Acupuncture Points Notebook

: Chize : Cubit Marsh

Lu-5 : Hand Taiyin Lung 5

Classifications:
He-Sea and Water point

Child point of the Lung channel

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

Location:
On the cubital crease of the elbow, in the depression at the radial side of the tendon of biceps brachii

Needling:
Perpendicular insertion 0.5 – 1 cun, or transverse needling to Shaohai He-3 combined with Quchi Pc-3 in "Crossed T-Shaped Needling".

TCM Actions:
Clears heat from the lung and descends rebellious qi
Regulates the water passages
Activates the channel
Relaxes the sinews and alleviates pain

TCM Indications:
  • Cough, coughing phlegm, asthma, wheezing, dyspnoea, shortness of breath, agitation and fullness of the chest.
  • Tidal fever, taxation fever, shivering, malaria, dry mouth and tongue, throat painful obstruction, tendency to sneeze.
  • Spitting blood, coughing blood, nosebleed, vomiting blood.
  • Vomiting, diarrhoea, abdominal distension.
  • Swelling of the four limbs, enuresis, frequent urination.
  • Pain of the lateral costal region, Heart pain, agitation of the Heart, sobbing with grief, acute and chronic childhood fright wind, epilepsy, clonic spasm.
  • Coldness of the shoulder, pain of the upper arm and shoulder, inability to raise the arm to the head, wandering painful obstruction of the elbow and upper arm, restricted movement of hte elbow, elbow pain, difficulty in opening and extending the hand, the five types of lumbar pain, crane's knee swelling and pain.

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

    Trigger Point Associations:
    Muscle: Supinators
    Myotome Innervation: Posterior interosseous nerve, a continuation of the deep branch of the radial nerve from C7 - C8
    Location Notes: Same as for Quchi LI-11, but Travell & Simons reach the point from the medial side of the brachioradialis muscle
    Pain Referral Pattern: To lateral elbow and dorsum of base of thumb
    Indications: Aching pain in lateral elbow or dorsum of web of thumb ; Tennis elbow

    Notes:
    Ling Shu Ch. 44, On the Qi Moving in Accordance with the Norms, indicates that the He-Sea points should be pierced in autumn or when the disease is a result of immoderate diet. The seasonal aspect should not be interpreted literally as it describes the flavours as "controlled by autumn", probably referring to the mouth, nose and throat where the metal channels run. It also describes the morning, afternoon, evening and night cycle of the day to be like the four seasons of the year with evening corresponding to autumn. Perhaps the most likely interpretation is during middle age, the autumn period of life, when the effects immoderate diet are likely to start to show.

    Ling Shu Ch. 71, On Evil Visitors, says that when a depletion evil is in the Lung and Heart it remains in two elbows. Yuen's theory of the Divergent meridians suggests that they store pathogens at the major joints, depleting our resources while they do, which would make this a potential point for for the Lung/Large Intestine Divergent.

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    "Crossed T-Shaped Needling" involves transverse needling from Quze Lu-5 to Shaohai He-3 combined with perpendicular needling of Quchi Pc-3 for pain or paralysis of the upper limbs and heat in the upper body (Liu Yan, 2008, Diagrams of Acupuncture Manipulations, p.131).

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    In five element acupuncture this point is reduced to drain excess in the Lung.

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    Wang Yu-Ji often starts with this point and Yinlingquan Sp-9 as a means of harmonising the Taiyin Qi dynamic and function of fluid transformation. This is due to the Spleen governing the rising of clear Yang and the Lung governing the descent of True Qi creating a cyclical motion (Wang & Robertson, 2008, Applied Channel Theory).

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    In Tung acupuncture the Qu Ling, Score Mound, point is located here, or 1.5 cun distal. It is often combined with Quchi LI-11 and used for treating a variety of Lung channel problems (Chu, 2015).

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    Medieval phlebotomy point (John de Foxton, 1408: Liber Cosmographiae, maa.cam.ac.uk; Hans von Gersdorff, 1517: Feldtbüch der Wundartzney, www.nlm.nih.gov).

    Galen (Brain, 1986, Galen on Bloodletting) also advised bleeding at the elbow for pleuritic pain (p.23) and for unrelenting nosebleed (p.84). See notes to Quze Pc-3 which seems a better location but the median cubital vein could be found here also.

    Galen also mentions the cephalic (humeral) vein and therefore this point specifically for pain in the eye and disorders of the upper neck, face and head, while the basilic vein on the inside of the elbow, near Shaohai He-3 for disorders of the lower neck (ibid.: p.91). At another point he says to bleed this point in any disorders above the level of the chest (ibid.: p.93).

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


    Reference Notes: (click to display)