SJ-4 Yangchi - Yang Pond

More Spirit Names: Yang Pool, Divergent Yang

English:	Yang Pool
Also Known As:	Yang's Pool Yang Pond Pool of Yang

Location

• On the transverse crease of the dorsum of the wrist, in the depression lateral to the tendon of m. extensor digitorum communis.
• With the palm facing downward, located the junction of the ulna and carpal bones in the depression lateral to the tendon of the extensor digitorum muscle.
• With the hand supine, this point can be found directly above the transverse crease on the dorsal surface of the wrist, in a hollow above the third and fourth metacarpal bones, between the tendon of the extensor digitorum and tendon of the extensor digiti minimi manus muscles.
• On the dorsum of the hand at the level of the wrist joint, in the depression between the tendon of the extensor digitorum and tendon of the extensor digiti minimi.
• At the junction of the ulna and carpal bones in the depression lateral to the tendon of m. extensor digitorum communis.

Needling

• Puncture perpendicularly 0.3 to 0.5 cun.
• Moxibustion is applicable.
• Straight insertion, 0.3 to 0.5 cun. Sensation: local distention and soreness, sometimes extending to the middle finger.
• Transverse insertion, needle pointed across the wrist, 0.5 to 1 cun, for diseases of the wrist. Sensation: distention and soreness possibly throughout the wrist.
• Slightly oblique proximal insertion0.3 to 0.5 cun.
• Transverse insertion towards the radial side of the wrist beneath the tendons, 0.5 to 1 cun.

Command Functions

• Yuan-Source point

Actions

• Relaxes the sinews
• Alleviates pain
• Removes obstructions from the channel
• Clears Heat
• Regulates the Stomach
• Promotes transformation of fluids
• Benefits Yuan Qi
• Tonifies the Chong and Ren channels

Indications

Pain in the arm, shoulder and wrist Pain in the shoulder and back Malaria Deafness Thirst Bi syndrome of the arm and shoulder Occipital headaches due to Wind-Cold Irregular menstruation Painful menstruation Amenorrhea Swelling and pain of the neck Redness and swelling of the wrist Wasting and thirsting disorder Diabetes Inability to grasp Inability to raise the arm Shivering Nervousness Difficulty moving the wrist Arthritis of the wrist joint Contusion or sprain of the wrist or hand The more one drinks, the thirstier one gets Nervous spasms and paralysis of the forearm muscles

Tonsillitis Common cold Fatigue Tidal fevers Throat Bi Dry mouth Chest discomfort Eye redness and swelling Pain and diseases of the soft tissues of the wrist Pain and weakness of the wrist Febrile diseases without sweat Dry mouth with agitation and oppression Heart pain with fullness of the chest General lack of stability Facial spasms Alternating fever and chills Dull pain in the wrist Rheumatic pain of the wrist Fracture or dislocation of the wrist Yin or Yang malaria Retroversion of the uterus Displacement of the uterus Degenerative diseases Cold fingers

Combinations

ST-42 Chongyang	UB-64 Jinggu	PC-7 Daling M-UE-50 Shangbaxie M-UE-9 Sifeng
Regulates and tonifies the Stomach	Dampness Accumulating in the Lower Jiao	Arthritis of the wrist, fingers and bones of the hand
UB-12 Fengmen UB-10 Tianzhu DU-14 Dazhui	LI-11 Quchi LU-5 Chize LI-4 Hegu SJ-3 Zhongzhu
Hot or cold headache without sweating	Contraction of the arm with tightness of the sinews of both hands resulting in the inability to open the hands

• SJ-4 + UB-22 + UB-39: regulates water metabolism (Yuan-Source, Back-Shu and Lower He-Sea points of the San Jiao)

Contraindications

Notes

• This is an important point to strengthen Yuan (Original) Qi.
• It has a special effect on rheumatism of the wrist.
• It is also effective in regulating the Chong and REN channels in the treatment of menstrual disorders.
• In clinical practice, it is principally used to treat local disorders of the wrist joint.
• This is known in some circles as the return to calm point.
• This point deals with the first ripples of distress or strain.
• This point can be needled through to PC-7 Daling.
• SJ-4 reaches all three Jiao: on its own for the Upper Burner (head, Wind), with ST-42 for the Middle Burner and with UB-64 for the Lower Burner.