Wednesday, June 4, 2014

LI-4 (LARGE INTESTINE-4)

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NAME: HEGU
English: Joining Valley
LOCATION:
On the dorsum of the hand, between the first and second metacarpal bones, at the midpoint of the second metacarpal bone and close to the radial border.
Ask the patient to squeeze the thumb against the index finger, and locate the point at the highest point of the bulge of the muscle and approximately level with the end of the crease.
Place in coincident position the transverse crease of the interphalangeal joint of the thumb with the margin of the web between the thumb and the index finger of the other hand. The point is where the tip of the thumb touches.
With the thumb and index finger extended and stretched apart, this point can be found slightly to the index finger side of the area between the first and second metacarpal bones.

Large Intestine: Psycho-Emotional Aspects

The Large Intestine relationship to the Lungs makes it equally affected by the emotions of sadness, grief, and worry. An energetic imbalance in the Large Intestine can result in physical weakness and provoke emotional introversion, accompanied by feelings of depression, irritability, discouragement, distress and apathy. Strong emotions of fear or panic can produce an energetic-stool reflex reaction in the Large Intestine resulting in a spontaneous defecation.

The Large Intestine Channel Pathway and Internal Trajectories
The large intestine channel begins by the outside corner of the index fingernail. It runs along the edge of the finger, between the two tendons of the thumb at the wrist joint (LI-5) and along the bony margin of the outer edge of the arm (the radius bone) to the elbow. The point LI-11 is situated at the outside of the elbow crease, which is visible when the arm is bent. From here the channel continues to the point LI-15 on the outside of the shoulder muscle. It then crosses the shoulder blade and meets the governing vessel below the 7th cervical vertebrae at point GV-14. It descends internally to connect first with the lung and then the large intestine. From the shoulder a branch travels upward over the muscle at the side of the neck (sterno-cleido-mastoid) to the cheek, passing through the lower gums, then over the top lip. It terminates beside the opposite nostril, where it links to the stomach channel.

Internal Trajectories of the Large Intestine Meridian

The Ling Shu describes the internal trajectories of the Large Intestine meridian thus:It comes into ST-12, down to and spirally wrapping the lungs, then down to the diaphragm, and then permeates the large intestine. We may interpret this description in the following manner: From ST-12 the trajectory passes to and spirally wraps the lungs; then, following the aorta, it passes downward through the diaphragm. Here it splits to permeate the large intestine. Several commentators, including Hua Shuo, think that this trajectory involves ST-25.

ACTIONS:
• Regulates the Defensive (Wei) Qi (consolidates the Exterior)
• Adjusts sweating
• Reduces fever
• Tonifies Qi
• Facilitates Qi flow
• Expels Wind (Cold, Heat and Dryness)
• Releases the Exterior
• Clears Summerheat
• Stimulates the dispersing function of the Lungs
• Harmonizes ascending and descending
• Regulates the face eyes, nose, mouth and ears
• Activates the channel
• Alleviates pain
• Induces labor
• Restores Yang
• Clears Heat and Fire
• Moistens Dryness
• Transforms Damp-heat
• Transforms Phlegm, Phlegm-Damp, Cold Phlegm and Dry Phlegm
• Generates fluids
• Relieves Stagnation in the Intestines.
• Activates Intestinal function.
• Inhibits peristalsis of the Stomach, relaxes its spasms and pyloric sphincter.

INDICATIONS:
• Exterior Wind-Cold patterns
• Wind-Heat attacks the Wei level and Lungs
• Chills and fever
• Alternating chills and fever
• Injury by Cold with great thirst
• Copious sweating
• Anhidrosis
• Febrile disease with anhidrosis
• A floating pulse
• Headache
• Frontal headache
• One-sided headache
• Headache of the whole head
• Hypertension
• Throat Bi
• Childhood throat moth
• Pediatric sore throat
• Mumps
• Loss of voice
• Swelling of the face
• Mumps
• Deviation of the face and mouth and eyes
• Lockjaw
• Lock jaw due to stroke
• Deafness
• Tinnitus
• Dysenteric disorder
• Constipation
• Childhood nutritional impairment
• Childhood fright Wind
• Wind rash
• Malaria
• Malaria without sweating
• Mania
• Pain of the lumbar spine
• Diseases of the sensory organs
• Hemiplegia
• Generalized pain
• Throat blockage
• Abortion
• Allergic rhinitis
• Sinusitis
• Gingivitis
• Neuralgia of the shoulder
• Keratoleukoma
• Cataracts
• Cough
• Abdominal pain
• Infantile paralysis
• Heat Bi
• Otitis media
• Bronchitis
• Appendicitis with fever
• Goiter
• Furuncles
• Collapsing syndrome
• Glaucoma
• Strabismus
• Blurred vision
• Spots before the eyes
• Neuralgia of the head
• Dental abscess
• Continual epistaxis
• Sore throat
• White spots on the throat
• Pain inside the spinal column and the renal region
• Insomnia
• Depression
• Redness, swelling and pain of the eyes
• Eye membrane disorders
• Dizziness of vision
• Superficial visual obstruction
• Epistaxis
• Nasal congestion
• Nasal discharge
• Rhinitis
• Sneezing
• Toothache
• Tooth decay and pain of the teeth in the lower jaw
• Mouth ulcers
• Lotus flower tongue
• Cracked tongue
• Rigid tongue
• Lips do not close
• Tightness of the lips
• Lips flaccid
• Amenorrhea
• Prolonged labor
• Delayed labor
• Retention of dead fetus
• Painful obstruction and atrophy disorder of the four limbs
• Aphonia
• Cannot talk
• Pain of the sinews and bones
• Pain of the arm
• Pain of the shoulder and back
• Contraction of the fingers
• Common Cold
• Facial paralysis
• Neurasthenia
• Tidal fevers
• Pertussis
• Asthma
• Infantile diarrhea
• Lymphangitis
• Scrofula
• Coma
• Fever due to Summerheat
• Sudden blindness
• Tension
• Insomnia
• Migraine
• Hardness of hearing
• Fever after catching cold with great thirst
• Scabies
• Windstroke
• Conjunctivitis
• Styes
• Trigeminal neuralgia
• Facial paralysis
• Myopia
• Nasosinusitis
• Nasal polyps
• Swelling and pain of the pharynx and larynx
• Tonsillitis
• Stiffness of the spinal column
• Pain of the spine
• Atrophy syndrome of the upper body
• Upper Jiao wasting and thirsting syndrome
• Qi-type painful urinary dysfunction
• Facial edema
• Ding Boil (Ding Chuang)
• Thick coating on the tongue

NOTES:
• This is one of the best known and most commonly used acupuncture points. It acts as pain killer.
• This is the most commonly used point for analgesia.
• This point is used for heroin addiction. It is called the opium point.
• This point affects the thyroid.
• It is used for first aid for earache, poisoning, dull pain and acupuncture blackout.
• The combination of LI-4 Hegu and UB-59 Fuyang is known as the Great eliminator especially for mental disorders.
• Eventually bring calmness to the body/mind.
• It is an important revival point.
• It is a Greater Assembly point for the throat and neck.
• This is "the" point for all facial symptoms.
• It has a very powerful force of elimination of toxins, bad thoughts, feces and poisons.

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