1. Where is Shangyang (Shang Yang) located?

2. What is its insertion depth and angle?

3.  Any cautions?

1. Shangyang (LI 1) is located on the radial side of the index finger 0.1 cun posterior to the corner of the nail.

2.  Insertion depth is 0.1 cun, or prick to bleed!

3.  Nope

Shangyang (LI 1) is a jing-well point and also a metal point.  It is the metal point on a metal channel, thus it is the horary point.

Remember!  All jing well points on yang channels start with metal!

1. What are Deadman's actions for Shangyang?

2.  What are CAM's indications for Shangyang?

1.  Deadman's actions for Shangyang (LI 1) include:

*Clears heat, reduces swelling, and alleviates pain

*Revives consciousness (like many of the jing-well points!)

2.  CAM's indications for Shangyang (LI 1) include:  toothache, sore thraot, swelling of submandibular region, numbness of fingers, febrile diseases with anhidrosis, loss of consciousness.

1.  Where is Erjian (Second Space) located?

2. What is its insertion depth and angle?

3.  Any cautions?

1.  Erjian (LI 2) is located in the depression of the radial side of the index finger, distal to the 2nd metacarpal-phalangeal joint.  The point is located with the finger slightly flexed.  (aka below the knuckle)

2.  Erjian's insertion depth is 0.2 - 0.3 cun, perpendicularly. (although Deadman recommends an Oblique proximal or distal insertion)

3.  Nope!

1. What are Deadman's actions for Erjian (second space)?

2. What are CAM's indications for Erjian?

1. Deadman's actions for Erjian (LI 2) include:

* Expels wind, clears heat and reduces swelling

*Alleviates pain

2. CAM's indications for Erjian include: Blurring of vision, Epistaxis, toothache, sore throat, febrile diseases.

1.  Where is Sanjian (Third Space) located?

2.  What is its insertion depth and angle?

3. Any cautions?

1.  Locate Sanjian (LI 3) with a loose fist, on the radial side of the index finger, in the depression proximal to the head of the second metacarpal bone (AKA above the knuckle).

2.  Needle Sanjian perpendicularly, 0.5-0.8 cun. 

3.  Nope

1.  What are Deadman's actions for Sanjian (Third Space)?

2.  What are CAM's indications for Sanjian?

1.  Deadman's actions for Sanjian (LI 3) include:

*Expels wind and heat

*Clears heat and benfits the throat and teeth

*Dispels fullness and treats diarrhea

2.  CAM's indications for Sanjian include: Toothach, opthamalgia, sore throat, redness and swelling of fingers and the dorsum of the hand.

1.  Where is Hegu (Joining Valley) located?

2.  What is its insertion depth and angle?

3.  Any Cautions?

1. Hegu (LI 4) is located on the dorsum of the hand between the 1st and 2nd metacarpal bones, approximately in the middle of the 2nd metacarpal bone on the radial side. 

2.  Perpendicular, 0.5-1 cun.

3.  In Thailand, this point is referred to as "baby killer"  One of its actions is to induce labor, so unless that's yr intent, DO NOT NEEDLE DURING PREGNANCY!!!!!!

Hegu (LI 4) is another rockstar!

It is the Yuan-Source point of the LI channel (meaning that you can tap into the original qi of the Large Intestine channel at this point.... unlike the Back Shu points, the Yuan points are consistently replenished by the Sanjiao)

The Gao Wu Command Point for areas of face and mouth

Ma Dan-yang Heavenly Star point

1. What are Deadman's actions for Hegu (Joining Valley)?

2. What are CAM's indications for Hegu?

1.  Deadman's actions for Hegu (LI 4) include:

*Regulates defensive qi (wei qi) and adjusts sweating

*Expels wind and releases the exterior

*Regulates the face, eyes, nose, mouth and ears

*Activates channel and alleviates pain (ACAP)

*Induces labor

*Restores the yang

2. CAM's indications for Hegu include:

Headache, pain in the neck, redness, swelling and pain of the eye, epistaxis, nasal obstruction, rhinorrhea, toothache, deafness, swelling of the face, sore throat, parotitis, trismus, facial paralysis, febrile diseases with anhidrosis, hidrosis, abdominal pain, dysentery, constipation, amenorrhea, delayed labour, infantile convusion, pain, weakness and motor impairment of the upper limbs.

