Acupuncture Points Notebook

: Shangliang : Upper Angle

LI-9 : Hand Yangming Large Intestine 9


Location:
On the radial side of the forearm, 3 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:
Harmonises the large intestine
Activates the channel and alleviates pain

TCM Indications:
  • Borborygmus, Large Intestine qi stagnation, abdominal pain, difficult and dark urination.
  • Chest pain, dyspnoea, brain wind, headache.
  • Pain or numbness of the shoulder, elbow and arm, numbness of the limbs, hemiplegia from windstroke, cold sensation in the bone marrow.

    Neuroanatomy:
    Superficial Innervation: Posterior cutaneous nerve of the forearm from C5 - C8
    Dermatome Segment: C6

    Notes:
    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.



    Reference Notes: (click to display)