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2. 1. 6 Small intestine meridian of hand-taiyang

2.1.6.1 Cyclical flowing and distribution
The small intestine meridian starts from the ulnar side of the tip of the little finger. Following the ulnar side of the dorsum of the hand, it reaches the wrist where it emerges from the styloid process of the ulna. From there it ascends along the posterior aspect of the forearm, pas-ses between the olecranon of the ulna and the medial epi-condyle of the humerus, and runs along the posterior bor-der of the lateral aspect of the upper arm to the shoulder joint. Circling around the scapular region, it converges over the shoulder and then turns downward to the supra-clavicular fossa to connect with the heart. From there it descends along the esophagus, passes through the dia-phragm, reaches the stomach, and finally enters the small intestine.
The branch from the supraclavicular fossa ascends to the neck, and further to the cheek. Then it reaches the outer canthus and enters the ear.
The other branch from the cheeks runs upward to the infraorbital region and further to the lateral side of the nose and inner canthus to connect with the bladder meridian. (see Fig. 31)

Fig .31 Flowing route of zhe intestine meridian of hang-taiyang

Associated viscera: Small intestine, heart and sto-mach.
Associated organs: Throat, ears, nose and eyes.

2.1.6.2 Indications

Disorders of the organs on the face and throat, febrile disease and pathological changes of the lateral side of the upper limbs, scapula and neck.

2.1.6.3 Commonly used acupoints
2.1.6.3.1 Shaoze (SI 1)
Location: The acupoint is located on the ulnar side of the little finger, about 0.1 cun latero-posterior to the cor-ner of the nail (see Fig. 32)

Fig,32 Hand acupoints on the small intestline meridian of hand-taiyang

Indications: Apoplexy, coma, cataract, tinnitus, deafness, sore throat, breast abscess and insufficiency of lactation.
Note: Jing-Well acupoint of the small intestine meridian of hand-taiyang.
2.1.6.3.2 Qiangu (SI 2)
Location: When the hand is slightly clenched, the acupoint is located on the ulnar side, distal to the fifth metacarpophalangeal joint, at the junction of the red and white skin (see Fig. 32).

Indications: Headache, redness, swelling and pain of eyes, tinnitus, deafness, insufficiency of lactation and numbness of fingers.
Note: Ying-Spring acupoint of the small intestine me-ridian of hand-taiyang.
2.1.6.3.3 Houxi (SI 3)
Location: When the hand is slightly clenched, the acupoint is located on the ulnar side, proximal to the fifth metacarpophalangeal joint, at the end of the transverse crease and the junction of the red and white skin (see Fig. 32).
Indications: Redness, swelling and pain of the eyes, sore throat, mania, epilepsy, stiff neck, acute lumbar muscle sprain, spasmodic pain in the elbow and arm, numbness of fingers, malaria and febrile disease.
Note: Shu-Stream acupoint of the small intestine me-ridian of hand-taiyang and one of the eight convergent acupoints "associating with the governor vessel".
2.1.6.3.4 Wangu (SI4)
Location: The acupoint is located on the ulnar side of the palm, in the depression between the base of the fifth metacarpal bone and the triquetral bone (see Fig. 32).
Indications: Stiffness and pain of neck and head, cat-aract, tinnitus, deafness, abdominal distension and pain, pain in the wrist, numbness of fingers, febrile disease, malaria and jaundice.
Note: Yuan-Source acupoint of the small intestine meridian of hand-taiyang.
2.1.6.3.5 Yanggu (SI 5)
Location: The acupoint is located on the ulnar end of the transverse crease on the dorsal aspect of the wrist, in the depression between the styloid process of the ulna and the triquetral bone (see Fig. 32).
Indications: Headache, redness, swelling and pain of the eyes, tinnitus, deafness, mania, epilepsy, spasmodic pain in the elbow, arm and wrist joint as well as exoge-nous febrile disease.
Note. Jing-River acupoint of the small intestine me-ridian of hand-taiyang.
2.1.6.3.6 Yanglao (SI 6)
Location: The acupoint is located at the dorsal and ulnar side of the arm and in the depression at the radial side proximal to ulnar head (see Fig. 33). The palm turns downward, and the fingers of the other hand press on the prominent point of the ulnar head. Then the palm faces the chest, the point is in the bony cleft on the styloid process of the ulna.

