Uh hello everyone. Welcome to another review class for our students l and uh we are now on our week 17 of oruricular medicine and for today we shall be reviewing the points on the scaffa or scaffa or the scafoid fossa. As you can all see the scaffa is here. So last time if you remember we did the helix points of the helix. Now we go to the points of the scaffa both uh European and Chinese. And next time two weeks from now we will go to the anti-helix. Okay. Let's get started. Okay. Can you tell us Joel where the Okay. The the point is master shoulder. This is actually a very commonly used point because uh practically especially the elderly they complain of shoulder pain. No. So later we are going to tell them what is the difference between the shoulder point and the master shoulder point. So we will start with the European. So uh the location as you can see of the master shoulder point is um the lower part of the scapula also. Yeah. Inferior part. Okay. So ano po indications n master shoulder. Okay. When do we use this point? Sir Joel sint shoulder pain. Oh gan and also p tender tender shoulder. No. Or when there is straining or swelling. Swelling. So sensitive. Swelling. Yeah. Uh so this is called the master shoulder point. So remember it is located s scafoid fossa no or the scafa. So pain, tenderness, strain and swelling in the shoulder. What about the shoulder point? Um I think the only difference here is the location. No, a cas I would tend to use uh especially when I use the ear seeds. No, I would press the ear seed here and also the ear seed here or I make the patient decide which is more painful. Okay. So this is called the shoulder point. It is located as you can see in the scaffoid fossa. uh and this is peripheral to the cruise of the helix. This is the cruise of the helix remember. So it is lined with the shoulder. Okay. To locate the shoulder point, you have to locate the helix of the helix of the the cruise of the helix. Sorry. Helix cruise helix the helix. Okay. Uh usually I would look for uh some capilliary uh congestion here or there will be a little swelling. So when you press the probe it's really really uh tender very painful painful. So what are the indications again sir job? So I I'm sure this is the same indications as the master shoulder. No pain tender strain may frozen shoulder din frozen shoulder. Aside from treating the pain, you need to also make sure now uh you will be able to address the cause of the frozen shoulder. So what I usually do is sometimes um you have to ask the patient to raise his arm. So if he cannot raise his arm that means the the lung is involved. So you use a lung point and then if uh the patient cannot u bring his arm to the opposite shoulder that means it's the large intestine. So the same way that if the patient cannot reach the opposite shoulder blade or the opposite scapula that means the SI or small intestine channel is involved. Number three so the arm okay so the location of the arm point is on the middle part of the scaffoid fossa. So I would like to really align this with this one here. Can you see? Yes. So the middle. So when do you use this sir job? An indications n arm point. Um so arm. Yes. Pain and muscle spasm in the arm. So the arm is this area. This is the arm. to number four. Yes. Now let's go to the elbow point. This is also very common. No. So if the arm is located middle of the scaffoid fossa, the elbow point n man is above it. No. So this is directly peripheral to the inferior cruise of the helix. So this is the infior. Okay. So locate the Okay. So what are the indications sir job of the elbow point? Uh elbow pain injury. Yes of course if there's injury there is pain. Oh, there is blood thisa blood stag blood blood stagnation. Of course, you also use this. I'm sure you're familiar with tennis elbow. No, tennis elbow. Tennis elbow. So, pain, tenderness, strain, swelling in the elbow joint. Tennis elbow. So, we have studied the master shoulder, then the shoulder, the arm, and the elbow. Let's go to the fifth one. The fifth one man is the forearm. Okay. The location of the forearm point is on the superior scaffoid fossa. Okay. So, I'm very excited about this because I'm sure you were able to help some people just by using the ear seed. No. Yeah. The forearm mamid. Maman hid. Yes. Very good. Uh pain and muscle spasm also. So again the ar the forearm point is located on the superior scaffoid fossa and it is indicated for uh forearm pain and muscle spasm. Number six. So we go further we go higher. No. So above the forearm point is the so-called insomnia point. Yes. Yeah. and also depressed patient. No location scaffoid fossa above the forearm [Laughter] point. Okay. It's also good for nervousness and depression. So remember the insomnia point is located so scaffoid fossa above the arm the forearm point. Next number seven is again another very common problem wrist no like carpal tunnel syndrome. Are you familiar with carpal tunnel? This is located in the scafoid fossa and it is parallel to the Darwin's tubercal. Remember you Darwin's tuber. Okay. To locate the wrist point, you have to locate the Darwin's point. So it's um a little lower than that would be the uh the wrist point. So the wrist point is above the insomnia point. The insomnia point is above the forearm point. Okay. So this is good for pain, tenderness, strain, swelling in the wrist and also for carpal tunnel syndrome. Next number eight. Eight would be hands and fingers. So um of course there are five fingers depending on which ear you're talking. Ah yeah if it's the right fingers it would be the right ear. No. So the handto. So locate the Darwin's tubacle first and then you'll be able to find the hand. Um they are located at the uppermost part of the scaffoid fossa. So it pinakasa no and uh this is very effective for pain and swelling in the hand and peripheral neuralgia. Now you try this. This is so good. so effective. Now we're done with the European points. Um we will compare you European s Chinese. Okay, so of course the Chinese were ahead. Let's see if there is a difference. Okay, let's take a look. No, remember the wrist point then the finger and then number 28 is okay. This is supposed to be the hand but here it's the allergy. No. And number 30 is elbow. Number 31 is clavical. 