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Lu-1 Zhong Fu 中府 Central Palace

Lu-1 ZhōngFŭ 中府 Central Palace

Front Mu point of the Lung
Meeting point of the hand- and foot TaiYin channels

【Name explanation】中, Zhōng, middle or inner; 府, Fŭ, palace or repository. The hand Tai Yin channel begins in the center burner where Qi is formed by the essence of grain and water from the stomach and large intestine. Food Qi poures up to the Lungs where it blends with clear Qi from the air to form Zong Qi and Zhen Qi. Lu-1 is the front Mu point of the Lung where the Lung Qi gathers and where Spleen Qi from the foot TaiYin channel meets with hand TaiYin channel, hence the name Central (or middle) Palace. It is often used to treat Lung organ disease, especially disorders of Lung Qi.

【First appearance】《Plain Questions 27, Treatise on the Departure and Union of True and Evil [Qi] 》

【Localization】6 cun lateral to the anterior midline level with Ren-20 and the 1st intercostal space. It is located 1 cun inferior to Lu-2.

【Anatomy】skin, subcutaneous tissue, greater pectoral muscle, the short head of the biceps and coracobrachialis; superficially there is the cephalic vein and supraclavicular nerve intermediate branch and the 1st intercostal nerve lateral cutaneous branches, deeper there is the chest nerve medial and lateral branch, the thoracoacromial artery and the lateral thoracic artery.

【Function】
Disperse and descend lung Qi
Clear and drain lung heat
Suppress cough and calm panting
Disinhibit water
Harmonize the stomach
Fortify the spleen and supplement Qi.

【Clinical application】
1. Regulate Lung Qi: Lu-1(中府) is the front Mu point of the hand Tai Yin lung channel, where Lung Qi gathers, and the pathway where chest Qi distributes to the rest of the body, therefore needling Lu-1 regulates Lung Qi.
2．Open the chest disinhibit Qi: This is where the Qi in the chest Qi comes out from the inner to enter the outer pathways, therefor it disinhibits Qi and assists ascending and descending.
3．Reflect the Lung organ pathology: pain on palpation, hardening or other signs reflect pathology in the Lungs.

【Indications】cough, panting, distention and fullness of the Lung, chest pain, shoulder- and back pain.
breathing system disease: bronchitis, pneumonia, wheezing and panting, pulmonary consumption, bronchi dilatation.
classical records: cough, wheezing and panting, Qi counterflow, coughing plegm, coughing and vomiting blood, distention of the lung, welling-abscess of the lung, tubercolosis, chest pain, chest impediment, fullness in the chest, heat in the chest, inability to swollow food, retching counterflow vomiting of sour matter, abdominal distention, heat and aversion to cold vexation and fullness, sweating, woman breast blowing (mammary welling abscess), swollen face, nasal congestion, throat impediment, goiters and tumors of the neck, shoulder and back pain, skin bone pain.
《 The Great Compendium of Acupuncture and Moxibustion(针灸大成) 》: Lu-1 treats abdominal distention, swelling of the four limbs, inability to get food down, panting, fullness in the chest, shoulder and back pain, retching, cough, Qi ascent, Lung urgency, Lung heat and aversion to cold, gallbladder heat retching counterflow, coughing phlegm, lai great wind (leprosy)). sweating, pain in the skin, swollen face, shortage of Qi inability to lie down, typhoid fever (伤寒) , heat in the chest, flying corpse syndrom, goiters and tumors of the neck.

modern reports: bronchitis, pneumonia, pulmonary consumption, angina pectoris, myocardial infarction.

【Point combinations】
combined with UB-49(意舍) treats fullness in the chest and difficulty to breath (《Ode on a Hundred Pathoconditions(百症赋) 》)
combined with GB-35(阳交) treats throat impediment.
combined with EX-B1 (DingChuan, 定喘), P-6(内关) treats wheezing and panting.
combined with H-9(少冲) treats heart pain, chest pain (《针灸资生经》)
combined with P-5(间使), LI-4(合谷) treats swelling of the face and abdomen (《A Thousand Gold Pieces Prescriptions(千金要方) 》).
combined with UB-13(肺俞), is Back shu – Front Mu point combination and treats great wind (leprosy), resolve the exterior, diffuse the lung suppress cough.
combined with K-7(复溜), has the effect of engender liquid moisten dryness to treat lung dryness heat cough.
combined with UB-49(意舍), descends Qi and opens the chest when there is fullness in the chest.