1.  Where in Yangxi (Yang Stream) located?

2.  What is its insertion depth and angle?

3. Any cautions?

1. Yangxi (LI 5) is locaed on the radial side of the wrist.  When the thumb is tilted upward, it is in the depression between the tendons of m. extensor pollicis longus and brevis. (AKA in the anatomical snuffbox)

2.  Perpendicularly, 0.3-0.5 cun

3.  Locate the cephalic vein which runs through the anatomical snuffbox in order to avoid needling through the vein.

1. What are Deadman's actions for Yangxi (Yang Stream)?

2. What are CAM's indications for Yangxi?

1. Deadman's actions for Yangxi (LI 5) include:

*Clears heat and alleviates pain

*Clears yangming fire

*Calms the spirit

*Benefits the wrist joint

2. CAM's indications for Yangxi include:

Headache, redness, pain and swelling of the eye, toothache, sore thraot, pain of the wrist.

1.  Where is Pianli (Veering Passage) located?

2.  What is its insertion depth and angle?

3.  Any cautions?

1.  Pianli (LI 6) is located with the elbow flexed and the radial side of the arm upward, the point is on the line joining Yangxi (LI 5) and Quchi (LI 11), 3 cun above the crease of the wrsit.

2.  Perpendicularly or obliquely 0.5-0.8 cun

3.  NOPE!

The name of LI 6, Pianli (veering passage) might tip you off.  It is the luo connecting point of the Large Intestine meridian, connecting it with its internally/externally paired organ, the Lung channel of hand taiyin.

NOTE: pay attention to the course of the Luo channels! In this instance, this channel ascends and goes to the ears and teeth, thus explaining a lot of otherwise unclear signs and symptoms!!!!

1. What are Deadman's actions for Pianli (veering passage)?

2. What are CAM's indications for Pianli?

1.  Deadman's actions for Pianli (LI 6) include:

*Expels wind and clears heat

*Opens and regulates the water passages.

2.  CAM's indications for Pianli include: Redness of the eye, tinnitus, deafness, epistaxis, aching of the hand and arm, sore throat, edema.

1. Where is Wenliu (warm flow) located?

2. What is its insertion depth and angle?

3.  Any cautions?

1.  Wenliu (LI 7) is located with the elbow flexed and the radial side of arm upward, the point is on the line connecting Yangxi (LI 5) and Quchi (LI 11), 5 cun above the crease of the wrist.

2. Perpendicularly, 0.5 - 1 cun

3. Nope!

Wenliu (LI 7) is the Xi-Cleft point of the Large Intestine channel!

*Remember that Xi-Cleft points moderate pain and acute conditions.  Also, on the yin meridians, they are useful for disorders of blood..... since this is a yang meridian, this point does not have an effect on blood!

1. What are Deadman's actions for Wenliu (Warm flow)?

2. What are CAM's indications for Wenliu?

1.  Deadman's actions for Wenliu (LI 7)include:

*Clears heat and detoxifies poison (like clove sores)

*Moderates acute conditions

*Regulates and harmonises the intestines and Stomach

*Clears yangming fire and calms the spirit

2. CAM's indications for Wenliu include: Headache, swelling of the face, sore throat, borborygmus, abdominal pain, aching of the shoulder and arm.

1. Where is Xialian (Lower Angle) located?

2.  What is its needling depth and angle?

3.  Any cautions?

4. Bonus question: What organ does this point harmonize?  What point on the leg does this point mirror?

1. Xialian (LI 8) is located on the line joining Yangxi (LI 5) and Quchi (LI 11), 4 cun below the cubital crease.

2. Perpendicular, 0.5-1 inch 

3. Nope

4. Small Intestine.  It mirrors Stomach 39, the Lower He-Sea point of the Small Intestine.

1. What are Deadman's actions for Xialian (Lower Angle)?

2. What are CAM's indications for Xialian?

1.  Deadman's actions for Xialian (LI 8) include:

*Harmonizes the Small Intestine

*Expels wind and clears heat

*Clears yangming fire and calms the spirit

2. CAM's indications for Xialian include:

Abdominal pain, borborygmus, pain in the elbow and arm, motor impairment of the upper limbs.

1.  Where is Shanglian (Upper Angle) located?

2. What is its insertion depth and angle?

3.  Any cautions?

4. Bonus.  What organ does Shanglian harmonize?  What lower leg point does this point mirror?

1.  Shanglian (LI 9) is located on the line joining Yangxi (LI 5) and Quchi (LI 11), 3 cun below the cubital crease (aka the elbow crease).

