Sundance Acupuncture

Herb & Acupuncture Database

(This is my own personal database of teachers, teachings and notes that I use in my practice. I’ve decided to share it freely with anyone who would like to reference it.)

SJ-3 Zhongzhu - Middle Islet

More Spirit Names: Lower Metropolis

English: Central Islet
Also Known As: Middle Island
Middle Islet
Center Island
Middle of the Pond

Location

  • With the hand lying prone, this point can be found between the fourth and fifth metacarpal bones, in the hollow behind the metacarpophalangeal joints.
  • When the fist is clenched, the point is on the dorsum of the hand between the fourth and fifth metacarpal bones, in the depression proximal to the fourth metacarpophalangeal joint.
  • With the palm facing downward, the point is located on the back of the hand between the fourth and fifth metacarpal bones, in the depression proximal to the metacarpophalangeal joint.
    Note: this point may be located at the apex of the equilateral triangle formed by this point and the prominences of the metacarpophalangeal joints of the ring and little fingers.

Needling

  • Straight insertion, or slanted toward the wrist, 1 to 1.5 cun. Sensation: local distention and soreness, sometimes extending to the fingertips or forearm, or an electric, numb sensation reaching the fingertips.
  • Puncture perpendicularly 0.3 to 0.5 cun.
  • Moxibustion is applicable.
  • Perpendicular or oblique insertion directed proximally, 0.5 to 1 cun.

Command Functions

  • Shu -Stream (Transporting) point
  • Wood point
  • Mother point
  • Tonification point

Actions

  • Facilitates the circulation of Qi
  • Benefits the ears
  • Clears Heat
  • Clears the head and eyes
  • Activates the channel
  • Alleviates pain
  • Expels Wind
  • Lifts the Mind
  • Rule disorders of the back and shoulders
  • Regulates the Shao Yang
  • Subdues Liver Yang

Indications

  • Deaf-mutism
  • Tinnitus
  • Deafness
  • Headache
  • Pain in the shoulder, scapula and back
  • Intercostal neuralgia
  • Malarial disorders
  • Fever with sweating
  • Dizziness
  • Febrile disease without sweat
  • Vertigo with headache
  • Alternating raging and subsiding fevers
  • Pain in the middle of the back
  • Excess Heat in one part of the body and Cold in another
  • Earache
  • One-sided headache
  • Pain in the temples
  • Superficial visual obstruction
  • Numbness of the lower limbs
  • Pain of the spine at the level of the Heart
  • Mood swings
  • Depression
  • Acute sprain of the lower lumbar area
  • Pharynx and larynx swollen and painful
  • Arthritis of the fingers
  • Motor impairment of the fingers
  • White membrane covering the conjunctiva
  • Torticollis
  • Dizziness
  • Pain and weakness in the shoulder, back, elbow and arm
  • Inability to bend fingers
  • Blurred vision
  • Redness and pain of the eyes
  • Sore throat
  • Febrile diseases
  • Pain in the elbow and arm
  • Motor impairment of the fingers
  • Conjunctivitis
  • Otitis media
  • Blocked ears due to altitude change
  • Nasal congestion
  • Dry throat
  • Throat Bi
  • Itching of the body and face
  • Red face
  • Red face with absence of sweating
  • Febrile disease with headache
  • Chills and fever
  • Aversion to Wind and Cold
  • Chronic malaria
  • Mania
  • Frontal headaches
  • Upper arm neuralgia
  • Upper arm myositis
  • Neuralgia of the shoulder and scapula
  • One-sided acute lumbar sprain (needle on the same side)
  • Hypertension

Combinations

SJ-21
Ermen
SJ-17
Yifeng

SJ-2
Yemen

LI-1
Shangyang

GB-40
Qiuxu

Tinnitus and deafness

Red and swollen arm

Chronic tidal fevers

KI-3
Taixi

GB-15
Toulinqi

SI-17
Tianrong
SI-19
Tinggong
GB-2
Tinghui

Swollen throat

Visual dizziness

Deafness and tinnitus

SI-19
Tinggong
GB-2
Tinghui
SJ-21
Ermen
DU-20
Baihui
UB-8
Luoque

LI-5
Yangxi
SI-2
Qiangu
SI-3
Houxi
SI-4
Wangu
SJ-2
Yemen
LI-1
Shangyang
UB-23
Shenshu

