p6.jpgPC6 Nei Guan Pericardium 6
Inner Pass, Inner Frontier Gate, Internal Barrier
Luo Connecting Point on the Pericardium Channel to TW-4.
Master Point of the Yin Wei Mai
Special Command Point for the Thorax.

Location

2 cun above the transverse crease of the wrist between the tendons of palmaris longus and flexor carpi radialis

Point Summary

Unbinds The Chest
Regulates the Heart
Harmonizes the Stomach
Clears Heat
Opens the Yin Linking Vessel
Regulates Qi
Calms The Spirit
Alleviates Nausea and Vomiting

Needling

Depth:

0.3 - 0.5 cun

Technique:

Puncture Perpendicularly

Contraindications:

None

General Indications

Functions

opens the chest; harmonizes the ST; calms the spirit; regulates the liver and middle jiao; good point to treat LV invading the ST

Indications

angina pectoris; chest pain; stuffiness in chest; pain in hypochondrium; asthma; nausea or vomiting; opens the chest; stomachache; any kind of upper abdominal pain; spasms of the diaphragm; cough; seizures; hysteria; irritability, insomnia, nervousness

Special Notes

luo point; inner gate; master point; has a calming effect on the ST, diaphragm, chest - is the perfect point to treat these things; calming effect; with CV-12 for nausea; nausea from LR invading ST LR-3 or LR-14; with CV-17 for asthma

Diagnostic Indications:

Abdominal Fullness Abdominal Pain Arm Contraction Arm Pain Asthma Cardiac Arrhythmia Cardiac Conditions Cardiac Pain Chest Discomfort Chest Pain Elbow Problems Fever Headache Migraine Hiccough Hypochondriac Region Pain Hysteria Insomnia Jaundice Malaria Memory Impaired Menses Irregular Mental Disorders Metabolic Disturbances Nausea Palpitations Rectal Prolapse Seizures Stomach Pain Surgical Pain Or Post Surgical Shock Vomiting Windstroke

Soulie De Morant Indications

When tonified:
Tonifies all the Yin meridians, cerebellum, spinal cord; anterior elbow.
Disperses all the Yang meridians
Dispersing acts in the opposite way. Responds with gongsun (SP-4).
In general, main insufficiency of the Yin or Yang organs; also, excess of the heart, vessels, lungs.
Direct Effects:
Passage point between all the Yin meridians and all the Yang meridians. Tonifying causes the excess Yang to pass into the Yin (and vice-versa).
Command point of the "chain of Yin," Yin Wei Mai. If excess: circulatory trouble, pain in the heart, chest contracted; if insufficient: emptiness, vertigo; responds with gonsun (SP-4, command point of the attack vessel, chong mai: nervous contractions, passage between the stomach-intestines and the spleen-pancreas).
Loss of memory for words, loss of decision-will, anxiety, weakness, vertigo, grey fog in front of the eyes, lassitude, laziness, cold that does not stop.
Insomnia from fever caused by fatigue or emptiness.
Heart: insufficiency (troubles from emptiness, weakness, vertigo, grey fog, malaise), or myocarditis, endocarditis, pericarditis, pain in the heart and sides, circulatory troubles.
Hypertension (hard wrist pulse).
Intermittent fever, "can cure it by itself," fever of atonic tuberculosis.
Red eyes, congestion to the point of hemorrhage, troubled vision.
Sexual organs: placenta not descending.
Lungs: internal fullness of the chest, congestion, pain; all trouble from emptiness, with mucus and fever: tonify.
Opposite effects:
Stomach: insufficient, slow digestion: disperse; stomach swollen, painful: tonify; vomiting from emptiness: disperse; from gallbladder excess: tonify.
Intestines: all trouble from emptiness; to tonify "cures forever".
Acute pain: tonify.
Diarrhea: from weakness: disperse; from inflammation: tonify. Constipation from atony: disperse; from spasms: tonify. Rectal prolapse: disperse; hemorrhoids: tonify.
Bladder: irritating, painful urination: tonify.
Parts of the Body:
Head: stiff
Anterior elbow: painful, contracture or arthritis.
Wrist pulse hard, full; or arthritis.
Hand: palm hot; congested hand or pain; thumb: flexor pollicis longus; palmar and dorsal sides of fingers, median nerve.
Begin with neiguan (PC-6) for loss of memory, loss of words, mental troubles, anxiety or irrelevant laughter, epilepsy, stomach insufficiency causing indigestion or vomiting, atonic constipation, hemorrhoids, internal fullness - and finish with gongsun (SP-4).

