Foot Taiyang 11-20 Flashcards
BL11 Da Zhu
Great Shuttle
BL11 Location
1.5 cun lateral to the GV13, level with the lower border of T1
BL11 Needling
Oblique insertion toward the spine 0.5-1 cun or Transverse 1-1.5 cun
BL11 Caution
Deep perpendicular needle risk of pneumothorax
BL11 Associations
Hui Meeting Point of Bone
Point of Sea of Blood
(Crossing Point of UB and SI)
BL11 Indications
Conditions / Symptoms:
EPF - Wind Cold/ Wind Heat - fever absence of sweat
Bone Diseases/Cancer
Rigidity of Neck and Spine
Anemia
Neck Pain
Cough
Headache
Wind disorders.
Hui-meeting point of the bones, useful with any bone or problem such as osteoporosis, arthritis, inflammation, sensation of heat in the bones, etc.
Useful adjunctive point to effect the lungs in cases of infections, colds a/or flus or asthma related conditions.
Sea of Blood Point with ST 37 & ST 39. According to the Ling Shu Treatise on the Seas, “when the Sea of blood is full, the patient has the sensation that his body is bigger than it is. One feels uneasy, and does not know the disease; when the Sea of blood is insufficient, one often feels the body is small, one feels uneasy and does not know the disease.” May be useful for leukemia, anemia, said to tonify the bone marrow.
BL11 TCM Actions
Benefits bones and joints
Expels pathogenic factors and firms exterior
Regulates lung qi and alleviates cough
BL11 TCM Patterns
Lung Wind Invasion - Wind Heat
Wind Cold?
BL11 Neuroanatomy
Superficial Innervation: Supraclavicular nerve from C3 - C4
Dermatome Segment: C6
Deeper Structures: Dorsal rami of spinal nerves from T1
BL11 Notes
One of the points in the External Dragons protocol in five element acupuncture, along with Baihui Du-20, Shenshu Bl-23 and Pucan Bl-61, for eliminating a blockage between the therapist and patient, or a disconnection from themselves, with the additional presence of external symptoms or trauma.
The “59 piercings” are named in the Su Wen Ch. 61 and mentioned in Su Wen Ch. 32 and Ling Shu Ch. 23 for treating Heat diseases. This point along with Zhongfu Lu-1, Qupen St-12 and Feishu Bl-13 clear Heat from the chest.
Other notes including Divergent tx:
BL11 Nearby Points
GV13 - Directly below the spinous process of T1
SI14 - 3 cun lateral to the spinous process of T1
SI15 - 2 cun lateral to the spinous process of C7 (GV14)
BL12 Fengmen
Wind Gate
Bl12 Location
1.5 cun lateral to the lower border of T2
BL12 Needling
Oblique insertion toward the spine 0.5 - 1 cun (0.5-0.8 acatcm) or transverse oblique insertion 1 - 1.5 cun
BL12 Caution
Pneumothorax
BL12 Indications
Conditions / Symptoms:
Pleurisy/Pneumonia
EPF - Fever/Wind Cold
Respiratory Disorders
Cough - whooping, cough with chest and back pain
Headache/Stiff Neck
Asthma
Bronchitis
Common Cold/Cough
Sinusitis/Nasal discharge
Main point to expel wind from the Wei Qi level of the body, useful for early stages of wind-cold conditions (Common cold, cough, fever, headache, stiff neck).
Apply moxa here and on ST 36 to strengthen the Wei Qi (or the defensive layer of the body). Strenghtening the defensive layer can increase resistance to colds and flus, but also stop the tendency of basic colds and/or flus from always going deeper in quickly, say to bronchitis or full blown sinus infections. These types of treatments should be done when the person is not sick.
BL12 TCM Actions
Expels wind and releases exerior
Strengthens defensive (Wei) qi and firms exterior
Regulates Ying and Wei Qi
Disseminates and descends lung qi
Benefits the nose
BL12 Neuroanatomy
Superficial Innervation: Posterior cutaneous thoracic nerves from T2
Dermatome Segment: T2
Deeper Structures: Dorsal rami of spinal nerves from T2
BL12 TCM Patterns
Lung Wind Invasion - Wind Cold
BL12 Nearby Points
UB41 - 3 cun lateral to the lower border of T2, on the spinal border of the scapula
SI13 - In the “spoon” of the scapula, midway between SI10 and the lower border of T2, at the medial extremity of the suprascapular fossa
SI10 - With the arm abducted, directly above SI9, in a depression inferior to the scapular spine
BL13 Fei Shu
Lung Shu
BL13 Location
1.5 cun lateral to the lower border of T3 (level with GV12)
BL13 Needling
Oblique medial insertion (toward the spine) 0.5 - 1 cun or transverse-oblique insertion 1 - 1.5 cun
BL13 Caution
Perpendicular needling or needling away from the spine carries a significant risk of pneumothorax
BL13 Associations
Lung Back Shu
(59 Piercings for clearing heat)
BL13 Indications
Conditions / Symptoms:
Steaming Bone Disorder
Cough
Asthma
Depression
Skin disorders (itching/acne/hives)
All Lung related issues
ABC’s
Asthma
Bronchitis
Cough/Cold/Consumption
Sinusitis/Sore throat
tonifies LU Qi and Yin
Qi tonification aspects can be increased with the application of moxabustion at this point.
