Base de connaissancesPoints d’acupuncture
PC-6
Neiguan
Inner Pass
Autres nomsInner Gate · Inner Barrier · Inner Frontier Gate · Inner Border Gate · Inner Door · Internal Barrier
- Méridien
- Péricarde
- Classification
- Luo-Communication, Point de confluence, Point couplé
Cette entrée n’est pas encore traduite — le texte ci-dessous est en anglais.
Localisation
- 01Located 2 cun proximal to the wrist's transverse crease, between the tendons of m. palmaris longus and m. flexor carpi radialis.
- 022 cun proximal to the wrist crease, on the line joining PC-3 Quze and PC-7 Daling, between the palmaris longus and flexor carpi radialis tendons.
- 03With the palm facing up, the point lies 2 cun proximal to the midpoint of the wrist's transverse crease, between the two tendons.
- 04On the palmar side of the forearm, 2 cun proximal to PC-7 Daling, between the palmaris longus and flexor carpi radialis tendons.
- 05Note: when the palmaris longus tendon is absent, locate the point on the ulnar side of the flexor carpi radialis instead.
Puncture
- 01Insert straight in, 0.5 to 0.8 cun.
- 02Moxibustion may be used.
- 03Perpendicular insertion of 0.5 to 1.5 cun, penetrating as far as SJ-5 Waiguan on the forearm's other side; expect local distention, soreness and numbness that may reach the fingertips.
- 04Angle the needle proximally, 1 to 2 cun, for trunk disorders; a numb, distended sensation may spread to the elbow, axilla, or chest.
- 05For finger numbness, angle the needle slightly toward the radial side of the arm, 0.3 to 0.5 cun; a numb, electric feeling may travel toward the fingertips.
- 06Straight insertion, 0.5 to 1 cun, or through-and-through to SJ-5 Waiguan.
- 07Angle the needle proximally, 1 to 1.5 cun, for chest disorders.
- 08Angle the needle distally, 1 to 1.5 cun, for numbness of the fingers.
- 09Caution: The median nerve runs just beneath this point, so needling often produces a marked electric sensation. This counts as a normal form of De Qi (arrival of Qi), but once it appears, further manipulation should stop, as it risks nerve damage.
Fonctions du point
- Luo-Connecting point of the Pericardium channel
- Confluent (Master) point of the Yinwei Mai
- Coupled point of the Chong Channel
Actions
- Regulates the Middle Jiao
- Regulates Heart Qi
- Regulates and tonifies Heart Qi, Yang, Yin, and Blood
- Transforms Phlegm affecting the Heart
- Regulates and clears the San Jiao
- Facilitates the flow of Qi
- Regulates (opens) the Yinwei Mai
- Regulates Jue Yin
- Clears Heart Fire
- Causes vasoconstriction
- Calms the Heart and Shen
- Suppresses pain
- Opens (unbinds) the chest
- Reduces fear
- Clears the Brain
- Dispels Wind-Phlegm
- Regulates Liver Qi
- Regulates Qi in the Middle Jiao
- Harmonizes the Stomach
- Eliminates nausea and vomiting
- Spreads Liver Qi
- Clears Heat and Fire
- Invigorates the Blood
- Transforms Dampness, Damp-Summerheat, and Phlegm
- Calms the fetus
- Directs Rebellious Qi downward
- Benefits the diaphragm
- Expels gallstones
- Promotes and eases lactation
Indications
- Luo Mai Excess: Heart pain
- Sudden Heart pain
- Nausea
- Vomiting
- Epigastric pain
- Stabbing epigastric pain
- Psychosis
- Cough
- Asthma
- Flexor/extensor disorders of the arm and hand
- Wind-Heat
- Cramping of the elbow
- Neck disorders (reinforce)
- Stomach ache
- Epilepsy
- Febrile diseases
- Malaria
- Depression
- All Stomach disorders
- Sunstroke
- Headache
- Summerheat diseases
- Rheumatic heart disease
- Hyperthyroidism with excessive sweating
- Pain and shock, particularly after surgery
- Asphyxia from near-drowning
- Dizziness
- Postpartum dizziness
- Dysenteric disorders from Liver Qi Stagnation
- Childhood nutritional impairment with vomiting
- Acute biliary tract disorders
- Jaundice
- Yellow eyes
- Pancreatitis
- Appendicitis
