LI6

Pianli

Star

偏歷 (Piānlì) — Veering Passage

Large Intestine channel · point 6

Not yet clinically reviewed

Luo-Connecting point

Traditionally used for

  • Ears & hearing
  • Nose & throat
  • Urinary & fluids

Location

On the posterolateral aspect of the forearm, on the line connecting LI5 and LI11, 3 cun proximal to the dorsal wrist crease — the junction of the lower quarter and upper three-quarters of that line.

How to locate: With the elbow flexed and the forearm in mid-position, measure 3 cun (one hand-breadth) up from LI5 in the anatomical snuffbox along the line to LI11. Alternatively, cross the thumb webs of both hands with one index finger on the opposite radial styloid and lay the middle finger beside it: the middle fingertip falls on the point.

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

Body map, front: LI6 · Forearm
Fig. — LI6 · Forearm After Albinus, 1747
Body map, front: LI6 · Forearm

LI6 · Forearm · Albinus, Tabulae sceleti et musculorum, 1747

Bones of the forearm — Gray's Anatomy plate
Bones of the forearm Gray's Anatomy, 1918 Marker hidden while its position on this plate is re-checked.
Bones of the forearm — Gray's Anatomy plate

Bones of the forearm · 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. Transverse-oblique (about 20° to the skin), 0.5–1 cun. Deadman P, Al-Khafaji M, Baker K, p. 108

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

  1. Transverse-oblique insertion
    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. 108 Supports: techniques (names this point)

Site notes · not cited

Depth: 0.3–0.5 cun
Angle: Perpendicular or oblique

Functions

  • Expels wind and clears heat
  • Opens and regulates the water passages and reduces oedema
  • Opens the channel and luo vessel and benefits the ears

Indications

Oedema and difficult urinationnosebleedtinnitus and deafnesssore throatpain of the forearm and wrist

Balance Method partners

Under Dr. Tan's six systems, LI6 at the forearm balances these channels at the regions its segment images.

  • 1. Same Chinese name
    Stomach channel
    Lower leg, Calf · Mirror (arm ↔ leg)
    Thigh · Reversed mirror
    Chest, Upper back · Image, head at the hand/foot
    Upper abdomen, Lower back · Image, head toward the elbow/knee
    Solve for the Stomach channel →
  • 2. Branching (Bie Jing / Zang Fu Bie Tong)
    Liver channel
    Lower leg, Calf · Mirror (arm ↔ leg)
    Thigh · Reversed mirror
    Chest, Upper back · Image, head at the hand/foot
    Upper abdomen, Lower back · Image, head toward the elbow/knee
    Solve for the Liver channel →
  • 3. Interior–exterior pair
    Lung channel
    Forearm · Same segment, opposite side
    Chest, Upper back · Image, head at the hand/foot
    Upper abdomen, Lower back · Image, head toward the elbow/knee
    Solve for the Lung channel →
  • 4. Chinese clock opposite
    Kidney channel
    Lower leg, Calf · Mirror (arm ↔ leg)
    Thigh · Reversed mirror
    Chest, Upper back · Image, head at the hand/foot
    Upper abdomen, Lower back · Image, head toward the elbow/knee
    Solve for the Kidney channel →
  • 5. Chinese clock neighbour
    Stomach channel
    Lower leg, Calf · Mirror (arm ↔ leg)
    Thigh · Reversed mirror
    Chest, Upper back · Image, head at the hand/foot
    Upper abdomen, Lower back · Image, head toward the elbow/knee
    Solve for the Stomach channel →
  • 6. Same channel
    Large Intestine channel
    Forearm · Same segment, opposite side
    Chest, Upper back · Image, head at the hand/foot
    Upper abdomen, Lower back · Image, head toward the elbow/knee
    Solve for the Large Intestine channel →

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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