THE SANJIAO CHANNEL OF HAND-SHAOYANG

1. The Sanjiao Channel of Hand-Shaoyang origninates from the tip of the ring finger (Guanchong S.J. 1), (see Diagram)
1. running upward between the 4^th and 5^th metacarpal bones
2. along the dorsal aspect of the wrist
3. to the lateral aspect of the forearm between the radius and ulna.
4. Passing through the olecranon and
5. along the lateral aspect of the upper arm,
6. it reaches the shoulder region,
7. where it goes across and passes behinh the Gall Bladder Channel of Foot-Shaoyang.
8. Winding over to the supraclavicular fossa,
9. it spreads in the chest to connect with the pericuardium.
10. It then descends through the diaphragm down to the abdomen,
11. and joins its pertaining organ, the upper, middle and lower jiao (i.e. sanjiao.)
12. A branch originates from the chest.
13. Running upward, it emerges from the supraclavicular fossa.
14. From There is ascends to the neck,
15. running along the posterior border of the ear,
16. and further to the superior aspect of the ear.
17. Then it turns downward to the cheeks and terminates in the infraorbital region.
18. The auricular branch arises from the retroacuricular region and enters the ear.
19. Then it emerges in front of the ear, crosses the previous branch at the cheek and reaches the outer canthus (Sizhukong, S.J. 23) to link with Gall Bladder Channel of Foot-Shaoyang (see Diagram)
20. Note: Sanjiaro has an Inferior He-Sea Point which is Weiyang (U.B. 39) (see Diagram)
2. The following are 23 points of this channel:
1. Guanchong (Jing-Well Point, S.J. 1)
1. Location: On the lateral side of the ring finger, about 0.1 cun posterior to the corner of the nail (see Diagram)
2. Indications: Headache, redness of the eyes, sore throat, stiffness of the tongue, febrile diseases and irritability.
3. Method: Puncture perpendicularly 0.1 inch, or prick with three-edged needle to cause bleeding. Moxibustion is applicable.
4. Regional anatomy
1. Vasculature: The arterial and venous network formed by the palmar digital proprial artery and vein.
2. Innervation: The palmar digital proprial nerve derived from the ulnar nerve.
2. Yemen (Ying-Spring Point, S.J. 2)
1. Location: Proximal to the margin of the web between the ring and small fingers. The point is located with clenched fist (see Diagram)
2. Indications: Headache, redness of the eyes, deafness, sore throat, pain in the hand and arm malaria.
3. Method: Puncture perpendicularly 0.3-0.5 inch towards the interspace of the metacarpal bones. Moxibustion is applicable.
4. Regional anatomy
1. Vasculature: The dorsal digital artery of the ulnar artery.
2. Innervation: The dorsal branch of the ulnar nerve.
3. Hand-Zhongzhu (Shu-Stream Point, S.J. 3)
1. Location: When the hand is placed with the palm facing downward, the point is on the dorsum of hand between the 4^th and 5^th metacarpal bones, in the depression proximal to the metacarpophalangeal joint (see Diagram)
2. Indications: Headache, redness of the eyes, deafness, tinnitus, sore throat, pain in the elbow and arm, motor impairment of fingers, and febrile diseases.
3. Method: Puncture perpendicularly 0.3-0.5 inch. Moxibustion is applicable.
4. Regional anatomy
1. Vasculature: The dorsal venous network of hand and the 4^th dorsal metacarpal artery.
2. Innervation: The dorsal branch of the ulnar nerve.
4. Yangchi (Yuan-Source Point, S. J. 4)
1. Location: At the junchtion of the ulna and carpal bones, in the depression lateral to the tendon of m. extensor digitorum communis (see Diagram)
2. Indications: Pain in the wrist, shoulder and arm, malaria, and deafness.
3. Method: Puncture perpendicularly 0.3 inch. Moxibustion is applicable.
4. Regional anatomy
1. Vasculature: Inferiorly, the dorsal venous network of the wrist and the posterior carpal artery.
2. Innervation: The dorsal branch of the ulnar nerve and the terminal branch of the posterior antebrachial cutaneous nerve.
5. Waiguan (Luo-Connecting Point, S.J. 5)
1. Location: 2 cun above Yangchi (S.J. 4), between the radius and ulna (see Diagram)
2. Indications: Febrile diseases, headache, pain in the cheek and the hypochondriac region, deafness, tinnitus, motor impairment of the elbow and arm, pain of fingers and hand tremor.
3. Method: Puncture perpendicularly 0.7-1.0 inch. Moxibustion is applicable.
4. Regional anatomy
1. Vasculature: Deeper, the posterior and anterior interosseous arteries and veins.
2. Innervation: The posterior antebrachial cutaneous nerve; deeper, the posterior interosseous nerve of the radial nerve and the anterior interossious nerve of the median nerve.