2.  Perpendicular, 0.5 - 1 cun

3.  Nope

4.  Shanglian harmonizes the Large Intestine.   This point mirrors Stomach 37, the lower He-Sea point of the Large Intestine

1. What are Deadman's actions for Shanglian (Upper Angle)?

2. What are CAM's indications for Shanglian?

1.  Deadman's actions for Shanglian (LI 9) include:

*Harmonizes the Large Intestine

*Activates the channel and alleviates pain

2.  CAM's indications for Shanglian include:

Aching of the shoulder and arm, motor impairment of the upper limbs, numbness of the hand and arm, borborygmus, abdominal pain

1.  Where is Shousanli (Arm Three Miles) located?

2.  What is its needling depth and angle?

3. Any cautions?

4. Bonus, what point on the lower leg does Shousanli mirror?

1.  Shousanli (LI 10) is located on the line joining Yangxi (LI 5) and Quchi (LI 11), 2 cun below the cubital crease.

2.  Perpendicular, 0.8-1.2 cun

3. Nope

4.  Stomach 36, Zusanli (Leg Three Miles)

1. What are Deadman's actions for Shousanli (Arm Three Miles)?

2. What are CAM's indications for Shousanli?

1. Deadman's actions for Shousanli (LI 10) include:

* Regulates qi and blood, ACAP

*Harmonizes the intestines and Stomach

2. CAM's indications for SHousanli include: Abdominal pain, diarrhea, toothache, swelling of the cheek, motor impairment of the upper limbs, pain in the shoulder and back.

1. Where is Quchi (Pool at the Crook) located?

2.  What is its needle depth and angle?

3. Any cautions?

1.  Locate Quchi (LI 11) with the elbow flexed, the point is in the depression at the lateral end of the transverse cubital crease, midway between Chize (Lung 5) and the lateral epicondyle of the humerus.

2. Perpendicular 1-1.5 cun

3. Nope!

Quchi (LI 11) is the He-Sea and Earth point of the Large Intestine channel

It is also a Ghost point, and a Heavenly star point!

It is used quite often clinically!

1.  What are Deadman's actions for Quchi (Pool at the Crook)?

2. What are CAM's indications for Quchi?

1.  Deadman's actions for Quchi (LI 11) include:

*Clears heat, cools blood, eliminates wind, drains damp,& stops itching

*Regulates qi and blood

*ACAP

2.  Sore throat, toothache, redness and pain of the eye, scrofula, urticaria, motor impairment of the upper extremities, abdominal pain, vomiting, diarrhea, febrile diseases.

1. Where is Zhouliao (Elbow Crevice) located?

2.  What is its insertion depth and angle?

3.  Any cautions?

1.  Zhouliao (LI 12) is located with the elbow flexed on the lateral side of the upper arm, 1 cun above Quchi (LI 11), on the border of humerus

2.  Perpendicular, 0.5-1 cun

3.  Nope

1.  What are Deadman's actions for Zhouliao (Elbow Crevice)?

2.  What are CAM's indications for Zhouliao?

1.  Deadman's actions for Zhouliao (LI 12) include:

*Activates channel alleviates pain (ACAP)
* Benefits the elbow joint

2.  CAM's indications for Zhouliao (LI 12) include:

Pain, numbness and contracture of the elbow and arm.

1.  Where is Shouwuli (Arm Five miles) located?

2. What is its insertion depth and angle?

3.  Any Cautions?

1.  Shouwuli (LI 13) is located on the lateral side of the upper arm, on the line connecting Quchi (LI 11) and Jianyu (LI 15), 3 cun above Quchi (LI 11).

2.  Perpendicular, 0.5 - 1 cun

3.  Avoid injuring the artery (radial collateral artery and vein).

1. What are Deadman's actions for Shouwuli (Arm Five Miles)?

2.  What are CAM's indications for Shouwuli?

1.  Deadman's actions for Shouwuli (LI 13) include:

*ACAP

*Alleviates coughing

* Regulates qi, drains damp and transforms phlegm

2. CAM's indications for Shouwuli include: Contracture and pain of the elbow and arm, scrofula.

1. Where is Binao (Upper Arm) located?

2. What is its insertion depth and angle?

3. Any cautions?

1.  Binao (LI 14) is located on the lateral side of the upper arm, 7 cun superior to LI 11, on the line joining Quchi (LI 11) and Jianyu (LI 15) at the insertion of m. deltoideus.

2.  Perpendicular or obliquely upwards 0.8-1.5 inches. 

3. Nope

1.  What are Deadman's actions for Binao (Upper arm)?

2. What are CAM's indications for Binao?

1.  Deadman's actions for Binao (LI 14) include:

*ACAP

*Regulates qi and disspiates phlegm nodules

*Benefits the eyes

2. CAM's indications for Binao include:  Pain of the shoulder and arm, rigidity of the neck and scrofula.

1. Where is Jianyu (shoulder bone) located?

2. What is its insertion depth and angle?

3.  Any cautions?

1.  Jianyu (LI 15) is located antero-inferior to the acromion on the upper portion of m. deltoid.  When the arm is in full abduction, the point is in the depression appearing at the anterior border of the acromioclavicular joint.

