Perpendicular insertion, unless another direction removes pressure-discomfort from another location, when use the direction so found.
Depth: half to 1.5 cun
The point is often sore when you need it.
Encourage the patient not to move the arm or fingers when the needle has been inserted. Otherwise you’ll get a bent needle and a cross patient with a sore arm. (However, nearly every patient given this advice tries to move arm and/or fingers to experiment, so expect complaints in proportion to their rashness!)
The sensation on needling goes down to the fingers.
Moxibustion on the point: 3 – 5 or up to 14 very small cones
May help vomiting and diarrhoea where there is Qi stagnation and Heat
Lack of Heat and the Fire Point
Being the Fire point on the Three Heater channel, when there is a lack of warmth in the body, (regular) moxa here may help the body to improve its ability to warm itself. But you’d need to use other points too, for this.
As described above, too much Heat, as in pain, redness, bleeding, can be dispersed with this point.
Comment on Three Heater 6
Three Heater 6 has a flavour of Liver 3, Taichong. If used like this, would normally be dispersed.
I used Three-Heater 6 for someone who had noticed his urine flow seemed slower, with his first urination in the morning after rising seeming ‘thick’ and ‘retarded’. Also, for several weeks he had had uncontrollable itching, with skin cracks between the four smaller toes on each foot.
I took this to be due to Heat, causing the dryness and itching, and ‘thickening’ the fluids. But he had no signs of constipation, not many recent signs of Qi stagnation, no other (visible) skin problems, but some signs of weakness and heat in his anterior thighs (sore on touch, and easily burning-tired on ascending stairs).
I chose a Fire channel also because he was a somewhat excitable individual with ‘fiery’ opinions and a liking for social drugs.
He had no signs of depression, but tended to react against commonly accepted opinions: a somewhat shao-yang personality type. (Of which I get quite a few – probably being somewhat that way inclined myself!)
On first pressing SJ-6 it was sore on both arms, which I had expected.
To make the points more available for use, I pressed on his Three-Heater 2 (Water point, controlling his Fire point), which relieved the pressure pain bilaterally. Then I needled Three-Heater 2 bilaterally, confirmed that pressure-pain at each Three-Heater 6 had gone, then needled and released SJ-6 on both arms.
A fortnight later at his next appointment he said his urine was normal again and the cracks between his toes had gone, and he’d stopped itching.
However, his thigh pain had not changed. So for that I did other acupuncture, partly to clear Damp and partly to strengthen Qi. But with this patient, I always needed to consider adjusting yang and heat because it quickly built up in him. Being a shao-yang type made it probable that his underlying ‘causative’ factor in 5 Element theory was one of the Fire channels.