Transport Points – 5 element points used differently

All 12 primary acupuncture channels have these Five Transport points. Same as the Five Element points, but seen through a different prism.
Photo by Jason Mitrione on Unsplash

Please note: this page on the Five Transport or Shu Points is unfinished! Likewise, some of the links on it may not work properly yet!

All twelve primary acupuncture channels have Five Transport points. These important points are identical to the Five Element points but they are understood and used a different way.

So steel yourself, this page is a bit technical and I’ve put it here only because some patients asked about it. But it isn’t the first page on this site that I’d recommend you read.

What would be the first page I’d recommend you read? Unless you know what you’re looking for, try the Home page.

 

History and Basis of the Five Transport Points

The original ancient text (the Huangdi Neijing) forming the basis of Chinese medicine is used and pored over to this day by practitioners in many traditions of medicine, including those of Japan, Korea and Vietnam. These ancient texts are basic to their theories.

The part of the Huangdi Neijing called the Divine Pivot (the Ling Shu – itself probably based on texts even older), tersely describes these ‘transport points’ and, amongst other things, how disease penetrates into the body.

 

Idea behind the Transport points

The original idea was of a flow of energy from the extremities towards the centre, like that of a well or deep level of water in the hills leading to a spring, becoming a stream then a river and eventually the sea.

 

Theory and Direction of Flow

The theory and use of these points continues to be discussed. For example, there are questions over the direction of flow of Qi along channels. The Yang ones flow down the body and the Yin channels flow up, yet all the channels have the same series of transport points which start at the extremes (finger or toe-nail) and flow inwards towards the elbow or knee, whichever is their normal direction of flow according to the Chinese ‘clock’.

(I say that they all start  on either a finger or a toe but the first transport point on the Kidney channel has gravitated from the small toe to the centre of the sole.)

These points are more widely known also as the Five Element points, the Five Element theory being another important part of this ancient system of health. Five Element theory is huge and in some ways more romantic, appealing to our need for a sense of order in life, and our need to understand why people are as they are. 

Understanding the Five Transport point theory is easier if you have not already encountered the Five Element theory. The latter tends to make practitioners think about the points in one particular way, to do with character and movement through life. This makes it harder to understand how the very same acupuncture points could be understood and used another way! But one of the pleasures of practising Chinese medicine is its complexity and the demands it makes on the practitioner to think flexibly and often to combine different approaches for better results during a single treatment.

The Five Transport point theory is simpler in practice but harder to comprehend, perhaps. However, they’re not some kind of tenuous theory dreamt up by a mad Chinaman 3000 years ago. When you understand how they work, using them adds a powerful boost to what you are doing with other acupuncture points.

 

Where are these points?

Every one of the twelve primary channels (meridians) has these five points.

  • On the arm they lie between elbow and fingertips 
  • On the leg they lie between knee and toe-tips

 

What do the Transport Points DO?

Ancient Chinese medical texts such as The Classic of Difficulties – Han Dynasty say:

  • Jing-Well points are said to be where Qi emanates or starts from. They treat ‘fullness below the heart’.
  • Ying-Spring points are where Qi glides. They treat ‘heat in the body’.
  • Shu-Stream points are where Qi pours. They treat ‘heaviness in the body and joint pains’.
  • Jing-River points are where Qi flows. They treat ‘wheezing, dyspnoea, cough, chills, fever, hot and cold’.
  • He-Sea points are where enters in. They treat ‘Qi counterflow and diarrhoea’.

 

That’s about it! But many subsequent authorities have commented on it, filling in the cracks, as it were.

 

Understanding the Theory

No copy of the original texts exists.

We know it did once exist because it is mentioned so often and the Han dynasty text mentions it as source material. Later writers commented on the ideas of earlier writers, and of course, the language changed over the years too, just as the English language has changed rapidly over the last 50 years, let alone last 2000+ years.

So everyone, for 2000 years, has been talking about what somebody else said!

However, the theory has been put to the test over that period and various ideas have emerged.

Here’s roughly what I understand about them. It’s all part of acupuncture theory which itself is part of what we call TCM theory! 

Points below elbows and knees

The acupuncture channel points below the elbows and knees do seem more profoundly effective on the general energy of the body than those on the thigh and upper arm.