- Migraine
- Epigastric distention
- Diarrhea with vomiting
- Morning sickness
- Acute mastitis
- Angina pectoris
- Tidal fever
- Apoplexy
- Pounding sensation in the Heart
- Disorders of Heart rate and rhythm
- Fear
- Fright
- Memory loss after Windstroke
- Windstroke
- Spleen-Stomach Deficiency Cold with unrelenting vomiting
- Disharmony between the Spleen and Stomach
- Blood masses
- Borborygmus
- Fever without sweating
- Red eyes
- Cardiac pain
- Myocarditis
- Endocarditis
- Pericarditis
- Acute and chronic gastritis
- Arm disorders caused by Wind or Heat
- Gastric pain
- Cerebral hemorrhage
- Postpartum syncope
- Postpartum vertigo
- Swollen, painful throat
- Surgery-related pain
- Prolapsed rectum
- Cardiac asthenia
- Retained placenta
- Blood congestion in the eyes
- Cracked, bleeding tongue
- Palpitations
- Fright palpitations
- Shock
- Raynaud's syndrome
- Buerger's disease
- Chest pain and fullness
- Hiccups
- Contracture and pain of the elbow and arm
- Red eyes
- Precordial pain (reduce)
- Hypochondriac pain
- Mental disorders
- Insomnia
- Irritability
- Anxiety
- Difficulty breathing
- Irregular menstruation
- A heavy period one month followed by none the next
- Abdominal swelling
- Collapsing syndrome
- Closed-type Windstroke
- Insanity
- Hysteria
- Seizures
- Stifling sensation in the chest
- Chest stuffiness with Heart agitation
- Depression with epigastric fullness
- Forgetfulness
- Bronchitis
- Pertussis
- Diaphragmatic spasms
- Intercostal neuralgia
- Dyspnea
- Gallstones
- Insufficient lactation from Excess
- Occipital neck ache
- Stiffness and pain of the head and neck
- Swollen, painful throat
- Prolapsed rectum
- Pain of the lateral costal region and Heart in women
- Mania
- Apprehension
- Sadness
- Disability after Windstroke
- Hypertension
- Spleen-Stomach Qi Deficiency with fullness and distention
- Low-grade abdominal pain
- Food masses
- Focal distention
- Diarrhea
- Hemafecia
- Red face with hot skin
- Painful urinary dysfunction
- Axillary swelling
- Inflammation of the Heart
- Neuralgia of the arm or elbow
- Brachial neuralgia
- Neuralgia of the forearm
- Abdominal pain with chest fullness
- Diaphragmatic spasm
- Shock
- Migraine
- Hyperthyroidism
- Chest disorders
- Disharmony between the Stomach and Spleen
- Stomatitis
- Eye inflammation
Associations
Chest and epigastric fullness with vomiting and diarrhea; Liver Qi invading the Spleen; abdominal pain
Faint, indistinct pulses
Rheumatic heart disease
- PC-5
- ST-36
Angina pectoris
- DU-25
Low blood pressure
- KI-1
- ST-36
Septic shock
Abdominal pain and lumps; rapid treatment of abdominal disease
Chest oppression
Heart and chest pain
Fear and fright accompanying Heart pain
Epilepsy
Sudden turmoil disorder with headache, chest pain, and wheezing rales
- LU-10
- ST-36
Difficulty swallowing
- ST-36
- REN-12
Abdominal pain
Cracked, bleeding tongue
Red (bloody) dysenteric disorder
Insufficient lactation from Liver Qi Stagnation
Notes
- It is a key point for Heart pain.
- The traditional Yuan-Luo pairing of SJ-4 Yangchi with PC-6 Neiguan sees little use today.
- It is a major point addressing the Stomach, Heart, and Shen.
- It is a leading point for suppressing nausea, stopping vomiting, and easing epigastric pain.
- It is a major point for peripheral vascular disorders of the arm and hand.
- Neiguan is the point of choice for the flanks and chest.
- It is widely used for anesthesia in thoracic surgery, including open-heart procedures.
- It carries several alternate names: "Perfect Love Point," "Broken Heart Gate," "Gate to Success," and "Conserver of Yin."
- It addresses balance, particularly imbalances of the mind.
- On this channel, it is the best point for restoring body-mind balance.
- It treats pain of every kind arising from the Zang Fu.