Lung pain: Lu-1(中府), UB-23(肾俞), LI-4(合谷).
Fullness in the chest difficulty to swallow: Lu-1(中府), UB-49(意舍).
Swelling and pain in the breasts: Ren-17 (膻中), Lu-1(中府), SI-1(少泽), Liv-1(大敦).
Throat impediment, fullness in the chest, heat and aversion to cold: Lu-1(中府), GB-35(阳交).
Evil in the Lungs making the skin painful, heat and aversion to cold, Qi ascent, panting, sweating, pain in the shoulder and back when coughing: Lu-1(中府), UB-13(肺俞).
Cough: Lu-1(中府), UB-13(肺俞), Lu-6(孔最).
Wheezing and panting: Ren-17 (膻中), Lu-1(中府), EX-B1 (DingChuan, 定喘), P-6(内关).
Pneumonia: Lu-1(中府), Du-14(大椎).
Pulmonary consumption: Lu-1(中府), UB-13(肺俞), lung heat.
《Plain Questions 61, Treatise on Points For Water and Heat 》: UB-11(大杼), Lu-1(膺俞), St-12(缺盆), UB-13(肺俞), these eight points clear Lung heat.
《Thousand Gold Pieces Formulary(千金方) 》: Lu-1(中府), GB-35(阳交), treats throat mpediment. Lu-1(中府), P-5(间使), LI-4(合谷), treats swelling of the face and abdomen.
《Ode on a Hundred Pathoconditions(百症赋) 》: fullness in the chest with difficulty to swallow, Lu-1(中府), UB-49(意舍) 所行.

【Technique】Outward oblique or transverse needling 0.5-0.8 cun; can use moxa, cone moxibustion 3-5 times, stick moxibustion 10-15 minutes.
Caution: This point can’t be needled inwards to avoid pnuemothorax.
《Plain Questions 52, Treatise on Needling Contraindications》: needle into the Lung, results in panting counterflow and difficulty to breath.
《The Great Compendium of Acupuncture and Moxibustion(针灸大成)》: needle 0.3 cun, leave it in for five breaths, moxa five times.

【Classic texts】
《The Systematized Canon(甲乙经) 》: meeting point of the hand and foot TaiYin.
《Thousand Gold Pieces Formulary(千金方) 》: Lu-1(中府), GB-35(阳交), treats throat impediment, oppression and fullness of the stomach, heat and aversion to cold.
《Wings of the Thousand Gold Pieces Formulary(千金翼方) 》: Body heat vexation needle Lu-1(中府), and moxa GB-39(绝骨) 50 times.

【Modern research】
modern reports, Lu-1(中府) combined with UB-13(肺俞), an extra point 1 cun lateral to Du-14, UB-43(膏肓) with acupuncture and moxibustion has effect to treat tuberculosis. Clinical research shows needling Lu-1(中府) can relax bronchi smooth muscle spasm, and improve free flow of air, ease wheezing and panting symptom, and also increase liver blood flow.

【Note】Tonify Lu-1 supplements Lung Qi, dispersion descends counterflow. To palpate for pain and other signs at Lu-1 helps to diagnose Lung organ pathology.
Lu-1(中府), Lu-2(云门) and Lu-3(天府) has similar actions, all can disinhibit obstructed Lung Qi, but Lu-1(中府) treats the inner and governs closing, Lu-2(云门) treats the outer and governs opening, Lu-3(天府) treats the middle and governs defense.
Lu-1(中府) is often used with dispersion to open the chest and disinhibit Qi, UB-13(肺俞) is often used with tonification to replenish Lung Qi.

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Lu-2 Yun Men 云门 Cloud gate

Lu-2 YúnMén 云门 Cloud gate

【Name explanation】1) 云, Yún means cloud; 门, Mén means gate. Earth Qi vapourizes up to form clouds, hand TaiYin channel Qi is formed by the earth Qi (food and grains) from the center burner that vapourizes up and gathers at Lu-1(中府) and exits at Lu-2 to spread in the twelve channels. Like clouds gathers in the sky to spread rain under the heavens, therefor it is called “cloud gate”.

2) Clouds are formed by heavenly Qi, heavenly Qi passes through the lungs（see 《Plain Questions 5, Great Treatise on the Correspondences and Manifestations of Yin and Yang》）. Lu-2(云门), the gate where clouds passes, means that Lung Qi passes here. 《锦囊秘录》: “Mans Qi and blood, circulates without ceasing, starts in the hand Tai Yin, exits at Lu-2(云门), returns to the foot Jue Yin liver channel, enters at Liv-14(期门). ”

3) 云, Yún here means mist; 门, Mén means gate. Clouds are formed by heavenly Qi, heavenly Qi passes through the lungs. The upper burner is like a mist, when clouds get cold they fall as rain, when they get warm they rise and spread. Lu-2 is where hand Tai Yin Lung channel Qi exits, in the anterior chest region. From the upper burner Lung Qi interior, it is the gate where Lung Qi exits to the exterior, therefor it is called the Cloud Gate.

