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Hua Shou said: The Hand-Jueyin Pericardium Master, also called the Pericardium (Pericardium), why is this? The answer is: The Ministerial Fire (Ministerial Fire) establishes its status by name, while the Official Fire (Official Fire) defines its position by function. The Hand-Jueyin channel acts on behalf of the Ruler's Fire to perform its duties.

The Hand-Jueyin Pericardium channel has nine acupoints: Tianchi (Tianchi, Heavenly Pool), Tianquan (Tianquan, Heavenly Spring), Quze (Quze, Curve Marsh) needled deeply; Ximen (Ximen, Gate of the Crotch), Jianshi (Jianshi, Intermittent Mission), Neiguan (Neiguan, Inner Pass) are opposite each other; Daling (Daling, Great Palace), Laogong (Laogong, Laboring in the Palace), Zhongchong (Zhongchong, Central Rush) are penetrated sequentially. (Eighteen points in total on both sides).
This channel originates at Tianchi and terminates at Zhongchong. Selecting Zhongchong, Laogong, Daling, Jianshi, and Quze corresponds to the Jing-Well, Ying-Spring, Shu-Stream, Jing-River, and He-Sea specific acupoints respectively.
The pulse originates in the chest, emerges and belongs to the Pericardium, descends through the diaphragm, and successively connects with the Sanjiao (Triple Burner); its branch follows the chest out to the hypochondrium, descends three cun below the axilla, ascends to reach the axilla, then descends along the medial aspect of the arm, running between the Hand-Taiyin Lung channel and the Hand-Shaoyin Heart channel, enters the cubital fossa, descends along the forearm, runs between two tendons, enters the center of the palm, and follows the middle finger to its tip; another branch from the palm follows the ring finger to its tip. This channel has abundant blood and little Qi, with Qi and Blood pouring into it during the Xu hour (7-9 PM).
It receives intersection from the Foot-Shaoyin Kidney channel, and its connections are linked with those of the Sanjiao, thus being referred to as the organ of Ministerial Fire. It is actually the membrane wrapping the heart, which is the foundation of life and health. It requires careful examination and silent comprehension of its true nature. In regulating it, one must not adhere rigidly to a single method; in acupuncture and moxibustion, one must follow its proper principles. Those who understand should be cautious, approaching divine efficacy.

Tianchi (also known as Tianhui): Located three cun below the axilla, one cun posterior to the nipple, adjacent to the ribs, directly opposite the axilla, within the intercostal space formed by raising the rib. It is the meeting point of the Hand and Foot Jueyin and Hand and Foot Shaoyang channels. The *Tongren* text records moxibustion of three moxa cones or needle insertion of three fen. The *Jiayi* text records needle insertion of seven fen.
Indications include sounds in the chest, chest and diaphragm fullness and irritability, heat disease with inability to sweat, headache, immobility of the four limbs, axillary swelling, rebellious Qi, chills and fever malaria, arm pain, and blurred vision.

Tianquan (also known as Tianshi): Located two cun below the apex of the axilla, taken with the arm raised. The *Tongren* text records needle insertion of six fen or moxibustion of three moxa cones.
Indications include blurred vision, aversion to wind and cold, heart disease, distending fullness of the chest and hypochondrium, cough and rebellious Qi, pain in the anterior chest, back, scapular region, and medial aspect of the arm.

Quze: Located in the depression at the medial end of the transverse cubital crease, on the medial side of the large tendon where the artery throbs. It is the He-Sea point where the Pericardium channel Qi enters, belonging to Water. The *Tongren* text records moxibustion of three moxa cones, needle insertion of three fen, retaining the needle for seven breaths.
Indications include heart pain, susceptibility to fright, body heat, irritability, thirst, dry mouth, rebellious Qi with vomiting of saliva or blood, palpitations in the epigastrium, body heat, wind urticaria, involuntary trembling of the arm, elbow, and wrist, clear sweating on the head not extending beyond the shoulders, cold damage disease, rebellious Qi with vomiting.

Ximen: Located five cun proximal to the palmar wrist crease, representing the gap in the Hand-Jueyin Pericardium channel. The *Tongren* text records needle insertion of three fen or moxibustion of five moxa cones.
Indications include hematemesis, epistaxis, heart pain with vomiting and hiccups, fear and apprehension, and deficiency of Shen-Qi.

