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Location Guides:
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Classifications:
Jing-River and Fire point
Horary point of the Sanjiao channel
Location:
3 cun proximal to Yangchi SJ-4, in the depression between the radius and the ulna, on the radial side of the extensor digitorum communis muscle.
Needling:
Slightly oblique insertion towards the ulnar side or oblique proximal or distal insertion towards the elbow or wrist respectively 0.5 - 1.5 cun, or joined by through needling to Jianshi P-5.
Warnings:
Movement of the patient's hand or arm after needling this point can result in a bent needle.
Classical Needling:
"The Shaoyang usually has little Blood and much Qi" (Su Wen 素問 ch. 24) implying this channel should normally be needled.
"The hand Yin and Yang receive their Qi via nearby paths so their Qi arrive swiftly. The depth of piercing must not exceed 2 fen and must not remain inserted for longer than one exhalation" (Ling Shu 靈樞 ch. 12).
"It is needled to a depth of two fen, (the needle) is retained for a duration of seven exhalations, and it is moxaed with three cones" (Huangfu Mi 皇甫謐, 3rd Century, Zhenjiu Jiayi Jing 針灸甲乙經).
TCM Actions:
Regulates Qi and clears Heat in the three Jiao
Benefits the chest and lateral costal region
Moves the stool
Benefits the voice
Activates the channel and alleviates pain
TCM Indications:
- Tinnitus, heat-wind tinnitus and deafness, sudden loss of voice, lockjaw, febrile disease with absence of sweating, pain of the eyes, redness, swelling and pain of the eyes, swelling and pain of the throat, scrofula.
- Pain of the lateral costal region, abdominal pain, sudden Heart pain and oppression of the chest, cough, cough with redness and heat of the face.
- Constipation, vomiting, Sudden Turmoil (霍亂, Huo Luan) Disorder, post-partum dizziness, blockage of the Ren Mai in women.
- Pain of the axilla, pain of the shoulder, arm and back, Painful Obstruction (痹, Bi) of the elbow, tremor of the hand, cold-wind hand trembling, numbness of the hand, hemiplegia.
I Ching Hexagram:
䷤ Jia Ren 家人 Family
Shared with Laogong Pc-8. Balanced by ䷧ (Ququan Liv-8 or Xiaxi GB-43).
Hexagram attributions are my own with an explanation given in the glossary.
Neuroanatomy:
Superficial Innervation: Posterior cutaneous nerve of the forearm from C5 - C8
Dermatome Segment: C6, C7
Martial Applications & Effects of Injury:
See Montaigue, Dim Mak Locations, Taijiworld.com for explanation of effects.
Major Combinations:
- Stabbing Heart pain:
Zhigou SJ-6 with Rangu Kid-2 and Taixi Kid-3
(Sun Simiao, 孫思邈, 625: Bei Ji Qian Jin Yao Fang, 備急千金要方, Essential Prescriptions Worth A Thousand Gold).
- Pain of the chest and lateral costal region:
Reduce Zhigou SJ-6 on the opposite side and bleed Weizhong Bl-40
(Wang Guorui, 王國瑞, 1329: Bian Que Shen Ying Zhen Jiu, Yu Long Jing, 扁鵲神應針灸玉龍經, Bian Que's Spiritual Guide to Acupuncture and Moxibustion, Classic of the Jade Dragon).
- Pain of the lateral costal region due to Cold Damage:
Zhigou SJ-6 with Yanglingquan GB-34
(Lou Ying, 樓英, 1565: Yi Xue Gang Mu, 醫學綱目, Outline of Medicine).
- Pain of the lateral costal region:
Zhigou SJ-6 with Zhangmen Liv-13 and Waiguan SJ-5
(Yang Jizhou, 杨继洲, 1601: Zhen Jiu Da Cheng, 針灸大成, Great Compendium of Acupuncture and Moxibustion).
- Pain of the lateral costal region:
Zhigou SJ-6 with Gongsun Sp-4, Yanglingquan GB-34 and Zhangmen Liv-13
(Xu Feng, 徐鳳, 1439: Zhen Jiu Da Quan, 針灸大全, Complete Collection of Acupuncture and Moxibustion).
- Sudden loss of voice:
Zhigou SJ-6 with Tianchuang SI-16 with Futu LI-18, Qubin GB-7 and Lingdao He-4
(Sun Simiao, 孫思邈, 625: Bei Ji Qian Jin Yao Fang, 備急千金要方, Essential Prescriptions Worth A Thousand Gold).
