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POINT: SI-4 (SMALL INTESTINE-4)  

NAME: WANGU (SHOUWANGU) (HAND WANGU)

English: Wrist Bone
Also Known As:

LOCATION:

  • On the ulnar border of the hand, in the depression between the base of the fifth metacarpal bone and the triquetral bone.
  • Located on the ulnar border of the palm, in the depression between the fifth metacarpal bone and the hamate and pisiform bones.
  • On the ulnar border of the palm, in the depression between the fifth metacarpal bone and the hamate bone.
  • When the hand is clenched in a fist, this point can be found on the dorsal side of the hand at the ulnar aspect, in the hollow between the fifth metacarpus and the hamate and pisiform bones of the hand.
  • When the hand is clenched in a fist, this point can be found on the dorsal side of the hand at the ulnar aspect, in the hollow between the base of fifth metacarpal bone and the triquetral bone.

NEEDLING:

  • Perpendicular insertion 0.3 to 0.5 cun.
  • Moxibustion is applicable.
  • Straight insertion, 0.5 to 1 cun. Sensation: local distention and soreness, possibly extending to the palm.

COMMAND FUNCTIONS:

  • Yuan-Source point

ACTIONS:

  • Activates the channel
  • Alleviates pain
  • Clears Heat
  • Reduces swelling
  • Clears Damp-Heat
  • Treats jaundice

INDICATIONS:

  • Contractions of the five fingers with difficulty in flexion and extension
  • Weakness and pain of the wrist
  • Contraction of the arm and elbow with difficulty in flexion and extension
  • Stiffness and swelling of the neck
  • Headache
  • Pain of the shoulder
  • Coldness and pain of the shoulder and back
  • Pain of the lateral costal region with inability to catch the breath
  • Lumbar pain radiating to the leg
  • Hemiplegia
  • Chronic spasms
  • Pediatric convulsions
  • Fever
  • Mumps
  • Upper extremity arthritis
  • Hypochondriac pain
  • Gastritis
  • Excessive perspiration
  • Vomiting
  • Pleurisy
  • Dullness of the sense of touch
  • Pain and Heat in the wrist, forearm and arm
  • Cannot bend the elbow
  • Fever and chills without sweating
  • Convulsions
  • Madness and fear
  • Coldness and pain of the shoulder and upper back
  • Throat Bi
  • Stiff, painful fingers
  • Weak wrists
  • Pain and swelling of the cheek radiating to the ear
  • Swelling of the neck, submandibular region and jaw
  • Throat Bi
  • Tinnitus
  • Superficial visual obstruction
  • Lachrymation
  • Loss of sense of taste
  • Jaundice
  • Spleen Deficiency jaundice
  • Febrile disease with absence of sweat
  • Chills and fever
  • Malaria
  • Wasting and thirsting disorder
  • Agitation and fullness
  • Rigidity of the neck
  • Cholecystitis
  • Arthritis of the wrist, elbow and fingers
  • Diabetes
  • Emaciation and thirst
  • Rib pain
  • Infantile meningeal syndrome
  • Nebula
  • Cloudiness of the cornea
  • Yin (Cold) symptoms of the eyes with constant lachrymation and a veil before the eyes
  • Hyperlachrymation
  • Hand tremor
  • Swelling of the neck and chin
  • Headache with a stiff neck
  • Neck rigidity

COMBINATIONS:

SJ-3
Zhongzhu

SI-11
Tianzong

SI-5
Yanggu
SI-9
Jianzhen
GB-43
Xiaxi
GB-44
Zuqiaoyin

Contraction of the five fingers with inability to flex and extend

Pain in the shoulder and arm

Pain of the submandibular region giving rise to tinnitus and difficult hearing

ST-7
Xiaguan
ST-5
Daying
SJ-17
Yifeng

SI-5
Yanggu

REN-12
Zhongwan

Toothache and tooth decay

Pain of the lateral costal region with inability to catch the breath

Spleen Deficiency jaundice

UB-62
Shenmai
SJ-5
Waiguan
KI-1
Yongquan

M-BW-12
Yishu
UB-20
Pishu

 

Cold-induced jaundice

Diabetes

 

CONTRAINDICATIONS:

NOTES:

  • This point is mainly used in the treatment of contraction, stiffness and pain along the entire length of the channel.
  • It is one of the main points to treat diseases of the five fingers.
  • This is a major point for Gall Bladder problems.
  • This point has a special effect on Yang jaundice.