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The Hand-Shaoyang Sanjiao Meridian originates at the tip of the ring finger, ascends between the ring and middle fingers, follows the dorsal aspect of the wrist, emerges between the two bones of the forearm, ascends through the elbow, follows the lateral aspect of the upper arm, reaches the shoulder, and crosses posterior to the Foot-Shaoyang Gallbladder Meridian. It enters the supraclavicular fossa (Quepen), spreads in the Danzhong region, disperses and connects with the Pericardium, descends through the diaphragm, and extensively belongs to the Triple Energizer (Sanjiao). Its branch arises from the Danzhong region, ascends out of the supraclavicular fossa, goes up the neck, ties behind the ear, ascends straight to the upper corner of the ear, then curves downward to the cheek and reaches the outer canthus. Another branch enters the ear from behind the ear, emerges anterior to the ear, passes anterior to the Shangguan acupoint (Keguzhuren), crosses the cheek, and arrives at the outer canthus. When this meridian is affected, disorders include deafness, swelling of the zygomatic area, sore throat, and throat obstruction. Diseases generated by Qi disturbances governed by this meridian manifest as sweating, pain in the outer canthus, cheek pain, pain in the ear, shoulder, elbow, and lateral arm, and dysfunction of the ring finger. In excess conditions, the Renying pulse is one times larger than the Qikou pulse; in deficiency conditions, the Renying pulse is smaller than the Qikou pulse.

The Luo-connecting vessel of the Hand-Shaoyang Sanjiao Meridian is named Waiguan, located two cun distal to the wrist crease, winding around the arm to inject into the chest, connecting with the Heart Master (Pericardium) Meridian. In excess conditions, it causes elbow contracture; in deficiency conditions, it causes flaccidity and inability to flex. Treatment involves selecting its Luo point.

The Sinew Meridian of the Hand-Shaoyang Sanjiao originates at the tip of the ring finger, binds at the wrist, ascends along the arm, binds at the elbow, winds around the lateral edge of the elbow, ascends to the shoulder, travels along the neck, and connects with the Hand-Taiyang Small Intestine Meridian. Its branch enters at the angle of the jaw and ties to the root of the tongue. Another branch ascends to the Xiaya acupoint, follows the anterior aspect of the ear, attaches to the outer canthus, surmounts the mandible, and binds at the frontal angle. Disorders occur at the sites traversed, presenting as牵引 spasms and tongue retraction. Treatment utilizes burning needle puncture (Fanzhen Jiesi), taking improvement as the criterion and pain points as acupoints, known as Summer-Heat Bi syndrome.

When pathogenic factors invade the collateral vessels of the Hand-Shaoyang Sanjiao Meridian, they cause throat obstruction, tongue retraction, dry mouth, irritability, pain on the lateral aspect of the arm, and inability to raise the hand to the head. Puncture the nail corners of the middle and ring fingers, one cun from the tips. Improvement occurs immediately in robust individuals and after a short while in the elderly. Treat left for right and right for left. Combined with treatment for new-onset cases, recovery occurs within several days.

The Hand-Shaoyang Sanjiao Meridian runs from the hand to the head, measuring five chi in length, totaling one zhang for both sides, with forty-six acupoints in total.

Guanchong (2 points): At the radial side of the tip of the ring finger, one grain-width from the nail corner.
Yemen (2 points): In the depression between the ring and little fingers.
Zhongzhu (2 points): In the depression proximal to the metacarpophalangeal joint of the ring finger.
Yangchi (2 points): Also known as Bieyang, in the depression on the dorsal aspect of the wrist.
Waiguan (2 points): Two cun proximal to the wrist crease, diverging to the Pericardium Meridian.
Zhi gou (2 points): Three cun proximal to the wrist crease, between the two bones.
Huizong (2 points): One cun proximal to the hollow space three cun above the wrist.
Sanyangluo (2 points): One cun superior to Zhi gou where large collaterals intersect on the arm.
Sidu (2 points): Five cun proximal to the elbow in the depression on the lateral aspect.
Tianjing (2 points): Posterior to the lateral epicondyle of the humerus, one cun proximal to the elbow tip in the depression.
Qinglengyuan (2 points): Two cun proximal to the elbow.
Xiaoluo (2 points): Below the shoulder on the lateral arm, descending obliquely from the axilla.
Naohui (2 points): Three cun anterior to the shoulder tip on the anterior margin.
Jianliao (2 points): In the depression on the acromion, obtained by raising the arm.
Tianliao (2 points): In the depression between the clavicle and the acromion.
Tianyou (2 points): Lateral to the sternocleidomastoid muscle, superior to Quepen, anterior to Tianrong and Tianzhu, inferior to Wanggu, at the hairline.
Yifeng (2 points): In the depression behind the earlobe at the mastoid process.
Maichong (2 points): In the blue veins behind the ear base resembling chicken feet.
Luxi (2 points): In the blue veins behind the ear.
Jiaosun (2 points): In the center of the auricle, where an opening appears when the mouth is opened.
Sizhukong (2 points): Also known as Mucan, in the depression posterior to the eyebrow.
He liao (2 points): In the depression below the temporal hairline anterior to the ear.
Ermén (2 points): Anterior to the ear, in the fleshy prominence corresponding to the tragus notch.