【First appearance】《Plain Questions 61, Treatise on Points For Water and Heat》.

【Location】6 cun lateral to the anterior midline, under the edge of the clavicle, between the greater pectoral muscle and the deltoid muscle.
Localization note: when the arm is extended there forms a depression at the lower border of the clavicle. Lu-2 is located in the middle of that depression.
《The Systematized Canon of Acupuncture and Moxibustion(针灸甲乙经) 》: “Below the great bone (clavicle), in the depression 2 cun lateral to St-13(气户), where the pulse is felt. ”
《针方六集》: “Below the Great Bone between two bones, 6 cun lateral on both sides of Ren-21(璇玑)”.
《The Great Compendium of Acupuncture and Moxibustion(针灸大成)》: “Below the Great Bone, 2 cun lateral to St-13(气户), where the pulse is felt, Lift the arm to localize, 6 cun from the midline”

【Anatomy】skin, subcutaneous tissue, deltoid muscle, coracoclavicular ligament; superficially there is the supraclavicular nerve intermediate branch and intercostal nerve lateral cutaneous branches distribution. Deeper there is axillary nerve muscular branches and thoracoacromial artery distribution.

【Function】
Descend and disperse Lung Qi
Clear the lung rectify Qi
Clear heat in the four limbs.

【Clinical application】
1. Regulate Lung Qi: Lu-2(云门) is where the hand Tai Yin Lung channel Qi emits, so needling Lu-2 can disperse Lung Qi and descend counterflow.
2. Open the chest disinhibit Qi: Lu-2 is the gate where Lung channel Qi distributes to the 12 channels, and therefor treats all syndroms due to Qi depression.

【Indications】cough, panting, chest pain, pain on the inside of the shoulder joint.
Respiratory system: tracheitis, chest pain, wheezing and panting;
Other: inflammation in the shoulder joint.
When there is a pathology in the Lungs or bronchi Lu-2 often gets tender.

Classical records: cough, panting, retching counterflow, vexation and fullness in the chest, Qi surging up into the heart, chest pain that radiates to the back, acute heart pain, throat impediment, goiter, shoulder pain that radiates to the supraclavicular fossa, pain in and inability to lift the shoulder, four limbs heat, upper limb numbness (and tingling), regularly interrupted.
《The Great Compendium of Acupuncture and Moxibustion(针灸大成)》: “treats cold disease with heat in the four limbs, cough and panting with inability to catch one’s breath, chest and rib-side shortness of breath, Qi surging up into the heart, vexation and fullness in the chest, severe back pain , throat impediment, shoulder pain with inability to raise the arm, goiter ”
《资生》: “Lu-2(云门), treats retching counterflow ”
《Thousand Gold Pieces Formulary(千金方)》: “Qi ascent fullness in the chest, moxa Lu-2(云门) 50 times ”

Modern reports: bronchitis, rheumatic chest pain, inflammation in the shoulder joint.

【Point combinations】
combined with UB-13(肺俞), clears and spreads Lung Qi, treating cough, panting.
combined with Lu-1(中府), Sp-1(隐白), Liv-14(期门), UB-13(肺俞), frees the channels, quicken the network vessels and ensures a smooth flow of Liver Qi, to treat chest pain and rib-side pain.

Shoulder pain with inability to raise the arm: Lu-2(云门), SI-12(秉风 ).
《Plain Questions 61, Treatise on Points For Water and Heat》: “Lu-2(云门), An extra point on the shoulder (髃骨), UB-40(委中), Du-2(髓空), these eight points clears heat in the four limbs”
《Thousand Gold Pieces Formulary(千金方)》: “Lu-2(云门), Lu-1(中府), Sp-1(隐白), Liv-14(期门), UB-13(肺俞), UB-47(魂门), P-7(大陵), treats pain in the chest”
Open heart surgery with cardiopulmonary bypass acuanesthesia: Lu-2(云门), P-6(内关), Lu-7(列缺).

【Technique】Outward oblique insertion 0.5-1 cun, inward needling prohibited to avoid injuring the lungs.
《The Systematized Canon of Acupuncture and Moxibustion(针灸甲乙经) 》: “Too deep needling induces counterflow of Qi and inability to eat. ”cone moxibustion 3-7times, stick moxibustion 5-15 minutes.
《The Great Compendium of Acupuncture and Moxibustion(针灸大成)》: “《素注》Needle 0.7 cun, 《铜人》Needle 0.3 cun, moxa 5 times”
《铜人》: “Needling too deep makes Qi counterflow, therefor it is not good”

【Classic texts】
《The Systematized Canon(甲乙经)》: acute heart pain, Shan Qi surging up to the heart, Lu-2(云门) treats it.
《铜人》: “Needling too deep makes Qi counterflow, therefor it is not good”
《Thousand Gold Pieces Formulary(千金方)》: Goiter and Qi ascent fullness in the chest, moxa Lu-2(云门) 50 times .

