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THE STOMACH CHANNEL OF FOOT YANGMING

THE STOMACH CHANNEL OF FOOT YANGMING. Presented By- Dr. M. K. Sastry. THE STOMACH PRIMARY CHANNEL. B egins at the lateral side of the nose at Yingxiang L.1 .-20, A scends to the medial canthus where it meets the Bladder channel at Jingming BL-1,

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THE STOMACH CHANNEL OF FOOT YANGMING

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  1. THE STOMACH CHANNEL OF FOOT YANGMING Presented By- Dr. M. K. Sastry

  2. THE STOMACH PRIMARY CHANNEL • Begins at the lateral side of the nose at YingxiangL.1.-20, • Ascends to the medial canthus where it meets the Bladder channel at Jingming BL-1, • Descends laterally along the infra-orbital ridge to ChengqiST-1,

  3. THE STOMACH PRIMARY CHANNEL • Descends to enter the upper gum and curves to meet with Yinjiao DU-28 and Renzhong DU-26, • Circles around the lips and meets the Conception vessel at Chengjiang REN-24 in the mento-labial groove of the chin, • Runs laterally across the cheeks to Daying ST-5 and to Jiache ST-6 at the angle of the mandible,

  4. THE STOMACH PRIMARY CHANNEL • Ascends anterior to the ear passing via XiaguanST-7 to Shangguan GB-3, • Ascends within the hairline of the temporal region to TouweiST-8, passing via Xuanli GB-6, XuanluGB-5 and Hanyan GB-4, • Follows the hairline to meet the Governing channel at Shenting DU-24.

  5. THE STOMACH PRIMARY CHANNEL A branch • Separates at Daying ST-5 and descends along the anterior border of the sternocleidomastoid muscle in the throat region to enter the supraclavicular fossa at QuepenST-12, • Travels posteriorly to the upper back where it meets the Governing channel at Dazhui DU-14,

  6. THE STOMACH PRIMARY CHANNEL • Descends through the diaphragm, linking with ShangwanREN-13 and Zhongwan REN-12 to enter the Stomach and connect with the Spleen. A further branch • Descends from Quepen ST-12 along the mammillary line, 4 cun lateral to the midline as far as Rugen ST-18, then passes 2 cun lateral to the midline and descends alongside the umbilicus to QichongST-30 in the inguinal region.

  7. THE STOMACH PRIMARY CHANNEL A further branch • Originates from the pyloric orifice of the Stomach, descends within the abdomen and meets with the previous portion of the channel at QichongST-30. From the inguinal region at Qichong ST-30 the channel • Travels laterally to Biguan ST-31 on the antero-lateral aspect of the thigh,

  8. THE STOMACH PRIMARY CHANNEL • Descends along the lateral margin of the femur to the patella and alongside the lateral margin of the tibia to the dorsum of the foot, terminating at the lateral side of the tip of the second toe at Lidui ST-45. A further branch • Separates from the main channel at ZusanliST-36, three cun below the knee, and terminates at the lateral aspect of the middle toe.

  9. THE STOMACH PRIMARY CHANNEL A further branch • Separates on the dorsum of the foot at ChongyangST-42 and terminates at the medial side of the tip of the big toe at Yinbai SP-1 where it links with the Spleen channel.

  10. THE STOMACH LUO-CONNECTING CHANNEL • Originates on the lateral side of the lower leg at FenglongST-40, • Travels to the medial aspect of the lower leg to join with the Spleen channel,

  11. THE STOMACH LUO-CONNECTING CHANNEL • Ascends the leg and trunk to the nape of the neck and head where it converges with the qi of the other yang channels, • Then travels internally to terminate at the throat.

  12. THE STOMACH DIVERGENT CHANNEL • Branches from the primary channel in the middle of the thigh, • Ascends and enters the abdomen, • Travels to the Stomach and disperses in the Spleen,

  13. THE STOMACH DIVERGENT CHANNEL • Ascends to penetrate the Heart, • Ascends along the oesophagus and emerges at the mouth, • Continues along the nose to connect with the eye and then unites with the primary Stomach channel.