5. Notes:
1. This is one of the Eight Confluent Points communicating with the Yangwei Channel.
2. On the forearm, the distance from angchi (S.J. 4) to the olecranon is measured as 12 cun.
6. Zhigou (Jing-River Point, S. J. 6)
1. Location: 3 cun above yangchi (S.J. 4), between the ulna and radius (see Diagram)
2. Indications: Sudden hoarseness of voice, tinnitus, deafness, aching and heavy sensation of the shoulder and back, vomiting, constipation.
3. Method: Puncture perpendicularly 0.7.1.0 inch. Moxibustion is applicable.
1. Regional anatomy - see Waiguan (S.J. 5.)
7. Huizong (Xi-Cleft Point, S. J. 7)
1. Location: 3 cun proximal to the wrist, about one finger-breadth lateral to Zingou (S.J. 6), on the radial side of the ulna (see Diagram)
2. Indications: Deafness, pain of the upper extremities, and epilepsy.
3. Method: Puncture perpendicularly 0.5-1.0 inch. Moxibustion is applicable.
4. Regional anatomy
1. Vasculature: The posterior interosseous artery and vein.
2. Innervation: The posterior and medial antebrachial cutaneous nerves; deeper, the posterior and anterior interossous nerve.
8. Sanyangluo (S.J. 8)
1. Location: 4 cun above Yangchi (S.J. 4), between the radius and ulna..
2. Indications: Sudden hoarseness of voice, deafness, pain in the hand and arm.
3. Method: Puncture perpendicularly 0.5-1.0 inch. Moxibustion is applicable.
4. Regional anatomy - See Huizong (S.J. 7.)
9. Sidu (S.J. 9)
1. Location: 5 cun below the olecranon, between the radius and ulna.
2. Indications: Sudden hoarseness of voice, deafness, toothache, pain in the forearm.
3. Method: Puncture perpendicularly 0.5-1.0 inch. Moxibustion is applicable.
4. Regional anatomy - See Huizong (S.J. 7.)
10. Tianjing (He-Sea Point, S. J. 10)
1. Location: When the elbow is flexed, the point is in the depression about 1 cun superior to the olecranon (see Diagram)
2. Indications: Unilateral headache, pain in the costal and hypochondriac region, neck, shoulder and arm, scrofula and epilepsy.
3. Method: Puncture perpendicularly 0.3-0.5 inch. Moxibustion is applicable.
4. Regional anatomy
1. Vasculature: The arterial and venous network of the elbow.
2. Innervation: The posterior brachial cutaneous nerve and the muscular branch of the radial nerve.
5. The Inferior He-Shea Point of sanjiao is Weiyang (U.B 39), which is indicated in disorders of sanjiao.
11. Qinglengyuan (S. J. 11)
1. Location: 1 cun above Tianjing (S.J. 10.)
2. Indications: Pain in the should and arm.
3. Method: Puncture perpendicularly 0.3 inch. Moxibustion is applicable.
4. Regional anatomy
1. Vasculature: The terminal branches of the median collateral artery and vein.
2. Innervation: The posterior brachial cutaneous nerve and the muscular branch of the radial nerve.
5. On the upper arm, the distance from the olecranon to the level of the end of the posterior axillary fold is measured as 9 cun.
12. Xioluo (S. J. 12)
1. Location: On the line joining the olecranon and Jianliao (S.J. 14), midway between Qinglengyuan (S.J. 11) and Naohui (S.J. 13.) It is just on the lower end of the bulge of the lateral head of m. triceps brachii when the forearm is in pronation.
2. Indications: Headache, stiffness and pain of the neck, and pain in the arm.
3. Method: Puncture perpendicularly 0.5-0.7 inch. Moxibustion is applicable.
4. Regional anatomy
1. Vasculature: The median collarteral artery and vein.
2. Innervation: The posterior brachial cutaneous nerve and the muscular branch of the radial nerve.
13. Naohui (S.J. 13)
1. Location: On the line joining Jianliao (S.J. 14) and the olecranon, 3 cun below Jianliao (S.J. 14), on the posterior border of m. deltoideus.
2. Indications: Pain in the shoulder and arm, and goiter.
3. Method: Puncture perpendicularly 0.5-0.8 inch. Moxibustion is applicable.
4. Regional anatomy
1. Vasculature: The median collateral artery and vein.
2. Innervation: The posterior brachial cutaneous nerve, the muscular branch of the radial nerve; deeper, the radial nerve.
