Points Database

: Yuji : Fish Border

Lu-10 : Hand Taiyin Lung 10

Classifications:
Ying-Spring and Fire point

Trigger point (Travell & Simons, 1998, Trigger Point Manual)

Location:
On the thenar eminence of the hand, in a depression between the midpoint of the shaft of the first metacarpal bone and the thenar muscles

Needling:
Perpendicular insertion 0.5 - 1 cun

TCM Actions:
Benefits the throat
Clears lung heat
Descends rebellious qi
Harmonises the stomach and heart

TCM Indications:
  • Throat painful obstruction, sore throat, dry throat, loss of voice.
  • Cough with absence of sweating, cough leading to hypogastric or sacral pain, cough accompanied by hiccup, shortness of breath with Heart painful obstruction, diminished qi with Heart painful obstruction, chest painful obstruction with inability to catch the breath.
  • Deficiency heat, heat in the body, aversion to cold, attack of wind and cold after intake of alcohol leading to chills and fever.
  • Coughing blood, vomiting blood, blood in the urine.
  • Agitation of the Heart, sadness and fear, anger and mania, sadness and anger with counterflow qi, Heart painful instruction with fear and fright.
  • Yellow tongue coating, breast abscess toothache, lacrimation, visual dizziness, genital damp itching, impotence with abdominal distension, headache, malaria, tentany.
  • Abdominal pain with inability to eat or drink, sudden turmoil disorder, oesophageal constriction due to middle jiao deficiency, vomiting, childhood nutritional impairment.
  • Heat and pain of the palm and thumb, contraction of the elbow with distension and fullness of the arm.

    Neuroanatomy:
    Superficial Innervation: Superficial branch of radial nerve from C7, C8
    Dermatome Segment: C6

    Trigger Point Associations:
    Muscle: Opponens pollicis
    Myotome Innervation: Recurrent branch of median nerve from C5 - T1
    Pain Referral Pattern: Palmar surface of radial wrist and thumb
    Indications: Pain and trouble with fine manipulations (writing, buttoning clothing, sewing, painting, etc)

    Notes:
    Along with Shaoshang Lu-11 this is the main point for sore throats.

    Ling Shu Ch. 6 suggests piercing the Ying points (and Shu points according to Unschuld, 2016, but not according to Wu & Wu, 201) of the Yin channels if a disease is in the Yin of the Yin realm (e.g. the Zang organs) suggesting this point (and Taiyuan Lu-9) in diseases of the Lung.

    Ling Shu Ch. 9, On Ends and Beginnings, advises that in the case of Heat associated with receding Yin Qi the Yang conduit should be pierced once and the Yin conduits twice. Based on other recommendation to use the He-Sea of the Yang conduits (Ch. 19) and the Yuan-Source with the Ying-Spring points (Chs. 6, 19 and 24) to clear Heat from the Zangfu, that would suggest this point, Quchi LI-11 and Taiyuan Lu-9 as a protocol to clear Heat in the Lung/Large Intestine. Next it advises that in Cold associated with receding Yang Qi the Yang should be pierced twice and the Yin once but no such obvious protocol is evident for this situation.

    Ling Shu Ch. 19, On the Four Seasonal Qi, advises opening the Jing-Well and Ying-Spring openings in winter, piercing deeply and retaining the needle for a while.

    Ling Shu Ch. 22, On Mania and Madness, advises that when Wind invasion and counterflow causes the limbs to become swollen, profuse sweating, a feeling cold and to be irritated when hungry, then blood is removed from the outer and inner sections of the hand Taiyin and foot Shaoyin and Yangming. If the flesh is cool then it is be done through the Ying-Spring points and if the bones are cold it is to be done through the Jing-Well and Jing-River points.

    Ling Shu Ch. 23, On Heat Diseases, recommends in cases of Heat disease accompanied with spontaneous sweating which is in accordance with the norms and further sweating is indicated removing the disease through this point, Taiyuan Lu-9, Dadu Sp-2 and Taibai Sp-3. Draining these points makes the Heat disappear, supplementation here makes a sweat emit. If sweating is extreme then Sanyinjiao Sp-6 ends it.

