Flow sequence :  LI-1 starts this channel at the corner of the index finger then travels across the hand between the index and the thumb (LI-2 thru LI-4).  It then goes across the wrist (LI-5), up the lateral posterior forearm (LI-6 thru LI-11), and goes up the arm (LI-12 thru14) to the shoulder (LI-15 and LI-16). From the shoulder it travels to the lateral neck near the SCM (LI-17 and LI18), to the face just above the lip(LI-19), and finally crosses over the midline to end 20 points later.

Main pathological changes: Lower toothache, sore throat, epistaxis, runny nose, dryness of the mouth, swelling and pain of the neck, pain or motor impairment of the anterior-lateral aspect of the arm, etc. 

Large Intestine pathway

Arm Yang Ming Large Intestine Pathway

Location:   0.1 cun proximal to the corner of the nail on the radial side of the index finger

Method:  Needling 0.1 cun perpendicular or prick to cause bleeding, Moxa, Moxa  warming

Actions:  Clears Heat, reduces swelling, alleviates pain, and revives consciousness

Indications: Sore throat, cough, toothache, tinnitus, deafness, numbness of fingers, febrile diseases, loss of consciousness

Water Element Point

Ying - Spring Point

Location:  On the radial side of the index finger, in the depression distal to the                

Metacarpal - Phalangeal joint, with the finger slightly flexed

Method:       Needling 0.2- 0.3 cun oblique, Moxa, Moxa warming

Actions:  Expels Wind, clears Heat, reduces swelling, alleviates pain.

Indications:  Sore throat, disorders of the eyes, epistaxis, toothache, febrile diseases, dry mouth

Wood Element Point

Shu - Stream Point

Location:     The point is on the radial side of the index finger, in the depression proximal to

the head of the second metacarpal bone.

Method: Needling 0.5- 0.8 cun perpendicular, Moxa, Moxa warming

Actions:  Expels Wind and Heat, benefits the throat and teeth, dispels fullness and teats diarrhea.

Indications:  Pain in the eyes, toothache, sore throat, swollen and painful fingers, and epistaxis

• Yuan – Source Point
• Gao Wu Command Point

Location:     On the dorsum of the hand, between the 1^st. and 2^nd metacarpal bones, approximately in the middle of the 2^nd metacarpal bone on the radial side.  Just radial to the middle of the 2^nd metacarpal bone, on the muscle  protuberance when the thumb and index finger are approximated.

Method: Needling 0.5- 1.0 cun perpendicular, Moxa, Moxa warming, and Acupressure Massage

Actions:  Regulates the defensive (Wei ) Qi, stops sweating, expels Wind, activates the channels and alleviates pain, induces labor, restores Yang, regulates the face, eyes, nose, mouth, and ears.

Indications:  1. Disorders of head and face:  Headache, pain, swelling in the eyes, nasal obstruction, nosebleeding, toothache, facial edema, and facial paralysis.  2. Disorders of the pulmonary system:  Cough, sore throat, fever with chills.  3. Disorders of the digestive system: Abdominal pain,  constipation, and dysentery.  4. Motor disorders:  Hemiplegia, pain in the arms,

tremor.  5. Gynecological disorders:  Amenorrhea, dysmenorrhea, and delayed labor

Location:   On the radial side of the dorsal carpal transverse crease on the wrist, when  the thumb is tilted upward it is in the depression between the tendons of the extensor Pollicus Longus and Brevis (Anatomical snuff box)

Method:  Needling 0.3- 0.5 cun perpendicular, Moxa, Moxa warming, and Acupressure Massage.

Actions:  Clears Heat, clears Yangming Fire, calms the spirit, and benefits the wrist.

Indications: Headache, tinnittus, deafness, ear pain, depression, cough, sore throat, toothache, red and painful eyes, chronic headaches, frontal headache, febrile disease, pain in the arm and wrist, mental disorders

Location:  On the line joining LI-5 and LI-11, 3.0 cun above LI-5

Method:  Needling 0.5- 0.8 cun perpendicular, Moxa, Moxa warming, and Acupressure Massage

Actions:  Clears Heat, expels Wind, and opens and regulates the water passages.

