LI1

Large Intestine Channel

Merchant Yang

商阳Shāng Yáng

Anatomical location

At the radial corner of the index fingernail, 0.1 cun from the edge of the nail.

Main function

Clears Heat, benefits the throat, relieves pain.

  • Jing-Well point (Metal)

Therapeutic indications

  • Sore throat
  • toothache
  • fever
  • tinnitus
  • High fever
  • Loss of consciousness
  • Numbness of the index finger
  • Deafness
  • Jaw pain
  • Dry mouth
  • Stroke sequelae

Name and classical tradition

Shangyang, 商陽, opens the Large Intestine channel at the tip of the index finger, right where the Lung channel ends. Its name echoes the last point of that channel, LU11, Shaoshang: both carry 商, the note of the classical pentatonic scale (宮商角徵羽) that Five Phases theory associates with Metal. If Shaoshang is the “lesser Shang” of the Yin channel, Shangyang is the “Yang Shang,” the same Metal note carried over to the coupled Yang channel. This is the standard reading, consistent with the system of the Neijing itself, although no ancient commentator writes it down for this point.

In the Ben Shu chapter (本輸), the Lingshu (Spiritual Pivot) opens the channel's series with it: «大腸上合手陽明,出於商陽,商陽,大指次指之端也,為井金». The Large Intestine joins above with hand Yangming; its Qi emerges at Shangyang, at the tip of the finger next to the thumb; it is the Jing-Well point, of Metal nature. Unlike the Yin channels, whose first point is Wood, in the Yang channels the Jing-Well point corresponds to Metal, and here it coincides with the phase of the channel itself.

The Zhenjiu Jiayi Jing (Systematic Classic of Acupuncture and Moxibustion) already gives it the alternative name 絕陽, “extreme Yang” or “severed Yang.”

Other names

  • 絕陽Jiayi Jing
Location of point LI1, Merchant Yang
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View point on the 3D modelLI1 on the anatomy
Needling techniquePerpendicular needling 0.1 cun or bloodletting.
Depth0.1 cun
MoxibustionApplicable (1-3 minutes, indirect moxa)
PrecautionsAvoid deep needling so as not to damage deep structures.
Cover of the guide “Protocols for the 20 most common patterns”

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Protocols for the 20 patterns you see most in practice

Each pattern with its tongue, its pulse, the treatment principle and the points to tonify and disperse. Made for the treatment table, not the bookshelf.

Do you use LI1 with your patients?

In the Clinic you record it in the patient's file, next to the tongue, the pulse and the measurements, so at the next session you know exactly what you used. The Atlas is built in.

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