Jianshi: Located three cun proximal to the palmar wrist crease, in the depression between two tendons. It is the Jing-River point where the Pericardium channel Qi flows, belonging to Metal. The *Suwen* commentary records needle insertion of six fen, retaining for seven breaths. The *Tongren* text records needle insertion of three fen or moxibustion of five moxa cones. The *Mingtang* text records moxibustion of seven moxa cones. The *Jiayi* text records moxibustion of three moxa cones.
Indications include cold damage with chest binding, a sensation of emptiness in the heart like hunger, sudden mania, palpitations in the chest, aversion to wind and cold, vomiting of froth, fearfulness, deficiency of Qi due to cold invasion, heat in the palms, axillary swelling with elbow contracture, sudden heart pain, excessive fright, stroke with Qi blockage, rising phlegm causing coma, aphasia, sensation of obstruction in the throat, demonic pathogens, cholera with dry heaving, irregular menstruation in women, blood stasis forming masses, and infantile fright.

Neiguan: Located two cun proximal to the palmar wrist crease between two tendons, opposing Waiguan. It is the Luo-Connecting point of the Hand-Yinqing Pericardium channel, diverging to connect with the Hand-Shaoyin Heart channel. The *Tongren* text records needle insertion of five fen or moxibustion of three moxa cones.
Indications include wind-heat affecting the hands, loss of willpower, heart pain, red eyes, distending fullness, and elbow contracture. For excess patterns presenting with sudden severe heart pain, apply draining method; for deficiency patterns presenting with stiff neck, apply tonifying method.

Daling: Located below the wrist bone in the depression between two tendons. It is the Shu-Stream point where the Hand-Jueyin Pericardium channel Qi pours, belonging to Earth. Excess patterns of the Pericardium should be treated with draining.
The *Tongren* text records needle insertion of five fen. The *Suwen* commentary records needle insertion of six fen, retaining for seven breaths, and moxibustion of three moxa cones.
Indications include heat disease with inability to sweat, heat in the palms, contracture and pain of the elbow and arm, axillary swelling, incessant laughter, irritability, sensation of emptiness in the heart like hunger, heart pain with heat in the palms, tendency toward sadness, crying, and fright, red and yellow eyes, blood in urine, incessant vomiting, delirious speech and unhappiness, bi-syndrome of the throat, dry mouth, body heat with headache, shortness of breath, chest and hypochondriac pain, sores, eczema, and tinea.

Laogong (also known as Wuli, also known as Zhangzhong): Located at the arterial pulsation in the center of the palm. The *Tongren* text advises taking the point with the ring finger flexed. The *Zisheng* text advises taking it with the middle finger flexed. Hua Shou stated: Observing now, it is appropriate to take the point between the flexed middle and ring fingers. It is the Ying-Spring point where the Pericardium channel Qi slips, belonging to Fire. The *Suwen* commentary records needle insertion of three fen, retaining for six breaths. The *Tongren* text records moxibustion of three moxa cones. The *Mingtang* text records needle insertion of two fen, draining immediately upon obtaining Deqi, performed only once; inserting more than twice causes deficiency. Moxibustion is contraindicated, as it may lead to progressive growth of polyps.
Indications include stroke, irritability, incessant laughing and crying, hand numbness, heat disease with no sweat after several days, fearfulness, hypochondriac pain preventing turning, bleeding in stool and urine, persistent epistaxis, rebellious Qi with vomiting and hiccups, irritability and thirst with inability to eat or drink, foul odor from mouth and excreta, mouth ulcers, distending fullness of chest and hypochondrium, jaundice with yellow eyes, and pediatric conditions...

Zhongchong: Located at the tip of the middle finger of the hand, in the depression approximately the width of a leek leaf from the corner of the nail. It is the Jing-Well point where the Pericardium channel Qi exits, belonging to Wood. Deficiency patterns of the Pericardium should be treated with tonifying.
The *Tongren* text records needle insertion of one fen, retaining for three breaths. The *Mingtang* text records moxibustion of one moxa cone.
Indications include heat disease with irritability and oppression, inability to sweat, heat in the palms, body feeling like fire, heart pain with irritability and fullness, and stiff tongue.