Acupuncture Points Notebook

: Baxie : Eight Pathogens

Ex-UE-9 : Extra Upper Extremity 9

Classifications:
One of the "59 piercings" for clearing Heat in Ling Shu Ch. 23

Location:
When the hand is made into a fist, six of these points lie in the depressions between the metacarpal heads, proximal to the web margins. The remaining two points lie equidistant between the thumb and index metacarpals, proximal to the web margins.

Needling:
Perpendicular insertion along the line between the shafts of the metacarpal bones 0.5 - 1 cun.

TCM Actions:
Clears heat and dissipates swelling

TCM Indications:
  • Numbness, stiffness, redness, swelling, spasm and pain of the fingers and hand, painful obstruction of the fingers.
  • Headache, toothache, pain and swelling of the throat, redness and swelling of the eyes, febrile disease.

    Neuroanatomy:
    Superficial Innervation: Superficial branch of radial nerve (C6 - C8) and ulnar (C8 - T1)
    Dermatome Segment: C6, C7, C8

    Notes:
    First described for the treatment of malaria. In modern clinical practice they are mainly used for disorders of the fingers and hand (Deadman et al, 2001).

    Ling Shu Ch. 23, On Heat Diseases, gives a different list of points for the "59 Piercings" to Su Wen Ch. 61. Four spaces between the fingers are mentioned which would relate to these points.

    A medieval phlebotomy point lies at the Baxie point between the second and third metacarpals of the index and middle fingers (Hans von Gersdorff, 1517: Feldtbüch der Wundartzney, www.nlm.nih.gov)

    In Thai massage:
    Acupressure points (Salguero & Roylance, 2011, Encyclopedia of Thai Massage)



    Reference Notes: (click to display)