Acupuncture Points Notebook

Location Guides:

: Lieque : Broken Sequence

Lu-7 : Hand Taiyin Lung 7

Classifications:
Luo-Connecting point
Confluent point of the Ren channel, coupled with Zhaohai Kid-6
Gao Wu command point
Ma Dan-yang Heavenly Star point
Exit point to Hegu LI-4

Location:
On the radial aspect of the forearm, approximately 1.5 cun proximal to yangxi L.I.-5, in the cleft between the tendons of brachioradialis and abductor pollicis longus

Needling:
With the fingers of one hand pinch up the skin over the point and with the other hand needle transversely in a proximal or distal direction, avoiding the cephalic vein

TCM Actions:
Releases the exterior and expels wind
Promotes the descending function of the lung
Pacifies wind and phlegm
Benefits the head and nape
Opens and regulates the Ren mai
Regulates the water passages
Activates the channel and alleviates pain

TCM Indications:
  • Chills and fever, nasal congestion and discharge, nasal polyps, flaring of the nostrils, throat painful obstruction, cough, coughing up phlegm, wheezing, dyspnoea, asthma, diminished qi and shortness of breath, heat of the chest and back, shivering and cold of the chest and back, sweating, sudden swelling of the four limbs, thirst, inversion counterflow of the four limbs.
  • Headache and stiffness of the neck and nape, one-sided headache, lockjaw, hemiplegia, deviation of the mouth and eye, toothache, epilepsy, childhood fright-epilepsy, acute childhood fright wind, loss of consciousness, vomiting of foamy (watery) saliva, wind painful obstruction, hypertension.
  • Retention of lochia, retention of the dead foetus, post-partum inability to speak, blood in the urine, hot and painful urination, difficult urination, pain of the penis, pain of the genitals, seminal emission.
  • Poor memory, palpitations, propensity to laughter, frequent yawning and stretching, tension of the chest and back, fullness of the lateral costal region, breast abcess.
  • Weakness or pain of the wrist and hand, pain of the thumb, shoulder pain, heat in the palm, malaria.

    Neuroanatomy:
    Superficial Innervation: Lateral cutaneous nerve of the forearm from C5 - C6
    Dermatome Segment: C6
    Deeper Structures: Posterior and superficial radial nerve from C5 - T1 going to thumb

    Notes:
    One of the main points for colds and flu

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    Lieque is also a common name for a lighting flash reflecting the electric sensation it can produce (Bertschinger, 2013, The Great Intent).

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    Ling Shu Ch. 10, On Channels, describes the diseases relating to the Luo emanating from this point as:
    Repletion: The palms are hot
    Depletion: The patient yawns, breathes with their mouth open and urinates frequently passing only small amounts
    (Unschuld, 2016).

    Ling Shu Ch. 19, On the Four Seasonal Qi, advises using the channels and Luo vessels for diseases which occur in spring. They are pierced deeply if severe and more shallow if mild.

    Ling Shu Ch. 22, On Mania and Madness, advises to bleed this channel in instances of insanity. The original just states the division (eg. bleed hand Taiyin) implying the main channel by omission but since it recommends bleeding the data is being entered under the Luo points unless a specific point is mentioned:
    - bleed the vessels of arm Taiyang, Yangming and Taiyin at the onset when the patient is unhappy, the head feels heavy and they stare forward or upwards with red eyes, the heart is vexed and the complexion changes. Treatment is stopped once the colour changes (Unschuld, 2016, says "the colour of the blood changes", Wu & Wu, 2010, says "colour of the patient's complexion").
    - If they sleep little, are not hungry, consider themselves extraordinary and are insulting to others then blood is removed from the hand Taiyang, Yangming and Taiyin as well as the Shaoyin point under the tongue (Lianquan Ren-23 which terminates at the Shaoyin meridian in Ling Shu, Ch. 5. Unschuld, 2016, cites a comment that also adds Shenmen He-7, Shaochong He-9 to this). Only vessels that show an abundance are bled, those without are spared.
    - If a massive fright causes them to be easily startled, tend to laugh, sing and be happy then blood is removed from the hand Yangming, Taiyang and Taiyin.
    - If they have absurd visions and shout then remove blood from the hand Taiyang, Taiyin and Yangming (Wu & Wu, 2010, add foot Taiyang too) and on the cheeks of the head (Unschuld, 2016, describes them as on the foot Taiyin but the channel does not go to here).
    - If a major delight causes a person to see demon-spirits and laugh inside but be unable to express it then blood is removed from the foot Taiyin, Taiyang and Yangming, and then from the hand Taiyin and Yangming.

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    From Ming times this point, as the opening point of the Ren located on the Lung channel, is seen as symbolic of the air rushing down the infant's throat on its first breath and coming into contact with the world. It is indicated for difficulty in relating to the physical, material world along with Renying St-9, Zhongwan Ren-12 and Tainshu St-25. In pre-Ming texts Taiyuan Lu-9 as the source point for Lung was used as the doctrine of Extraordinary Vessel opening points was not yet formulated. This set of points relates to the first Level of Manifestation of the Soul, roughly equivalent to the base or Muladhara chakra and basic consciousness, the awareness of being alive (Yuen, 2005, 3 Spirits & 7 Souls).


    Reference Notes: (click to display)