Sanyangluo

1. 01On the back of the forearm, 4 cun proximal to the wrist's transverse crease, between the radius and ulna.
2. 024 cun proximal to SJ-4 Yangchi, in the hollow between radius and ulna, radial to the extensor digitorum communis muscle. Note: split the distance from SJ-4 Yangchi to the lateral epicondyle into thirds — the point falls where the distal third meets the middle third.
3. 031 cun proximal to SJ-6 Zhigou, between the radius and the ulna.

1. 01Angle slightly toward the ulna, or obliquely toward the elbow or wrist.
2. 02Perpendicular insertion, 1–1.5 cun, producing distension and soreness that spreads toward the elbow.
3. 03Oblique insertion joined through to PC-4 Yangchi, roughly 2–3 cun, giving distension and numbness that may reach the fingertips or elbow.
4. 04Perpendicular needling, 0.5–1 cun.
5. 05Moxa is suitable.

Meeting point of the three Yang channels of the arm

• ·Clears Heat
• ·Clears obstruction from the channel
• ·Activates the channel
• ·Relieves pain
• ·Opens the sensory orifices

• ·Bi syndrome affecting the arm, neck, shoulders and occiput
• ·Hand and arm pain
• ·Forearm pain that restricts movement
• ·Brachial neuralgia
• ·Neuralgia of the upper arm and forearm
• ·Post-operative pain following pneumonectomy
• ·Fever
• ·Lumbar pain from traumatic injury
• ·Lack of coordination
• ·Pain in the chest and hypochondriac regions
• ·Vertigo
• ·Pain and impaired movement of the hand and forearm
• ·Sudden loss of voice
• ·Deafness
• ·Sudden muteness
• ·Muteness
• ·Aphasia
• ·Toothache
• ·Lassitude
• ·Somnolence
• ·Reluctance to move the four limbs
• ·Sudden deafness
• ·Arm pain
• ·Inability to move the arm
• ·Difficult to wake up
• ·Some eye diseases
• ·Upper body atrophy syndrome
• ·Severe headache caused by Wind-Heat

Classically, this point was held to be one that should not be needled.

• ·It is used chiefly for Bi syndrome affecting the arm, neck, shoulders and occiput.
• ·It works especially well when the pain spans more than a single Yang channel of the arm.
• ·For pulmonary lobectomy, it is needled through to PC-4 Ximen.