Acupuncture Points Notebook

: Jinjin Yuye : Golden Liquid & Jade Fluid

Ex-HN-12 : Extra Head/Neck 12


Location:
These paired points are located on the veins either side of the frenulum of the tongue, Jinjin to the left and Yuye to the right.

Needling:
Prick to bleed.

TCM Actions:
Clears heat and reduces swelling
Generates fluids
Benefits the tongue

TCM Indications:
  • Lotus flower tongue, pain and swelling of the tongue, mouth ulcers, throat painful obstruction, loss of voice, loss of voice following windstroke.
  • Wasting and thirsting disorder, vomiting, nausea and vomiting of pregnancy, diarrhoea.

    Neuroanatomy:
    Superficial Innervation: CN V3 mandibular branch of trigeminal
    Dermatome Segment:

    Notes:
    Originally punctured and bled in cases of sudden swelling of tongue that threatens to block the airways. Today they are mainly through needled from Lianquan Ren-23.

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    Avicenna describes venesection at this point in his treatise On Venesection:

    "The sublingual vein, which is below the tongue and above the anterior of the chin, is usually venesected in breathing problems and swelling of tonsils. Another sublingual vein below the tongue itself is venesected in cases of speech heaviness due to blood humour; this should be venesected longitudinally since a crosswise incision may not help in blood clotting later." (Aspects of Treatment According to General Diseases, 21st section in Abu-Asab, Amri & Micozzi, 2013, Avicenna's Medicine)

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    In Mayan medicine:
    Punctured to prevent attacks of epilepsy and hysteria (Garcia, Sierra, Balam, 1999: Wind in the Blood)

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    Medieval phlebotomy point (John de Foxton, 1408: Liber Cosmographiae, maa.cam.ac.uk; Hans von Gersdorff, 1517: Feldtbüch der Wundartzney, www.nlm.nih.gov)

    Galen mentioned bleeding this point for inflammation of the throat and trachea after the beginning (Brain, 1986, Galen on Bloodletting, p.89, 94). At the beginning the vein in the elbow (probably Quze Pc-3) is recommended.

    Hippocrates mentions bleeding the sublingual veins in Epidemics VI without effect for urinary symptoms in young people and advises using the popliteal veins at Weizhong Bl-40 instead (Ibid.: p.114). The implication is that the sublinguals were a traditional remedy for this for him to have tried it.

    In Diseases III he recommends bleeding from the sublingual veins for angina and from the elbow if strength permits (ibid.: p.115). The Appendix to the Regimen in Acute Diseases restates this protocol for angina with imminent suffocation (ibid.: p.117).

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


    Reference Notes: (click to display)