Bone steaming fever, night sweats, pneumonia, fullness or pain in chest and sides, pulmonary diseases, tonsillitis, goiter, skin disorders.
BL13 TCM Actions
Tonifies Lung Qi
Nourishes Lung Yin
Descends and disseminates lung qi
Clears heat from the lung
Releases the exterior
BL13 TCM Patterns
Lung Yin Deficiency
Lung Qi Deficiency
Lung Wind Invasion - Wind Cold/Wind Heat
BL13 Neuroanatomy
Superficial Innervation: Posterior cutaneous thoracic nerves from T3
Dermatome Segment: T3
Deeper Structures: Dorsal rami of spinal nerves from T3
BL13 Notes
UB 13, being the Back-Shu point of the Lung, is indicated for any Lung issue, whether that be physical or emotional (i.e. grief and sadness). Back-Shu points are corresponding points on the back where the Qi of the respective Zang-Fu organ is infused. If the Five Zang organs are diseased, abnormal reactions appear on the Back-Shu points. Back-Shu points have a direct therapeutic effect on the diseases of the Five Zang organs.
http://www.steve-woodley.co.uk/?content=pointsearch&point=Bl-13
BL13 Nearby Points
GV12 - Directly below the spinous process of T3
UB42 - 3 cun lateral to the lower border of T3, level with GV12 and UB13
SI11 - On the scapula, in a tender depression 1/3 of the distance from the midpoint of the inferior border of the scapular spine to the inferior angle of the scapula
SI9 - 1 cun above the posterior end of the axillary fold. posterior and inferior to the shoulder joint, found when the arm is adducted
BL14 Jue Yin Shu
Pericardium Shu
BL14 Location
1.5 cun lateral to the lower border of T4
Bl14 Needling
Oblique toward the spine 0.5 - 1 cun or transverse oblique 1 -1.5 cun
BL14 Caution
Pneumothorax
BL14 Associations
Back Shu point of Pericardium
(Trigger Point)
BL14 Indications
Conditions / Symptoms:
Plum Pit Qi
Oppression of Chest
Palpitations
Panic Attack
Anxiety/Agitation
SOB
Cough
Agitation/Restless Zang
Rebellious Qi - vomiting/cough
For all heart conditions: palpitations, anxiety, stress, etc. Combine with PC 6 to open the chest (as in the case of plum pit qi). This chest pain can be psycho-emotional (i.e. liver/heart system related in Chinese Medicine terms), or it may be from simple congestion (cough, rebellious qi, shortness of breath, etc.).
Harmonizes the liver - as the “Jueyin Shu” you may also treat LV related conditions such as stagnation of LV Qi - depression, anxiety, panic attacks, etc.
