Points Database

: Waiguan : Outer Pass

SJ-5 : Hand Shaoyang Triple Burner 5

Classifications:
Luo-Connecting point
Confluent point of the Yang Wei Mai, coupled with Zulinqi GB-41

Location:
2 cun proximal to Yanchi SJ-4, in the depression between the radius and the ulna, on the radial side of the extensor digitorum communis tendons.

Needling:
Slightly oblique insertion towards the ulnar side or oblique proximal or distal insertion towards the elbow or wrist respectively 0.5 - 1.5 cun, or joined by through needling to Neiguan P-6.

Warning:
Movement of the patient's arm or hand after needling this point can result in a bent needle.


TCM Actions:
Expels wind and releases the exterior
Benefits the head and ears
Opens the Yang Wei Mai
Clears heat
Activates the channel and alleviates pain

TCM Indications:
  • Injury by cold, chills and fever, sweating with heat on the exterior, febrile disease.
  • Headache, thunder head wind, head wind, Kidney deficiency headache, one-sided headache, pain of the vertex, frontal headahce, pain of the nape, dizziness, phlegm inversion dizziness, wind dizziness, hypertension.
  • Deafness, impaired hearing, tinnitus, pain of the ear, itching of the ear, redness, pain and swelling of the root of the ear.
  • Redness, pain and swelling of the eyes, cold and pain of theyes, superficial visual obstruction, lacrimation on exposure to wind, cold lacrimation.
  • Swelling and pain of the cheek, stiffness of the tongue with difficulty in speaking, toothache, ulceration of the mouth, cracked lips, nosebleed, scrofula, mumps.
  • Constipation, abdominal pain, oppression and tightness of the chest, pain of the lateral costal region, vomiting blood, knotting of heat in the five zang and six fu.
  • Pain of the shoulder and back, stiff neck, pain of the ribs and lateral costal region, numbness and pain of the elbow and arm, contraction of the elbow, flaccidity of the elbow, soreness and heaviness of the elbow and wrist, swelling and redness of the arm, hemiplegia, severe pain of the fingers with inability to grasp objects, coldness numbness and pain of the hands and feet, tremor of the hand, redness, swelling and pain of the ankle, pain of teh toes, pain of the hundred joints.

    Neuroanatomy:
    Superficial Innervation: Posterior cutaneous nerve of the forearm from C5 - C8
    Dermatome Segment: C7, C8
    Deeper Structures: Median nerve from C5 - T1

    Notes:
    One of the most commonly used distal points of the San Jiao channel for exterior pathogens, especially of a wind-heat variety, headache and pain in the channel.

    Ling Shu Ch. 6 suggests piercing the Luo points if a disease is in the Yang of the Yin realm (e.g. the Fu organs) implying this point for disorders of the San Jiao.

    Ling Shu Ch. 10, On Channels, describes the diseases relating to the Luo emanating from this point as:
    Repletion: Elbows suffer cramps
    Depletion: Unable to contract the lower arm
    (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.

    When combined with Yangchi SJ-4 and Yingu Kid-10 this point relates to the Sixth Level of Manifestation of the Soul or the Ajna chakra concerned with the Will to Create endless possibilities. The other two pool Yin and Yang and this point emanates the resulting mixture outwards via the Yang wei mai and the San jiao as an irrigation system.
    This stage also relates to the formation of the spiritual embryo and attainment of immortality in meditation practice (Yuen, 2005, 3 Spirits & 7 Souls).

    In Thai massage:
    Acupressure point (Salguero & Roylance, 2011, Encyclopedia of Thai Massage)



    Reference Notes: (click to display)