【Note】 Lu-2(云门) is where the Lung channel Qi exits from the inner to the outer to circulate in the channels and network vessels, to distribute to the whole body. It has a good effect to free the channels, move Qi and remove Qi stagnation.

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Lu-3 Tian Fu 天府 Heavenly Palace

Lu-3 TiānFŭ 天府 Heavenly Palace

【Name explanation】1) 天, Tiān, means heaven; 府, Fŭ, means palace or storehouse. Heavenly Qi passes through the Lungs（《Plain Questions 5, Great Treatise on the Correspondences and Manifestations of Yin and Yang》）. Lu-3 belongs to the hand Tai Yin Lung channel, is located on the upper arm, therefor it is called Heavenly Palace. 《黄帝内经明堂》 says: “The Lung is the upper lid, it is the storage for heaven, Lung Qi comes to this point. ”

2) In ancient times when localizing Lu-3 they asked the patient to reach out the arm and put the nose to the arm. The tip of the nose points to Lu-3. The nose is the orifice of the lung, where heavenly Qi (air) passes to the Lungs which arethe palace for Qi of all the body. Therefor it is called the Heavenly Palace.

【First appearance】《Magic Pivot 2, Transport [Points]》.

【Location】On the inside of the upper arm, at the radial edge of the biceps, 3 cun under the upper edge of the axillary crease.
Localization note: when the arm is stretched forward and the nose points to the arm, the tip of the nose points to Lu-3.
On a line 1/3 of the distance between the upper edge of the axillary crease and the transverse crease of the ulnar side of the elbow.
《Magic Pivot, Cold and Heat》: “At the artery under the axilla ”.
《The Systematized Canon of Acupuncture and Moxibustion(针灸甲乙经) 》: “3 cun under the axilla, at the inside of the arm, at the artery”.
《Essential Secrets from Outside the Metropolis(外台秘要)》: “When the nose points to the arm, it points to Lu-3”.
《针方六集》: “At the level of the nipples when the armis down”.

【Anatomy】skin, subcutaneous tissue, long head of the biceps; superficially there is the cephalic vein and lateral arm cutaneous nerve distribution, deep there is the brachial artery and brachial veins distribution and musculocutaneous nerve.

【Function】
Clear and spread Lung Qi
Clear the lung cool the blood
Diffuse Lung evil
Regulate Lung Qi
Calm the spirit stabilize the mind
Stop nosebleed
Brighten the eyes

【Clinical application】Disperse and descend Lung Qi; Lu-3(天府) follows Lu-2(云门), it’s the place where Lung Qi returns, Lung Qi travels from Lu-3 to the interstices of the flesh, circulates the whole body, like clouds overflow the heaven and circles the earth, widely and freely travels, therefor needle Lu-3 moves and disinhibits Lung Qi. In dispersion it disperses and descends Lung Qi, in tonification it collects scattered Qi, often used o treat panting and cough, nosebleed etc.

【Indications】panting, goiter, nosebleed, pain on the inside of the upper arm.
Respiratory system: bronchitis, wheezing and panting;
Nervous system: neuropathy, gas poisoning;
Other: nosebleed, blood ejection, pain in shoulder and arm.

Classical records: cough, wheezing and panting, nosebleed and blood in the mouth, swollen throat, goiter, dizzy head blurry vision, farsightedness, generalized swelling, heavy body, wind sweating, somnolence, absentmindedness, forgetfulness, malaria, pain in shoulder and arm.
《The Great Compendium of Acupuncture and Moxibustion(针灸大成)》:treats acute Bi syndrome, nosebleed and blood in the mouth, wind stroke, grief and forgetfulness, flying corpse evil fever, ghost talk, panting, malaria with alternating fever and chills, dizzy vision, farsightedness, goiter.
《Wings of the Thousand Gold Pieces Formulary(千金翼方)》: heavy body somnolence, moxa Lu-3(天府) 50 times, needle 0.3 cun in tonification.

Modern reports: bronchitis, upper arm pain.

