Large Intestine Channel

1
SHOUSANLI L.I.-10
Arm Three Miles
LOCATION
On the radial side of the forearm, 2 cun distal to
Quchi L.I.-11, on the line connecting Quchi L.I.-11
with Yangxi L.I.-5.
LOCATION NOTE
i. Locate with the elbow flexed and with the radial side of
the arm upwards; ii. First locate Shanglian L.I.-9, then
locate Shousanli L.I.-10 one cun proximal to it; iii. This
point is usually significantly tender to palpation.
NEEDLING
Perpendicular or oblique insertion 0.5 to 1.5 cun.
ACTIONS
Regulates qi and blood, activates the channel and
alleviates pain
Harmonises the intestines and Stomach
INDICATIONS
Pain and immobility of the arm and shoulder,
windstroke, paralysis of the arm, numbness of the
arm, atrophy disorder, hemiplegia, contraction and
inflexibility of the elbow, lumbar pain with inability
to lie down.
Abdominal pain, vomiting and diarrhoea, periodic
sensation of cold in the intestines, sudden turmoil
disorder.
Toothache with swelling of the cheek, deviation of
the mouth, loss of voice, scrofula.
COMMENTARY
Shousanli L.I.-10 (Arm Three Miles), just distal to the
elbow joint, mirrors the location of Zusanli ST-36 (Leg
Three Miles) on the leg and shares its name. Although
both points have the action of harmonising the Stomach
and intestines, this is a secondary and relatively minor
action of Shousanli L.I.-10.
Yangming channels are abundant in qi and blood
10
,
and in the same way that Zusanli ST-36 is a primary point
to treat disorders of the lower limb, the main clinical
application of Shousanli L.I.-10 is to invigorate and regu-
late the circulation of qi and blood in the upper limb as a
whole. It is much used in the treatment of both atrophy
disorder and painful obstruction, as well as pain, immo-
bility and numbness of the arm, in which case it is often
combined with such points as Jianyu L.I.-15 and Hegu
L.I.-4 in the chain and lock point combination method.
Shousanli L.I.-10 is often alternated with Quchi L.I.-11 in
the treatment of chronic and long-standing disorders of
the channels such as hemiplegia and atrophy disorder, to
avoid over-needling the same few points. Shousanli L.I.-10
is also often clinically combined with Quchi L.I.-11 as an
adjacent point for diseases of the elbow, particularly
tennis elbow.
As far as the treatment of toothache is concerned, Zhu
Dan-xi of the Jin-Yuan dynasty recommended applying
moxibustion to Shousanli L.I.-10 for toothache of the
upper jaw (and to Sanjian L.I.-3 for toothache of the lower
jaw)
11
.
COMBINATIONS
Stubborn numbness of both forearms: Shousanli
L.I.-10 and Shaohai HE-3 (One Hundred Symptoms).
Pain of the forearm: Shousanli LI-10, Quchi LI-11 and
Houxi SI-3 (Supplementing Life).
Soreness and pain of the elbow and forearm with
difficulty in extending and flexing: Shousanli L.I.-10
and Pianli L.I.-6 (Supplementing Life).
Contraction and inability to extend the arm and
elbow: Shousanli L.I.-10 and Zuqiaoyin GB-44
(Supplementing Life).
Head wind, visual dizziness and stiffness of the nape
of the neck: Shousanli L.I.-10, Shenmai BL-62 and
Jinmen BL-63 (Miscellaneous Diseases).
Scrofula: Shousanli L.I.-10, Shaohai HE-3, Tianchi
P-1, Zhangmen LIV-13, Zulinqi GB-41, Zhigou SJ-6,
Yangfu GB-38 and Jianjing GB-21 (Great
Compendium).
2 cun 10 cun
Yangxi L.I.-5
Quchi L.I.-11
Shousanli L.I.-10
Combinations Index
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CONTENTS
Lung
L. Intestine
Stomach
Spleen
Heart
S. Intestine
Bladder
Kidney
Pericardium
Sanjiao
Gall Bladder
Liver
Conception
Governing
Extra Points
See Notes
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