Psycho-Spiritual Components

Takes thing further in, for a discrepancy between internal and external. Unites Yin and Yang, left and right, wonderful with a source point. Works to balance the heart and the mind, when there is order it reduces fear. There is a Taoist expression "Nei Guan" to examine oneself, heartfelt searching of inner world. When the person is out of touch with what they want out of life, gives connection and takes the person within them self. When this gate is working smoothly, the patient can see things more clearly, establishing a balance of the body and mind, increases coordination, reduces chaos. This point has a general calming effect on the fire element. Helps with heart and pericardium type of anxiety. This point is a messenger of the emperor who has access to the interior. It brings the mental and physical symptoms into line. Draws the physical symptom into the mind, getting to the heart of the matter, accesses the inner pathways of the spirit. Awareness of the deeper significance of what appears on the surface. Often used with PC-5, but perhaps not as deep. For anxiety and expression of the highest level, insomnia, palpitations of the heart, cardiac pain, fullness of the chest, difficulty with breathing, all stomach disorders, irregular menses - a heavy period one month, no period the next month. Excellent for sunstroke headaches, Summer Heat diseases, swelling of the abdomen, shock [JRW]

Together w/ TW-5, this point regulates the inner and outer aspects of illumination governed by the heart and fires of ming men. The virtues of this point have been discussed in Part 1 [of Chinese Medicine and the betrayal of intimacy, American Journal of Acupuncture, Vol. 23, No.1, 1995] [LJ]

Inner opening. To undertake a profound investigation of the inner landscape. Know thyself. Moves stagnation of the heart Qi and blood -esp. conditions of excess; shen disturbed, pain of shock and trauma. Has a direct calming effect on the heart and an indirect calming effect on the Liver, Lung and Stomach by moving stagnation. Sadness, depression, chest discomfort, painful sensations around the heart after ending a relationship; congested feeling in the chest, suppressed grief and withdrawal from life and relationships; prolonged frustration affecting the Liver and Gallbladder,; mania, fearful hysteria, seizures. Lacking direction: anxiety, exhaustion, weakness; little attention; loss of memory; communication problems; nervous contractions; vertigo, grey fog in front of the eyes, lassitude, laziness; deep cold. Insomnia aused y fatigue or emptiness; migraine [ALHIM]

Controller of all 8 extraordinary meridians (L)
Can release pressure around the heart
Needle thru to TW-5 to connect outer world with inner world, or if ready to start a new relationship

Research

"acupuncture stimulation at P6 increased AchE (acetylcholinesterase) chemical reaction activity in the brain.
AchE is an enzyme that converts the neurotransmitter acetylcholine into choline and acetate and plays an important role in synaptic transmission. The study shows that rats exposed to chronic mild stress (CMS) had significantly lower AchE activity in the hippocampus of the brain. It was discovered that acupuncture at P6 increased chemical reactivity of AchE in the hippocampus compared with the control group.
The researchers also conducted a passive avoidance test (PAT) to compare the biochemical findings with behavioral examination. The acupuncture group performed better than the control group for the PAT. The researchers concluded that acupuncture at P6 improves memory, increases AchE reactivity in the hippocampus and restores learning and memory after biochemical and behavioral impairments due to chronic mild stress."
-The effects of acupuncture (PC6) on chronic mild stress-induced memory loss. Hyunyoung Kima, Hyun-Jung Parkb, Hyun Soo Shimd, Seung-Moo Hanc, Dae-Hyun Hahmd, Hyejung Leed, Insop Shimd. Neuroscience Letters. Volume 488, Issue 3, 25 1-2011, p 225-228.