Indications:  Nosebleed, rhinitis, redness of the eyes, blurred vision, sore throat, tinnitus, deafness, epilepsy, edema of the upper extremities, toothache, tooth decay, deviation of the mouth, pain in the wrist, elbow, and upper arm.

Location:  On the line joining LI-5 and LI-11, 5.0 cun below LI-5

Method:  Needling 0.5- 1.0 cun perpendicular or transverse – oblique, Moxa, Moxa warming, and Acupressure Massage.

Actions:  Clears Heat, detoxifies poisons, moderates acute conditions, regulates and harmonizes the Stomach and Intestines, clears Yangming Fire, and calms the spirit.

Indications:  Headache, facial edema, deviation of the mouth, nosebleed, sore throat, pain of mouth and tongue, carbuncles and furuncles, borborygmus, abdominal pain, abdominal distension, sudden swelling of all limbs, pain in the shoulder, epilepsy, mania

Location: On the line joining LI-5 and LI-11, 4.0 cun above LI-11

Method:  Needling 0.5- 1.0 cun perpendicular, Moxa, Moxa warming, and Acupressure Massage.

Actions:  Clears Heat, expels Wind, harmonizes to the Small Intestine, clears Yangmin Fire, and calms the spirit. 

Indications: Dizziness, pain in the eyes, abdominal pain, abdominal distension, pain is the lateral costal region, periumbilical pain, diarrhea containing undigested food, headache, dizziness, dyspenea, borborygmus, pain in the elbow and arm, pain in the upper extremities, indigestion, and mastitis

Location:  On a line joining LL-5 and LI-11, 3.0 cun distal to LI-11

Method:  Needling 0.5- 1.0 cun perpendicular or oblique, Moxa, Moxa warming, and Acupressure Massage.

Actions:  Harmonizes the Large Intestine, activates the channels and alleviates pain.

Indications:  Headache, chest pain, dyspenea, Large Intestine Qi Stagnation, hemiplegia, difficult and dark urination, numbness or soreness of the upper extremities,

abdominal pain, borborygmus, diarrhea

Location:  On a line joining LI-5 and LI-11, 2.0 cun distal to LI-11

Method:   Needling 0.8- 1.2 cun perpendicular, Moxa, Moxa warming, and Acupressure Massage.

Actions:  Regulates the Qi and Blood, activates the channels and alleviates pain, and harmonizes the Intestines and Stomach.

Indications:  Abdominal distention, vomiting, diarrhea, toothache, loss of voice, swelling of the cheek, deviation of the mouth, loss of voice, scrofula, hemiplegia, pain and immobility of the arm and shoulder, paralysis of the arm, contraction and inflexibility of the elbow, lumbar pain with the inability to lay down, numbness or pain in the upper extremities

Location:     When the elbow is flexed at a right angle, the point is in the depression at the lateral end of the transverse cubital crease, midway between LU-5 and the lateral Epicondyle of the Humerus

Method:  Needling 1.0- 1.5 cun perpendicular or joining through to unite with HE-3 (Shahai), Moxa, Moxa warming, and Acupressure Massage.

Actions:  Clears Heat, cools Blood, eliminates Wind, drains Dampness, alleviates itching, regulates Qi and Blood, and activates the channels and alleviates pain.

Indications:  High fever, sore throat, toothache, loss of voice, pain in front of the ear, eye diseases,  scrofula, urticaria, febrile disease, itching of the entire body, abdominal pain, abdominal distension motor impairment of the upper extremities

Location:     When the elbow is flexed, the point is superior to the lateral epicondyle of the Humerus, about 1.0 cun supero-lateral to LI-11, on the medial border of the Humerus

Method:  Needling 0.5- 1.0 cun perpendicular, Moxa, Moxa warming, and Acupressure Massage.

