Hand and Wrist

Jennifer Michie

Private Practitioner

Introduction

Brief Overview of Acupuncture Points

Best Evidence

Anatomy

More Unusual Points

Case study

HAND AND WRIST POINTS

Approximately 22 points

LI 1, LI 2, LI 4, LI 5

HT 5, HT 6, HT 7

SI 3, SI 5, SI 6

PC 6, PC 7

TE 1, TE 3, TE 4, TE 5

LU 7, LU 9, LU 11

Extra Points- Baxie, Luo Zhen

Best Evidence

PC 6

Management of Nausea and Vomiting

Effective Health Care Bulletin ( Nov. 2001)

Ref: Filshie et al

( 1998)

Stux, Hammerschlag (2001 )

Chate ( 1998)

LI 4

Clinical Analgesic Use

Tillu (2001), Haslam

(2001)

Decrease anaesthetic

time in dentistry

Rosted ( 2003 )

ANATOMY

Acupuncture IS Safe ( Mcpherson, Lewith ,

2001)

Be AWARE of underlying anatomical

structures

- Damage to Median nerve, needling PC 6,

PC 7

HT 7 ( Ulnar Artery) LU 9 ( Radial Artery)

Anatomy of the Hand

UNUSUAL HAND AND

WRIST POINTS

TE 3 Zhongzhu

Location: posterior

aspect of hand

between 4th & 5th

Metacarpal, proximal

to MCP Joint

Indications; Fractures,

ear disorders

Treatment of Xerostomia

BAXIE POINTS

Location: on the

dorsum of the hand,

proximal to the webs

between the heads of

the metacarpals

Indications: OA, RA,

Raynauds

Luo Zhen ( Wai Lao Gong)

Location: dorsum of

hand between MCP

joint of index and

middle finger

Indications: OA,

cervical and shoulder

pain

LI 5 Yangxi

Location: Anatomical

“Snuff Box “ between

tendons of Extensor

Pollicis Longus and

Abductor Pollicis

Longus level of first

carpometacarpal joint

Indications: Fractures,

Dequervains’, OA

CASE STUDY

Case Study

59 year old female with OA of 1st CMC joint

Pain 7/10, localised joint stiffness++

Nasal drip

Tongue ? Spleen deficiency/ damp

Rx

Local points: LI 4, LI5

Lu 7, Lu 9, TE 4

Distal Points: TE 5, LI 10

TCM Points: SP 6, St 36, St 40- bilateral

Outcome – VAS 2/10, Full ROM.

CONCLUSION