Large Intestine Meridian 大肠经

Shang Yang 商陽 (LI 1)

TRANSLATION: Metal Yang
TYPE: Jing-well, Metal, Horary
LOCATION: On radial side of index finger about 0.1cun posterior to corner of nail
NEEDLE INSERTION: 90° or 45° insertion directed proximally
NEEDLE DEPTH: 0.1-0.2 cun or prick to bleed

Er Jian 二間 (LI 2)

TRANSLATION: Second Space
TYPE: Ying-spring, Water, Sedation
LOCATION: On radial side of index finger, distal to metacarpal-phalangeal joint at junction of red and white skin. Located with finger slightly flexed
NEEDLE INSERTION: a. 45° proximal or distal insertion b. 70° insertion towards the palm
NEEDLE DEPTH: a. 0.2-0.3 cun, b. 0.5 cun

San Jian 三間 (LI 3)

TRANSLATION: Third Space
TYPE: Shu-stream, Wood
LOCATION: On radial side of index finger, in depression proximal to head of 2nd metacarpal bone when loose fist is made
NEEDLE INSERTION: 90° insertion
NEEDLE DEPTH: 0.5-2.0 cun

He Gu 合谷 (LI 4)

TRANSLATION: Adjoining Valleys
TYPE: Yuan-source, Command Point (face and mouth), Heavenly Star
LOCATION: On dorsum of hand, between 1st and 2nd metacarpal bones-approx. In middle of 2nd metacarpal bone on radial side
NEEDLE INSERTION: a. 90° Insertion, b. 45 ° directed proximally, *Contraindicated in pregnancy
NEEDLE DEPTH: a. 0.5-1.0 cun, b. 1.0-1.5 cun

Yang Xi 陽谿 (LI 5)

TRANSLATION: Yang Stream
TYPE: Jing-river, Fire
LOCATION: On radial side of wrist, when thumb is tilted upward, it is in depression between tendons of m.extensor pollicus longus & brevis
NEEDLE INSERTION: 90° insertion
NEEDLE DEPTH: 0.5-1.0 cun

Pian Li 偏歴 (LI 6)

TRANSLATION: Slanting Passage
TYPE: Luo-connecting
LOCATION: With elbow flexed & radial side of arm upward, the pt is on line between LI 5 and LI 11, 3 cun above LI 5
NEEDLE INSERTION: 20° insertion
NEEDLE DEPTH: 0.5-1.0 cun

Wen Liu 溫溜 (LI 7)

TRANSLATION: Warm Flowing
TYPE: Xi-cleft
LOCATION: 5 cun above LI 5, on line between LI 5 and LI 11, with elbow flexed & radial side of arm upward
NEEDLE INSERTION: 20° insertion
NEEDLE DEPTH: 0.5-1.0 cun

Xia Lian 下廉 (LI 8)

TRANSLATION: Lower Angle
TYPE:  
LOCATION: On line joining LI 5 & LI 11, 4 cun below LI 11
NEEDLE INSERTION: 90° or 45° insertion
NEEDLE DEPTH: 0.5-1.5 cun

Shang Lian 上廉 (LI 9)

TRANSLATION: Upper Angle
TYPE:  
LOCATION: On line joining LI 5 & LI 11, 3 cun below LI 11
NEEDLE INSERTION: 90° or 45° insertion
NEEDLE DEPTH: 0.5-1.5 cun

Shou San Li 手三里 (LI 10)

TRANSLATION: Arm Three Measures
TYPE:  
LOCATION: On line joining LI 5 & LI 11, 2 cun below LI 11
NEEDLE INSERTION: 90° or 45° insertion
NEEDLE DEPTH: 0.5-1.5 cun

Qu Chi 曲池 (LI 11)

TRANSLATION: Crooked Pool
TYPE: He-sea, Earth, Tonification, Ghost Point, Heavenly Star
LOCATION: When elbow is flexed, pt is in depression at lateral end of transverse cubital crease, midway between LI 5 and lateral epicondyle of humerus
NEEDLE INSERTION: 90° insertion or joined by through needling HT 3
NEEDLE DEPTH: 1.0-1.5 cun