  14. THE STOMACH SINEW CHANNEL • Begins at the middle three toes and binds on the dorsum of the foot, • Ascends along the lateral aspect of the tibia and binds at the lateral aspect of the knee, connecting with the Gall Bladder sinew channel,

  15. THE STOMACH SINEW CHANNEL • Ascends to bind at the hip joint, • Passes through the lower ribs into the spine. A branch • Runs along the tibia and binds at the knee,

  16. THE STOMACH SINEW CHANNEL • Ascends the thigh and binds in the pelvic region above the genitals, • Ascends the abdomen and chest and binds at Quepen ST-12, • Ascends the neck to the jaw, mouth and side of the nose and binds below the nose,

  17. THE STOMACH SINEW CHANNEL • Joins with the Bladder sinew channel to form a muscular net around the eye, known as the 'lower net' (the Bladder sinew channel forms the 'upper net'). A sub-branch • Separates at the jaw and binds in front of the ear.

  18. CHENGQI ST-1 Container of Tears

  19. Chengqi ST-1 LOCATION With the eyes looking directly forwards, this point is located directly below the pupil between the eyeball and the infraorbital ridge.

  20. Chengqi ST-1 NEEDLING Ask the patient to close their eyes and look upwards. Use a finger to push the eyeball upwards and insert the needle, first slightly inferiorly, then perpendicularly, between the eyeball and the inferior wall of the orbit, 0.5 to 1 cun. Note: according to several classical texts, this point is contraindicated to moxibustion.

  21. Chengqi ST-1 Caution: • The needle should be inserted slowly without lifting, thrusting or rotating; • Immediately on withdrawal of the needle, press firmly with a cotton wool ball for about a minute to prevent haematoma; • This needling method should not be attempted by those who have not had appropriate clinical supervision.

  22. Chengqi ST-1 ACTIONS • Benefits the eyes and stops lacrimation • Eliminates wind and clears heat

  23. Chengqi ST-1 INDICATIONS • Redness, swelling and pain of the eyes, lacrimation on exposure to wind, cold lacrimation, hot lacrimation, superficial visual obstruction, dimness of vision, short sightedness, visual dizziness, night blindness, itching of the eyes, upward staring eyes twitching of the eyelids. • Deviation of the mouth and eye, inability to speak, deafness and tinnitus.

  24. Chengqi ST-1 COMBINATIONS • Deviation of the mouth with inability to speak: ChengqiST-1, Sibai ST-2, Juliao ST-3, KouheliaoL.I.-19, Shangguan GB-3, Daying ST-5, QuanliaoSI-18, Qiangjian DU-18, Fengchi GB-20, Yingxiang L.I.-20 and Renzhong DU-26 (Supplementing Life).

  25. Chengqi ST-1 COMBINATIONS • Short-sightedness: Chengqi ST-1, Jingming BL-1, Fengchi GB-20, Guangming GB-37, TaichongLIV-3 and HeguL.I.-4. • Redness, swelling and pain of the eye: Chengqi ST-1, Zanzhu BL-2, Fengchi GB-20, Taiyang (M-HN-9), HeguL.I.-4 and Xingjian LIV-2.

  26. SIBAI ST-2 Four Whites

  27. Sibai ST-2 LOCATION With the eyes looking directly forwards, this point is located 1 cun directly below the pupil, in the depression at the infraorbital foramen.

  28. Sibai ST-2 LOCATION NOTE The infraorbital foramen can be felt by palpating downwardsfrom the edge of the orbital bone, about 0.3 cunbelow the edge. NEEDLING • Perpendicular insertion 0.2 to 0.4 cun;

  29. Sibai ST-2 NEEDLING • Transverse insertion to join with such points as QuanliaoSI-18, Yingxiang L.I.-20 etc; • Oblique insertion supero-laterally, along the infraorbital foramen, 0.3 to 0.5 cun. Note: according to several classical texts, this point is contraindicated to moxibustion.

  30. Sibai ST-2 Caution: • Deep insertion along the foramen may injure the eyeball; • Manipulation by lifting and thrusting is contraindicated due to the risk of damaging the lnfraorbitalnerve which emerges from the foramen. ACTIONS • Eliminates wind, clears heat and benefits the eyes

  31. Sibai ST-2 INDICATIONS • Redness and pain of the eyes, superficial visua obstruction, dimness of vision, visual dizziness, itching eyes, excessive lacrimation, deviation of the mouth and eye, twitching of the eyelids, headache. • Round worms in the bile duct.

  32. Sibai ST-2 COMBINATIONS • Superficial visual obstruction: Sibai ST-2, JingmingBL-1 and HeguL.I.-4 (Great Compendium). • Headache and visual dizziness: Sibai ST-2, YongquanKID-1 and Dazhu BL-11 (Supplementing Life).

