This document provides information about the acupuncture point Renying ST-9 including its location between the carotid artery and thyroid cartilage, actions of regulating qi and blood and lowering rebellion to benefit the throat and neck and alleviate pain, and indications for treatments related to the head, neck, chest and lumbar region such as headaches, throat problems, and back pain. It also discusses combinations using this point to treat conditions like sudden turmoil disorder, scrofula, tinnitus, hypertension, and acute pain.
This document provides information about the acupuncture point Renying ST-9 including its location between the carotid artery and thyroid cartilage, actions of regulating qi and blood and lowering rebellion to benefit the throat and neck and alleviate pain, and indications for treatments related to the head, neck, chest and lumbar region such as headaches, throat problems, and back pain. It also discusses combinations using this point to treat conditions like sudden turmoil disorder, scrofula, tinnitus, hypertension, and acute pain.
This document provides information about the acupuncture point Renying ST-9 including its location between the carotid artery and thyroid cartilage, actions of regulating qi and blood and lowering rebellion to benefit the throat and neck and alleviate pain, and indications for treatments related to the head, neck, chest and lumbar region such as headaches, throat problems, and back pain. It also discusses combinations using this point to treat conditions like sudden turmoil disorder, scrofula, tinnitus, hypertension, and acute pain.
This document provides information about the acupuncture point Renying ST-9 including its location between the carotid artery and thyroid cartilage, actions of regulating qi and blood and lowering rebellion to benefit the throat and neck and alleviate pain, and indications for treatments related to the head, neck, chest and lumbar region such as headaches, throat problems, and back pain. It also discusses combinations using this point to treat conditions like sudden turmoil disorder, scrofula, tinnitus, hypertension, and acute pain.
General Index Indications Index Point Names Index Glossary Points Index General General Index Index Indications Indications Index Index Point Names Index Glossary General Index Indications Index Point Names Index Glossary Points Points Index Index Points Index GeneralIndex Index Indications IndicationsIndex Index Point PointNames NamesIndex Index Glossary Glossary Points PointsIndex Index General Previous Point Next Point Combinations Index Previous Point Next Point Previous Point Next Point Combinations Combinations Index Index Combinations Index 1 See Notes Previous Combinations PreviousPoint Point Next NextPoint Point CombinationsIndex Index
Heart S. Intestine RENYING ST-9
NEEDLING
MansBladder Welcome Kidney Meeting point of the Stomach and Pericardium Gall Bladder Sanjiaochannels Point of the Window of Heaven Gall Bladder Point of the Sea of Qi Liver
Conception LOCATION LevelGoverning with the tip of and 1.5 cun lateral to the laryngeal prominence, in the depression between the anterior borExtra Points der of the sternocleidomastoid muscle and the lateral border of the thyroid cartilage. Note: the carotid artery lies just deep to, and can be readily palpated at, the anterior border of the sternocleidomastoid muscle. This point therefore lies between the carotid artery and the lateral border of the thyroid cartilage. LOCATION NOTE
i. Ask the patient to lie flat and remove any pillow. Palpate the laryngeal prominence, and then, laterally, the lateral border of the thyroid cartilage. A little more laterally than this, the carotid artery may be felt. Use the index finger of one hand to define and enlarge the space between the lateral border of the thyroid cartilage and the artery and needle into this space with the other hand; ii. In females the laryngeal prominence is not as pronounced as in males. If it is indistinct, palpate the depression formed by the lower border of the hyoid bone and the upper border of the thyroid cartilage at the midline. The laryngeal prominence lies just below this.