- Sudden loss of voice:
Zhigou SJ-6 with Tonggu Bl-66 and Sanyangluo SJ-8
(Wang Zhizhong, 王執中, 1220: Zhen Jiu Zi Sheng Jing, 針灸資生經, Classic of Supporting Life with Acupuncture and Moxibustion).
- Vomiting and Sudden Turmoil Disorder:
Zhigou SJ-6 with Tianshu St-25
(Wang Zhizhong, 王執中, 1220: Zhen Jiu Zi Sheng Jing, 針灸資生經, Classic of Supporting Life with Acupuncture and Moxibustion).
- Sudden Turmoil Disorder:
Zhigou SJ-6 with Guanchong SJ-1, Juque Ren-14, Gongsun Sp-4 and Jiexi St-41
(Haungfu Mi, 皇甫謐, 282: Zhen Jiu Jia Yi Jing, 針灸甲乙經, Systematic Classic of Acupuncture and Moxibustion).
- Constipation:
Zhigou SJ-6 with Zhaohai Kid-6
(Yu Long Fu, 玉龍賦, Ode of the Jade Dragon. First recorded in Gao Wu, 高武, 1529: Zhen Jiu Yu Jing, 針灸聚英, Glorious Anthology of Acupuncture and Moxibustion).
- Deficiency constipation:
Reinforce Zhigou SJ-6 and reduce Zusanli St-36
(Anon, nd, Shi Si Jing Yao Xue Zhu Zhi Ge, 十四經要穴主治歌, Song of the Points of the Fourteen Primary Channels).
- Constipation:
Zhigou SJ-6 with Taibai Sp-3, Zhaohai Kid-6 and Zhangmen Liv-13
(Yang Jizhou, 杨继洲, 1601: Zhen Jiu Da Cheng, 針灸大成, Great Compendium of Acupuncture and Moxibustion).
- Abdominal pain and constipation:
Zhigou SJ-6 with Daling Pc-7 and Waiguan SJ-5
(Yu Long Fu, 玉龍賦, Ode of the Jade Dragon. First recorded in Gao Wu, 高武, 1529: Zhen Jiu Yu Jing, 針灸聚英, Glorious Anthology of Acupuncture and Moxibustion).
- Scofula:
Zhigou SJ-6 with Shaohai He-3, Tianchi Pc-1, Zhangmen Liv-13, Zulinqi GB-41, Yangfu GB-38, Jianjing GB-21 and Shousanli LI-10
(Yang Jizhou, 杨继洲, 1601: Zhen Jiu Da Cheng, 針灸大成, Great Compendium of Acupuncture and Moxibustion).
- Post partum dizziness:
Zhigou SJ-6 with Zusanli St-36 and Sanyinjiao Sp-6
(Yang Jizhou, 杨继洲, 1601: Zhen Jiu Da Cheng, 針灸大成, Great Compendium of Acupuncture and Moxibustion).
- Pain of the shoulder and back:
Zhigou SJ-6 with Houxi SI-3, Wangu SI-4, Fengmen Bl-12, Jianjing GB-21, Zhongzhu SJ-3 and Weizhong Bl-40
(Yang Jizhou, 杨继洲, 1601: Zhen Jiu Da Cheng, 針灸大成, Great Compendium of Acupuncture and Moxibustion).
- Wandering Painful Obstruction:
Zhigou SJ-6 with Xuanzhong GB-39 (Deadman, Al-Khafaji and Baker, 2001, A Manual of Acupuncture).
- Stagnation of Qi in the three Jiao leading to distention, oppression and pain in the chest and abdomen:
Zhigou SJ-6 with Shanzhong Ren-17, Zhongwan Ren-12, Qihai Ren-6 and Taichong Liv-3 (Deadman, Al-Khafaji and Baker, 2001, A Manual of Acupuncture).
Notes:
Despite only Zhongzhu SJ-3 mentioning benefiting the eyes, the indications for this point include redness, swelling and pain of the eyes. As the fire point it can be understood to clear Heat in the whole channel including the eyes. This extends to its internal branches deep inside the body clearing Heat from all three Jiao giving its other indications for moving stool and benefiting the chest and throat by clearing Heat.
Reference Notes:
Basic information on location, needle depth, TCM actions, indications and combinations is taken from Deadman et al (2001): A Manual of Acupuncture with additional anatomical information researched by reference to Gray's Anatomy (38th Ed., 1995) unless otherwise referenced. Images were found on acupunctureschoolonline.com and can be traced back to Claudia Focks (2008) Atlas of Acupuncture originally. I cannot claim any credit or rights over them. Other sources should be quoted in the text.
For some of the more unusual terms I have created a glossary here
