1. The Channel Colin Chan

2. THE PERICARDIUM CHANNEL OF HAND-JUEYING PART 1 Copy right: Colin Chan

3. The Pericardium Channel of Hand-Jueyin 1.It is the tissue that surrounds and protects the heart. 2.In the Zangxiang theory 脏象学说, pathogenic factors would have to attack the pericardium first before invading the heart. 3.The symptoms of high fever, coma and delirium in exogenous febrile diseases are described as invasion of pathogenic factors into the pericardium (TCM). Relationship of the Pericardium to other organs (TCM) 1.Internally-Externally related to the Triple. Energizer 心包与三焦相表理 General Information of the Pericardium (TCM) Copy right: Colin Chan

4. The Pericardium Channel of Hand-Jueyin There are 9 acupoints in the surface pathway of the heart channel. The inner pathway originates at the chest, where it serves its organ, the pericardium. The channel descends through the diaphragm to the abdomen and then connects with the upper, middle and lower energizer. Route 1 2 3 Copy right: Colin Chan

5. The Pericardium Channel of Hand-Jueyin The surface pathway emerges from the chest near the nipple at point PC 1. From here the channel ascends to the axilla and follows the antero-palmer aspect of the upper arm, to the cubital fossa. The channel then continue to flow toward the middle of the antero-palmer aspect of the lower arm, between the tendons of the palmaris longus and flexor carpi radialis, to the palm of the hand and the tip of the middle finger. A branch (Inner pathway) leads from point PC 8 to the tip of the ring finger and connects with the Triple Energizer channel. Route / Branch 4 5 6 7 Copy right: Colin Chan

6. Principal Symptoms 1.Feverish sensation in the palm. 2.Spasm and contracture of the arm and elbow. 3.Swelling of the axilla. 4.Chest and hypochondriac congestion. 5.Palpitations with irritabilities. 6.Flushed face. 7.Mania. Copy right: Colin Chan

7. Location : On the chest, acupoint is located in the 4 th intercostals space, 1 cun lateral to the nipple or 5 cun lateral to the anterior midline. Classification: The Crossing point of PC channel and GB channel. Approach: oblique / subcutaneous insertion technique, 0.5-0.8 cun. Commonly used acupoint PC 1 Tianchi 天池 穴处肋间隙, 形凹如池, 腰以上为天, 故为天池 Copy right: Colin Chan

8. Location : On the transverse crease of the elbow, acupoint is located on the ulnar aspect of the tendon m. biceps brachii. Classification: He-Sea point. Approach: perpendicular insertion technique, 0.8-1.0 cun. Commonly used acupoint PC 3 Quze 曲泽 穴为心包之合穴, 属水, 正当肘内, 微曲肘得其穴, 又与尺泽并列 故为曲泽 Copy right: Colin Chan

9. Location : On the palmar aspect of the forearm, acupoint is located 5 cun above the transverse crease of the wrist, on the line joining PC 3 Quze 曲泽 and PC 7 Daling 大陵, between the tendons m. palmaris longus and m. flexor carpi radialis. Classification: Xi-Cleft point. Approach: perpendicular insertion technique, 0.5-1.0 cun. Commonly used acupoint PC 4 Ximen 郗门 郗为孔隙, 为 人体气脉出入之处, 穴在前臂两筋之间, 形貌有如两扇大门, 故为郗门 Copy right: Colin Chan

10. Location : On the palmar aspect of the forearm, acupoint is located 3 cun above the transverse crease of the wrist, on the line joining PC 3 Quze 曲泽 and PC 7 Daling 大 陵 between the tendons m. palmaris longus and m. flexor carpi radialis. Classification: Jing-River point. Approach: perpendicular insertion technique, 0.5-1.0 cun. Commonly used acupoint PC 5 Jianshi 间使 间为空隙, 使为使令, 间使者, 君行之使道 故为间使 Copy right: Colin Chan

