NAME
SANYANGLUO
LOCATION
On the dorsal surface of the forearm, 4 cun above the transverse crease of the wrist, between the radius and the ulna.
4 cun proximal to SJ-4 Yangchi, in the depression between the radius and ulna, on the radial side of the the extensor digitorum communis muscle.
Note: divide the distance between SJ-4 Yangchi and the lateral epicondyle into three equal parts. This point is located at the junction of the distal and middle thirds.
One cun above SJ-6 Zhigou, between the radius and ulna.
NEEDLING
Slightly oblique insertion towards the ulnar side or oblique-proximal or distal insertion towards the elbow or wrist respectively.
Straight insertion 1 to 1.5 cun. Sensation: distention and soreness extending towards the elbow.
Slanted insertion,. join to PC-4 Yangchi, about 2 to 3 cun. Sensation: distention and numbness, possibly extending to the fingertips or elbow.
Puncture perpendicularly 0.5 to 1 cun.
Moxibustion is applicable.
COMMAND FUNCTIONS
Meeting point of the three Yang channels of the arm
ACTIONS
Clears Heat
Removes obstructions from the channel
Activates the channel
Alleviates pain
Clears the sensory orifices
INDICATIONS
Bi syndrome of the arm, neck, shoulders and occiput
Hand and arm pain
Pain in the forearm limiting movement
Brachial neuralgia
Upper arm and forearm neuralgia
Post-operative pain associated with pneumonectomy
Fever
Lumbar pain due to traumatic injury
Lack of coordination
Pain in the chest and hypochondriac regions
Vertigo
Pain and motor impairment of the hand and forearm
Sudden loss of voice
Deafness
Sudden muteness
Muteness
Aphasia
Toothache
Lassitude
Somnolence
Does not want to budge 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 from Wind-Heat
COMBINATIONS
| DU-15 Yamen or SJ-6 Zhigou UB-66 Tonggu | SJ-2 Yemen | SJ-10 TianjingLIV-10 Zuwuli ST-45 Lidui LI-3 Sanjian |
| Sudden loss of voice | Sudden deafness | Somnolence with no desire to move the four limbs |
| SP-21 Dabao PC-4 Ximen GB-38 Yangfu GB-41 Zulinqi | PC-4 Ximen | GB-20 Fengchi |
| Pain of the chest and lateral costal region | Join for pain associated with pneumonectomy | Headache |
CONTRAINDICATIONS
Traditionally this point should not be needled.
NOTES
This point is mostly used for Bi syndrome of the arm, neck, shoulders and occiput. It is particularly effective when the area of pain involves more than one Yang channel of the arm. It is needled through to PC-4 Ximen for pulmonary lobectomy.