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superficial to deep
-cutaneous
-sinew
-luo
-primary
-divergent
-extraordinary
cutaneous
-places where Qi and Blood of meridians nourish muscles, tendons and skin
-signs of internal and external disease will appear on the skin
Sinew
-distribute qi and blood of 12 regular meridians to nourish muscles
-connect all bones and joints of body and maintain normal range of motion
-originate from extremities of limbs and ascend to head and trunk
-do not penetrate the Zang Fu
-contain Wei energy and make body's first line of defense
-sinew channel problems don't register in pulse
1st finger
Lu sinew origin
5th finger
Ht sinew origin
3rd finger
PC sinew origin
3 hand yin sinew convergence
GB 22
1st toe
Spleen sinew origin
beneath 5th toe
Ki sinew origin
1st toe
Liv sinew origin
3 foot yin sinew convergence
genital regions // Ren 3
2nd finger
LI sinew origin
5th finger
Si sinew origin
4th finger
SJ sinew origin
3 hand yang sinew convergence
GB 13
3 foot yang sinew convergence
eyes // SI 18 // St 3
2nd, 3rd, 4th toes
St sinew origin
5th toe
UB sinew origin
4th toe
GB sinew origin
Lu sinew pathology
-lumps below costal region
-tension along lateral costal region
-spitting of blood
LI sinew pathology
inability to raise shoulder or turn neck to left or right
St sinew pathology
-strained middle toe
-lower leg cramp
-foot muscle, thigh twitch or hardness
-swelling in anterior inguinal area
-abd sinew spasm extending to supraclav fossa and cheek
-sudden deviation of mouth
-cold = inability to close eye
-heat = flaccid muscles and inability to open eye + deviated mouth
Sp sinew pathology
-strained big toe
-pain in medial malleolus + medial aspect of knee + medial thigh to inguinal legion
-twisting pain of genitals to navel and lateral costal region + pain in chest and interior spine
Ht sinew pathology
-internal tension
-accumulation below Ht
SI sinew pathology
-strained little finger
-pain along medial elbow + upper arm + below axilla + posterior aspect + pain of scapula to neck
-tinnitus
-ear pain to submandibular
-need to close eyes long time into order to see clearly
-neck sinew tension leads to sinew atrophy and neck swelling
UB sinew pathology
-strain of little toe
-pain and swelling of heel
-spasm of popliteal
-opisthotonos
-spasm/tension of nape
-inability to raise shoulder
-axilla strain
-supraclav fossa pain and strain
Ki sinew pathology
-cramping of bottom of foot
-convulsion + spasm + epilepsy
-external = can't bend forward (yang disorder)
-internal = can't bend backwards (yin disorder)
PC sinew pathology
-pain in chest with urgent breathing
-inverted cup below lower right ribs
SJ sinew pathology
-curled tongue
GB sinew pathology
-strain + cramp of 4th toe + cramping of lateral knee
-inability to extend/flex knee
-popliteal spasm + upper thigh spasm
-back spasm + sacrum spasm + radiates to lateral costal region and below
-spasm of supraclav fossa + whole neck
-when looking to right side, right eye doesn't open
Liv sinew pathology
-strain of big toe
-pain anterior to med mal + med knee + spasm and pain of medial thigh
-genital dysfunction
-internal = inability to have erection
- + cold = retraction of genitals
- + heat = persistent erection
luo anatomy
-distributed over body surface
