Acupuncture Points Notebook

Location Guides:

: Taiyang : Sun (Supreme Yang)

Ex-HN-5 : Extra Head/Neck 5

Classifications:
Trigger point (Travell & Simons, 1998, Trigger Point Manual; Melzack, Stillwell & Fox, 1977, Trigger Points and Acupuncture Points for Pain: Correlations and Implications, Pain 3, p3-23)

Location:
At the temple, in the tender depression approximately 1 cun posterior to the midpoint between the lateral extremity of the eyebrow and the outer canthus of the eye.

Needling:
Perpendicular needling 0.5 - 0.8 cun, or transverse needling posteriorly towards Shuaigu GB-8, 1 - 1.5 cun, or oblique insertion anteriorly 0.3 - 0.5 cun, or prick to bleed.

TCM Actions:
Eliminates wind and clears heat
Reduces swelling and stops pain
Activates the channel and alleviates pain

TCM Indications:
  • One-sided headache, dizziness, toothache, trigeminal neuralgia.
  • Disorders of the eyes, dimness of vision, redness and swelling of the eyes, pain of the eyes, deviation of the mouth and eye.

    Neuroanatomy:
    Superficial Innervation: Temporal branch of temporomalar (zygomatic) nerve from maxillary branch of trigeminal (CN V2)
    Dermatome Segment: CN V2 maxillary branch of trigeminal

    Trigger Point Associations:
    Muscle: Temporalis
    Myotome Innervation: Deep temporal nerves from mandibular branch of trigeminal nerve (CN V3)
    Pain Referral Pattern: Temple, eyebrow, front teeth and upper jaw
    Indications: Migraine ; Myalgia ; Headache and toothache with no restriction in jaw opening ; Feeling teeth do not meet right

    Notes:
    Location of the temporal pulse

    Famous point in martial arts where a blow may be fatal.

    Commonly used for treatment of one-sided headache, dizziness and diseases of the eyes.

    Medieval phlebotomy point (John de Foxton, 1408: Liber Cosmographiae, maa.cam.ac.uk; Hans von Gersdorff, 1517: Feldtbüch der Wundartzney, www.nlm.nih.gov)

    Galen mentions arteriotomy at this point in the case of "fluxions of the eyes, when these are hot and spiritous" (Brain, 1986, Galen on Bloodletting, p. 97), although he provides no description of what a "spiritous" symptom should be.

    Aretaeus performed arteriotomy in front and behind the ears for epilepsy, so most likely this point and Yifeng SJ-17, Qimai SJ-18 or Luxi SJ-19 (ibid.: p.97, footnote).

    In Tibetan medicine:
    mLung point, the temples become painful to touch when mLung is disrupted (Bradley, 2000: Principles of Tibetan Medicine)

    In ayurvedic medicine:
    Shankh marma point
    Size: 1/2 angula (cun)
    Structure: Bone
    Effect of Injury: Fatal (sadhyapranahar marma)
    (Harish Johari, 1996, Ayurvedic Massage, Sanatan Society; Anupama Bhattacharya, Marma Shastra)

    Lad and Durve (2008) in Marma Points of Ayurveda locate a point slightly posterior to this point called Shankha and associate it with Sadhaka Pitta, Pachaka Pitta, Udana Vayu and Apana Vayu.

    They give the following actions:
    - Strongly pacifies pitta
    - Relieves headaches
    - Relieves stomach pain, decreases acidity
    - Regulates colon
    - Benefits eyes, ears, teeth and face
    - Influences speech
    - Reduces emotional stress, calms mind

    In Thai massage:
    Acupressure point along the Itha (left) and Pingala (right) sen lines of head running from the base of the occiput, Fengchi to this point.
    Indicated for ear ailments and headaches.
    (Salguero & Roylance, 2011, Encyclopedia of Thai Massage)


    Reference Notes: (click to display)