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CMTH111

Session 12
• Anatomy & Jing Luo Theory 6
• Arm yang sinews integration
• Arm luo-connecting and divergent channels
• Arm cutaneous regions

Chinese Medicine Department

All channel diagrams used w ith permission.


Deadman, P., Al-Khafaji, M., & Baker, K. (2007). A manual of acupuncture (2nd ed.). Journal of Chinese Medicine Publications.
Attention Please

Slide 20 contains a cadaver image.


Viewer discretion advised.

CMTH111 / Chinese Medicine Department / 31/01/2022 © Endeavour College of Natural Health


Arm yang sinews integration

CMTH111 / Chinese Medicine Department / 31/01/2022 © Endeavour College of Natural Health


Figure 1. The books that deal with problems of the Channels

CMTH111 / Chinese Medicine Department / 31/01/2022 © Endeavour College of Natural Health


Figure 2. The Lung Sinew Channel Kendall (2002)

CMTH111 / Chinese Medicine Department / 31/01/2022 © Endeavour College of Natural Health


Figure 3. The Pericardium Sinew Channel Kendall (2002)

CMTH111 / Chinese Medicine Department / 31/01/2022 © Endeavour College of Natural Health


Figure 4. The Heart Sinew Channel Kendall (2002)

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Figure 5. The Large Intestine Sinew Channel Kendall (2002)

CMTH111 / Chinese Medicine Department / 31/01/2022 © Endeavour College of Natural Health


Figure 6. The Triple Energiser Sinew Channel Kendall
(2002)

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Figure 7. The Small Intestine Sinew Channel Kendall (2002)

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CMTH111 / Chinese Medicine Department / 31/01/2022 © Endeavour College of Natural Health


Figure 8. The Bladder Sinew Channel Kendall (2002)

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CMTH111 / Chinese Medicine Department / 31/01/2022 © Endeavour College of Natural Health


Figure 9. The forearm extensors and the relationship to
different sinew channels of the arm

ECRB – LI Sinew Channel


ECRL – LI Sinew Channel
EDC – TE Sinew Channel
EDM – SI Sinew Channel
ECU – SI Sinew Channel

Note. Adapted f romFile:Forearm muscles back superf icial.png, by H. Gray , (1918), File:Forearm muscles back superf icial.png
(https:///commons.wikimedia.org/wiki/File:Forearm_muscles_back_superficial.png). Public Domain v ia Wikimedia Commons
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CMTH111 / Chinese Medicine Department / 31/01/2022 © Endeavour College of Natural Health


Figure 10. Demonstrating Flexion and Extension of the
Elbow

Note. From Sports medicine acupuncture an integrated approach combining sports medicine and traditional Chinese medicine (p.402), by M. Callison, 2019, AcuSport
Education. Copyright 2019 by Matt Callison/ AcuSport Seminar Series Inc. .
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CMTH111 / Chinese Medicine Department / 31/01/2022 © Endeavour College of Natural Health


Figure 11. The Synergist and antagonist relationship of the
muscles that move the elbow

Note. From Sports medicine acupuncture an integrated approach combining sports medicine and traditional Chinese medicine
(p.401-3), by M. Callison, 2019, AcuSport Education. Copyright 2019 by Matt Callison/ AcuSport Seminar Series Inc. .

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CMTH111 / Chinese Medicine Department / 31/01/2022 © Endeavour College of Natural Health


Figure 12. The Superficial (HT/PC Sinew Channel) and the
Deep front Arm Line (Lung Sinew Channel)

Note. From Anatomy trains myofascial meridians for manual and movement therapists
(p.147), by T. Myers, 2014, Elsevier. Copyright 2014 by Elsevier..
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CMTH111 / Chinese Medicine Department / 31/01/2022 © Endeavour College of Natural Health


Figure 13. The Superficial Back Arm line (LI/TE sinew
channel) Deep Back Arm Line (SI Sinew Channel)

Note. From Anatomy trains myofascial meridians for manual and movement therapists
(p.147), by T. Myers, 2014, Elsevier. Copyright 2014 by Elsevier..
17

