NAME
NEIGUAN
LOCATION
Two cun above the transverse crease of the wrist between the tendons of the m. palmaris longus and m. flexor carpi radialis.
Two cun proximal to the transverse crease of the wrist on the line connecting PC-3 Quze and PC-7 Daling, between the tendons of the palmaris longus and flexor carpi radialis muscles.
With the hand supine, this point can be found two cun above the midpoint of the transverse crease of the wrist, between the two tendons.
On the flexor aspect of the forearm, two cun proximal to PC-7 Daling, between the tendons of the palmaris longus and flexor carpi radialis.
Note: In the absence of the tendon of the palmaris longus, locate this point on the ulnar side of the flexor carpi radialis.
NEEDLING
Puncture perpendicularly 0.5 to 0.8 cun.
Moxibustion is applicable.
Straight insertion 0.5 to 1.5 cun, reaching as far as SJ-5 Waiguan on the opposite side of the forearm. Sensation: local distention, soreness and numbness possibly extending to the fingertips.
Slanted insertion pointed proximally, 1 to 2 cun, for diseases of the trunk. Sensation: a numb, distended sensation possibly extending to the elbow, axilla or chest.
For numbness of the fingers, point the needle slightly toward the radial side of the arm 0.3 to 0.5 cun. Sensation: a numb, electric sensation extending toward the fingertips.
Perpendicular insertion 0.5 to one cun, or joined to SJ-5 Waiguan.
Oblique proximal insertion, 1 to 1.5 cun, for diseases of the chest.
Oblique distal insertion 1 to 1.5 cun, for numbness of the fingers.
Caution: The median nerve lies directly beneath this point and needling it commonly induces a significant electric sensation. This is an acceptable manifestation of De Qi (arrival of Qi), but once elicited, further manipulation is inappropriate and may damage the nerve.
COMMAND FUNCTIONS
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 Heart Phlegm
Regulates and clears the San Jiao
Facilitates Qi flow
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 the Qi of 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
Descends Rebellious Qi
Benefits the diaphragm
Expels gallstones
Expedites and facilitates 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
Diseases of the neck (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, especially post-surgical
Asphyxia due to near drowning
Dizziness
Postpartum dizziness
Dysenteric disorders due to Liver Qi Stagnation
Childhood nutritional impairment with vomiting
Acute diseases of the biliary tract
Jaundice
Yellow eyes
Pancreatitis
Appendicitis
Migraine
Epigastric distention
Diarrhea with vomiting
Morning sickness
Acute mastitis
Angina pectoris
Tidal fever
Apoplexy
Pounding sensation of the Heart
Disorders of Heart rate and rhythm
Fear
Fright
Loss of memory following Windstroke
Windstroke
Deficiency cold of the Spleen and Stomach with incessant vomiting
Disharmony of the Spleen and Stomach
Blood masses
Borborygmus
Fever with no sweat
Red eyes
Cardiac pain
Myocarditis
Endo carditis
Pericarditis
Acute and chronic gastritis
All disorders of the arm due to Wind or Heat
Gastric pain
Cerebral hemorrhage
Postpartum syncope
Postpartum vertigo
Swollen and painful throat
Pain associated with surgery
Prolapsed rectum
Cardiac asthenia
Placenta does not descend
Congestion of Blood in the eyes
Cracked and 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
Pre cordial pain (reduce)
Hypochondriac pain
Mental disorders
Insomnia
Irritability
Anxiety
Difficulty breathing
Irregular menstruation
Heavy period one month, followed by no period the next
Swelling of the abdomen
Collapsing syndrome
Closed-type Windstroke
Insanity
Hysteria
Seizures
Stifling sensation in the chest
Stuffiness of the chest with agitation of the Heart
Depression with epigastric fullness
Forgetfulness
Bronchitis
Pertussis
Diaphragmatic spasms
Intercostal neuralgia
Dyspnea
Gallstones
Insufficient lactation due to Excess
Neck ache on the occiput
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
Inability after Windstroke
Hypertension
Spleen and 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
Swelling of the axilla
Inflammation of the Heart
Neuralgia of the arm or elbow
Brachial neuralgia
Neuralgia of the forearm
Abdominal pain with fullness of the chest
Diaphragmatic spasm
Shock
Migraine
Hyperthyroidism
Diseases of the chest
Disharmony between the Stomach and Spleen
Stomatitis
Inflammation of the eyes
COMBINATIONS
| SP-4 Gongsun | LU-7 Lieque | PC-5 JianshiHT-8 Shaofu |
| Fullness of the chest and epigastrium with vomiting and diarrhea Liver Qi Invades the Spleen Abdominal pain | Vague pulses | Rheumatic Heart disease |
| PC-5 Jianshi ST-36 Zusanli | DU-25 Suliao | KI-1 Yongquan ST-36 Zusanli |
| Angina pectoris | Low Blood pressure | Septic shock |
| KI-6 Zhaohai | REN-11 Jianli | PC-3 Quze PC-7 Daling |
| Pain and lumps in the abdomen Quickly treating abdominal disease | Chest oppression | Heart and chest pain |
| HT-7 Shenmen HT-9 Shaochong GB-34 Yanglingquan | SI-3 Houxi HT-7 Shenmen UB-15 Xinxu SP-1 Yinbai | ST-9 Renying SJ-1 Guanchong SP-6 Sanyinjiao ST-36 Zusanli |
| Fear and fright with Heart pain | Epilepsy | Sudden turmoil disorder, headache, chest pain and dyspneic rales |
| LU-10 Yuji ST-36 Zusanli | ST-36 Zusanli REN-12 Zhongwan | LIV-3 Taichong REN-7 Yinjiao |
| Difficult ingestion | Abdominal pain | Cracked and bleeding tongue |
| ST-25 Tianshu ST-44 Neiting SP-1 Yinbai REN-6 Qihai KI-6 Zhaohai | ST-18 Rugen REN-17 Shanzhong SI-1 Shaoze LIV-3 Taichong | |
| Red (bloody) dysenteric disorder | Insufficient lactation due to Liver qi Stagnation |
CONTRAINDICATIONS
NOTES
This is a major point for Heart pain. The classical Yuan-Luo coupling od SJ-4 Yangchi with PC-6 Neiguan is rarely used. This is a major point for Stomach, Heart and Shen. This is a major point to suppress nausea, stop vomiting and relieve epigastric pain. This is a major pointy for peripheral vascular disorders of the arm and hand. For sides and chest, Neiguan is best. This is a major point for anesthesia during thoracic surgery, including open-heart surgery. This point is also known as ******Perfect Love Point', ******Broken Heart Gate******, ******Gate to Success****** and ******Conserver of Yin ******. This point works on balance, especially the imbalance of the mind. This is the best point on the channel for restoring balance between the body and mind. This point treats all kinds of pain of the Zang Fu.