Zhou Liao 肘髎 (LI 12)

TRANSLATION: Elbow Seam
TYPE:  
LOCATION: When elbow is flexed, in the depression 1 cun proximal and 1 cun lateral to LI 11 (directly above lateral epicondyle of humerus)
NEEDLE INSERTION: 90° Insertion
NEEDLE DEPTH: 0.5-1.0 cun

Shou Wu Li 手五里 (LI 13)

TRANSLATION: Arm Five Miles
TYPE:  
LOCATION: Superior to lateral epicondyle of humerus on line joining LI 11 & LI 15, 3 cun above LI 11
NEEDLE INSERTION: 90° insertion
NEEDLE DEPTH: 1.0-1.5 cun

Bi Nao 臂臑 (LI 14)

TRANSLATION: Arm and Scapula
TYPE: Crosses Yang Wei
LOCATION: On line joining LI 11 & LI 15, 7 cun above LI 11 on radial side of humerus, superior to lower end of deltoid and brachialis muscles, about three fifths of the distance along the line drawn between LI 11 and LI 15
NEEDLE INSERTION: 45° insertion
NEEDLE DEPTH: 1.0-1.5 cun

Jian Yu 肩髃 (LI 15)

TRANSLATION: Shoulder Bone
TYPE: Crosses Yang Qiao
LOCATION: Antero-inferior to acromion in upper portion of deltoid
NEEDLE INSERTION: a. 90° w/ arm abducted, insertion directed towards center of the Axilla, b. 20° insertion directed distally towards the elbow
NEEDLE DEPTH: a. 1.0-1.5 cun, b. 1.5-2.0 cun

Ju Gu 巨骨 (LI 16)

TRANSLATION: Great Bone
TYPE: Window of the Sky (debatable)
LOCATION: Upper aspect of shoulder, in depression between acromial extremity of clavicle and scapula spine
NEEDLE INSERTION: 90° or 45°, *Deep medial insertion carries a risk of causing a pneumothorax, particularly in thin patients
NEEDLE DEPTH: 0.5-1.0 cun

Tian Ding 天鼎 (LI 17)

TRANSLATION: Heaven's Vessel
TYPE:  
LOCATION: On lateral side of neck, 1 cun below LI 18, on posterior border of sternocleidomastoid
NEEDLE INSERTION: a. 90° insertion, b. 45 ° insertion, *Deeper needling may puncture carotid artery or jugular vein.
NEEDLE DEPTH: a. 0.3-0.5 cun, b. 0.5-0.8 cun

Fu Tu 扶突 (LI 18)

TRANSLATION: Support the Prominence
TYPE: Window of the Sky
LOCATION: On lateral side of neck, level with tip of Adam's apple- between sternal head and clavicular head of sternocleidomastoid
NEEDLE INSERTION: a. 90° insertion, b. 45° insertion, *Deeper needling may puncture carotid artery or jugular vein.
NEEDLE DEPTH: a. 0.3-0.5 cun, b. 0.5-0.8 cun

Kou He Liao 口禾髎 (LI 19)

TRANSLATION: Mount Grain Seam
TYPE:  
LOCATION: Right below lateral margin of nostril, .5 cun lateral to GV 26
NEEDLE INSERTION: 45° insertion, *Contraindicated to moxa
NEEDLE DEPTH: 0.3-0.5 cun

Ying Xiang 迎香 (LI 20)

TRANSLATION: Welcome Fragrance
TYPE:  
LOCATION: In nasolabial groove, at level of midpointt of lateral border of ala nasi
NEEDLE INSERTION: 5° insertion medio-superiorly or join to Bitong at the highest point of the nasolabial groove., *Contraindicated to moxa
NEEDLE DEPTH: 0.3-0.5 cun