【Point combinations】
Combined with SJ-13(臑会), St-11(气舍) treats goiters and tumors of the neck (《A Thousand Gold Pieces Prescriptions(千金要方)》)
Combined with LI-4(合谷) treats nosebleed (《Ode on a Hundred Pathoconditions(百症赋)》).
Combined with LI-15(肩髃), P-3(曲泽), frees the channels and quicken the network vessels, treats upper arm pain.
Combined with LI-4(合谷), clears heat and cool the blood, treats nosebleed.
Combined with SJ-13(臑会), St-11(气舍), P-5(间使), Liv-3(Liv-3(太冲) ), K-3(太溪), moves Qi and quicken the blood, resolve depression dissipate binds, treats goiter.

【Point combinations】
Nosebleed: Lu-3(天府), LI-4(合谷).
Lumps, goiter, swollen throat: St-11(气舍), Lu-3(天府), SJ-13(臑会).
《Thousand Gold Pieces Formulary(千金方)》: Lu-3(天府), SJ-13(臑会), St-11(气舍), treats lumps, goiter and swollen throat.
《Ode on a Hundred Pathoconditions(百症赋)》: Lu-3(天府), LI-4(合谷), good for nosebleed.

【Technique】perpendicular insertion 0.5-1 cun. Stick moxibustion 5-10 minutes.
《The Great Compendium of Acupuncture and Moxibustion(针灸大成)》: Forbidden to use moxa, needle 0.4 cun, keep for 7 breaths.

【Classic texts】
《Thousand Gold Pieces Formulary(千金方)》: Goiter malign Qi, moxa Lu-3(天府) 50 times.
《Wings of the Thousand Gold Pieces Formulary(千金翼方)》: heavy body, somnolence, unconsciousness, moxa Lu-3(天府) 50 times, needle 0.3 cun with tonification.
《铜人》: treats counterflow Qi panting with inability to catch one’s breath, dizzy vision farsightedness, sudden stroke, ghost fever, inability to rest.

【Note】Lu-3(天府) is where hand Tai Yin Lung channel Qi gathers, defends and treats the inner, treats panting and cough. In clinic one needs to grasp“defends and treats the inner”and use it flexible.

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Lu-4 Xia Bai 侠白 Clasping the White

Lu-4 XiáBái 侠白 Clasping the White

【Name explanation】 1) 侠, Xiá, means to hold or to clasp; 白, Bái, means white. Lu-4 is located on the inside of the upper arm, at the sides of the lungs. The color of the Lungs are white therefore it is called Clasping the White.

2) 白, here refers to the white flesh (of the arms and legs). Lu-4 is located at the white flesh of the biceps muscle of the arm.

【First appearance】《The Systematized Canon of Acupuncture and Moxibustion(针灸甲乙经) 》.

【Location】Inside of the forearm, at a depression on the radial edge of the biceps, 4 cun below the anteror crease of the axilla, or 5 cun above the transverse crease of the elbow.
Localization note: Lu-4 is located 1 cun below Lu-3.
《The Systematized Canon of Acupuncture and Moxibustion(针灸甲乙经) 》: “Below Lu-3(天府) , 5 cun above the crease of the elbow, at the artery. ”

【Anatomy】skin, subcutaneous tissue, long head of the biceps, brachial muscle; superficially there is cephalic vein and cutaneous nerves of the lateral arm , deeper there is the brachial artery, brachial veins and musculocutaneus nerve distribution.

【Function】
Diffuse the lung rectify Qi
Open the chest
Harmonize the stomach
Calm the heart (mind)

【Clinical application】 Regulate Lung Qi, free the channels: Lu-4(侠白) is where the hand Tai Yin divergent channel (JingBie) separates from the regular channel, enters to the inner to the Lungs and scatters in the large intestine, comes to the surface at the supraclavicular fossa, joins with the large intestine channel at the neck, therefor needling it can regulate Lung Qi, and clear obstructions from the Yang Ming channel in the head and face as well as the TaiYin and Yang Ming channels in the upper arm. Lu-4 treats cough, shortness of breath, vexation and fullness in the chest, pain on the inside of the upper arm etc. Especially good to treat distending pain in the neck when coughing.

【Indications】cough, panting, dry retching, vexation and fullness, pain on the inside of the upper arm.
Respiratory system: bronchitis, bronchi wheezing and panting, pneumonia.
Other: tachycardia, inside of the upper arm nerve pain.

Classical records: cough, heart pain, shortness of breath, dry retching, red and white sweat macules.

Modern reports: bronchitis, tachycardia, rheumatic heart disease, upper arm pain, median nerve pain.

【Point combinations】
Combined with P-4(郄门) , P-5(间使), P-7(大陵), P-6(内关), SI-11(天宗), frees the channels and quicken the network vessels relieve pain, treats median nerve pain .

【Point combinations】
Rheumatic heart disease: Lu-4(侠白), UB-64(京骨).

【Technique】perpendicular insertion 0.5-1 cun. Cone moxibustion 3-5times, stick moxibustion 5-15 minutes.

