TE4

Yangchi

Star

陽池 (Yángchí) — Yang Pool

Triple Energiser channel · point 4

Not yet clinically reviewed

Yuan-Source point

Traditionally used for

  • Ears & hearing
  • Pain & joints

Location

On the dorsal aspect of the wrist, in the depression on the ulnar side of the tendon of extensor digitorum communis, at the transverse crease.

How to locate: With the palm facing down, extend the fingers slightly to raise the extensor digitorum tendons; on the dorsal wrist crease, the point is in the depression on the ulnar side of these tendons, just radial to the extensor digiti minimi tendon.

Regional anatomy: Beneath the skin, subcutaneous tissue and deep fascia the needle runs between the tendons of extensor digitorum and extensor digiti minimi to the dorsal surface of the carpus.

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

Body map, front: TE4 · Wrist
Fig. — TE4 · Wrist After Albinus, 1747
Body map, front: TE4 · Wrist

TE4 · 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

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. Slightly oblique insertion — proximal
    Depth 0.3–0.5 cun
    skindeeper
  2. Transverse insertion — towards the radial side of the wrist beneath the tendons
    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. 395 Supports: techniques (names this point)

Site notes · not cited

Depth: 0.3–0.5 cun
Angle: Perpendicular

Functions

  • Regulates the Triple Energiser and the fluids
  • Clears heat
  • Relaxes the sinews, benefits the wrist and activates the channel
  • Warms the hands and dispels cold

Indications

Wrist pain and weaknesscold handsdiabetes with thirsttinnitus and deafnessshoulder and arm painmalarial disorders

Balance Method partners

Under Dr. Tan's six systems, TE4 at the wrist balances these channels at the regions its segment images.

  • 1. Same Chinese name
    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 →
  • 2. Branching (Bie Jing / Zang Fu Bie Tong)
    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 →
  • 3. Interior–exterior pair
    Pericardium 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 Pericardium channel →
  • 4. Chinese clock opposite
    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 →
  • 5. Chinese clock neighbour
    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 →
  • 6. Same channel
    Triple Energiser 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 Triple Energiser channel →

Classical calendar method · 子午流注

When the tables open TE4

The hours Zi Wu Liu Zhu names this point at, by method. Times are the double-hour's start in UTC.

  • 丙午 11:00–13:00 Na Jia Fa, 壬-day sequence · Yuan-Source (原), returning to the source

    「三焦寄有陽池穴,返本還原似的親」

    Next: Thu 15 Oct, 11:00

A classical reference, not a recommendation: the tables say when the method opens this point, not that it is the point to needle. Open points by the hour →

Clinical Notes

Moxibustion at TE4 is a common treatment for persistently cold hands.

Combinations Using This Point

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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