Acupoint+TW-5+(Wai+Guan)

 **Wai Guan** **• **   **Triple Burner** **5**** • ** **10.5.233 ** //Outer Frontier Gate, Outer Pass, Barrier of the Yang// Luo Connecting Point to PC-7. Confluent Point of the Yang Linking Vessel. = = =Location= 2 cun above TW-4, between the radius and the ulna.

=Point Summary= //Expels Wind Benefits the Head Opens the Yang Linking Vessel Clears Heat Activates the Channel Alleviates Pain Firms the Exterior Releases the Exterior Benefits the Eyes// tonifies wei qi and opens hand; with GB-41 for shao yang problems; yang wei

=Needling=

Depth:
0.5 - 1.0 cun

Technique:
Puncture Perpendicularly

Contraindications:
None

=General Indications=

Functions
relieves exterior; facilitates circulation of stagnant qi in channels; very strong distal point on the channel (not including ear problems)

Indications
common colds (disperse); high fever (shao yang - half in and half out); tinnitus; temporal migraines; lateral stiff neck; hemiplegia (because master point of yang wei); pain in joints; controlling point for the hand and opens up qi circulation to the hand

Special Notes
master point of the yang wei meridian; paired confluent point of dai mai

=Diagnostic Indications:= Abdominal Pain ** • ** Arm Motor Impairment ** • ** Arthritis Shoulder ** • ** Chest Pain ** • ** Constipation **<span style="font-family: Arial,Helvetica,sans-serif;"> • ** <span style="font-family: Arial,Helvetica,sans-serif;">Deafness **<span style="font-family: Arial,Helvetica,sans-serif;"> • ** <span style="font-family: Arial,Helvetica,sans-serif;">Ear Disorders **<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;">Facial Pain **<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;">Fever High **<span style="font-family: Arial,Helvetica,sans-serif;"> • ** <span style="font-family: Arial,Helvetica,sans-serif;">Finger Pain **<span style="font-family: Arial,Helvetica,sans-serif;"> • ** <span style="font-family: Arial,Helvetica,sans-serif;">Hand Tremor **<span style="font-family: Arial,Helvetica,sans-serif;"> • ** <span style="font-family: Arial,Helvetica,sans-serif;">Headache **<span style="font-family: Arial,Helvetica,sans-serif;"> • ** <span style="font-family: Arial,Helvetica,sans-serif;">Hemiplegia **<span style="font-family: Arial,Helvetica,sans-serif;"> • ** <span style="font-family: Arial,Helvetica,sans-serif;">Hypertension **<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;">Neck Stiffness **<span style="font-family: Arial,Helvetica,sans-serif;"> • ** <span style="font-family: Arial,Helvetica,sans-serif;">Parotitis **<span style="font-family: Arial,Helvetica,sans-serif;"> • ** <span style="font-family: Arial,Helvetica,sans-serif;">Respiratory Disorders **<span style="font-family: Arial,Helvetica,sans-serif;"> • ** <span style="font-family: Arial,Helvetica,sans-serif;">Tinnitus **<span style="font-family: Arial,Helvetica,sans-serif;"> • **

=Soulie De Morant Indications= Tonifies all the Yang producers of energy, te three levels of the psyche, the three orans of sense, midbrain, spinal cord, sympathetic system, ear same side. Disperses all the Yin distributors of energy (makes the Yin pass into the Yang). Dispersing acts in the opposite way. Responds with opposite fengchi (GB-20) (sympathetic system). "To know only weiguan is important" Command point of all the Yang energy, of the chain of Yang (yangwei mai), which links all the meridians with Yang weakness. If excess: elbow contracted. If insufficient; weakness to the point of flaccidity of the upper limb. Passage point between the Yin and Yang meridians. Causes the excess of one to pass into the insufficiency of the other; acts on the Yang. All trouble from external temperature, or from changes of weather. Heat: headache, congestive eruptions, swelling: disperse. Cold: weakness, skin trouble, pruritis: tonify. Storm: neuralgic or congestive headache: disperse; loss of vitality: disperse. Wind or dryness: pain, neuralgia, asthma: disperse. Snow or humidity: rheumatism, loss of strength: tonify. Sweats without reason, at night, body burns. Eye same side: lateral muscles (medial opposite); all troubles of the eye: swelling, red pupils (glaucoma?). Ear opposite: great buzzing, hears nothing due to deafness from rheumatism. Nose: chronic coryza. Opposite parotid: inflammation, mumps. Opposite teeth and tongue. Lateral neck and mastoid area: swelling Nape and back, same side: bones and muscles painful, stiff. Upper limb same side, joints, elbow contracture, elbow and wrist: pain; wrist and dorsum of hand: flaccidity or contracture; five fingers: painful points. Start with this point for these troubles; if the result is inadequate, end with foot-linqi (GB-41)
 * When tonified**:
 * Direct Effects:**
 * Parts of the Body:**

=Psycho-Spiritual Components= The outer frontier gate shows the importance of **harmony between our internal environment and our external environment**. It opens the gate between them, balancing the two functions. A source of power and mental strength. The triple burner can be thought of as a social ambassador going out to and reaching out to the world giving a wider point of view on things, harmonizing our view of the world. The "Outside Opening" opens the passage which tie our internal experience to our external environment - it is through our interactions with the world around us that we widen our horizons and cultivate a more complete understanding. This point can be helpful in all matters which relate to the way in which we are connected to the world outside, the way in which we reach out and make connections with others **Good for the person who has problems with relationships**. This point allows the love of the emperor to be shared, balancing the two worlds. A useful correspondence between the inner experience and the outer world of circumstances, the way things manifest in our lives. **Does the face we present to the world express what we are feeling, and the person we wish to be? There needs to be clarity about our intentions if we wish to take responsibility for things which are larger than ourselves, social responsibility**. The consequences of dishonesty are painful. Does the patient feel that they are in alignment with their inner self, or have they strayed trough influence or pressure from others into a life situation which does not feel right? This point can help with conditions which are the expression of a conflict between the inner and outer worlds, we can bring them together in order to resolve differences. Has a big effect on al the sense, especially in the person who is mentally shutting the gate, refusing to relate, does not want to see, know, hear. A person may have shut the gate when it's too much effort to join in and be part of what's going on. **TW-5 and PC-6 work well together,** one point on each arm according to the difficulty. **Problems which arise from a lack of warmth in relationships, instability in relationships; looking for excitement rather than intimacy; regulates the outflow of energies; for people who jump into relationships; difficulties which arise when other people are the problem**. Mental instability, excess internal pressures; suicidal tendencies; difficulty with others results in a pain in the guts. Migraine, irritability, touchy tense impatient. **Feeling of unreality, alienation, uncertainty. Violent fear. Helpful in childbirth**. Powerful in dealing wit heat in a person, first aid point for fever - fire can be blown away by fever. [JRW]

Together with PC-6, this point regulates the inner or outer aspects of illumination governed by the heart and fires of mingmen. One virtue of the **luo points on the Yang meridians** is that they are able to drain the external pathogen that harms their associated element. Hence, TW-5 relieves exterior and hot conditions. In this respect, TW-5 is like a gate that **may vent internal pressure and relieve the entire continuum of function** represented by the fire officials [LJ]

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