Acupuncture Points Notebook

谿 : Yangxi : Yang Stream

LI-5 : Hand Yangming Large Intestine 5

Jing-River and Fire point

On the radial side of the wrist, in the centre of the hollow formed by the tendons of extensor pollicis longus and brevis (anatomical snuffbox)

Perpendicular insertion 0.5 - 1 cun, or transverse insertion 1.5 cun to Hegu LI-4 as part of "Jian Xi to Gu Needling".

TCM Actions:
Clears heat and alleviates pain
Clears yangming fire
Calms the spirit
Benefits the wrist joint

TCM Indications:
  • Rhinitis, nosebleed, tinnitus, deafness, ear pain, redness, swelling and pain of the eyes, superficial visual obstruction, lacrimation, toothache, pain from tooth decay, headache, chronic headache, frontal headache, throat painful obstruction, pain at the root of the tongue.
  • Mania-depression, febrile disease with agitation of the Heart, manic raving, propensity to laughter, seeing ghosts, fright.
  • Cold cough, vomiting of foam, urticaria, malaria, fever with absence of sweating.
  • Weakness and pain of the wrist, contraction of the five fingers, heat in the palms, difficulty in raising the elbow.

    Superficial Innervation: Superficial radial nerve from C6 - C8
    Dermatome Segment: C6

    In "Jian Xi to Gu Needling" Sanjian LI-3 and Yangxi LI-5 are needled transversely to meet at Hegu LI-4 in treatment of pain and heat in the upper body. Electro-stimulation can be applied too (Liu Yan, 2008, Diagrams of Acupuncture Manipulations, p.136).


    Medieval phlebotomy point (Hans von Gersdorff, 1517: Feldtbüch der Wundartzney, www.nlm.nih.gov), although Gersdorff appears to place it slightly distal, on the hand, and on the other side of the extensor pollicis longus tendon.


    In ayurvedic medicine:
    Kurchashira marma point
    Size: 1 angula (cun)
    Structure: Tendon
    Effect of Injury: Pain (rujakar marma)
    (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 Bahya Manibandha and associate it with the doshas: Prana Vayu, Vyana Vayu, Ranjaka Pitta and Shleshaka Kapha.

    They give the following functions:
    - Benefits the wrist and hand
    - Detoxifies the liver
    - Enhances immunity


    In Tibetan medicine:
    Moxa point (AMNH, Tibetan Medical Paintings)

    Reference Notes: (click to display)