Guanchong (Metal Well Point): Located at the tip of the ring finger. Governs throat obstruction, tongue retraction, dry mouth, headache, cholera-like disorder, chest Qi stagnation, loss of appetite, arm/elbow pain, visual obscurations, and cataracts. Needle 1 fen, moxa 1 cone.
Yemen (Water Ying-Spring Point): Located between the ring and little fingers. Governs palpitations, delirium, pharyngeal swelling, cold reversal arm pain, malaria chills/fevers, vertigo, sudden deafness, red gritty eyes, and toothache. Needle 2 fen, moxa 3 cones.
Zhongzhu (Wood Shu-Stream Point): Located proximal to the ring finger MCP joint. Governs febrile diseases with no sweat, vertigo, headache, deafness, cataracts, chronic malaria with sore throat, arm pain, and inability to flex/extending fingers. Needle 2 fen, moxa 3 cones.
Yangchi (Yuan-Source Point): Located in the dorsal wrist depression. Governs alternating chills and fever, malaria, wrist sprain injuries, inability to grasp objects, and shoulder/arm pain. Needle 2 fen, retain for 3 breaths, contraindicated for moxibustion.
Waiguan (Luo-Connecting Point): Located 2 cun proximal to the wrist. Governs elbow/arm stiffness, finger pain, inability to grasp, and deafness. Moxa 3 cones, needle 3 fen, retain for 7 breaths.
Zhi gou (Fire Jing-River Point): Located 3 cun proximal to the wrist between the bones. Governs febrile diseases with no sweat, shoulder/arm heaviness, hypochondriac pain, limb paralysis, cholera vomiting, lockjaw, and sudden aphonia. Moxa 14 cones, needle 2 fen.
Huizong: Located 3 cun proximal to the wrist. Governs skin/muscle pain, deafness, and wind-phlegm epilepsy. Needle 3 fen, moxa 3 cones.
Sanyangluo: Located 1 cun superior to Zhi gou. Governs lethargy, body aversion to movement, sudden deafness, toothache, and aphonia. Moxa 7 cones, contraindicated for needling.
Sidu: Located 5 cun proximal to the elbow. Governs sudden Qi disturbance deafness and toothache. Moxa 3 cones, needle 6 fen, retain 7 breaths.
Tianjing (Earth He-Sea Point): Located posterior to the lateral epicondyle, between tendons. Governs chest/heart pain, cough with asthma, expectoration of pus, loss of appetite, palpitations, convulsions, wind-bi arm pain, and inability to grasp. Moxa 3 cones, needle 3 fen.
Qinglengyuan: Located 2 cun proximal to the elbow. Governs shoulder/arm pain and inability to dress oneself. Moxa 3 cones, needle 3 fen.
Xiaoluo: Located on the lateral arm below the shoulder. Governs wind-cold-bi, neck pain, and shoulder/back stiffness. Needle 6 fen, moxa 3 cones.
Naohui (Luo point of Hand-Yangming): Located 3 cun anterior to the shoulder tip. Governs goiter, neck masses, arm pain, and Qi edema. Needle 7 fen, retain 10 breaths, drain upon arrival of Deqi, moxa 7 cones.
Jianliao: Located in the acromial depression. Governs heavy shoulder and inability to move arm/elbow. Moxa 3 cones, needle 7 fen.
Tianliao (Meeting of Hand-Shaoyang and Yangwei): Located between the clavicle and acromion. Governs radiating shoulder/elbow pain to head/neck, chills/fever, supraclavicular pain, anhidrosis, and chest fullness. Needle 8 fen, moxa 3 cones.
Tianyou: Located in the neck, superior to Quepen. Governs wind-headache, facial swelling, stiff neck, and inability to look back. Needle 1 cun, retain 7 breaths. Contraindicated for tonification and moxibustion. If moxa is used, it causes facial swelling and eye closure. First puncture Fengchi, then Tianyou for cure.
Yifeng (Meeting of Hand/Foot-Shaoyang): Located behind the ear. Governs deafness, facial paralysis, jaw dislocation, lockjaw, dysphagia, cheek swelling, and masseter spasm. Needle 10 fen, moxa 7 cones.
Maichong: Located in the posterior auricular veins. Prick to bleed like bean juice; avoid excessive bleeding. Governs wind-headache, tinnitus, pediatric convulsions, vomiting/diarrhea, fright, and blurred vision. Moxa 3 cones, needle 1 fen.
Luxi (Qi emission of Foot-Shaoyang): Located in the posterior auricular veins. Governs fever, heavy head, hypochondriac pain preventing turning, wind-spasm deafness, pediatric epilepsy, vomiting saliva, fright, seminal emission, and visual impairment. Contraindicated for needling, moxa 7 cones.
Jiaosun (Meeting of Hand/Foot-Shaoyang): Located in the center of the auricle. Governs corneal opacities and gingival swelling. Moxa 3 cones.
Sizhukong (Qi emission of Foot-Shaoyang): Located posterior to the eyebrow. Contraindicated for moxibustion to avoid microphthalmia or blindness. Governs vertigo, headache, red eyes, visual impairment, wind-epilepsy with upward gaze, trichiasis, manic speech with foaming. Needle 3 fen, retain 3 breaths, drain not tonify.
Heliao (Qi emission of Hand-Shaoyang): Located anterior to the ear in the temporal artery. Governs temporomandibular tension, heavy head pain, tinnitus, and submandibular swelling. Needle 7 fen, moxa 3 cones.
Ermén: Located anterior to the ear. Governs otorrhea, otitis externa, tinnitus, hearing loss, and toothache. Needle 3 fen, retain 7 breaths, moxa 3 cones.

Regarding the Hand-Shaoyang Meridian, it has less blood and more Qi. Needling should aim to expel Qi and evil blood. The meridian runs from hand to head. Following the flow is "Sui," opposing it is "Ying." Excess is drained, deficiency is tonified, heat is treated with rapid manipulation, cold is treated with retention, sinking conditions are treated with moxibustion, and balanced conditions are treated by regulating the meridian itself. This is the method for treating the Hand-Shaoyang Meridian.