11. Location : On the palmar aspect of the forearm, acupoint is located 2 cun above the transverse crease of the wrist, on the line joining PC 3 Quze 曲泽 and PC 7 Daling 大陵 between the tendons m. palmaris longus and m. flexor carpi radialis Classification: Luo-Connecting point, one of the 8 confluent point (linking with the Yin Link Vessel 通阴维脉 ). Approach: perpendicular insertion technique, 0.5-1.0 cun. Commonly used acupoint PC 6 Neiguan 内关 内指内脏, 关是关联, 联络之意, 故为内关 Copy right: Colin Chan

12. PC 6 Neiguan 内关 The Collateral route of PC channel Nei Guan: is assigned as the Luo-Connecting point of the PC channel. Its route as a collateral starts parallel, 2 cun above the transverse crease of the wrist, disperse between the two tendons and runs along the PC channel to the pericardium which is located in the chest / upper energizer to link with the TE channel. (A branch of the TE channel runs down the chest where the pericardium lies and continues its way to the lower energizer). Copy right: Colin Chan

13. Location : In the middle of the transverse crease of the wrist, between the tendons m. palmaris longus and m. flexor carpi radialis. Classification: Yuan-Source point, Shu- Stream point. Approach: perpendicular insertion technique, 0.3-0.5 cun. Commonly used acupoint PC 7 Daling 大陵 大为崇高之意, 穴在掌根部, 两骨结合点的陵下 故为大陵 Copy right: Colin Chan

14. Location : In the middle of the palm, between the 2 nd and 3 rd metacarpal bone, closer to the radial aspect of the 3 rd metacarpal bone, acupoint is located on the spot where the tip of the middle finger touches when a fist is made. Classification: Ying-Spring point. Approach: perpendicular insertion technique, 0.3-0.5 cun. Commonly used acupoint PC 8 Laogong 劳宫 劳指操劳, 宫指要所, 中央手任劳作, 穴在掌心 故为劳宫 Copy right: Colin Chan

15. Location : Acupoint is located in the center of the tip of the distal phalanx of the middle finger. Classification: Jing-Well point. Approach: perpendicular insertion technique, 0.1 cun, prick to bleed. Commonly used acupoint PC 9 Zhongchong 中冲 本经之气, 中道而行 冲达手中指中端 故为中冲 Copy right: Colin Chan

16. END OF PART 1 Copy right: Colin Chan

17. PART 2: TUITORIAL THE PERICARDIUM CHANNEL OF HAND-JUEYING Copy right: Colin Chan

18. Starts: chest (pericardium) Pertain: Pericardium Runs: along the central of the medial aspect of the upper arm/forearm Ends: tip of the middle finger Communicates: Communicates with Triple Energizer channel through PC 8 Laogong 劳宫 Breaks/Joins: channel breaks at PC 8 Laogong 劳宫 and join with the TE channel at the ulnar aspect of the corner of the nail of the ring finger Acupoint: total 9 acupoints Tutorial 1 2 3 4 5 6 7 1 4/ 5/ 6/ 7 Copy right: Colin Chan

19. PC 1 Tianchi 天池 PC 3 Quze 曲泽 PC 6 Neiguan 内关 PC 7 Daling 大陵 PC 8 Laogong 劳宫 PC 9 Zhongchong 中冲 COMMON CLINICAL POINTS Copy right: Colin Chan

20. CHEST AND UPPER ARM OVERVIEW OF MEDICAL CONDITION MAIN TX: CHEST AND HEART LOWER ARM AND HAND MAIN TX: CHEST, HEART, GASTRIC, PSYCH AND HEAT POINTS ON Copy right: Colin Chan

21. PRECAUTIONS SHALLOW APPROACH NO THRUSTING CHEST POINTS ON Copy right: Colin Chan

22. END OF PART 2 Copy right: Physician Colin Chan SRN,CCRN