-branch out from primary channels
-connect externally and internally related meridians and move qi and blood, therefore give free flow to the meridians
-minute and superficial collaterals = transport qi and blood to body surface
-15 collaterals (16 = Shanghai)
luo actions
-tonify Yin organs
-remove pathogen/excess from Yang organs
-for superficial but can be used for internal
-balance left and right
host and guest
-use source point of primary meridian
-use luo of paired meridian
Lung luo
-Lu 7
-excess = hot palms or wrists
-xu = SOB, frequent urination, enuresis
-shoulder pain along Lu channel
Ht luo
-Ht 5
-excess = fullness and pressure in chest, rapid heartbeat
-xu = aphasia
-pain in arm along Ht channel
PC luo
-PC 6
-excess - chest pains, inappropriate laughter, nausea, palpitations, mental restlessness
-xu = irritability
-forearm pain/spasms
LI luo
-LI 6
-excess = toothache, deafness, lymph node inflammation, mumps, nosebleed
-xu = cold teeth, chest fullness and congestion
-shoulder pain along LI channel
SI luo
-SI 7
-excess = looseness in joints, elbow and arm atrophy
-xu = long finger-shaped warts, scabies
-pain in arm along SI channel, neck pain
SJ luo
-SJ 5
-excess = elbow spasm, conjunctivitis, deafness, enuresis
-xu = flaccid arm and elbow
-shoulder and back pain along SJ channel
Sp luo
-Sp 4
-excess = vomiting, diarrhea, sharp intestinal pains
-xu = abd swelling, weakness, heaviness, jaundice
-pain along Sp mai
Ki luo
-Ki 4
-excess = irritability, depression, enuresis, retention of urine, lumbago, mental restlessness, stifled chest
-xu = low back pain
-weak lower extremities
Liv luo
-Liv 5
-excess = colic, swollen painful testes, hernia
-xu = itching in pubic region, pruritus, impotence
St luo
-St 40
-excess = epilepsy, insanity, nosebleed, abd distention, congested sore throat, facial numbness
-xu = flaccid or atrophied leg + feet muscles, pharyngitis, sudden aphasia, cold upper teeth
Ub luo
-UB 58
-excess = nasal congestion, HA, back pain
-xu = clear nasal discharge, nosebleeds, rectal prolapse, hemorrhoids
GB luo
-GB 37
-excess = fainting, HA, eye pain, enlarged thyroid, swollen lymph nodes, cold feet
-xu = weak and flaccid feet = difficult to stand
Ren luo
-Ren 15
-excess = pain in abdomen skin
-xu = itching of abdomen skin
Du luo
-Du 1
-excess = spine stiffness
-xu = heavy or dizzy head
Great Sp luo
-Sp 21
-excess = general aches
-xu = weak muscles, limbs and joints, tremors
Great St luo
-St 18 // below left breast
-excess = rapid breathing, irregular breathing, knot like obstruction in chest
primary channels
-major trunks in the system
-exterior/interior relation between yin and yang meridians
-movement of qi and blood
-resist pathogens and reflect symptoms and signs
-Lu + Ht = both elbows
-Liv = axillae
-Sp = groin
-Ki = pop fossa
Lu primary
-originates in MJ
Ht primary
-branch = Ht -- esophagus -- traverse cheek and face -- tissues surround eye
surround eye
Ht + Liv
go to eye
St
UB
SI
SJ
GB
Liv
Ht
PC primary
-connects with all 3 jiaos
LI primary
-SI 12, Du 14 over shoulder to St 12
-branch = traverses cheek to St 4 -- enters lower teeth and gums -- curves to upper lip Du 26 -- crosses opposite cheek to St channel
SI primary
-UB 41 and UB 11, Du 14 over shoulder to Ht -- Red 17 -- esophagus -- through diaphragm -- Stomach -- Ren 13, Red 12
