Yibian
 Shen Yaozi 
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acupointTongli
international codeHT5
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bubble_chart Category

Luo point.

bubble_chart Etymology

"Tong" (通), to connect or pass through; "li" (里) refers to Xuli (虛里, ST18) or heart. The acupoint belongs to hand shaoyin heart meridian (HT), which corresponds to the heart, hence the name.

bubble_chart Location

Tongli (HT5) acupoint
(adapted from "Meridians and Acupoints")
On polar side of forearm,1 cun above wrist crease (Shenmen (HT7) ), in the depression on the radial side of flexor carpi ulnaris tendon, 0.5 cun below Lingdao (HT4).
  • Lingshu-Jingmai: "Located 1 cun above the palm crease";
  • Xunjing Kaoxue Bian: "Directly below pisiform bone, 1 cun inward, between the large tendon and bone. Alternatively, 1 cun behind Shenmen (HT7)".

bubble_chart Anatomy

  • Muscle: between flexor carpi ulnaris tendon and flexor digitorum superficialis muscle, the deep layer is flexor digitorum profundus muscle.
  • Nerve: medial cutaneous nerve of forearm, and ulnar nerve on the ulnar side.
  • Vessel: ulnar artery.

bubble_chart Manipulation

Perpendicular insertion 0.3~0.5 cun. Moxibustion with moxa cone 1 to 3 times, moxibustion with moxa stick for 3 to 5 minutes.

bubble_chart Efficacy

Tranquilize mind and calm spirit, extinguish wind and harmonize the nutrient qi.

  • Classical: headache and dizziness, febrile diseases with restlessness and stifling, palpitation and severe anxiety, stiff tongue, pharyngitis, pain in the elbow and arm, wrist pain, menorrhea, enuresis, visceral agitation, menorrhagia and metrostaxis.
  • Modern: arrhythmia, atrial fibrillation, acute hyoid paralysis, neurasthenia, hysteria.

bubble_chart Combinations

  • Headache and dizziness: Tongli (HT5), Baihui (GV20).
  • Menorrhea: Tongli (HT5), Xingjian (LR2), Sanyinjiao (SP6).
  • Arrhythmias: Tongli (HT5), Xinshu (BL15).

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