Acupuncture Points Notebook

Location Guides:

: Neiguan : Inner Pass

Pc-6 : Hand Jueyin Pericardium 6

Classifications:
Luo-Connecting point
Confluent point of the Yin Wei Mai, coupled with Gongsun Sp-4

Location:
On the flexor aspect of the forearm, 2 cun proximal to Daling P-7, on the line connecting Daling P-7 with Quze P-3, between the tendons of palmaris longus and flexor carpii radialis.

Needling:
Perpendicular insertion 0.5 - 1 cun, or joined to Waiguan S.J.-5, or oblique proximal insertion 1 - 1.5 cun for diseases of the chest, or oblique distal insertion 1 - 1.5 cun for numbness of the fingers

Warning:
The median nerve lies directly under this point and needling commonly induces an electric sensation. This is an acceptable manifestation of deqi but once elicited further manipulation is inappropriate and may damage the nerve.


TCM Actions:
Unbinds the chest and regulates qi
Regulates the heart and calms the spirit
Harmonises the stomach and alleviates nausea and vomiting
Clears heat
Opens the Yin Wei Mai

TCM Indications:
  • Heart pain, sudden Heart pain, stuffiness of the chest with agitation of the Heart, palpitations, pounding sensation of the Heart, disorder of the Heart rate and rhythm, pain of the lateral costal region and Heart in women, pain of the lateral costal region.
  • Insomnia, the five types of epilepsy, mania, poor memory, apprehension, fear and fright, sadness, loss of memory following windstroke, inability to speak after windstroke, windstroke, hypertension.
  • Nausea, vomiting, hiccup, deficiency and cold of the Spleen and Stomach with incessant vomiting, Spleen and Stomach qi deficiency with distension and fullness, disharmony of the spleen and Stomach, epigastric pain, stabbing epigastric pain, low-grade abdominal pain, food (ji) masses, blood (jia) masses, focal distension, borborygmus, diarrhoea, blood in the stools, prolapse of the rectum.
  • Febrile disease, fever with absence of sweating, headache, stiffness and pain of the head and neck, jaundice, yellow eyes, red eyes, red face with hot skin, malaria, cracked and bleeding tongue, dizziness, post-partum dizziness, irregular menstruation, painful urinary dysfunction.
  • Pain and contraction of the elbow and upper arm, swelling of the axilla, stiffness and pain of the head and neck.

    Neuroanatomy:
    Superficial Innervation: Border of lateral and medial cutaneous nerves of the forearm (C5 - C6 and C8 - T1)
    Dermatome Segment: C6, T1 on ventral axial line
    Deeper Structures: Median nerve from C5 - T1

    Notes:
    Empirical point for nausea (Dune & Shiao, 2006, Lee & Done, 2009, Dent et al, 2003).

    One of the most commonly used points in acupuncture for draining excess in the chest, calming the mind and reducing nausea from any cause. The Pericardium's Jueyin relationship to the Liver makes it especially useful for nausea from Liver qi stagnation. Often combined with Gongsun Sp-4 to open the Ren Mai for fullness and pain in the epigastrium. Also an important point for chest pain and acupuncture analgesia during chest surgery (Deadman et al, 2001)

    Tinel's sign: light percussion over the median nerve along the channel near this point will elicit a tingling or pins and needles feeling in the thumb, index and middle finger in cases of carpal tunnel syndrome (also see Daling Pc-7 for Phalen's manoeuver.

    Ling Shu Ch. 10, On Channels, describes the diseases relating to the Luo emanating from this point as:
    Repletion: Pain in the heart
    Depletion: The head feels heavy
    (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. For the other seasons:
    - in summer choose the Yang channels and Luo located in the partings between the skin and flesh
    - in autumn choose the Shu-Stream points unless the disease in the Fu organs, then use the He-Sea points
    - in winter choose Jing-Well and Ying-Spring opening and retain the needle.

    Ling Shu Ch. 21, On Cold and Heat Diseases, repeats the advice to use Luo in spring but and adds that they can also treat diseases of the skin. For the other seasons it differs slightly from Ch. 19:
    - in summer choose the partings in skin structures which also treat the muscle and flesh
    - in autumn Taiyuan Lu-9 is chosen and can treat the sinews and vessels (this may also apply to other Shu-Stream points for this purpose, text is unclear)
    - in winter one chooses the main channel points which also treat the bones and marrow.

    Ling Shu Ch. 52, On the Wei Qi, considers this to be the root of the hand Jueyin meridian with the tip being at Tianchi Pc-1.

    In Tung acupuncture the three Xin Ling, Heart Spirit, points are located half a cun proximal, half a cun distal and 1.5 cun distal to this point. They are indicated for all manner of Heart disorders including physical, mental, speech aspects (Chu, 2015).


    Reference Notes: (click to display)