Triple Warmer Meridian Presented by Steve Jackowicz M.Ac., L.Ac., Ph.D.

Triple Warmer Meridian Overview

Triple Warmer Meridian - Hand Shao Yang - General Information Internal/External Pathways Originates on the tip of the finger Travels up the arm Passes and goes across GB in the shoulder region A branch goes to the chest and connects with the PC then it travels down to the abdomen A branch originates from the chest Goes up the neck around the ear to the outside of the eye Another branch enters the ear and continues to the outer canthus and links up with the GB

Triple Warmer 1 Guanchong Passage Hub Location 0.1 cun posterior to the corner of the nail on the ulnar side of the ring finger. Functions ¤ Jing Well Point ¤ Metal Point ¤ Entry Point ¤ Similar to TW 3 which is used more clinically. Triple Warmer 2 Yemen Humor Gate Location (0.5 cun) proximal to the margin of the web between the ring and the little fingers, in a depression when fist is clenched at the border of the red and white skin. Functions ¤ Ying Spring Point ¤ Water Point ¤ Similar to TW 3 which is used more clinically.

Zhongzhu Central Islet Location Triple Warmer 3 Zhongzhu Central Islet Location With fist clenched on dorsum of the hand between the 4th and 5th metacarpal bones in a depression proximal to the 4th Metacarpalphalangeal joint. Functions ¤ Shu Stream Point ¤ Wood Point ¤ Ear Problems of any etiology such as excess tinnitus, especially those arising from a LV issue such as LV Qi Stagnation or LV Yin Deficiency. ¤ Distal point for temporal headaches, shoulder a/or upper back pain, pain a/or inflammation in the throat. ¤ Eye diseases with GB 37. Triple Warmer 4 Yangchi Yang Pool Location On transverse crease of dorsum of wrist in a depression on the ulnar side of the extensor digitorum communis tendon. Functions ¤ Yuan Source Point ¤ Dorsal wrist issues such as strains, sprains or subluxations. ¤ Wasting & thirsting disorder, regulates water metabolism, alleviates dry mouth a/or thirst. ¤ Moxa to tonify the Yang of the body.

Triple Warmer 5 Waiguan Outer Pass Location 2 cun above TW 4 between the radius and the ulna on the 4 - 10 line ** Japanese Discrepancy ** Functions ¤ Luo Connecting Point ¤ Yang Wei Master Point coupled with GB 41 ¤ Beginning exterior conditions, tonify for wind-cold, cold-damp & sedate for wind-heat, fever. ¤ Headache from exterior wind as well as migraines and headaches in any area especially with stiffness or pain in the posterior and lateral aspects of the neck. ¤ Upper limb disorders including the elbow, forearm, wrist and hand. ¤ Shaoyang stage diseases - alternating fever and chills, etc. Triple Warmer 6 Zhigou Branch Ditch Location 3 cun above TW 4 between the radius and ulna on the radial side of the extensor digitorum muscle on TW 4 and tip of the olecranon line. Functions ¤ Jing River Point ¤ Fire Point ¤ Affects the Triple Warmer in the following ways: ¤ Lower: Constipation due to stagnation and heat in the body. ¤ Middle: Issues with the chest & hypochondrium, often used with GB 34 for chest & rib pain, also "sudden turmoil disorder" (vomiting & diarrhea). ¤ Upper: Febrile diseases with no sweating, eye redness & pain, ear pain, inflammation.

Triple Warmer 7 Huizong Convergence and Gathering Location Level with and one finger width from TW 6 on the radial border of the ulna. Functions ¤ Xi Cleft Point ¤ Local Point Triple Warmer 8 Sanyangluo Three Yang Connection Location 4 cun above TW 4 between the radius and ulna. Functions ¤ Sudden deafness ¤ acute or chronic loss of voice, ¤ aphasia -- combine with HT 5 & CV 23.

