Points Database

Location Guides:

: Lingdao : Spirit Path

He-4 : Hand Shaoyin Heart 4

Classifications:
Jing-River and Metal Point

Location:
On the radial side of the tendon of flexor carpi ulnaris, 1.5 cun proximal to Shenmen He-7

Needling:
Perpendicular insertion 0.3 - 0.5 cun, or oblique proximal or distal insertion 0.5 - 1 cun

TCM Actions:
Calms the spirit and benefits the voice
Relaxes the muscles and sinews

TCM Indications:
  • Heart pain, sadness and fear, restless zang disorder, sudden loss of voice.
  • Retching, throat abscess, redness and swelling of the eyes.
  • Cold bones and marrow, clonic spasm, contraction of the elbow and arm, itching of the hand, swelling and pain of the fingers.

    Neuroanatomy:
    Superficial Innervation: Medial cutaneous nerve of the forearm from C8 - T1
    Dermatome Segment: C8, T1
    Deeper Structures: Ulnar nerve from C8 - T1

    Notes:
    Ling Shu Ch. 6 suggests piercing the Jing points of the Yin channels if a disease is in the Yin of the Yang realm (e.g. the sinews and bones). This would mean using this point to treat disorders of the shoulder, elbow and wrist.

    Ch. 7 then suggests using paired needles either side of the tendon to remove a tendon blockage illness, and straight needling to the bone for bone blockage illness. This could be interpreted as using these technique on this point, on either side of the flexor carpi ulnaris in incidences of injury to this tendon or straight in cases of bone injury, or using these as local techniques to remove the blockage while Ch. 6 is a distal point suggestion.


    Reference Notes: (click to display)