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(A.04) Three Jam, Three

San Cha San (San Cha III)

Location:

A.04 San Cha III is located at the joint base between the fourth and fifth phalanges, on the dorsum of the hand. Its location is identical
to SJ2, but it is needled toward SJ3 or H8 in the palm, with the hand in a soft fist.

Indications:

• Common Cold (early stage, wind heat or wind chill) ¹
• Headache ¹
• Sore Throat ¹
• Allergies ^{2, 4}
• Any Disease of the Five Senses (nose, tooth, eye, ear, throat) ^{2, 4}
• Tinnitus ¹
• Fatigue (energizes) ^{2, 4}
• Severe Myasthenia (weakness of muscles) ¹
• Drooping Eyelids ^{2, 4}
• Itching Skin, Hives or Rashes (disperses wind) ^{2, 4}
• Palpitations (with fast pulse) ¹
• Chest Pressure ^{2, 4}
• Chest and Rib Pain ^{2, 4}
• Upper Leg Pain or Soreness ²
• Lower Back Pain (connects GB32) ^{2, 4}
• Shoulder Pain ¹
• Neck Injury ^{2, 4}
• Nausea and Vomiting ²

Needle Technique:

Depth: Insertion 1.0 – 1.5 cun, towards the palm (SJ3 or HT8)
Mostly bilateral
Opposite side for pain
For shoulder pain same side as a guiding point
Tendons and bone are treated by the deep needling of this point.

Combinations:

Arthritis in the Legs – A.04 San Cha III, 22.05 Ling Gu, 88.25 Central Nine Miles, A.01 Seven Miles, 44.06 Shoulder Center ^{2, 4}

Common Cold w/ Headache – A.04 San Cha III, 22.04 Da Bai ^{2, 4}

Common Cold w/ Sore Throat – A.04 San Cha III, LU10 ^{2, 4}

Ear Pain – A.04 San Cha III, 88.18, 88.19 Four Horses, 77.22 Beside Three Miles, needle or bleed. ^{2, 4}

Ear Nerve Pain – A.04 San Cha III, 88.25 Central Nine Miles ^{2, 4}

Fatigue – A.04 San Cha III, 1010.22 Nose Wing, 77.18, 77.19, 77.21 Three Emperors ⁴

Fibromyalgia – A.04 San Cha III, 88.17, 88.18, 88.19 Four Horses or A.04 San Cha III, LI4, 66.04 Fire Master, 66.09 Water Curve ²

Floaters – A.04 San Cha III, 22.04 Da Bai, 77.18 Shen Guan, 77.28 Light Bright ²

Heavy Eyelids – A.04 San Cha III, 66.05 Gold Door, 66.11 Fire Chrysanthemum ^{2, 4}

Inner Ear Distention – A.04 San Cha III, bleed or sedate LU5 ²

Itchy Allergies (sinusitis) or Common Cold – A.04 San Cha III, 88.17, 88.18, 88.19 Four Horses, LI20 (guiding point) ^{2, 4}

Otitis Media – A.04 San Cha III, bleed outer ankle and/or 11.26 Control Dirt ^{2, 4}

Tachycardia – A.04 San Cha III, 33.12 Heart Gate, 88.01 Passing Gate, 88.03 Passing Heaven, HT7, 11.19 Normal Heart, Ear Apex (bleed) ^{2, 4}

Thigh Pain – A.04 San Cha III, 88.25 Central Nine Miles, A.01 Seven Miles or DT.07 Three Gold or DT.09 Gold Forest ^{2, 4}

Tinnitus – A.04 San Cha III, 22.05 Ling Gu, 88.25 Central Nine Miles, or 88.17, 88.18, 88.19 Four Horses, SI19 (guiding point) ^{2, 4}

Urticaria – A.04 San Cha III toward HT8, 88.17, 88.18, 88.19 Four Horses, 88.25 Central Nine Miles, Ear Apex (bleed) ^{2, 4}

Comments:

Because of its clinical usefulness, A.04 San Cha III is one of my top five favorites of Master Tung’s Magic Points. For allergies, colds or flus, and real exhaustion, its effects are immediate and profound.

This point is the most commonly used of the three San Cha points, and can be applied for disorders both above and below the waist. Since the fingers correspond to the head, A.04 San Cha III will treat any disease of the five senses (nose, tooth, eye, ear, throat). Because the point connects with GB32, it can be used to treat low back pain.

A.04 San Cha III is our primary point for the immune system. Located close to the Small Intestine channel, it communicates with the Spleen via the Hand Taiyang – Leg Taiyin connection. A.04 San Cha III tonifies the Spleen and the immune system by invigorating Spleen Qi. It is excellent for treating early stage common cold, wind heat or wind chill. For a common cold with headache, add 22.04 Da Bai; for sore throat, add LU10. This point energizes the body, so it is very good for real fatigue.

Because Hand Shaoyang (San Jiao) connects with Leg Shaoyin (Kidney), A.04 San Cha III is a powerful point for Kidney-related issues,including vital energy, hormones, bone, tinnitus, exhaustion, and low back pain. The San Jiao channel also relates to all three jiao and to water metabolism.

Because of its connection with the Spleen, San Cha III treats muscle weakness, and when used in conjunction with ST43, also treats drooping eyelids.

As the Ying-Spring point, A.04 San Cha III is used for fire diseases and change of color. It treats itching skin or rashes because it disperses wind and is connected with H8. Itching, boils and pain all come from the Heart.

This point is also useful for palpitations with a fast pulse. (For a slow pulse, use PC6, LV2 and LV3, or A.03 San Cha II.)

A.04 San Cha III can also be used as a guide for frozen shoulder due to its link with the San Jiao channel. For shoulder pain, needle A.04 San Cha III on the same side.

1= all authors, Drs. Young Wei Chieh, Miriam Lee, Susan Johnson, Palden Carson
2= Young Wei Chieh, Ph.D, L.Ac.
3= Miriam Lee, OMD
4= Susan Johnson, L.Ac.
5= Palden Carson, L.Ac