Points Database

: Zhongchong : Middle Rushing

Pc-9 : Hand Jueyin Pericardium 9

Classifications:
Jing-Well and Wood point

Mother point of the Pericardium channel

Location:
In the centre of the tip of the middle finger. Alternatively this point is sometimes located at the radial side of the middle finger, at the junction of lines drawn along the radial border of the nail and the base of the nail, approximately 0.1 cun from the corner of the nail.

Needling:
Perpendicular or oblique insertion directed proximally 0.1 - 0.2 cun, or prick to bleed

TCM Actions:
Clears heat from the pericardium and revives consciousness
Clears the heart and benefits the tongue
Clears summer-heat

TCM Indications:
  • Windstroke, injury by summer-heat, loss of consciousness, fever, fever with agitation and oppression, heat in the body like fire, headache, hypertension.
  • Pain at the root of the tongue, stiffness of the tongue, inability to speak, night-time crying in children.
  • Heart pain, agitation of the Heart, oppression of the Heart with absence of sweating, heat of the palms, tinnitus.
  • Vomiting and diarrhoea, epigastric pain, sudden turmoil disorder, childhood nutritional development.

    Neuroanatomy:
    Superficial Innervation: Median nerve branches to fingers from C6 - C8
    Dermatome Segment: C7

    Notes:
    One of the Shixuan points which are usually pricked to bleed for acute conditions such as loss of consciousness.

    In five element acupuncture this point is reinforced to tonify Heart deficiencies.

    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. 24, On Counterflow Diseases, advises using this point on the opposite side for sounds in the ears. It then advises using the equivalent points on the feet.

    Ling Shu Ch. 44, On the Qi Moving in Accordance with the Norms, indicates that the Jing-Well points should be pierced in winter or when the disease is in the Zang organs. The seasonal aspect should not be interpreted literally as it describes the nature of winter as the the time of storage and the Zang as "controlled by winter" (i.e. to be storage depots by nature). It also describes the morning, afternoon, evening and night cycle of the day to be like the four seasons of the year with night corresponding to winter. Only five channels are discussed so this point must have served the for the Heart too.

    In Tung acupuncture the Mu Huo, Wood Fire, point is located near here, on the dorsal aspect of the hand, at the centre of the distal crease of the middle finger. It is indicated for hemiplegia where it is pricked to bleed, weakness or pain of the lower limbs and impotence (Chu, 2015).

    Another two points Er Jiao Ming, Two Corner Bright, are located further down the middle finger, also on the dorsal aspect on the hand but at the proximal segment, the first 1/3 of the distance from the proximal crease and the second 2/3 of the distance from the proximal crease. They are indicated for pain of the lower back or face, especially the face (Chu, 2015).

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

    In Siddha medicine some practitioners consider this a "whole body relief spot" (carvanka atankal) able to stimulate all vital spots at once when opened by a jerking sharply (Sieler, 2015, Lethal Spots, Vital Secrets, p.87).


    Reference Notes: (click to display)