32 is the shoulder joint. This is also called the master shoulder. And 29 is the shoulder. The same no the same shot. And we have two additionals. Um so lowermost part of the scaffoid would be the thyroid and the and nephritis. So let's take a look at each one. So there are nine points of the scaffoid fausa. So first we have the points of the upper limb. Okay. So these are the upper wrist. So let's talk about the wrist. Where is the wrist located? Sir Joel number 26. Okay. Uh the wrist is opposite the Darwin's tubercal the same. No. So to be able to locate the wrist point, you first have to locate the Darwin's tubercal. Okay. So very easy. It could it will treat wrist problems like arthritis, sprains, strains or breaks, contraction wrist, carpal tunnel syndrome. This is so common. No, this is so common. So Next we have the fingerpoint. So I think we have to say 27 uppermost uh part of the scaffa. No. So pakamatas would be the finger. So toes nto anti-helix but scafoid moa scafa. No. So the points are an area versus a single point. So we try to imagine number 27 as um like the length of extended fingers. Okay. So what are the uses? Spasm contraure swelling arthritis of the fingers. Okay. Next. Okay, let's locate the allergy point number 28. So, wrist point 28. Then this is the finger point the handto hand. No. And then we have the other between. Okay. So, it's between the wrist point and the finger points. No. Of course, if it is called an allergy point, it is used for allergies, respiratory or food allergies, multiple chemical sensitivities or patients for patients with weakened immune systems. Some practitioners, they locate the allergy point on the underside of the ear apex sil. Okay. So, it's up to you whatever works there. No. Next, we have the shoulder point, which is this one, right? Number 29. Yeah. 29. The wrist point. Oh, no. Sorry. The shoulder point. As I mentioned earlier, I would usually try both the shoulder and the master shoulder. Yeah. Ang shoulder it to y shoulder joint. Yeah. Master shoulder pala. Shoulder joint yan. Okay. Nasa scafa um shoulder point level with the cruise of the helix. No. Now some will place this point at the level of the supra traic notch. Okay. Supra. Okay. So, it's clinically effective for treating shoulder problems. Uh, tight shoulders. Tight shoulder. No. No. Frozen. Impaired should it pala? Impaired shoulder mobility. Frozen shoulder. Rotator cuff. disorders. Next we go to the elbow point 30. Yeah, inferior elbow helix located in the scafa between the wrist and the shoulder points. So between the wrist and shoulder points would it be the elbow point? No. So this is very good for golfers. elbow naman p golf no tennis elbow and carpenters's elbow that is why it is very important that you should know the occupation of your client no next number 31 is the clavicle po and it is level with the height of the anti-traos po antitragus. This is the tragus. Um so the clavicle is um level with the height of the anti-tragus. Some sources they place the clavicle point level with the notch above the anti-tragus dito. But anyway, whatever is more tender, whichever is more tender, you na po yun clavicle. No. So you can treat broken clavicle da and extra bone growth on the clavicle. Next we have the shoulder joint which is number 32. Yeah, it is located midway between the shoulder and the clavicle points. Okay, so this can be used similarly to shouldered point especially if the problem is more confined to the shoulder joint versus the musculature of the shoulder. So if it's the muscle that is involved, no, we better use the shoulder shoulder point. But if it is the like if you have um borcitis no sinovitis uh which is confined to the shoulder joint then you use number 32. Okay. Now the next one is the thyroid number 33. Okay. Medial border of the scaffa parallel but slightly inferior to the throat and teeth point. So this is for regulating the thyroid gland as in when the patient has uh hypothyroidism or hyperthyroidism. Okay. So uh this is not uh the same as s western uh so we will follow the Chinese but I'm sure the western has uh a different point for the shoulder and the last one is the nefritis point kidney no so it is below the clavicle point at the end of the lateral border of the scafa so it's very good for treating inflammation of the kidneys treat it can deteriorate leading to kidney failure. No. So you in fact that's the most Have you heard of glomeilone nephritis? That's the most common cause of why why younger um patients undergo dialysis. No. So thank you so much. Thank you sir Joe for really joining us and I hope uh you can join us again next time. This time n man we will talk about the points s anti-helix uh yeah points uh anti-helixa. Yeah. So, we're done with the helix, the scaffa, and next um two weeks from now, we're going to talk about the points of the anti-helix. Thank you so much for joining.