2.  Perpendicularly or obliquely 0.8-1.5 cun

3.  Nope.

1.  What are Deadman's actions for Jianyu (Shoulder bone)?

2. What are CAM's indications for Jianyu?

1.  Deadman's actions for Jianyu (LI 15) include:

*Dispels wind-damp, alleviates pain, benefits shoulder joint

*Eliminates wind and regulates qi and blood

*Regulates qi and dissipates phlegm nodules

2.  CAM's indications for Jianyu include:  Pain in the shoulder and arm, motor impairment of the upper extremities, rubella, scrofula

*Note: essential questions states LI 15 is one of 8 points to drain heat from the extremities

1.  Where is Jugu (Great Bone) located?

2. What is its needle depth and insertion angle?

3.  Any Cautions?

1.  Jugu (LI 16) is located in the upper aspect of the shoulder, in the depression between the acromial extremity of the clavicle and the scapular spine

2.  Perpendicular 0.5-0.7 cun

3. YES!!!! Deep medial insertion carries a risk of causing a pneumothorax (esp. in thin patients)

1. What are Deadman's actions for Jugu (Great Bone)?

2. What are CAM's indications for Jugu?

1.  Deadman's actions for Jugu (LI 16) include:

*ACAP and benefits the shoulder joint

*Regulates qi and blood and dissipates phlegm nodules

2. CAM's indications for Jugu (LI 16) include:  pain and motor impairment of the upper extremities, pain in the shoulder and back.

1. Where is Tianding (Heaven's Tripod) located?

2.  What is its insertion depth and angle?

3. Any Cautions?

1.  Tianding (LI 17) is located on the lateral side of the neck, at the posterior border of the sternocleidomastoid (SCM) muscle, beside the laryngeal protuberance, at the midpoint of the line connecting Futu (LI 18) and Quepen (ST 12).

DEADMAN's point location: On the lateral side of neck, 1 cun inferior to Futu (LI 12) on posterior border of SCM

2.  Perpendicular 0.3-0.5

3. YES!  Deep needling may puncture the carotid artery or jugular vein

1.  What are Deadman's actions for Tianding (Heaven's tripod)?

2.  What are CAM's indications for Tianding?

1.  Deadman's actions for Tianding (LI 17) include:

*Benefits the throat and voice

2. CAM's indications for Tianding include:  Sudden loss of voice, sore throat, scrofula, goiter.

1. Where is Futu (Support the prominence) located?

2. What is its insertion depth and angle?

3. Any cautions?

1.  Futu (LI 18) is located on the lateral side of the neck, level with the tip of Adam's apple, between the sternal head and clavicular head of m. sternocleidomastoid (SCM).

2. Perpendicular, 0.3-0.5 cun

3. YES!  Deeper needling may puncture the carotid artery or jugular vein

Futu (LI 18) is a point of Window of Heaven!

1. What are Deadman's actions for Futu (Support the prominence)?

2.  What are CAM's indications for Futu?

1. Deadman's actions for Futu (LI 18) include:

*Benefits the throat and voice

*Alleviates cough and wheezing

2. CAM's indications for Futu include: Cough, asthma, sore throat, sudden loss of voice, scrofula, goiter.

1. Where is Kouheliao (Mouth Grain Crevice) located?

2.  What is its insertion depth and angle?

3. Any cautions?

1.  Kouheliao (LI 19) is located right below the lateral margin of the nostril, level with Renzhong (GV 26).  NOTE: remember that the Large Intestine channel crosses over to the opposite side... ie, the channel that begins on the left index finger will cross over to the right nostril and vice versa.

2. Oblique 0.2-0.3 cun

3. Classically contraindicated for moxabustion - this point is right beside the nose, so hmmm.

1. What are Deadman's actions for Kouheliao (mouth grain crevice)?

2. What are CAM's indications for Kouheliao?

1.  Deadman's actions for Kouheliao (LI 19) include:

*Eliminates wind and opens the nasal passages

2.  CAM's indications for Kouheliao include: nasal obstruction, epistaxis, deviation of the mouth

1. Where is Yingxiang (Welcome Fragrance) located?

2. What is its insertion depth and angle?

3.  Any cautions?

1. Yingxiang (LI 20) is located in the nasolabial groove, at the level of the midpoint of the lateral border of ala nasi.

2.  Oblique or subcutaneous 0.3-0.5 cun

3.  Some texts say this point is contraindicated for moxa (because it is right by the nose!!!)

1. What are Deadman's actions for Yingxiang (Welcome Fragrance)?

2. What are CAM's indications for Yingxiang?

1.  Deadman's actions for Yingxiang (LI 20) include:

*Opens the nasal passages

*Expels wind and clears wind

2. CAM's indications for Yingxiang include: Nasal obstruction, hyposmia (lessened sensitivity to odors), epistaxis, rhinorrhea, deviation of the mouth, itching and swelling of the face.