14. Jianliao (S.J. 14)
1. Location: Posterior and inferior to the acromion, in the depression about 1 cun posterior to Jianyu (L.I. 15) (see Diagram)
2. Indications: Heavy sensation of the shoulder, and pain in the arm.
3. Method: Puncture perpendicularly or obliquely downward 0.7-1.0 inch. Moxibustion is applicable.
4. Regional anatomy
1. Vasculature: The muscular branch of the posterior circumflex humeral artery.
2. Innervation: The muscular branch of the axillary nerve.
15. Tianliao (S.J. 15)
1. Location: Midway between Jianjing (G.B. 21) and Quyuan (S.I 13), on the superior angle of the scapula.
2. Indications: Pain in the shoulder and arm, pain and stiffness of the neck.
3. Method: Puncture perpendicularly 0.3-0.5 inch. Moxibustion is applicable.
4. Regional anatomy
1. Vasculature: The descending branch of the suprascapular artery.
2. Innervation: The accessory nerve and the branch of the suprascapular nerve.
16. Tianyou (S.J. 16)
1. Location: Posterior and inferior to the mastoid process, on the posterior border of m. sternocleidomastoideus, level with Tianrong (S.I. 17) and Tianzhu (U.B. 10.)
2. Indications: Dizziness, facial swelling, sudden deafness, blurring of vision and neck rigidity.
3. Method: Puncture perpendicularly 0.3-0.5 inch. Moxibustion is applicable.
4. Regional anatomy
1. Vasculature: The posterior auricular artery.
2. Innervation: The lesser occipital nerve.
17. Yifeng (S.J. 17)
1. Location: Posterior to the lobule of the ear, in the depression between the mandible and mastoid process (see Diagram)
2. Indications: Tinnitus, deafness, facial paralysis, trismus, and swelling of the cheek.
3. Method: Puncture perpendicularly 0.5-1.0 inch. Moxibustion is applicable.
4. Regional anatomy
1. Vasculature: The posterior auricular nerve and vein, the external jugular vein.
2. Innervation: The great auricular nerve; deeper, the site where the facial nerve perforates out of the stylomastoid foramen.
18. Qimai (S.J. 18)
1. In the center of the mastoid process, at the junction of the middle and lower third of the curve formed by Yifeng (S.J. 17) and Jiaosun (S.J. 20) posterior to the helix.
2. Indications: Headache, tinnitus, and deafness.
3. Method: Puncture perpendicularly 0.1 inch. Moxibustion is applicable.
4. Regional anatomy
1. Vasculature: The posterior auricular artery and vein.
2. Innervation: The posterior auricular branch of the great auricular nerve.
19. Luxi (S. J. 19)
1. Location: Posterior to the ear, at the junction of the upper and middle third of the curve formed by Yifeng (S.J. 17) and Jiaosun (S.J. 20) behind the helix.
2. Indications: Headache, tinnitus, and earache.
3. Method: Puncture perpendicularly 0.1 inch. Moxibustion is applicable.
4. Regional anatomy
1. Vasculature: The posterior auricular artery and vein.
2. Innervation: The anastomotic branch of the great auricular nerve and the lesser occipital nerve.
20. Jiaosun (S.J. 20)
1. Location: Directly above the ear apex, within the hairline of temple (see Diagram)
2. Indications: Redness and swelling of the ear, redness, selling and pain of the eye, and toothache.
3. Method: Puncture perpendicularly 0.1 inch. Moxibustion is applicable.
4. Regional anatomy
1. Vasculature: The branches of the superficial temporal artery and vein.
2. Innervation: The branches of the auriculotemporal nerve.
21. Ermen (S. J. 21)
1. Location: In the depression anterior to the supratragic notch and slightly superior to the condyloid process of the mandible. The point is located with mouth open.
2. Indications: Deafness, tinnitus, otorrhea, and toothache.
3. Method: Puncture perpendicularly 0.3-0.5 inch. Moxibustion is applicable.
4. Regional anatomy
1. Vasculature: The superficial temporal artery and vein.
2. Innervation: The branches of the auriculotemporal nerve and facial nerve.
22. Ear-Heliao (S.J. 22)
1. Location: Anterior and superior to Ermen (S.J. 21), level with the root of the auricle, on the posterior border of the hairline of the temple where the superficial temporal artery passes.
2. Indications: Tinnitus, headache, heavy sensation of the head and lockjaw.
3. Method: Puncture perpendicularly 0.1-0.3 inch. Avoid the artery. Moxibustion is applicable.
4. Regional anatomy
1. Vasculature: The superficial temporal artery and vein.
2. Innervation: The branch of the auriculotemporal nerve, on the course of the temporal branch of the facial nerve.
23. Sizhukong (S.J. 23)
1. Location: In the depression at the lateral end of the eyebrow (see Diagram)
2. Indications: Headache, blurring of vision, redness and pain of the eye, and twitching of the eyelid.
3. Method: Puncture perpendicularly 0.3 inch horizontally along the skin.
4. Regional anatomy
1. Vasculature: The frontal branches of the superficial temporal artery and vein.
2. Innervation: The zygomatic branch of the facial nerve and the branch of the auriculotemporal nerve.
3. Summary of "The Sanjiao Channel of Hand-Shaoyang" Points.