Pathway: Heart Primary Channel (Shou Shao Yin Jing)

Pathway
The external pathway of the Small Intestine primary channel

begins on the little finger, on the ulnar corner of the nail, at
S.I.-1 (shaoze). This point is reached by a branch that separates
from the Heart primary channel at ➞ HE-9 (shaochong) (hand
Yin–Yang connection of the second great circuit).
The channel runs along the ulnar border of the hand, passes the wrist
and continues along the ulna to the medial aspects of the elbow.
➡ passes between the olecranon and the medial epicondyle,
ascends the posterior aspect of the humerus to the shoulder
joint and, according to some authors, meets ➞ L.I.-14
➡ zig-zags across the scapula, passes ➞ BL-41 (fufen) and
➞ BL-11 (dazhu) and meets the extraordinary vessel du mai
and the other Yang primary channels at ➞ Du-14 (dazhui),
below the spinous process of C7
➡continues anteriorly to the supraclavicular fossa to ➞ ST-12
(quepen).
An internal branch originates at ➞ ST-12 and runs inferiorly to
the Heart (xin), the paired zang-Organ, continues to ➞ Ren-17
and descends along the oesophagus, penetrates the diaphragm
and continues to the Stomach (wei). Here it crosses ➞ Ren-13
(shangwan) and ➞ Ren-12 (zhongwan), further descends and
spreads in its pertaining fu-Organ, the Small Intestine (xiaochang).
According to the Neijing Ling Shu, an internal branch courses
from the Small Intestine (according to some authors from the
Small Intestine primary channel) to ➞ ST-39 (xiajuxu), the
lower he-sea point of the Small Intestine.
The external pathway of the Small Intestine primary channel
continues from the supraclavicular fossa along the neck and
ascends to the cheek to S.I.-18 (quanliao).
From S.I.-18
➡ a branch courses to ➞ BL-1 (jingming) at the inner canthus
of the eye, where it connects with the Bladder primary channel
(six channel theory, Yang axes: taiyang)
➡ a further branch travels to the outer canthus of the eye, intersects
with ➞ G.B.-1 (tongziliao), according to some authors
also with ➞ T.B.-20 and ➞ G.B.-11, continues to ➞ T.B-22
(erheliao) anterior to the ear and terminates anterior to the ear
deep to S.I.-19 (tinggong)
Clinical importance (➡ 1.2)
Exterior (biao) signs and symptoms: Mouth and tongue ulcers,
cheek pain, neck pain, occipital stiffness, pain on the lateral
aspect of the shoulder and the upper arm
Interior (li) or zangfu-Organ signs and symptoms: Pain and distension
of the upper abdomen, radiating to the genital region,
diarrhoea, epigastric pain with constipation
Connections of the Small Intestine primary
channel
Connections with other channels
Heart primary channel (shou shao yin jing)
Connection: Hand Yin–Yang connection of the second great circuit
Location: H-9: S.I.-1 (on the hand)
Circulation: Circadian (according to the Organ clock)
Importance: Exterior–Interior relationship
Bladder primary channel (zu tai yang jing)
Connection: Paired according to the six channel theory (hand–
foot pairing): tai yang (Yang axes of the second great circuit)
Location: S.I.-18 ➞ BL-1 (on the head)
Circulation: Circadian (according to the Organ clock)
Importance: Above–below relationship
Connections with other zangfu-Organ systems
Heart (xin), Stomach (wei), Small Intestine (xiaochang)
4.6.2 The Small Intestine Divergent
Channel (shou tai yang jing bie)
G.B.-22
G.B.-22
S.I.-12
Or S.I.-10
Pathway
The Small Intestine divergent channel separates from the Small
Intestine primary channel at the shoulder, depending on the
school of thought in the area of ➞ S.I.-12 (bingfeng) or in the
area of ➞ S.I.-10 (naoshu)
➡ descends towards the axilla and continues to ➞ G.B.-22
(yuanye)
➡ penetrates the thorax and spreads in the Heart (xin) where,
according to most authors, it forms the fourth confluence
➡ penetrates the diaphragm to connect with its pertaining
fu-Organ, the Small Intestine
Clinical importance
●Strengthens the relationship between the Heart and the Small
Intestine (zangfu-Organ system). It provides an explanation
for the pattern of Heart Fire transferring to the Small Intestine
and the Bladder.
4.6.3 The Small Intestine Sinew
Channel (shou tai yang yin
jing jin)
around the ear, descends to the cheek and binds (jie) at the
insertion of the masseter muscle on the mandible, continues
to the lateral aspect of the orbit and reaches ➞ G.B.-13 (benshen)
on the frontoparietal aspect of the head, where it meets
the other hand Yang sinew channels.
Clinical importance
Pathology: Distending sensations, stiffness and pain of the little
finger, impaired range of motion of the upper extremity and
shoulder. Pain, stiffness and impaired range of motion of the cervical
spine and occiput. Tinnitus and ear pain radiating to the
mandible.
Indication: Mainly for bi-syndromes (painful obstruction syndrome)
along the pathway of the S.I. channel. The area covered
by the Small Intestine sinew channel is larger than that covered
by the Small Intestine primary channel. This explains why Small
Intestine primary channel points can also be used for disorders
and diseases of the cervical and thoracic spine and the whole
face (for example frontal and lateral headaches).
4.6.4 The Small Intestine
luo-Connecting Vessel System
(shou tai yang luo mai)
a S.I.-9
b
c
G.B.-13
(Meeting point
of the three
hand Yin sinew
channels)
Pathway
The Small Intestine sinew channel begins on the ulnar aspect of
the little finger at ➞ S.I.-1 (shaoze)
➡ continues along the ulnar aspect of the little finger and the
ulnar border of the hand
➡ runs to S.I.-5 (yanggu) distal to the styloid process of the ulna
and binds (jie) at the wrist
➡ travels along the ulnar aspect of the forearm to the elbow,
continues to the axilla, binding at S.I.-8 (xiaohai) and the
posterior aspect of the axilla.
From here a branch courses into the axilla where it binds (jie).
Another branch spreads across the scapula and ascends anterior
to the Bladder and Gall Bladder sinew channels and posterior to
the Stomach sinew channel to the lateral aspect of the neck,
where it meets the Triple Burner sinew channel.
At the neck it divides into two branches:
➡ the anterior branch runs to the mandibular angle where it
binds (jie), continues along the mandible to the ear and the
zygomatic bone to bind (jie) at the lateral aspect of the orbit
➡ the posterior branch binds (jie) at the mastoid process (from
here a small branch runs to the ear). The branch curves

Pathway: Heart Primary Channel (Shou Shao Yin Jing)

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Pathway

The external pathway of the Small Intestine primary channel

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