-branch = supraclav -- up to neck -- cheek -- outer canthus, GB 1, SJ 22 -- enters ear SI 19
outer ear
SI
GB
SJ
SJ primary
-SI 12, Du 14, GB 21, Ren 17, PC
-connects all 3 jaios
-branch = retroauricular enters ear, SI 19 + GB 3
Sp primary
-has the most front Mu points
-Ren 10, GB 24, spreads over lower surface of root of tongue
Ki primary
-SP 6, Du 1, Ren 3, Ren 4, Ren 7
-branch = root of tongue
Liv primary
-Sp 6, Sp 12, Sp 13, Ren 2, 3, 4, vertex
-branch = surrounds eye, inner surface of lips
St primary
-LI 20, UB 1, Du 26, Ren 24, GB 3, 4, 5, 6, Du 24
-branch = Du 14, Ren 12, 13, Sp
-tibial branch = St 36 -- lateral middle toe
-dorsum branch = Sp 1 (medial)
UB primary
-DU 24, GB 15, Du 20
-branch = vertex -- brain -- Du 17
GB primary
-SJ 22, St 8, SJ 20, Du 14, UB 11, SI 12
-branch = behind auricle (retro) and enters ear at SJ 17, re-emerges anterior (pre) to ear at SI 19, St 7, outer canthus
St 1
-Ren
-Yang Qiao
St 4
-LI
-Yang Qiao
-Ren
St 8
-GB
-Yang Wei
Sp 6
-Ki
-Liv
Sp 12, 13
-Liv
-Yin Wei
SI 10
-Yang Qiao
-Yang Wei
SI 12
-LI
-SJ
-GB
SI 19
-SJ
-GB
UB 1
-St
-SI
-Yang Qiao
-Yin Qiao
UB 11
-SI
-GB
-SJ
-Du
GB 1
SJ 20
SJ 22
-SI
-SJ
-GB
GB 3, 4, 6
-St
-SJ
GB 20
-Yang Qiao
-Yang Wei
GB 21
-SJ
-St
-Yang Wei
PC 1
-SJ
-GB
-Liv
Liv 14
-Sp
-Yin Wei
Ren 1
-Chong
-Du
Ren 3, 4
-Sp
-Ki
-Liv
Ren 12, 13
-St
-SI
Ren 17
-SI
-SJ
-Sp
-Ki
Ren 24
-Li
-St
-Du
Du 1
-Ki
-GB
-Ren
Du 14
-6 Yang channels
-Yang Wei
Du 20
-Liv
-UB
-SJ
-GB
Du 24
-St
-UB
Du 26
-LI
-St
St 12
-Yin Qiao
-yang except UB
Lu primary pathology
-cough, asthma, stuff nose, SOB, dry throat
-change in urine color
-hemoptysis
-congested and sore throat
-fever
-aversion to cold
-fullness in chest
-pain in supraclavicular fossa, back, and anterior border of medial arm
LI primary pathology
-epistaxis
-diarrhea, dysentery
-watery nasal discharge
-toothache, swollen and painful gums
-congested sore throat
-fever
-borborygmus
-red, swollen painful eyes
-abdominal pain
-pain in neck, anterior shoulders, extensors
St primary pathology
-borborygmus
-abd distention
-edema
-epigastric pain
-vomiting
-hunger
-epistaxis
-deviation of mouth and eyes
-pain in eyes
-facial paralysis
-congested and sore throat
-fever
-mental disturbances
-chest pain
-cold lower limbs
-sensitivity to cold
-swelling of neck
-pain in abd and lateral aspect of lower limbs
Sp primary pathology
-epi pain
-vomiting, belching
-loose stools
-fatigue
-jaundice
-abd distention
-heaviness
-lassitude
-stiff and pain of root of tongue
-edema
-vaginal discharge
-weak leg muscles
-swelling and cold in medial knee and thigh
Ht primary pathology
-palpitations
-fever
-pain in eyes
-HA
-cardiac pain
-hypochond pain
-thirst
-night sweats
-insomnia
-dry throat
-pain in medial aspect of upper arm and heat in palms
-pain along scap or medial forearm
SI primary pathology
-yellow sclera
-deafness
-frequent urination
-distention and pain in lower abd region
-sore throat
-swollen cheek and neck
-stiff neck
-pain in elbow
UB primary pathology
-enuresis
-retention of urine
-epistaxis
-nasal obstruction
-occipital HA
-mental disturbance
-rhinitis
-tearing with wind
-fever and aversion to cold
-pain in nape, upper and lower back, posterior aspect of lower limbs
-malaria
-pain in eyes