Actions:  Benefits the elbow joint, activates the channels and alleviates pain

Indications:  Pain, spasm, stiffness and numbness of the elbow and arm

Location:  3.0 cun superior to LI-11 on the Antero-lateral border of the Humerus, on a line connecting LI-11 and LI-15

Method:  Needling 0.5- 1.0 cun perpendicular, Moxa, Moxa warming, and Acupressure Massage.

Actions:  Activates the channels and alleviates pain, alleviates coughing, regulates Qi, drains Dampness, and transforms Phlegm.

Indications:  Elbow and arm pain, inability to raise the arm, shoulder pain, cough, difficulty breathing, desire to sleep, scrofula

Location:  On the distal border of the insertion of the Deltoid muscle, on the radial side of the Humerus, 3.0 cun inferior to the shoulder joint, and on a line connecting LI-11 and LI-15

Method:  Needling 0.8- 1.5 cun perpendicular, Moxa, Moxa warming, and Acupressure Massage.

Actions:  Activates the channels and alleviates pain, regulates Qi, dispels Phlegm, and it benefits the eyes.

Indications:  Stiffness of the neck, painful – obstruction of the shoulder and arm, scrofula, eye disorders, goiter, and chest pain.

Meeting point of Yang Motility Vessel 

Location:   At the lower border of the Acromion, between the Acromion and the greater tuberosity of the Humerus, at the center of the upper portion of the Deltoideus muscle, when the arm is in full abduction, the point is in the depression appearing at the anterior border of the Acromioclavicular joint

Method: Needling 0.8- 1.5 cun perpendicular, Moxa, Moxa warming, and Acupressure Massage.

Actions:  Activates the channels and alleviates pain, eliminates Wind – Damp, alleviates shoulder pain, benefits the shoulder, regulates Qi, dispels Phlegm,

Indications:  Pain in the shoulder and arm, weakness in the shoulder and arm, swelling of the shoulder, motor impairment of the upper limb, scrofula

Location:  In the depression between the acromial extremity of the clavicle and the Scapular spine

Method:  Needling 0.5- 0.7 cun perpendicular, Moxa, Moxa warming, and Acupressure Massage.

Actions:  Activates the channels and alleviates pain, alleviates shoulder pain, benefits the shoulder, regulates Qi, dispels Phlegm,

Indications:  Pain in the shoulder and the back, scrofula, pain and stiffness in the upper extremities

Location:  At the posterior border of the Sterocleidomastoid muscle, 1.0 cun directly below LI-18

Method: Needling 0.3- 0.5 cun perpendicular, Moxa, Moxa warming, and Acupressure Massage.

Actions:  Benefits the throat and voice

Indications: Sudden loss of voice, sore throat, goiter, scrofula

Location:  3.0 cun lateral to the tip of the Adam’s Apple, between the sternal head and Clavicular head of the Sternocleidomastoid muscle

Method:  Needling 0.5- 0.7 cun perpendicular, Moxa, Moxa warming, and Acupressure Massage.

Actions:  Benefits the throat and voice and alleviates cough and wheezing

Indications: Cough, asthma, sore throat, and hoarseness

Location:  0.5 cun lateral to DU-26, right below the lateral margin of the nostril. Midway between the inferior border of the nose and the edge of the upper lip

Method: Needling 0.2- 0.3 cun perpendicular, Moxa, Moxa warming, and Acupressure Massage.

Actions:  Eliminates Wind and opens up the nasal passages

Indications:  Nasal congestion, runny nose, epistaxis, deviation of the mouth

Location:  In the Nasolabial groove, at the level of the midpoint of the lateral border of  Ala Nasi

Method:  Needling 0.3- 0.5 cun perpendicular, Moxa, Moxa warming, and Acupressure Massage.

Actions:  Opens nasal passages, expels Wind, and clears Heat. 

Indications:  Nasal congestion, rhinorrhea, deviation of the mouth