Perpendicular insertion 0.5 to 1 cun. Note: according to most
classical texts, this point is contraindicated to moxibustion. Caution: care should be taken to avoid puncturing the carotid artery which must be palpated and then held laterally during needling, by using the index finger and thumb of one hand, above and below the point. This needling method should not be attempted by those who have not had appropriate clinical supervision. ACTIONS
Regulates qi and blood and lowers rebellion
Benefits the throat and neck Alleviates pain INDICATIONS
Headache, dizziness, visual dizziness, red face, fullness of the chest, shortness of breath, asthma, sudden turmoil disorder, vomiting, pulseless syndrome, hypertension, hypotension. Swelling and pain of the throat, scrofula, goitre, difficulty in swallowing. Lumbar pain. COMMENTARY
Renying ST-9 is also known by its alternative name
Tianwuhui (Heavens Five Meetings). It is one of five points known as window of heaven (literally five regions of the window of heaven) points in the Spiritual Pivot5 which states headache due to rebellion of yang, Renying ST-9
sternocleidomastoid
thyroid cartilage
Renying ST-9 carotid artery
L. Intestine CONTENTS CONTENTS CONTENTS CONTENTS CONTENTS Stomach 2 Spleen
Index Index Names Index Points Index General General General Index Index Index Indications Indications Indications Index Index Index Point Point Point Names Names Names Index Index Index Glossary Glossary Glossary Points Points Points Index Index Index General IndexIndications Indications IndexPoint Point Names IndexGlossary Glossary Points IndexGeneral Previous Point Next Point Combinations Index Previous Previous Previous Point Point Next Next Point Point Point Combinations Combinations Combinations Index Index Index Stomach See Notes PreviousPoint Point Next Next PointChannel Combinations Index
Heart S. Intestine fullness of the chest with difficulty in breathing, choose Bladder Renying ST-9. Located in the pivotal neck region, Renying Kidney ST-9 dramatically illustrates the characteristic ability of thisPericardium group of points to re-establish harmony in the flow of qi between Sanjiao the body and the head. The rebellion of qi, which arises when the qi in the lower regions is disorGall Bladder dered and chaotic, may manifest in various ways. In the Liver head it gives rise to headache, dizziness and redness of the face;Conception in the neck region it stagnates giving rise to scrofula andGoverning goitre; in the middle and upper jiao it injures the normal Extradescent Points of Stomach and Lung qi and gives rise to vomiting, sudden turmoil disorder, wheezing, asthma and fullness of the chest. According to Zhou Zhi-congs commentary on the above passage from the Spiritual Pivot, the condition known as inversion qi (disordered, chaotic and rebellious qi) underlies the clinical manifestations of all the points of the window of heaven. One of the manifestations of inversion qi is sudden acute pain, and this echoes the important modern use of Renying ST-9 for acute lumbar sprain, as well as sprain and severe pain in any region of the body. The ability of Renying ST-9 to reorder rebellion and upsurge of qi also explains its strong action in reducing hypertension. According to the chapter Discourse On the Seas of the Spiritual Pivot6 Renying ST-9 (along with Shanzhong REN-17, Yamen DU-15 and Dazhui DU-14) is a point of the sea of qi. This passage gives the following indications for insufficiency and excess of the sea of qi When the sea of qi is in excess there is fullness in the chest, urgent breathing and a red complexion. When the sea of qi is insufficient, there is scanty energy insufficient for speech. The dual and overlapping properties of Renying ST-9 as a point of the sea of qi and a point of the window of heaven underline its importance in harmonising and redistributing disordered qi in the body. As long ago as the Yellow Emperors Inner Classic, observation and palpation of the pulse at Renying ST-9 was considered an important diagnostic method. The Essential Questions7 in discussing obstructed urination describes a pattern of heat in the body like charcoal, the neck and chest are obstructed as if separated, a restless and abundant pulse at Renying ST-9 and dyspnoea with counterflow qi. Elsewhere in the Essential Questions great diagnostic significance is ascribed to the relative strengths of the pulses at the wrist and at Renying ST-9, whilst Zhang Zhong-jing refers to three methods of pulse diagnosis (Renying ST-9 in the upper, the wrist pulse in the middle and Chongyang ST-42 in the lower). Because of the complications inherent in these methods, they were abandoned relatively early in the history of Chinese medicine in favour of focusing on the wrist pulse.
COMBINATIONS
Sudden turmoil disorder, headache, chest pain and
dyspnoeic rales: Renying ST-9, Neiguan P-6, Guanchong SJ-1, Sanyinjiao SP-6 and Zusanli ST-36 (Compilation). Scrofula: moxa Renying ST-9 and Shouwuli L.I.-13 thirty times (Thousand Ducat Formulas). Tinnitus with lumbar pain: first needle Renying ST-9, then needle Ermen SJ-21 and Zusanli ST-36 (Secrets of the Celestial Star). Hypertension: Renying ST-9, Quchi L.I.-11 and Zusanli ST-36. Hypertension: Renying ST-9, Baihui DU-20, Quchi L.I.-11 and Taichong LIV-3. Acute lumbar sprain or any acute pain: Renying ST-9 bilaterally or on the affected side.
