Verscienta
HT5

Tongli

Star

通里 (Tōnglǐ) — Connecting Li

Heart channel · point 5

Not yet clinically reviewed

Luo-Connecting point

Traditionally used for

  • Urinary & fluids
  • Mood & calm
  • Heart & circulation

Location

On the anteromedial aspect of the forearm, radial to the tendon of flexor carpi ulnaris, 1 cun proximal to the palmar wrist crease (HT7).

How to locate: Use the proximal border of the pisiform rather than the variable wrist crease to find HT7 on the radial side of the flexor carpi ulnaris tendon; the point is 1 cun above HT7 on the same side of the tendon.

Distances are in cun, a proportional unit — how to measure.

Body map, front: HT5 · Wrist
Fig. — HT5 · Wrist After Albinus, 1747
Body map, front: HT5 · Wrist

HT5 · Wrist · Albinus, Tabulae sceleti et musculorum, 1747

Bones of the hand, dorsal — Gray's Anatomy plate
Bones of the hand, dorsal Gray's Anatomy, 1918
Bones of the hand, dorsal — Gray's Anatomy plate

Bones of the hand, dorsal · Gray's Anatomy, 1918

3D view

Approximate placement, carried over from our 2D body map onto a single adult male model (BodyParts3D) and checked against the point's location text. Shown on one side of the body. Locate the point on your patient by the location text and palpation, not by this model.

Cun on this part of the body
From the cubital crease to the wrist crease: 12 B-cun (WHO 2008, General Guidelines, Proportional Bone (Skeletal) Measurements, p. 12). On the model, the cubital crease = line between the humeral epicondyles. On the model, the wrist crease = line between the radial and ulnar styloid tips.
Needle angle and depth
  1. Perpendicular (90° to the skin), 0.3–0.5 cun. Deadman P, Al-Khafaji M, Baker K, p. 216
  2. Oblique (45° to the skin), 0.5–1 cun, proximal or distal. Deadman P, Al-Khafaji M, Baker K, p. 216

3D anatomy: BodyParts3D, © The Database Center for Life Science licensed under CC Attribution 4.0 International (licence). Subset, simplified and recoloured by Verscienta — changes and licence details.

Needling

Cited needling

Techniques — the source gives these as alternatives:

  1. Perpendicular insertion
    Depth 0.3–0.5 cun
    skindeeper
  2. Oblique insertion — proximal or distal
    Depth 0.5–1 cun
    skindeeper

Depths describe average adult habitus in the cited population, never a single safe number for the patient in front of you. Palpate and adjust.

Sources (1)
  1. Deadman P, Al-Khafaji M, Baker K. A Manual of Acupuncture. Hove: Journal of Chinese Medicine Publications; 1998 — p. 216 Supports: techniques (names this point)

Site notes · not cited

Depth: 0.3–0.5 cun
Angle: Perpendicular

Functions

  • Regulates and strengthens Heart qi and the Heart rhythm
  • Calms the spirit
  • Benefits the tongue and the voice
  • Regulates the Bladder
  • Opens the channel and the luo-connecting vessels

Indications

Palpitations and irregular heartbeatsudden loss of voice and difficulty speakingstiffness of the tongue after strokeanxiety and depressionenuresis and frequent urinationwrist and arm pain

Balance Method partners

Under Dr. Tan's six systems, HT5 at the wrist balances these channels at the regions its segment images.

  • 1. Same Chinese name
    Kidney channel
    Ankle, Heel · Mirror (arm ↔ leg)
    Hip & groin, Buttock · Reversed mirror
    Front of neck, Nape of neck · Image, head at the hand/foot
    Lower abdomen, Sacrum · Image, head toward the elbow/knee
    Solve for the Kidney channel →
  • 2. Branching (Bie Jing / Zang Fu Bie Tong)
    Gallbladder channel
    Ankle, Heel · Mirror (arm ↔ leg)
    Hip & groin, Buttock · Reversed mirror
    Front of neck, Nape of neck · Image, head at the hand/foot
    Lower abdomen, Sacrum · Image, head toward the elbow/knee
    Solve for the Gallbladder channel →
  • 3. Interior–exterior pair
    Small Intestine channel
    Wrist · Same segment, opposite side
    Front of neck, Nape of neck · Image, head at the hand/foot
    Lower abdomen, Sacrum · Image, head toward the elbow/knee
    Solve for the Small Intestine channel →
  • 4. Chinese clock opposite
    Gallbladder channel
    Ankle, Heel · Mirror (arm ↔ leg)
    Hip & groin, Buttock · Reversed mirror
    Front of neck, Nape of neck · Image, head at the hand/foot
    Lower abdomen, Sacrum · Image, head toward the elbow/knee
    Solve for the Gallbladder channel →
  • 5. Chinese clock neighbour
    Spleen channel
    Ankle, Heel · Mirror (arm ↔ leg)
    Hip & groin, Buttock · Reversed mirror
    Front of neck, Nape of neck · Image, head at the hand/foot
    Lower abdomen, Sacrum · Image, head toward the elbow/knee
    Solve for the Spleen channel →
  • 6. Same channel
    Heart channel
    Wrist · Same segment, opposite side
    Front of neck, Nape of neck · Image, head at the hand/foot
    Lower abdomen, Sacrum · Image, head toward the elbow/knee
    Solve for the Heart channel →

Clinical Notes

The principal point for speech disorders of Heart origin — aphasia after stroke, and sudden voice loss.

Similar Points

Ranked by shared patterns and conditions

Dazhui how are these connected? (Dazhui) Neiguan how are these connected? (Neiguan) Qihai how are these connected? (Qihai) Tanzhong how are these connected? (Tanzhong) Xinshu how are these connected? (Xinshu) Jianli how are these connected? (Jianli)

Sources

  • World Health Organization. WHO Standard Acupuncture Point Locations in the Western Pacific Region. Manila: WHO Regional Office for the Western Pacific, 2008. (Location.)
  • Focks C, ed. Atlas of Acupuncture. Edinburgh: Churchill Livingstone Elsevier, 2008. (Locating method and actions.)

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