Fig .33 Forearm acupoints on the small intestine meridian of hang-taiyang

Indications: Blurred vision and aching pain in the shoulder, back, elbow and arm.
Note: Xi-Cleft acupoint of the small intestine meridian of hand-taiyang.
2.1.6.3.7 Zhizheng (SI 7)
Location: The acupoint is located on the line joining Yanggu (SI 5) and Xiaohai (SI 8), 5 cun above the dorsal transverse crease of the wrist (see Fig. 33).
Indications: Headache, dizziness, depressive psycho-sis, manic psychosis, stiff neck and spasmodic pain in the elbow and arm.
Note: Luo-Connecting acupoint of the small intestine meridian of hand-taiyang.
2.1.6.3.8 Xiaohai (SI 8)
Location: The acupoint is located in the depression between the olecranon of the ulna and the medial epicon-dyle of the humerus when the elbow is flexed (see Fig. 33).
Indications: Headache, dizziness, tinnitus, deaf-ness, epilepsy, spasmodic pain in the elbow and arm.
Note: He-Sea acupoint of the small intestine meridian of hand-taiyang.
2.1.6.3.9 Jianzhen (SI 9)
Location: The acupoint is posterior and inferior to the shoulder joint. When the arm is adducted, the acu-point is located 1 cun above the posterior end of the axilla-ry fold (see Fig. 34).

Fig. 34 shoulder and back acupoints on the small intestine meridian of hand-taiyang

Indications: Pain in the scapular region, inability to raise shoulder, numbness of the upper limbs, tinnitus and deafness.
2.1.6.3.10 Naoshu (SI 10)
Location: The acupoint is located on the shoulder and in the depression vertically above the posterior crease of the axilla and below the lower border of the spine of scap-ula (see Fig. 34).
Indications: Pain in the shoulder and scrofula.
2.1.6.3.11 Tianzong (SI 11)
Location: The acupoint is in the infrascapular fossa, at the junction of the upper 1/3 and middle 1/3 of the distance between the lower border of the scapular spine and the inferior angle of the scapula (see Fig. 34).
Indications: Pain in the scapular region, cough, asth-ma, and breast abscess.
2.1.6.3.12 Bingfeng (SI 12)
Location: The acupoint is located in the center of the suprascapular fossa, directly above Tianzong (SI 11 ). When the arm is raised, the acupoint is at the site of the depression.
Indications: Pain in the scapular region, inability to raise shoulder and numbness of upper limbs.
2.1.6.3.13 Quyuan (SI 13)
Location: The acupoint is located on the medial extremity of the suprascapular fossa, about midway be-tween Naoshu (SI 10) and the spinous process of the sec-ond thoracic vertebra (see Fig. 34).
Indications: Pain in the scapular regon.
2.1.6.3.14 Jianwaishu (SI 14)
Location: The acupoint is located on the back, and 3 cun lateral to the lower border of the spinous process of the frist thoracic vertebra (see Fig. 34).
Indications: Aching pain in the shoulder and back, stiffness and pain of neck, cough and asthma.
2.1.6.3.15 Jianzhongshu (SI 15)
Location: The acupoint is located on the back and 2 curt lateral to the spinous process of the seventh cervical vertebra (see Fig. 34).
Indications. Aching pain in the shoulder and back, headache and stiff neck as well as cough and asthma.
2.1.6.3.16 Tianrong (SI 17)
Location: The acupoint is located in the lateral aspect of the neck and in the depression on the anterior border of m. sternocleidomastoideus and posterior to the angle of mandible (see Fig. 35).
Indications: Tinnitus, deafness, sore throat, swell-ing and pain of the neck.



Fig.35 Neck acupionts on the small intestine meridian of hand-taiyang


Fig.36 head and face acupoints on the small intestine meridian of hand-taiyang
2.1.6.3.17 Quanliao (SI 18)
Location: The acupoint is located directly below the outer canthus, in the depression on the lower border of zygoma (see Fig. 36).
Indications: Facial paralysis, twitching of eyelids, toothache and swelling of cheeks.
2.1.6.3.18 Tinggong (SI 19)
Location: The acupoint is located anterior to the tra-gus and posterior to the condyloid process of the mandible and in the depression formed when the mouth is open (see Fig 36).
Indications: Tinnitus, deafness, otorrhea, toothache depressive psychosis, manic psychosis, and epilepsy.


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