Or, at least, that’s how we’re taught to use them, so we use them more than the more proximal points. You could argue that we therefore experience them as more effective only because we use them more, thereby consolidating a not very objective view of the matter. Against this stands the clinical experience of two millennia.

And I’ve studied, and use daily, other systems which depend less on this ancient theory, for instance the Dr Tan or Balance method, and the Tung theory and practice.

Qi takes many forms, ranging from Yang, when it is most ephemeral, like ideas, hopes and wishes, to Yin, where it is most formed and solid, like organs and their functions in the torso, the ‘power-house’.

If you look at someone who is excited, you will see them gesticulating, walking or jumping. They more their hands and feet, but their body is what is moved (by legs, for example) but doesn’t move so much, though obviously if you continue for long, your respiration and heart-rate rise and you get hot.

In this situation, in your hands, it is your fingers that move most. For example, as I type this, I’m sitting relatively still, but my fingers are busy on the keyboard.

Rather than trying to remember exactly what the ancient books said, along with the countless comments made about what they said, I think of the transport points as being a way of manipulating the state of Qi.

Note: as we add point description pages you’ll find links to the points from the name in the tables below. If the text is in red, there should be a link.

The Five Shu-Points of the Yin Channels

Shu-pointJing-WellYing-SpringShu-StreamJing-RiverHe-Sea
Element or PhaseWoodFireEarthMetalWater
LungLU-11 ShaoshangLU-10 YujiLU-9 TaiyuanLU-8 JingquLU-5 Chize
SpleenSP-1 YinbaiSP2 DaduSP3 TaibaiSP5 ShangqiuSP9 Yinlingquan
HeartHE9 SahochongHE8 ShaofuHE7 ShenmenHE4 LingdaoHE3 Shaohai
KidneyK1 YongquanK2 RanguK3 TaixiK7 FuliuK10 Yingu
PericardiumP9 ZhongchongP8 LaogongP7 DalingP5 JianshiP3 Quze
LiverLiv1 DadunLiv2 ZingjianLiv3 TaichongLiv4 ZhongfengLiv8 Ququan

 

The Five Shu-Points of the Yang Channels

Shu-pointJing-WellYing-SpringShu-StreamJing-RiverHe-Sea
Element or PhaseMetalWaterWoodFireEarth
Large intestineLI.1 ShangyangLI.2 ErjianLI.3 SanjianLI.5 YangxiLI.11 Quchi
StomachSt45 LiduiSt44 NeitingSt43 XianguSt41 JiexiSt36 Zusanli
Small IntestineSI.1 ShaozeSI.2 QianguSI.3 HouxiSI.5 YangguSI.8 Ziaohai
BladderBl.67 ZhiyinBl.66 ZutongguBl65 ShuguBl60 KunlunBl40 Weizhong
Three HeaterTH1 GuanchongTH2 YemenTH3 ZhongzhuTH6 ZhigouTH10 Tianjing
Gall BladderGB44 ZuqiaoyinGB43 XiaxiGB41 ZulinqiGB38 YangfuGB34 Yanglingquan

Jing-Well points

 

Toenails are near jing-well points
Photo Juja Han – Unsplash

At the finger and toe tips, Qi is at its most yang, being the furthest from the centre. These points can take the glitches and pressure out of excess yang in the centre.

Glitches include yang boiling over mentally and obstruction from an effervescence of Qi, like froth on boiling water. (Water circulating in central heating systems circulates smoothly up to a certain temperature where it forms steam. At and above that temperature the water-pump revs uncontrollably until cooler, non-boiling water takes its place and the pump’s speed gets back to normal. When revving highly because of the steam, there is no movement in the remaining water in the system, which stagnates.)

In other words, these points help to remove pressure from the ‘cooker’ at the centre. Hence their use for situations like

  • over-excitement, irritability or anger leading to
  • mania, coma, collapse, including from stroke or epilepsy
  • excess heat, fever
  • distension, swelling or pain in a channel, eg from trauma

Other examples that I have used these points for or read about others using include where excitement,shock or emotions have lead suddenly to:

  • sleeplessness 
  • herpes zoster
  • grinding teeth
  • acute stomach ache
  • facial paralysis as in Bell’s palsy

 

For more on this, click here.

Please Note: this page is unfinished!

Other pages to read:

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