CMTH111 / Chinese Medicine Department / 31/01/2022 © Endeavour College of Natural Health


Arm luo-connecting Channels

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CMTH111 / Chinese Medicine Department / 31/01/2022 © Endeavour College of Natural Health


Figure 14. LU 7 – Lie Que - Broken Sequence – Luo
Connecting channel

• Separates at LU-7

• Follows the main


channel spreads
through the thenar
eminence

• Converges with the


Note. Adapted f rom A manual of acupuncture (2nd ed., p. 74), by P. Deadman, M. Al-Khaf aji, and

Large Intestine channel. K. Baker, 2007, Journal of Chinese Medicine Publications. Copy right 2007 by The Journal of
Chinese Medicine Publications.

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CMTH111 / Chinese Medicine Department / 31/01/2022 © Endeavour College of Natural Health


Figure 15. The Branching LU7-LU8 – Anatomical Dissection

Note. Adapted From Medial and lateral branches of the superficial radial nerve: Cadaver and nerve conduction studies (p. 229), By B K Park et al., 2010, Clinical Neurophy siology , 121(2) 228-232.
Copy right 2010 Elsev ier.
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CMTH111 / Chinese Medicine Department / 31/01/2022 © Endeavour College of Natural Health


Figure 16. The SRN (LU) and the LABC (LI) Crossing LI6

LI6

Note. Adapted From Anatomy of the lateral antebrachial cutaneous and superf icial radial nerv es in the f orearm: A cadav eric and clinical study
(p. `228-9), By S Beldner, et el. 2005, Journal of Hand Surgery 30(6) 1226-1230. Copy right 2005 American Society f or Surgery of the Hand.

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CMTH111 / Chinese Medicine Department / 31/01/2022 © Endeavour College of Natural Health


Figure 17. The needle insertion from TE5 to affect PC6

Note. Adapted From The accuracy of distal posterior interosseous and anterior interosseous nerv e injection (p. 866), By P. Grutter et al,.
2004, Journal of Hand Surgery 29(5) 865-870. Copy right 2004 American Society f or Surgery of the Hand.
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CMTH111 / Chinese Medicine Department / 31/01/2022 © Endeavour College of Natural Health


Figures 18. Functions of the Divergent Channels

Distribute qi
and blood
Strengthen the to head Integrate
yin-yang and face areas of the
relationship
between body not
internally- serviced by
externally paired the primary Explain clinical
channels and action
channels
zangfu of some
commonly used
acupuncture
points

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Arm cutaneous regions

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CMTH111 / Chinese Medicine Department / 31/01/2022 © Endeavour College of Natural Health


Figures 19. Showing the Yang Cutaneous regions

Taiyang (BL & SI) Shaoyang (GB & TE) Yangming (ST and LI)
Note. From A manual of acupuncture (2nd ed., p. 28), by P. Deadman, M. Al-Khaf aji, and K. Baker, 2007, Journal of Chinese Medicine Publications. Copy right 2007 by the Journal of Chinese Medicine
Publications.

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CMTH111 / Chinese Medicine Department / 31/01/2022 © Endeavour College of Natural Health


Figure 20. Showing the Yin Cutaneous Regions

Taiyin (LU & SP) Jueyin (PC & LR) Shaoyin (HT & KI)
Note. From A manual of acupuncture (2nd ed., p. 28), by P. Deadman, M. Al-Khaf aji, and K. Baker, 2007, Journal of Chinese Medicine Publications. Copy right 2007 by the Journal of Chinese
Medicine Publications.
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CMTH111 / Chinese Medicine Department / 31/01/2022 © Endeavour College of Natural Health


Figure 21. John Hilton – Hilton’s Law

Note. From John Hilton, British surgeon, by Barraud & Jerard, 1873,
Wikimedia (https://commons.wikimedia.org/wiki/File:John_Hilton_FRCS_FRS_FZS.jpg). In the public domain
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CMTH111 / Chinese Medicine Department / 31/01/2022 © Endeavour College of Natural Health


Figure 22. Hilton’s Law showing the relationship between
the nerve, muscle, skin and joint

