Acupoint+PC-6+(Nei+Guan)

** PC6 ** ** • **  **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:= <span style="font-family: Arial,Helvetica,sans-serif;">Abdominal Fullness **<span style="font-family: Arial,Helvetica,sans-serif;"> • ** <span style="font-family: Arial,Helvetica,sans-serif;">Abdominal Pain **<span style="font-family: Arial,Helvetica,sans-serif;"> • ** <span style="font-family: Arial,Helvetica,sans-serif;">Arm Contraction **<span style="font-family: Arial,Helvetica,sans-serif;"> • ** <span style="font-family: Arial,Helvetica,sans-serif;">Arm Pain **<span style="font-family: Arial,Helvetica,sans-serif;"> • ** <span style="font-family: Arial,Helvetica,sans-serif;">Asthma **<span style="font-family: Arial,Helvetica,sans-serif;"> • ** <span style="font-family: Arial,Helvetica,sans-serif;">Cardiac Arrhythmia **<span style="font-family: Arial,Helvetica,sans-serif;"> • ** <span style="font-family: Arial,Helvetica,sans-serif;">Cardiac Conditions **<span style="font-family: Arial,Helvetica,sans-serif;"> • ** <span style="font-family: Arial,Helvetica,sans-serif;">Cardiac Pain **<span style="font-family: Arial,Helvetica,sans-serif;"> • ** <span style="font-family: Arial,Helvetica,sans-serif;">Chest Discomfort **<span style="font-family: Arial,Helvetica,sans-serif;"> • ** <span style="font-family: Arial,Helvetica,sans-serif;">Chest Pain **<span style="font-family: Arial,Helvetica,sans-serif;"> • ** <span style="font-family: Arial,Helvetica,sans-serif;">Elbow Problems **<span style="font-family: Arial,Helvetica,sans-serif;"> • ** <span style="font-family: Arial,Helvetica,sans-serif;">Fever **<span style="font-family: Arial,Helvetica,sans-serif;"> • ** <span style="font-family: Arial,Helvetica,sans-serif;">Headache Migraine **<span style="font-family: Arial,Helvetica,sans-serif;"> • ** <span style="font-family: Arial,Helvetica,sans-serif;">Hiccough **<span style="font-family: Arial,Helvetica,sans-serif;"> • ** <span style="font-family: Arial,Helvetica,sans-serif;">Hypochondriac Region Pain **<span style="font-family: Arial,Helvetica,sans-serif;"> • ** <span style="font-family: Arial,Helvetica,sans-serif;">Hysteria **<span style="font-family: Arial,Helvetica,sans-serif;"> • ** <span style="font-family: Arial,Helvetica,sans-serif;">Insomnia **<span style="font-family: Arial,Helvetica,sans-serif;"> • ** <span style="font-family: Arial,Helvetica,sans-serif;">Jaundice **<span style="font-family: Arial,Helvetica,sans-serif;"> • ** <span style="font-family: Arial,Helvetica,sans-serif;">Malaria **<span style="font-family: Arial,Helvetica,sans-serif;"> • ** <span style="font-family: Arial,Helvetica,sans-serif;">Memory Impaired **<span style="font-family: Arial,Helvetica,sans-serif;"> • ** <span style="font-family: Arial,Helvetica,sans-serif;">Menses Irregular **<span style="font-family: Arial,Helvetica,sans-serif;"> • ** <span style="font-family: Arial,Helvetica,sans-serif;">Mental Disorders **<span style="font-family: Arial,Helvetica,sans-serif;"> • ** <span style="font-family: Arial,Helvetica,sans-serif;">Metabolic Disturbances **<span style="font-family: Arial,Helvetica,sans-serif;"> • ** <span style="font-family: Arial,Helvetica,sans-serif;">Nausea **<span style="font-family: Arial,Helvetica,sans-serif;"> • ** <span style="font-family: Arial,Helvetica,sans-serif;">Palpitations **<span style="font-family: Arial,Helvetica,sans-serif;"> • ** <span style="font-family: Arial,Helvetica,sans-serif;">Rectal Prolapse **<span style="font-family: Arial,Helvetica,sans-serif;"> • ** <span style="font-family: Arial,Helvetica,sans-serif;">Seizures **<span style="font-family: Arial,Helvetica,sans-serif;"> • ** <span style="font-family: Arial,Helvetica,sans-serif;">Stomach Pain **<span style="font-family: Arial,Helvetica,sans-serif;"> • ** <span style="font-family: Arial,Helvetica,sans-serif;">Surgical Pain Or Post Surgical Shock **<span style="font-family: Arial,Helvetica,sans-serif;"> • ** <span style="font-family: Arial,Helvetica,sans-serif;">Vomiting **<span style="font-family: Arial,Helvetica,sans-serif;"> • ** <span style="font-family: Arial,Helvetica,sans-serif;">Windstroke **<span style="font-family: Arial,Helvetica,sans-serif;"> • **

=Soulie De Morant Indications= 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. 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. 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. 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).
 * When tonified**:
 * Direct Effects:**
 * Opposite effects:**
 * Parts of the Body:**

=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
<span style="background-color: #ffffff; color: #646464; font-family: Arial,Helvetica,sans-serif; font-size: 12px;"> "acupuncture stimulation at P6 increased AchE (acetylcholinesterase) chemical reaction activity in the brain. <span style="background-color: #ffffff; color: #646464; font-family: Arial,Helvetica,sans-serif; font-size: 12px;"> 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.  <span style="background-color: #ffffff; color: #646464; font-family: Arial,Helvetica,sans-serif; font-size: 12px;"> 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." <span style="background-color: #ffffff; color: #646464; font-family: Arial,Helvetica,sans-serif; font-size: 12px;"> - // 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. //