Acupuncture Points Notebook

Location Guides:

: Yingxiang : Welcome Fragrance

LI-20 : Hand Yangming Large Intestine 20

Classifications:
Exit point to Chengqi St-1

Meetings:
Meeting of Large Intestine with Stomach, Stomach Divergent and Spleen Divergent

Location:
In the naso-labial groove, at the level of the midpoint of the lateral border of the ala nasi

Needling:
Transverse insertion medio-superiorly 0.3 - 0.5 cun or join to Bitong (M-HN-14) at the highest point of the naso-labial groove

Warning:
According to some texts this point is contraindicated to moxibustion


TCM Actions:
Opens the nasal passages
Expels wind and clears heat

TCM Indications:
  • Nasal congestion, nasal congestion and discharge, rhinitis, profuse nasal discharge, loss of sense of smell, nasal polyps, nasal sores, sneezing, nosebleed.
  • Deviation of the mouth, swelling and itching of the face, pain and swelling of the lip, heat and redness of the eyes, dyspnoea, round worms in the bile duct.

    Neuroanatomy:
    Superficial Innervation: Branches of infraorbital nerve, from maxillary branch of trigeminal nerve (V2) going to nose
    Dermatome Segment: CN V2 maxillary branch of trigeminal

    Notes:
    This point would also be on the upper trajectory of the Chong mai in Jeffrey Yuen's descriptions (Yuen, 2005, The Extraordinary Vessels).

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    In ayurvedic medicine:
    Phana marma point
    Size: 1/2 angula (cun)
    Structure: Blood vessels
    Effect of Injury: Disability (vaikalyakar marma); Loss of smell
    (Harish Johari, 1996, Ayurvedic Massage, Sanatan Society; Anupama Bhattacharya, n.d. Marma Shastra)

    Lad and Durve (2008) in Marma Points of Ayurveda call this point Kapola Nasa and associate it with the doshas: Prana Vayu, Tarpaka Kapha, Avalambaka Kapha.

    They give the following functions:
    - Benefits the nose, relieves congestion
    - Opens nasal passages and sinuses
    - Enhances flow of prana vayu and benefits respiration
    - Improves functional capacity of the lung
    - Benefits the face
    - Calms the mind, balances emotions

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    In Thai massage:
    Acupressure point along the Itha (left) and Pingala (right) sen lines of head running from the base of the occiput Fengfu Du-16 where it branches at the glabella, Yintang, along the side of the nose to terminate here.
    Indicated for constipation, facial pain/numbness/paralysis, mouth problems and sinus complaints (Salguero & Roylance, 2011, Encyclopedia of Thai Massage)


    Reference Notes: (click to display)