LI9

Shanglian

Star

上廉 (Shànglián) — Upper Ridge

Large Intestine channel · point 9

Not yet clinically reviewed

Traditionally used for

  • Digestion
  • Urinary & fluids
  • Nerves & recovery

Location

On the posterolateral aspect of the forearm, on the line connecting LI5 and LI11, 3 cun distal to the cubital crease.

How to locate: With the elbow flexed and the forearm in mid-position, measure 3 cun down from LI11 along the line to LI5. The point is in a palpable depression between two muscle bellies and is often tender.

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

Body map, front: LI9 · Forearm
Fig. — LI9 · Forearm After Albinus, 1747
Body map, front: LI9 · Forearm

LI9 · 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

3D view not available for this point: its position can't be carried onto the 3D model reliably (it failed a placement check). The 2D maps above show it.

Needling

Cited needling

Techniques — the source gives these as alternatives:

  1. Perpendicular insertion
    Depth 0.5–1.5 cun
    skindeeper
  2. Oblique insertion
    Depth 0.5–1.5 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. 110 Supports: techniques (names this point)

Site notes · not cited

Depth: 0.5–1.0 cun
Angle: Perpendicular

Functions

  • Regulates the intestines
  • Expels wind and clears heat
  • Activates the channel and relieves numbness of the arm

Indications

Numbness and motor impairment of the armborborygmus and abdominal painhemiplegiadifficult urination

Balance Method partners

Under Dr. Tan's six systems, LI9 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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