SI-4 Wangu (Shouwangu) (Hand Wangu) - Wrist Bone
| English: | Wrist Bone |
| Also Known As: |
Location
- On the ulnar border of the hand, in the depression between the base of the fifth metacarpal bone and the triquetral bone.
- Located on the ulnar border of the palm, in the depression between the fifth metacarpal bone and the hamate and pisiform bones.
- On the ulnar border of the palm, in the depression between the fifth metacarpal bone and the hamate bone.
- When the hand is clenched in a fist, this point can be found on the dorsal side of the hand at the ulnar aspect, in the hollow between the fifth metacarpus and the hamate and pisiform bones of the hand.
- When the hand is clenched in a fist, this point can be found on the dorsal side of the hand at the ulnar aspect, in the hollow between the base of fifth metacarpal bone and the triquetral bone.
Needling
- Perpendicular insertion 0.3 to 0.5 cun.
- Moxibustion is applicable.
- Straight insertion, 0.5 to 1 cun. Sensation: local distention and soreness, possibly extending to the palm.
Command Functions
- Yuan-Source point
Actions
- Activates the channel
- Alleviates pain
- Clears Heat
- Reduces swelling
- Clears Damp-Heat
- Treats jaundice
Indications
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Combinations
| SJ-3 | SI-11 | |
Contraction of the five fingers with inability to flex and extend | Pain in the shoulder and arm | Pain of the submandibular region giving rise to tinnitus and difficult hearing |
SI-5 | REN-12 | |
Toothache and tooth decay | Pain of the lateral costal region with inability to catch the breath | Spleen Deficiency jaundice |
M-BW-12 | ||
Cold-induced jaundice | Diabetes |
Contraindications
Notes
- This point is mainly used in the treatment of contraction, stiffness and pain along the entire length of the channel.
- It is one of the main points to treat diseases of the five fingers.
- This is a major point for Gall Bladder problems.
- This point has a special effect on Yang jaundice.
- For disorders of the Small Intestine organ itself, ST-39, REN-4 and UB-27 are preferred over SI-4.
Five Elements Spirit Perspective
| Spirit of the Point | Wrist Bone is a beautiful point and a safe one to use. The wrist is highly flexible, so we can both give out and take in, and that is creative. The point concerns our contact with the world outside: through it we take in, nurture, stay flexible and separate. If it is stuck, reaching out and touching become impossible. It lends the Small Intestine the structure and stability it needs to reach out, and helps relationships. As the Source point, it connects to Original Qi and brings calm and stability. It holds the essence of sorting on every level: without sorting there is congestion, with things kept inside that ought to be released. A healthy wrist reaches every way and receives from every side. The bone in the name points to structure: the Small Intestine needs some kind of framework to do its work, and this point helps it find that. |
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| Worsley | Location: On the ulnar border of the hand, in the dip separating the triquetral bone from the base of the 5th metacarpal. |
| When to Consider |
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From Class
- Spikenard: Oil that resonates with SI-4 Wangu; apply a drop on the point.