    Ling Shu Ch. 24, On Counterflow Diseases, employs the point combination mentioned in Ch. 6 for the treatment of Heart pain. It advises piercing this point and Taiyuan Lu-9 when treating a Heart pain that is mild on resting but increases with activity with no change in complexion, associated with the Lung.

    Ling Shu Ch. 34, On the Five Disturbances, advises this point and Taixi Kid-3 to remove disturbing Qi in the Lung causing a raising and lowering of the head, panting, shouting and pressing their chest with their hands to breathe.

    Ling Shu Ch. 44, On the Qi Moving in Accordance with the Norms, indicates that the Ying-Spring points should be pierced in spring or when the disease is associated with a change in complexion. The seasonal aspect should not be interpreted literally as it describes the colours as "controlled by spring". It also describes the morning, afternoon, evening and night cycle of the day to be like the four seasons of the year with morning corresponding to spring.

    In Tung acupuncture two points are located close to this on the palm below the thumb. The first Chong Zi, Double Son, is located 1 cun lateral and distal below the web of the first and second metacarpals, opposite Hegu LI-4. The second is located on the palmar aspect of the hand, at the junction of the first and second metacarpals. They are usually combined as a pair for the treatment of upper back, chest and respiratory problems (Chu, 2015).

    According to Jeffrey Yuen (2005, 3 Spirits & 7 Souls) this point, as the fire (Heart) point of the Lung channel was bled, along with Xuehai Sp-10, by daoist adepts to explore the "Ring of Death" between the Third and Fourth Levels of Manifestation of the Soul where near death experiences happen. The most common reaction would be to induce hyperventilation and a sense of dying.
    If used in comatose patients it is believed to give them a choice to wake up or move on.
    A more applicable use in general practice may be to gently stimulate these points with essential oils to assist someone explore their relationship with life after death.

    Yuen says little more on the subject but my own contemplation on these points has found several ways they may be used in meditation or therapy on issues relating to death:
    - Both Lung and Spleen are the Yin meridians relating to our survival needs: air and food. Bleeding is considered a strong reduction technique implying they are aiming to quieten their survival instincts.
    - The Lung meridian relates to our connection with life, affected by grief, the loss of things we are connected to. The use of the Fire point, being its reducing five phase point (Fire controls Metal), may suggest a reduction of our attachments to life. Meanwhile Xuehai Sp-10 is the main point for moving Blood Stagnation, thus suggesting freeing emotions that have become stuck and helping us to move forward.
    - There is also considerable imagery in the names for visualisation: 魚際 Yuji (Fish Border) and 血海 Xuehai (Sea of Blood). The sea is the deep unknown and blood the stuff of life while the fish can swim below the surface. With this imagery we can cross the border and travel into the deeper issues of life.
    - In another image the character 際 Ji for "Border" contains the character 祭, making offering at a ceremonial altar, while 血 Xue for "Blood" is derived from a container so a suggestion of blood sacrifice might also be implied.
    Thus this two point combination is relevant on several levels for meditating on one's relationship to death and the impermanence of life.

    Lad and Durve (2008) in Marma Points of Ayurveda call this point Kurcha and associate it with Apana Vayu, Prana Vayu, Sadhaka Pitta and Avalambaka Kapha.

    They give the following functions:
    - Benefits the hand and fingers
    - Reduces stress
    - Enhances the flow of prana and benefits the lungs
    - Enhances the immune response
    - Influences the reproductive organs

    In Tibetan medicine:
    Bleeding point (AMNH, Tibetan Medical Paintings)

    In Thai massage:
    Acupressure point indicated for asthma, breathing difficulties, cough and lung conditions (Salguero & Roylance, 2011, Encyclopedia of Thai Massage)


    Reference Notes: (click to display)