Note. Adapted From Hilton’s Law Rev isited (p 2), By Herbert-Blouin et al., 2013, Clinical Anatomy 27 548-555 Copy right 2013. Wiley
Periodicals Inc

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Tutorial

• Discuss workbook question 7

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Practical Demonstration

Musculoskeletal palpation of the head, face, neck, external


throat, upper limb, shoulder, scapula, thoracic and cervical
spine

Channel location and palpation

Neck, nape and arms routine

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CMTH111 / Chinese Medicine Department / 31/01/2022 © Endeavour College of Natural Health


References
Barraud & Jerrard. (1873). John Hilton, British
surgeon [Photograph]. Wikimedia. https://commons.wikimedia.org/wiki/File:John_Hilton_FRCS_FRS_FZS.jpg

Beldner, S., Zlotolow, D. A., Melone, C. P., Agnes, A. M., & Jones, M. H. (2005). Anatomy of the lateral antebrachial cutaneous and superficial radial
nerves in the forearm: A cadaveric and clinical study. Journal of Hand Surgery, 30(6), 1226–1230. https://doi.org/10.1016/j.jhsa.2005.07.004

Callison, M. (2019). Sports medicine acupuncture an integrated approach combining sports medicine and traditional Chinese medicine. AcuSport
Education.

Chiang, P. (2015). What is the point of acupuncture? Medical Acupuncture, 27(2), 67–80. https://doi.org/10.1089/acu.2015.1093

Deadman, P. (2007). A manual of acupuncture (Second). Journal of Chinese Medicine Publications.

Gray. H. (before 1858). File:Forearm muscles back superficial.png [Photograph]. Wikimedia.


https://commons.wikimedia.org/wiki/File:Forearm_muscles_back_superficial.png

Grutter, P. W., Desilva, G. L., Meehan, R. E., & Desilva, S. P. (2004). The accuracy of distal posterior interosseous and anterior interosseous nerve
injection. Journal of Hand Surgery, 29(5), 865–870. https://doi.org/10.1016/j.jhsa.2004.05.012

Herbert-Blouin, M.-N., Tubbs, R. S., Carmichael, S. W., & Spinner, R. J. (2014). Hilton’s law revisited. Clinical Anatomy, 27(September), 548–555.
https://doi.org/10.1002/ca.22348

Kendall, D. (2002). The dao of Chinese medicine understanding an ancient healing art. Oxford University Press.

Legge, D. (2010). Jingjin: acupuncture treatment of the muscular system using the meridian sinews . Sydney College Press.

Maciocia, G. (2006). The channels of acupuncture: clinical use of the secondary channels and eight extraordinary vessels. Chu rchill Livingston.

Myers, T. (2014). Anatomy trains myofascial meridians for manual and movement therapists (3rd ed.). Elsevier.

Ni, Y. (1996). Navigating the channels of traditional Chinese medicine. Oriental Medicine Center.

Park, B. K., Bun, H. R., Hwang, M., Hong, J., & Kim, D. H. (2010). Medial and lateral branches of the superficial radial nerve: Cadaver and nerve
conduction studies. Clinical Neurophysiology, 121(2), 228–232. https://doi.org/10.1016/j.clinph.2009.10.011

Wang, J., & Robertson, J. (2008). Applied channel theory in Chinese medicine Wang Ju-Yi’s lectures on channel therapeutics. Eastland Press.

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CMTH111 / Chinese Medicine Department / 31/01/2022 © Endeavour College of Natural Health


References
Park, B. K., Bun, H. R., Hwang, M., Hong, J., & Kim, D. H. (2010). Medial and lateral branches of the superficial radial nerve: Cadaver and nerve
conduction studies. Clinical Neurophysiology, 121(2), 228–232. https://doi.org/10.1016/j.clinph.2009.10.011

Wang, J., & Robertson, J. (2008). Applied channel theory in Chinese medicine Wang Ju-Yi’s lectures on channel therapeutics. Eastland Press.

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CMTH111 / Chinese Medicine Department / 31/01/2022 © Endeavour College of Natural Health


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