Neiguan (PC6)
Neiguan (PC6), an acupuncture point, was first recorded in Miraculous Pivot · Meridians (Lingshu · Jingmai). Its alias is Yinwei. It belongs to the Hand Jueyin Pericardium Meridian. Location: In the anterior region of the forearm, 2 cun above the distal transverse crease of the wrist, between the tendons of the palmaris longus and the flexor carpi radialis. Anatomy: Between the tendon of flexor carpi radialis and the palmaris longus; superficially lies the flexor digitorum superficialis, deep to it is the flexor digitorum profundus. It is traversed by the median artery and vein of the forearm; deep to it are the anterior interosseous artery and vein of the forearm. It is supplied by the medial antebrachial cutaneous nerve, underneath which is the median nerve, and deep by the anterior interosseous nerve of the forearm. Indications: Chest pain, chest stuffiness, tachycardia or bradycardia, stomach pain, vomiting, hiccup (singultus), stroke, hemiplegia, vertigo, migraine, insomnia, depressive disorder, manic-depressive psychosis/epilepsy, and spasmodic pain of the elbow/arm/wrist. Needling method: Perpendicular insertion to a depth of 0.5–1 cun.
Indications
1. Chest pain, chest stuffiness, tachycardia or bradycardia, and other disorders of the Heart system. 2. Stomach pain, vomiting, hiccup (singultus), and other disorders of the Stomach system. 3. Stroke (apoplexy), hemiplegia, vertigo, and migraine. 4. Insomnia, depressive disorder, manic-depressive psychosis/epilepsy, and other mental and emotional disorders. 5. Spasmodic pain of the elbow, arm, and wrist.
Precise Location
Located in the anterior region of the forearm, 2 cun above the distal transverse crease of the wrist, between the tendons of the palmaris longus and the flexor carpi radialis.
Location Method
Extend the arm with the palm facing upward. Locate the point 2 cun directly above the midpoint of the first transverse crease of the wrist (Daling, PC7), between the tendons of the palmaris longus and the flexor carpi radialis. Perpendicularly insert the needle to a depth of 0.5–1 cun. Moxibustion: 3–5 moxa cones, or 5–10 minutes of moxa stick.
Massage Method
In modern practice, it is commonly used for the treatment of rheumatic heart disease, myocarditis, endo- and pericarditis, angina pectoris, tachycardia, bradycardia, arrhythmia, pulseless disease (Takayasu arteritis), hypertension, stroke (apoplexy), hemiplegia, brachial neuritis/brachialgia, gastric spasm, enteritis, dysentery, diaphragmatic spasm (hiccup), vomiting, acute biliary tract diseases, epilepsy, hysteria, insomnia, asthma, laryngopharyngitis, among other conditions.
Compatibility
1. Combined with Baihui (GV20) and Shenmen (HT7) for palpitations with poor memory (heart restlessness and mental confusion). 2. Combined with Zhaohai (KI6), Xinshu (BL15), and Shenmen (HT7) for severe palpitations (internal cardio-palpitation). 3. Combined with Lieque (LU7) and Yinlingquan (SP9) for mental vexation and chest discomfort. 4. Combined with Shenmen (HT7) and Zusanli (ST36) for insomnia. 5. Combined with Quze (PC3) and Daling (PC7) for chest and heart pain. 6. Combined with Dazhui (GV14), Feishu (BL13), Ganshu (BL18), Tiantu (CV22), and Jianjing (GB21) for shortness of breath (dyspnea). 7. Combined with Laogong (PC8), Shenmen (HT7), Yangxi (LI5), Zusanli (ST36), Xiajuxu (ST39), and Fenglong (ST40) for manic-depressive psychosis/epilepsy (mania, epilepsy). 8. Combined with Zhongwan (CV12), Fenglong (ST40), and Jiexi (ST41) for vertigo. 9. Combined with Geshu (BL17), Weishu (BL21), and Shangqiu (SP5) for epigastric pain (stomach pain). 10. Combined with Geshu (BL17), Weishu (BL21), Zhongwan (CV12), Zusanli (ST36), and Neiting (ST44) for vomiting. 11. Combined with Zhongwan (CV12) and Zusanli (ST36) for hiccup.
Efficacy & Actions
Calm the heart and soothe the mind, harmonize the stomach and descend rebellious qi, relieve chest stuffiness and regulate qi, and relieve pain.