Diagram)
2. Indications: Aching of the shoulder and back and rigidity of neck.
3. Method: Puncture obliquely 0.3-0.6 inch. Moxibustion is applicable.
4. Regional anatomy
1. Vasculature: Deeper, the transverse cervical artery and vein.
2. Innervation: Superficially, the medial cutaneous branches of the posterior rami of the 1^st and 2^nd thoracic nerves, the accessory nerve; deeper, the dorsal scapular nerve.
15. Jianzhongshu (S.I. 15)
1. Location: 2 cun lateral to the lower border of the spinous process of the 7^th cervical vertebra (Dazhui, Du 14) (see Diagram)
2. Indications: Cough, asthma, pain in the shoulder and back.
3. Method: Puncture obliquely 0.3-0.6 inch. Moxibustion is applicable.
1. Regional anatomy - see Jianwaishu (S.I. 14.)
16. Tianchuang (S.I. 16)
1. Location: In the lateral aspect of the neck, on the posterior border of m. sternocleidomastoideus, posterosuperior to Neck-Futu (L.I. 18.)
2. Indications: Deafness, tinnitus, sore throat, stiffness and pain of neck.
3. Method: Puncture perpendicularly 0.5-0.8 inch. Moxibustion is applicable.
4. Regional anatomy
1. Vasculature: The ascending cervical artery.
2. Innervation: The cutaneous cervical nerve, the emerging portion of the great auricular nerve.
17. Tianrong (S.I. 17)
1. Location: Posterior to the angle of mandible, in the depression on the anterior border of m. sternocledidomastoideus (see Diagram)
2. Indications: Deafness, tinnitus, sore throat, foreign body sensation in throat, and swelling cheek.
3. Method: Puncture perpendicularly 0.5-0.8 inch. Moxibustion is applicable.
4. Regional anatomy
1. Vasculature: Anteriorly, the external jugular vein; deeper, the internal carotid artery and internal jugular vein.
2. Innervation: Superficially, the anterior branch of the great auricular nerve, the cervical branch of the facial nerve; deeper, the superior cervical ganglion of the sympathedtic trunk.
18. Quanlia (S.I. 18)
1. Location: Directly below the outer canthus, in the depression on the lower border of zygoma (see Diagram)
2. Indications: Facial paralysis, twitching of eyelids, toothache, yellowish sclera.
3. Method: Puncture perpendicularly 0.5-0.8 inch.
4. Regional anatomy
1. Vasculature: The branches of the transverse facial artery and vein.
2. Innervation: The facial and infraorbital nerves.
19. Tinggong (S.I. 19)
1. Location: Between the tragus and the mandibular joint, where a depression is formed when the mouth is slightly open (see Diagram)
2. Indications: Deafness, tinnitus, otorrhea.
3. Method: Puncture perpendicularly 0.3-1.0 inch. Moxibustion is applicable.
4. Regional anatomy
1. Vasculature: The auricular branches of the superficial temporal artery and vein.
2. Innervation: The branch of the facial nerve, the auriculotemporal nerve.
4. The Small Intestine Channel of Hand-Taiyang (see Diagram)