【Classic texts】
《The Systematized Canon(甲乙经)》: heart pain, cough, dry retching, vexation and fullness, Lu-4(侠白) treats it.
《铜人》: treats heart pain, dry retching, vexation and fullness.

【Note】 Lu-4(侠白) is where the hand Tai Yin Lung divergence channel separates from the regular channel, it has the characteristics of separating, entering, exiting and combining.

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Lu-5 Chi Ze 尺泽 Cubit Pool

Lu-5 ChĭZé 尺泽 Cubit Pool
He-Sea point
Water point
Dispersion point

【Name explanation】1) 尺, Chĭ was an ancient chinese unit of length based on the distance between the wrist and the crease of the elbow; 泽, Zé, means pool or a deep place where water gathers. Lu-5 is the Lung channel He-Sea point and corresponds to the element water. The hand Tai Yin channel Qi flows here like water gathers in a pool, and Lu-5 is located one Chi from the wrist in a depression in the transverse crease of the elbow, therefor it is called Cubit Pool. It treats inhibition of Lung Qi, phlegm-heat congesting the lung and also clears toxic heat in the blood.

2)尺, is a fusion of the character“尸”(body) and “乙” (which looks like a flexed elbow), meaning the forearm. 泽, a depression or hollow where water gathers. The name comes from the point localization.

【First appearance】《Magic Pivot 2, Transport [Points]》.

【Location】In the transverse crease of the elbow, in the depression at the radial side of biceps brachi.
《Magic Pivot 2, Transport [Points]》: “By the artery in the [crease of the] elbow”.
《Essential Secrets from Outside the Metropolis(外台秘要)》: “In the transverse crease when the arm is flexed, in the depression between the tendon and the bone”.
《The Gateway to Medicine(医学入门)》: “Outside the big tendon in the transverse crease of the elbow ”.
《循经考穴编》: “Flex the arm lika a bow, insert needle there. ”

【Anatomy】skin, subcutaneous tissue, origin of brachioradialis, brachial muscle; superficially there is cephalic vein, the lateral cutaneous nerve of forearm distribution, deeper there is root of the radial nerve, deep branches of the radial nerve, musculocutaneous nerve and anterior branch of the radial collateral artery distribution.

【Function】
Clear phlegm-heat in the Lung
Descend and disperse Lung Qi
Tonify Yin and moisten the lung
Clear heat harmonize the stomach
Cool the blood resolve toxin
Open the channels and relieve pain.

【Clinical application】
1. Clear heat diffuse the Lung: Lu-5(尺泽) is the He-Sea and water point of the hand Tai Yin Lung channel, where channel Qi returns to. The Lung pertains to metal, and metal generates water. Repletion is treated by draining the child, therefore dispersing this point clears and drains lung heat, disperses and descends Lung Qi. External evil raid the Lung, phlegm-heat inhibits the Lung, evil heat and Yin vacuity lung dryness etc causing impaired diffusion and descending of the lung, abnormal Qi dynamic etc can be treated with Lu-5.
2. Cool the blood resolve toxin: The elbow is a big joint where a lot of Qi and blood is streaming, therefor bleeding Lu-5 clears blood heat and evil toxins. It treats blood heat-toxin causing summerheat stroke, acute vomiting and diarrhea, child wind-fright etc.

【Indications】cough, panting, expectoration of blood, tidal heat, fullness in the chest, sore swollen throat, vomiting and diarrhea, child wind-fright, elbow and arm pain.
Respiratory system: pulmonary consumption, expectoration of blood, pneumonia, bronchitis, bronchi wheezing and panting, sore swollen throat, pleurisy;
Motion system: pathology in the elbow joint, cerebrovascular disease sequelae, forearm spasm;
Nervous system: shoulder neuralgia, neuropathy, child convulsion;
Other: urinary bladder sphincter paralysis (urinary incontinence).