  33. JULIAO ST-3 Great Crevice

  34. JuliaoST-3 LOCATION With the eyes looking directly forwards, this point is located directly below the pupil, level with the lower border of the alanasi, on the lateral side of the naso-labial groove.

  35. Juliao ST-3 NEEDLING • Perpendicular insertion 0.3 to 0.4 cun; • Transverse insertion to join with such points as Dicang ST-4, Quanliao SI-18 etc. ACTIONS • Eliminates wind, dissipates swelling and alleviates pain

  36. Juliao ST-3 INDICATIONS • Pain and swelling of the external nose and cheek, nosebleed, toothache, swelling and pain of the lips and cheek, deviation of the mouth, aversion to wind and cold in the face and eyes, superficial visual obstruction, excessive lacrimation, clonic spasm. • Leg qi, swelling of the knee.

  37. Juliao ST-3 COMBINATIONS • Pain and swelling of the cheek: Juliao ST-3 and TianchuangSI-16 (Supplementing Life).

  38. DICANG ST-4 Earth Granary

  39. Dicang ST-4 LOCATION 0.4 cun lateral to the corner of the mouth. LOCATION NOTE This point lies in the continuation of the naso-labial groove; ask the patient to smile if the groove is not visible.

  40. Dicang ST-4 NEEDLING Transverse insertion to join with such points as JiacheST-6, Yingxiang L.1.-20, Chengqiang REN-24 etc. ACTIONS • Eliminates wind from the face • Activates the channel and alleviates pain

  41. Dicang ST-4 INDICATIONS • Deviation of the mouth, pain of the cheek, trigeminal neuralgia, drooling, food and drink leak out of the mouth, numbness of the lips and face, toothache, contraction of the facial muscles, loss of speech. • Ceaseless movement of the eyeball, inability to close the eye, twitching of the eyelids, itching of the eye, blurring of distant objects, night blindness.

  42. Dicang ST-4 INDICATIONS • Atrophy disorder with inability to walk, swelling of the leg, inability to eat. COMBINATIONS • Deviation of the mouth: Dicang ST-4 and JiacheST-6 (Ode of the Jade Dragon).

  43. Dicang ST-4 COMBINATIONS • Deviation of the mouth: Dicang ST-4 and LiequeLU-7 (Supplementing Life). • Deviation of the mouth and eye: Dicang ST-4, JiacheST-6, Renzhong DU-26, Chengjiang REN-24, TinghuiGB-2 and HeguL.I.-4 (Illustrated Supplement). • Legs withered and lame: Dicang ST-4 and Taiyuan LU-9 (Thousand Ducat Formulas).

  44. DAYING ST-5 Great Welcome

  45. DayingST-5 LOCATION Directly anterior to the angle of the jaw, in a depression at the anterior border of the masseter muscle. LOCATION NOTE Ask the patient to clench the jaw before locating.

  46. Daying ST-5 NEEDLING • Oblique insertion 0.3 to 0.5 cun; or • Transverse insertion to join with such points as Dicang ST-4, JiacheST-6 etc. Caution: vigorous manipulation is contraindicated to avoid the risk of damaging the facial artery and vein.

  47. Daying ST-5 ACTIONS • Eliminates wind and reduces swelling INDICATIONS • Wind tetany with lockjaw, deviation of the mouth, twitching of the lips, toothache of the lower jaw, frequent yawning, stiffness of the tongue with inability to speak, inability to close the eyes accompanied by pain of the eyes.

  48. Daying ST-5 INDICATIONS • Swelling of the face and lower cheek, wind obstructing the face leading to swelling, mumps, scrofula, neck pain with chills and fever, aversion to cold.

  49. Daying ST-5 COMBINATIONS • Toothache with aversion to cold: DayingST-5, QuanliaoSI-18, Tinghui GB-2 and QuchiL.I.-11 (Thousand Ducat Formulas). • Pain from tooth decay: Daying ST-5, SanjianL.I.-3 and Zhengying GB-17 (Supplementing Life).

  50. Daying ST-5 COMBINATIONS • Toothache and tooth decay: Daying ST-5, XiaguanST-7, Yifeng SJ-17 and Wangu SI-4 (Supplementing Life). • Deviation of the mouth with inability to speak: DayingST-5, Chengqi ST-1, Sibai ST-2, JuliaoST-3, Kouheliao L.I.-19, Shangguan GB-3, QuanliaoSI-18, QiangjianDU-18, Fengchi GB-20, YingxiangL.I.-20 and Renzhong DU-26 (Supplementing Life).

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