Triple Warmer 9 Sidu Four Rivers Location 7 cun above TW 4, 5 cun below the olecranon, between the radius and ulna on the ulnar side of the forearm. Functions ¤ Local Point Triple Warmer 10 Tianjing Celestial Well Location 1 cun superior to e olecranon process in a depression with elbow flexed. Functions ¤ He Sea Point ¤ Ear Point ¤ Sedation Point ¤ Transforms phlegm, reduce lymph swellings, thyroid disorders. ¤ Elbow pain, tendonitis. ¤ One-sided headache, migraines. ¤ Useful for depression a/or anxiety, especially with chest pain or oppression, angina a/or palpitations. ¤ Epilepsy (phlegm obstruction), possibly mania as well. Differentiation: ¤  TW 5 is for headache anywhere whereas TW 10 is specifically for one-sided headaches.

1 cun above TW 10 with elbow flexed. Functions Triple Warmer 11 Qinglengyuan Clear Cold Abyss Location 1 cun above TW 10 with elbow flexed. Functions ¤ Local Point Triple Warmer 12 Xiaolou Dispersing Riverbed Location Midway between TW 11 and TW 13 on line joining the olecranon and TW 14. Functions ¤ Local Point

Triple Warmer 13 Naohui Upper Arm Convergence Location 3 cun below TW 14 on the posterior border of the deltoid muscle on line joining TW 14 and the olecranon. Functions ¤ Intersection Point of the TW, LI & Yang Wei Channels. ¤ Local Point Triple Warmer 14 Jianliao Shoulder Bone Hole Location On shoulder, posterior to LI 15, in a depression inferior and posterior to the acromion when arm is abducted. Functions ¤ Shoulder problems, especially those involving the lateral or posterior aspects of the shoulder.

Triple Warmer 15 Tianliao Celestial Bone Hole Location Midway between GB 21 and SI 13 on the superior angle of the scapula. Functions ¤ Intersection Point of the TW, GB & Yang Wei Channels ¤ Local Point Triple Warmer 16 Tianyou Celestial Window Location Directly below mastoid process, level with the mandibular angle and on the posterior border of the SCM muscle (in line with SI 17 and GV 15). Functions ¤ Window of the Sky Point ¤ Intersection Point of the TW & GB Channels ¤ Local Point

Yifeng Wind Screen Location Triple Warmer 17 Yifeng Wind Screen Location Posterior to lobule of ear in depression between the mandible and mastoid process. Functions ¤ Intersection Point of the TW & GB Channels ¤ Wind problems deriving from internal or external sources, Bell's palsy. ¤ Ear problems, tinnitus, deafness, acute earache due to wind cold. Triple Warmer 18 Qimai Spasm Vessel Location In the center of the mastoid process at the junction of the middle and lower third of curve (TW17 - TW 20) posterior to helix. Functions ¤ Local Point

Triple Warmer 19 Luxi Skull Rest Location Posterior to ear at junction of the upper and middle third of curve (TW17 - TW20) behind curve. Precaution: AA NDN Functions ¤ Local Point Triple Warmer 20 Jiaosun Angle Vertex Location Directly above ear apex within hairline. Functions ¤ Intersection Point of the TW, SI & GB Channels ¤ Local Point

Triple Warmer 21 Ermen Ear Gate Location Anterior to the supratragic notch and behind the posterior border of the condyloid process of the mandible with the mouth open. Functions ¤ Intersection Point of the TW, SI & GB Channels ¤ Ear problems of an excess or deficient nature, tinnitus, deafness, earache. ¤ TMJ problems, upper jaw too ache, combine with ST 6 & ST 7. Triple Warmer 22 Erheliao Harmony Bone Hole Location Anterior and superior to TW 21 level with the root of the auricle on posterior border of hairline of the temple where superficial temporal artery passes. Precaution: AA Functions ¤ Intersection Point of the TW, SI & GB Channels ¤ Local Point

In a depression at the lateral end of the eyebrow. Precaution: No Moxa Triple Warmer 23 Sizhukong Silk Bamboo Hole Location In a depression at the lateral end of the eyebrow. Precaution: No Moxa Functions ¤ Eye pain, redness, swelling, twitching, drooping eyelid. ¤ Liver Wind or Liver Fire headache, combine with local points.