Classical records: cough, panting, Qi counterflow, expectoration of blood, frequent retching, fullness and pain in the chest and rib-side, tuberculosis, heart pain, heart vexation, dribbling urinary block, stomachache, abdominal distention, twisted bowel pain fever, constipation, nosebleed, throat impediment, dry tongue, quivering with cold, tidal heat dispersion-thirst, madness, atrophy, malaria, lumbar pain, shoulder and spinal pain, wind impediment, inability to raise the arm over the shoulder, elbow and arm pain.
《The Great Compendium of Acupuncture and Moxibustion(针灸大成)》: treats pain in shoulder and arm, attack by wind after sweating, frequent urination, propensity to sneeze, sadness and weeping, heat and aversion to cold wind impediment, spasm of the upper arm and elbow, inability to raise the arm, throat impediment, Qi counterflow with vomiting, dry mouth, cough with turbid plegm, malaria, sudden swelling of the four limbs, heart pain arm cold, shortness of breath, distended lungs, heart vexation and oppression, shortage of Qi, taxation heat, panting and fullness, pain and stiffness of the lumbar spine, chronic child wind-fright .
《Thousand Gold Pieces Formulary(千金方)》: malaria in the five viscera (heart, lung, spleen, liver, and kidney), vomiting Qi ascent.
《The Golden Mirror of Medicine(医宗金鉴)》: coughing and spitting pus/blood, throat impediment, lung accumulation rushing respiration, intestine-gripping sand (dry cholera), typhoid fever (伤寒) absence of sweating, acute child wind-fright
《资生经》: Lu-5(尺泽) treats vomiting and diarrhea (outflow up and down), pain under the rib-side.
《Ode of Spiritual Light(灵光赋)》: blood ejection stabilize panting, tonify Lu-5(尺泽)
《胜玉歌》: Lu-5(尺泽) treats hypertonicity of the tendons.
《Song to Keep Up Your Sleeve(肘后歌)》: pain and swelling of the knee that makes it difficult to walk, Lu-5(尺泽) soothes the sinews bone pain.
《玉龙歌》: tension of the sinews with difficulty to open the hand, Lu-5(尺泽).

Modern reports: common cold, sore swollen throat, tonsilitis, laryngitis, pharyngitis, bronchitis, hundred-day cough, pneumonia, pleurisy, intercostal nerve pain, cinnabar toxin [sore], malposition of the fetus, measles papules, high blood pressure.

【Point combinations】
Combined with SI-1(少泽) treats shortness of breath, rib-side pain heart vexation
Combined with SJ-1(关冲), SJ-5(外关), GB-44(足窍阴 ) treats inability to raise the arm (《A Thousand Gold Pieces Prescriptions(千金要方)》)
Combined with Lu-11(少商) treats sore swollen throat, nosebleed.combined with UB-40(委中) prick bleeding treats cinnabar toxin [sore], acute vomiting and diarrhea, combined with LI-11(曲池) treats elbow and arm pain (《玉龙歌》)
Combined with LI-4(合谷), it moves Qi quicken the network vessels, dispels stasis relieve pain, and treats elbow and arm pain, elbow joint inhibited bending and stretching.
Combined with UB-13(肺俞), it descends Qi and suppress cough calm panting, and treats cough, panting.
Combined with UB-40(委中), it clears heat and transforms dampness, and treats vomiting and diarrhea.
Vomiting: Lu-5(尺泽), P-7(大陵).
Madness: Lu-5(尺泽), K-2(然谷).
Wind impediment inability to raise the arm : 肩贞, Lu-5(尺泽).
Hundred-day cough: Lu-5(尺泽), LI-4(合谷).
Nosebleed: Lu-5(尺泽), Liv-3(太冲).
《The Systematized Canon(甲乙经)》: spitting of blood, disperse Lu-10(鱼际), tonify Lu-5(尺泽)
《资生经》: Lu-5(尺泽), K-2(然谷) treats madness, arm unable to raise above the head.
《The Great Compendium of Acupuncture and Moxibustion(针灸大成)》: treat wrenching of the lumbus rib-side pain, Lu-5(尺泽), UB-40(委中), Du-26(人中).

【Technique】perpendicular insertion 0.5-1 cun or prick bleeding. Use direct moxibustion with care, stick moxibustion 10-15 minutes.
《The Great Compendium of Acupuncture and Moxibustion(针灸大成)》: Needle 0.3 cun, keep for three breaths, moxa five times.

【Classic texts】
《Thousand Gold Pieces Formulary(千金方)》: treats vomiting and diarrhea (outflow up and down), pain under the rib-side.
《铜人》: treats wind impediment elbow spasm, arm unable to rise, throat impediment Qi ascent, dry tongue, cough with turbid plegm, sudden swelling of the four limbs, arm cold shortness of breath.
《Ode of Spiritual Light(灵光赋)》: blood ejection stabilize panting tonify Lu-5(尺泽).

【Modern research】clinical observation proves, needling Lu-5(尺泽) lowers blood pressure. Experiments confirmed, needling Lu-5(尺泽) regulates colon peristalsis, makes the peristalsis of the colon descendens and rectum significantly stronger. Furthermore, needling Lu-5(尺泽) is effective to treat nerve induced vomiting.

【Note】Lu-5 is the He-Sea point of the Lung channel, where channel Qi penetrates deeper to enter the Lung like a ”floodgate”. If external evil enters this channel, and is not diffused, this is the place it has to enter the interior. When external pathogens are not treated in time and enters the interior Lu-5 can hinder it’s passage and transmutation.

