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Upper 1

Upper 1 follows the Heart Shaoyin Channel and is located 2 cun proximal to the transverse crease of the wrist, between the ulna and the tendon of m. flexor carpi ulnaris. To locate Upper 1, slide down toward the palm along the border of the ulna with the thumb. The point is in the depression between the border of the ulna and the radial side of the tendon.

Upper Body Conditions in Region 1

Includes diseases of the eyes, nose, throat, head, chest, and more:

  • Eyes: stye, conjunctivitis, excessive tearing, eyeball pain/distention, impaired vision, twitching/spasm of eyelid muscles, subconjunctival hemorrhage [a], myopia [a], cataract [b]
  • Nose: pollen allergy [b], nasal discharge [a], nasal obstruction, rhinitis
  • Throat & neck: sore throat, tonsillitis, frequent cough, globus hystericus [b], hyperthyroidism [b]
  • Head - additional: frontal headache, trigeminal neuralgia, facial paralysis, facial pruritus [b], front toothache, thick tongue coating, tongue pain [a], excessive salivation [a], motor aphasia from wind stroke
  • Chest: coronary heart disease [b], angina pectoris, palpitation [a], arrhythmia [b], chest tightness [a], asthma [b], costal neuralgia, sternocostal joint pain [a]
  • Upper digestive: nausea, vomiting, hiccups [a], anorexia, loss of appetite [a]
  • Other: common cold [a], training injuries with pain in the upper body of Region 1 [b]

Systemic Conditions

  • hypertension, dizziness [b], aversion to cold, post-epileptic state, Tourette syndrome [b], various motion sickness (space, aviation, nautical, simulator) [b]
  • Skin-related: upper body skin numbness (left- and/or right-sided), systemic pruritus, urticaria, night sweats, hot flashes [a], hyperhidrosis or hypohydrosis [a]
  • Sleep-related: sleeping disorders [a], insomnia [b], emotional imbalance [?], dysautonomia [b], dream-disturbed sleep [b], lethargy [b]
  • Emotion-related: hysteria [b], anxiety [b], depression [b], certain non-organic psychoses

WAA Upper

Insert the needle at a 5 to 30-degree angle and slowly push the needle forward subcutaneously for 1.5 cun towards the elbow, parallel to the arm.

If the problem is distal to the point (for example, on the hand or fingers), insert the needle in the opposite direction towards the wrist. In this case, move the insertion point away from the wrist slightly so there's sufficient room to push the needle forward without hurting the joint.

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Upper 1 is the most frequently used point in treatment.

References for WAA point indications

*Point indication references:

  • Zhang, X. (1991). Wrist and Ankle Acupuncture Therapy (H., Jin, & W., Qiao, Trans.). Journal of Chinese Medicine, 37, 5-14.
  • [a] 张心曙, 凌昌全, 周庆辉 (2002). 实用腕踝针疗法. 人民卫生出版社.
  • [b] 凌昌全,周庆辉,顾伟 (2017). 腕踝针. 上海科学技术出版社.