Hand Therapy Acupuncture

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Acupuncture for hand therapy includes acupuncture at regular and extra acupoints of the hand, acupuncture at reflective points of the hand, acupuncture at reflective areas of the hand, and acupuncture at special acupoints beside the second metacarpal bone. The regular and extra acupoints of the hand for hand therapy have been mentioned in Chapter 2.

1. Acupuncture at reflective points:
Acupuncture at reflective points of the hand is a type of hand therapy used to prevent and treat various diseases. According to traditional Chinese medicine, the human body is composed of Zangfu organs, meridians, five sense organs with nine orifices, four limbs, and hundreds of bones. The hands are closely related to Zangfu organs and meridians.
1) Common reflective points for acupuncture on the hand and their indications (Figs. 28 and 29):
(1) Waist point:
Location: Five cm distal to dorsal crease of wrist, on the radial side of tendon of the second digital extensor muscle and on the ulnar side of tendon of the fourth digital extensor muscle.
Indications: Lumbago and muscular sprain of waist.
(2) Hypertensive point:
Location: At the midpoint of dorsal crease of wrist.
Indication: To reduce blood pressure.
(3) Spine point:
Location: On the ulnar side of metacarpophalangeal joint of little finger and on the dorsopalmar boundary of hand.
Indications: Lumbago, muscular sprain of waist, and tinnitus.
(4) Ischium point:
Location: Between the fourth and fifth metacarpophalangeal joints and near the former joint.
Indications: Neuralgia, sciatica, and hip joint pain.
(5) Throat point:
Location: Between the third and fourth metacarpophalangeal joints and near the former joint.
Indications: Sore throat, toothache, and trigeminal neuralgia.
(6) Neck point:
Location: Between the second and third metacarpophalangeal joints and near the former joint.
Indications: Stiff neck and pain in neck and nape.
(7) Shoulder point:
Location: On the radial side of the second metacarpophalangeal joint and on the dorsopalmar boundary of hand.

Indications: Shoulder pain.
(8) Eye point:
Location: On the ulnar side of interphalangeal joint of thumb and on the dorsopalmar boundary of hand.
Indications: Eye diseases.
(9) Forehead point:
Location: On the radial side of proximal interphalangeal joint of index finger and on the dorsopalmar boundary of hand.
Indications: Frontal headache, diseases of stomach and intestines, and knee and ankle joint pain.
(10) Parietal head point:
Location: On the radial side of proximal interphalangeal joint of middle finger and on the dorsopalmar boundary of hand.
Indications: Parietal headache.

(11 ) Temporal head point:
Location: On the ulnar side of proximal interphalangeal joint of ring finger and on the dorsopalmar boundary of hand.
Indications: Migraine and chest and flank pain caused by diseases of the liver and gallbladder.
(12) Occipital head point:
Location: On the ulnar side of proximal interphalangeal joint of little finger and on the dorsopalmar boundary of hand.
Indications: Occipital headache and tonsillitis.
(13) Hiccup point:
Location: At the midpoint of dorsal crease of distal interphalangeal of middle finger.
Indications: Hiccups.
(14) Heel point:
Location: At the midpoint of a connecting line between stomach and intestine point and Daling (PC 7) acupoint.
Indications: Heel pain.
(15) Tonsil point:
Location: On the palm and at the midpoint of ulnar border of the first metacarpal bone.
Indications: Tonsillitis and laryngitis.
(16) Stomach and intestine point:
Location: At the midpoint of a connecting line between Laogong (PC 8) and Daling (PC 7) acupoints.
Indications: Various diseases of the stomach and intestines.
(17) Ankle point:
Location: On the radial side of metacarpophalangeal joint of thumb and on the dorsopalmar boundary of hand.
Indication: Ankle joint pain.
(18) Kidney (bed-wetting) point:
Location: On the palmar surface and at the midpoint of distal interphalangeal crease of little finger.
Indications: Bed-wetting at night and frequent urination.
(19) Spleen point:
Location: On the palmar surface and at the midpoint of interphalangeal crease of thumb.
Indications: Digestive system diseases.
(20) Triple energizer point:
Location: On the palmar surface and at the midpoint of proximal interphalangeal crease of middle finger.
Indications: Chest and abdomen diseases.
(21) Heart point:
Location: On the palmar surface and at the midpoint of distal interphalangeal crease of middle finger.
Indications: Cardiovascular diseases.
(22) Liver point:
Location: On the palmar surface and at the midpoint of proximal interphalangeal crease of ring finger.
Indications: Liver and gallbladder diseases.
(23) Lung point:
Location: On the palmar surface and at the midpoint of distal interphalangeal crease of ring finger.
Indications: Respiratory system diseases.
(24) Chest point:
Location: On the radial side of interphalangeal joint of thumb and on the dorsopalmar boundary.
Indications: Chest pain, vomiting, and diarrhea.

(25) Cough and asthma point:
Location: On the palmar surface and on the ulnar side of proximal interphalangeal joint of index finger.
Indications: Bronchitis and bronchial asthma.
(26) Toothache point: Same as throat point.
2) Acupuncture methods at reflective points:
(1) Needles 3 cm in length are used to do acupuncture.
(2) After sterilization of local skin, the needles are inserted vertically or obliquely for 1-1.6 cm in depth toward the opposite surface of hand; and after application of medium stimulation, the needles are retained for 3-5 minutes.

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