ACC Acupoint Location and Classification Questions and Answers 1 — Questions and Answers
Question 1: A patient presents with acute nausea and anxiety. Which Luo-Connecting point, located 2 cun proximal to the transverse wrist crease between the tendons of palmaris longus and flexor carpi radialis, is most appropriate to needle?
- LU-7 (Lieque)
- LI-4 (Hegu)
- PC-6 (Neiguan) (Correct answer)
- HT-7 (Shenmen)
Correct answer: PC-6 (Neiguan)
PC-6 (Neiguan) is the Luo-Connecting point of the Pericardium channel and is renowned for its function of calming the Shen, harmonizing the Stomach, and relieving nausea and vomiting. Its location is precisely described as 2 cun above the wrist crease between the specified tendons. While other points have calming effects, PC-6 is the most specific and effective choice for this combination of symptoms.
Question 2: Which of the following acupoint categories is primarily used to treat disorders of the Zang-Fu organs, with each point corresponding to a specific organ and located on the Bladder meridian along the back?
- Front-Mu points
- Yuan-Source points
- Xi-Cleft points
- Back-Shu points (Correct answer)
Correct answer: Back-Shu points
Back-Shu points are located on the back along the Bladder meridian, where the Qi of the respective Zang-Fu organs is infused. They have a direct therapeutic effect on their corresponding internal organs and are often used for chronic conditions. Front-Mu points are on the chest and abdomen, Yuan-Source points relate to the primordial Qi of the organ, and Xi-Cleft points are for acute pain and bleeding.
Question 3: To locate LI-4 (Hegu), one should find the point on the dorsum of the hand, at the highest point of the muscle when which two digits are adducted?
- Index and middle finger
- Thumb and index finger (Correct answer)
- Ring and little finger
- Middle and ring finger
Correct answer: Thumb and index finger
LI-4 (Hegu) is located on the dorsum of the hand, between the first and second metacarpal bones. A common and simple way to find it is to squeeze the thumb and index finger together; the point is at the highest point of the muscular bulge that is formed.
Question 4: A chiropractor is treating a patient for chronic digestive issues and fatigue related to Spleen Qi deficiency. In addition to local abdominal points, which of the Five Shu points located on the Spleen channel would be most effective for tonifying the Spleen?
- The Jing-Well point
- The Ying-Spring point
- The Shu-Stream point (Correct answer)
- The He-Sea point
Correct answer: The Shu-Stream point
The Shu-Stream points of the yin channels are also the Yuan-Source points. Yuan-Source points are fundamental for tonifying their related Zang organ. Therefore, the Shu-Stream point of the Spleen channel, SP-3 (Taibai), is the primary distal point for tonifying Spleen Qi and treating related chronic digestive disorders and fatigue. Jing-Well points are for acute issues, Ying-Spring for heat, and He-Sea points for rebellious Qi and Fu-organ issues.
Question 5: When utilizing the 'Host-Guest' or 'Yuan-Luo' treatment method for a condition of excess in the Large Intestine channel (e.g., acute constipation, toothache), the practitioner would disperse the Yuan-Source point of the Large Intestine and tonify the Luo-Connecting point of which paired channel?
- Stomach Channel
- Lung Channel (Correct answer)
- Small Intestine Channel
- Pericardium Channel
Correct answer: Lung Channel
The Yuan-Luo method involves combining the Yuan-Source point of the primarily affected meridian with the Luo-Connecting point of its interiorly-exteriorly paired meridian. The Large Intestine (Yang) is paired with the Lung (Yin). Therefore, for an excess condition in the Large Intestine, one would disperse LI-4 (the Yuan-Source point) and tonify LU-7 (the Luo-Connecting point of the Lung channel).
Question 6: A patient complains of a stiff neck and headache at the base of the occiput. Which of the following is a key local point for this condition, located in the depression between the origins of the sternocleidomastoid and trapezius muscles?
- LI-4 (Hegu)
- GB-20 (Fengchi) (Correct answer)
- LU-7 (Lieque)
- ST-36 (Zusanli)
Correct answer: GB-20 (Fengchi)
GB-20 (Fengchi), or 'Wind Pool,' is a primary local point for neck pain, stiffness, and headaches, especially those affecting the occipital region. Its location is at the base of the skull, in the depression between the sternocleidomastoid and trapezius muscles. While other points like LI-4 can be used as distal points for head and neck issues, GB-20 is the most specific local point described.
ACC Acupoint Location and Classification Questions and Answers 1
A patient presents with acute nausea and anxiety.
Which Luo-Connecting point, located 2 cun proximal to the transverse wrist crease between the tendons of palmaris longus and flexor carpi radialis, is most appropriate to needle?