SJ-5
Waiguan
SJ-22
Erheliao
GB-2
Tinghui
SI-19
Tinggong
LI-4
Hegu
LI-1
Shangyang
PC-9
Zhongchong

SJ-1
Guanchong
SJ-2
Yemen
SI-16
Tianchuang
LI-5
Yangxi

Tinnitus

Deafness

Ear pain, deafness and tinnitus

SJ-6
Zhigou
ST-44
Neiting

KI-3
Taixi

LI-1
Shangyang
GB-40
Qiuxu

Throat pain

Swelling of the throat

Chronic malaria

KI-19
Yindu
HT-3
Shaohai
LI-1
Shangyang
LI-3
Sanjian

SP-3
Taibai

LI-11
Quchi
LI-10
Shousanli
SJ-5
Waiguan

Malaria with generalized fever

Difficulty defecating

Inability to bend the elbow and fingers

LI-11
Quchi
SJ-1
Guanchong
LI-10
Shousanli

SI-5
Yanggu
LU-5
Chize

SI-4
Wangu

DU-20
Baihui

Pain and sometimes Cold of the elbow

Contractions of the five fingers with inability to flex and extend

Depression from Liver Qi Stagnation

GB-43
Xiaxi

Shao Yang headache

Migraine with Heat symptoms

Migraine with tinnitus

Contraindications

Notes

  • This is an important point for ear problems.
  • It is known as "the warm joy" point.
  • This is an extremely effective point for depression.
  • It affects the thyroid and the pancreas.
  • It is used in emergencies for exhaustion.
  • This is one of the best mental points on the body.
  • This point has a powerful sedative effect.
  • It is a good point for acute sprain of the lower lumbar area (needle on the same side).
  • It is a major distal point for the arms, elbows, shoulders, neck and back. The effected area should be moved while the needle is being manipulated.
  • It may be used in place of SJ-2 Yemen for laryngitis, pharyngitis, red eyes, tinnitus, and deafness.
  • This point dispels Heat from the outer canthus of the eye, side of the head and throat..

Five Elements Spirit Perspective

Spirit of the Point

Of all Wood points this is the Wood point, for the Fire that is the Fire of all Fires, and not used nearly enough. Middle is the middle way, the balanced way; an islet is surrounded by water. Wood must always be on hand for the Three Heater so the Fire and warmth inside us can stay uniform, and this point is a major link to the way plans and decisions get made. It brings Wood energy into the Fire and works powerfully on the mental level: among the body's finest points for the mind, helping getting well to be born. It gives the Official flexibility in meeting the needs of others and harmonizing them. It is a central clearing house for information, drawing on the mother, Wood, to fuel the Fire; with too much or too little Wood the result is raging heat or cold.

Worsley

Ensures that every aspect of us is reached by love, passion and energy at a highly concentrated level.

Location: On the back of the hand, just behind (proximal to) the 4th metacarpal head, toward the ulnar side of that bone.
Needle depth: 3 fen
Moxa: 3-5 cones

When to Consider
  • When a person cannot say no
  • When there is exhaustion or a lack of joy and the person needs hope and vitality
  • When moods swing suddenly and the Three Heater runs hot one moment and cold the next
  • When the person is depressed and the spirit needs lifting
  • When the Fire is too high from too much Wood, or there is too little Wood and the Official needs connecting with its mother
  • For hopelessness: it plants seeds of small things to do right now that bring joy into the present moment
  • When a person has trouble grasping things, physically or in spirit
Combinations
  • DU-20 One Hundred Meetings with SJ-3: lifts a depressed person's spirits
Notes
  • Wood point, Stream point and Tonification point of the Three Heater
  • Use this point a lot
  • Traditionally a first aid point for exhaustion
  • Excellent for strengthening or balancing Fire
  • Zhong, middle, can be read as the Source Qi that the Three Heater moves, and the islet as its rule over the waterways, since an island can steer the flow of water

From Class

  • SJ-16, SJ-2, SJ-3: San Jiao points chosen for a case; teach family members acupressure on chosen points daily. (Gioioso)

For educational reference only; not a substitute for care from a qualified practitioner.