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Lu-6 Kong Zui 孔最 Maximum Cavity

Lu-6 KŏngZuì 孔最 Maximum Cavity
Xi-Cleft point

【Name explanation】孔, Kŏng means hole or cavity; 最, Zuì, means maximum or to gather. Lu-6 is where Lung channel Qi and blood plunges deeper, the Xi-Cleft point, the largest crevice. Lu-6 removes stasis and frees the orifices. It is the most used point to treat disease patterns of cavities, therefor it is called Maximum Cavity. Lu-6 treat lung heat harms the blood or stirs the blood. It also treats disorders of cavities.

【First appearance】《The Systematized Canon of Acupuncture and Moxibustion(针灸甲乙经) 》.

【Location】Radial side of the forearm, on a line between Lu-5(尺泽) and Lu-9(太渊), 7 cun proximal to the transverse crease of the wrist.
《The Systematized Canon of Acupuncture and Moxibustion(针灸甲乙经) 》: “7 cun above the wrist”.
《针灸逢源》: “In a crevice between the upside and the downside of the bone”.

【Anatomy】skin, subcutaneous tissue, brachioradial muscle, flexor carpi, pronator teres, hallucis longus; superficially there is cephalic vein, the lateral cutaneous nerve of forearm and superficial branch of the radial nerve distribution, deeper there is superficial and deep branches of the radial nerve, median nerve, radial artery and it’s deep branches and radial recurrent artery distribution.

【Function】
Descend and disperse Lung Qi
Cool the blood stanch bleeding
Clear heat and stanch bleeding
Moisten the lung rectify Qi
Effuse the exterior
Disinhibit the throat

【Clinical application】
1. Clear the lung stanch bleeding: disperse Lu-6 clear and drain lung heat, cool the blood stanch bleeding, is used to treat coughing of blood, loss of voice, sore swollen throat etc. when Lung channel exuberant heat injures or stirs the blood. Because the Lung and Large intestine is exterior and interiorly connected, Lu-6 can also treat bleeding hemorrhoids.
2. Open stagnation free the orifices: Needle Lu-6 can perfuse Lung Qi, opening and discharging the pores, disinhibit the interior and promote sweating, and can therefor treat cough and panting, febrile disease with absence of sweating, headache etc. when external evil attacks the surface and disturbs the Lung.

【Indications】cough, panting, expectoration of blood, sore swollen throat, elbow and arm pain, hemorrhoidal disease.
Respiratory system: pulmonary consumption expectoration of blood, inflammation in the throat, tonsilitis, bronchitis, bronchi wheezing and panting;
Motion system: pain in elbow and arm, pain in the wrist joint.

Classical records: febrile disease absence of sweating, tidal heat, cough, wheezing and panting, expectoration of blood, Qi counterflow, reversal headache, painful and swollen throat, loss of voice, pain in elbow and difficulty to extend the arm.

Modern reports: bronchitis, pneumonia, pulmonary consumption, tonsilitis, hemorrhoidal bleeding.

【Point combinations】
Combined with P-3(曲泽), UB-13(肺俞) treats spitting of blood (《针灸资生经》)
Combined with Du-15(哑门) treats loss of voice
Combined with SI-3(后溪) treats headache, combined with Lu-11(少商) treats sore throat (《acupuncture point 学》).
Combined with UB-13(肺俞), UB-12(风 门), has the effect of diffuse the lung suppress cough stabilize panting, and treats cough, panting.
Combined with LI-4(合谷), Du-14(大椎), it scatters wind resolve the exterior, clear heat relieve pain, treats febrile disease absence of sweating, headache.
Combined with Lu-11(少商), clear heat disinhibit the throat, relieve pain, treats sore swollen throat.
Febrile disease absence of sweating: UB-31(上髎), Lu-6(孔最).
Spitting of blood: UB-13(肺俞), P-3(曲泽), Lu-6(孔最).
Loss of voice: Du-15(哑门), Lu-6(孔最).
Fever, chest pain, cough: Du-14(大椎), UB-13(肺俞), Lu-6(孔最).
Pulmonary consumption expectoration of blood: Lu-5(尺泽), Lu-6(孔最).

【Technique】perpendicular insertion 0.5-1 cun. Cone moxibustion 3-5times, stick moxibustion 10-15 minutes.

【Classic texts】
《The Systematized Canon(甲乙经)》: reversal headache.
《Thousand Gold Pieces Formulary(千金方)》: Lu-6(孔最), treats reversal cold in the arm heat pain (or sore) absence of sweating, can use moxaneedle to induce sweating.