Acupuncture Points Notebook

Location Guides:

: Shousanli : Arm Three Miles

LI-10 : Hand Yangming Large Intestine 10

Classifications:
Homeostatic point 1 (Ma, Ma & Cho, 2005, Biomedical Acupuncture for Pain Management)
Trigger point (Travell & Simons, 1998, Trigger Point Manual)

Location:
On the radial side of the forearm, 2 cun distal to Quchi L.I.-11 on the line connecting Quchi L.I.-11 with Yangxi L.I.-5

Needling:
Perpendicular or oblique insertion, 0.5 - 1.5 cun

TCM Actions:
Regulates qi and blood, activates the channel and alleviates pain
Harmonises the intestines and stomach

TCM Indications:
  • Pain and immobility of the arm and shoulder, windstroke, paralysis of the arm, numbness of the arm, atrophy disorder, hemiplegia, contraction and inflexibility of the elbow, lumbar pain with inability to lie down.
  • Abdominal pain, vomiting and diarrhoea, periodic sensation of cold in the intestines, sudden turmoil disorder.
  • Toothache with swelling of the cheek, deviation of the mouth, loss of voice, scrofula.

    Neuroanatomy:
    Superficial Innervation: Posterior cutaneous nerve of the forearm (C6 - C8)
    Dermatome Segment: C5
    Deeper Structures: Deep radial from the posterior branch of the brachial plexus (C5 - T1)

    Trigger Point Associations:
    Muscle: Brachioradialis
    Myotome Innervation: Radial nerve (C5 - T1)
    Pain Referral Pattern: To lateral elbow and dorsal aspect of base of thumb
    Indications: Pain in lateral elbow, wrist and hand

    Notes:
    This point is the arm equivalent of Zusanli St-36 and can be used as its replacement if Zusanli St-36 is unavailable or inappropriate. Classical texts sometime simply refer to Sanli implying either or both and suggests this point has a far wider range of actions than given in TCM including tonifying, cooling, calming the mind and reviving the spirit.

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    Often combined with Zusanli St-36 and Jianli Ren-11 to make the "three Li for deficiency, especially of the Spleen and Stomach (Wang & Robertson, 2008, Applied Channel Theory).

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    According to Ma, Ma & Cho (2005) this point the best indicator of homeostatic decline and self-healing potential. It is the first to become sensitive to palpation when homeostasis is disrupted and as homeostasis and self-healing potential declines more points along the radial nerve (Large Intestine channel) become tender. The more points are tender the less responsive to acupuncture the patient may be.

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    Avicenna describes venesection along the accessory cephalic vein that runs approximately along the course of the arm Yangming Large Intestine channel in his treatise On Venesection:

    "The cephalic vein drains more blood from the neck and above, and little from below the neck, but it does not exceed the epigastrium, and it does not significantly cleanse the lower parts... The accessory cephalic vein is similar to the cephalic." (Aspects of Treatment According to General Diseases, 21st section in Abu-Asab, Amri & Micozzi, 2013, Avicenna's Medicine).

    The median cubital or basilic veins are used for the lower body.

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



    Reference Notes: (click to display)