BL14 TCM Actions
Smoothes liver qi
Unbinds chest
Regulates and descends qi
Regulates Heart
BL14 TCM Patterns
Liver Qi Stagnation
Stomach Rebellious Qi
Heart Qi Deficiency
Heart Yin Deficiency
BL14 Neuroanatomy
Superficial Innervation: Posterior cutaneous thoracic nerves from T4
Dermatome Segment: T4
BL14 Trigger Point
Muscle: Multifidus
Myotome Innervation: Posterior branches of dorsal rami from T4
Pain Referral Pattern: Local to point and around midline
Indications: Back pain
BL14 Notes
One of the Aggressive Energy Drain points in five element acupuncture, along with Feishu Bl-13, Xinshu Bl-15, Ganshu Bl-18, Pishu Bl-20 and Shenshu Bl-23, indicated where psychological or emotional issues are blocking treatment. They are needled from left to right, top to bottom, with the exception of Xinshu Bl-15 that is needled last, along with controls outside the Bladder channel at the same levels. If aggressive energy is present the points should become redder than the test points and are left until the redness disappears. If not then needles can be removed and treatment continued. http://www.steve-woodley.co.uk/?content=pointsearch&point=Bl-14
BL14 Nearby Points
UB43 - 3 cun lateral to the lower border of T4
SI11 - On the scapula, in a tender depression 1/3 of the distance from the midpoint of the inferior border of the scapular spine to the inferior angle of the scapula
SI9 - 1 cun above the posterior axillary fold, below the shoulder joint, found when the arm is adducted
BL15 Xin Shu
Heart Shu
BL15 Location
1.5 cun lateral to the lower border of the spinous process of T5 (level with GV11)
BL15 Needling
Oblique insertion toward the spine 0.5 -1 cun or transverse oblique insertion 1 - 1.5 cun
BL15 Caution
Pneumothorax
BL15 Associations
Back Shu of the Heart
(Trigger Point)
BL15 Indications
Conditions / Symptoms:
Palpitations/Poor Memory/Psychosis
Anxiety
Cardiac Diseases/Pain
Insomnia (empirical point)
Five Palm Heat
Irregular Pulse
Cough/Vomit Blood
Speech problems/Stress
Hypertension
Excessive dreaming/Eye problem
Night Sweats
Main point for all heart related issues from a TCM perspective, blood and circulatory related issues of an excess or deficient nature.
Nourishes the spirit and calms the shen - main point for all heart related emotional issues: palpitations, anxiety, easily frightened (ht/kd), stress, poor memory. Useful with PC 6, HT 7, CV 14 a/or UB 14.
Particularly important point for insomnia.
Night sweats in Heart Qi a/or Yin deficiency.
Cough, hemoptysis/spitting blood.
Palpitations with fear, poor memory, epilepsy.
BL15 TCM Actions
Tonifies and nourishes Heart
Regulates Heart Qi
Calms the spirit
Unbinds chest and resolves blood stasis
Clears Heart Fire
BL15 TCM Patterns
Heart Qi Xu
Heart Yin Xu
Heart Yang Xu
BL15 Neuroanatomy
Superficial Innervation: Posterior cutaneous thoracic nerves from T5
Dermatome Segment: T5
Deeper Structures: Dorsal rami of spinal nerves from T5 if directed inward and accessory nerve (CN XI) if directed into trapezius and dorsal scapular (C5) if directed into rhombus major
BL15 Trigger Point
Muscle: Trapezius, rhomboid major or multifidus at deep levels
Myotome Innervation:
Trapezius: Motor - accessory nerve (CN XI), Sensation - dorsal rami of C2 - C3;
Rhomboid major: Dorsal scapular nerve (C4 - C5); Multifidus: Dorsal rami of spinal nerves from T5
Pain Referral Pattern:
Trapezius and rhomboid major: Across back and to chest
Multifidus: local to point and to the midline
Indications: Back and shoulder pain ; Back pain ; Cardiac syndromes
BL15 Notes
UB 15 is one of the best points for insomnia and Anxiety, especially if the pattern is due to heat.
As the back shu point of the Heart this point is the main back point for dealing with all disorders of the heart, including spiritual and psychological issues. It is often combined with Jueyinshu Bl-14 for physical heart symptoms.
Ling Shu Ch. 51, On the Back Transport Points, advises that the back Shu points of the Yin organs should be pressed. If this elicits a response, either pain or the relief of a existing pain, then these points should be supplemented or drained with moxa and not pierced. To supplement with moxa the cone is to be left to burn down naturally, to drain it is to be blown on to make it burn more fiercely.
Ling Shu Ch. 52, On the Wei Qi, considers this to be the tip of the hand Shaoyin meridian with the root being at Shenmen He-7.
http://www.steve-woodley.co.uk/?content=pointsearch&point=Bl-15
BL15 Nearby Points
GV11 - Directly inferior to the spinous process of T5
UB44 - 3 cun lateral to the lower border of T5 (level with GV11 and UB15)
BL16 Du Shu
Governor Shu
BL16 Location
1.5 cun lateral to the lower border of T6 (GV10)
BL16 Needling
Oblique toward the spine 0.5 - 1 cun or transverse-oblique 1 - 1.5 cun
BL16 Caution
Pneumothorax
BL16 Associations
Governing Vessel Back Shu Point
BL16 Indications
Conditions / Symptoms:
Psoriasis
Epigastric Pain
Abdominal Pain
Chest Pain
Energy low
Toxic/Hot Skin conditions
Acne/Alopecia
Borborygmus
Hot a/or toxic skin conditions (esp. on the back): acne, boils, psoriasis, alopecia.
Harmonizes the qi in the chest and abdomen - epigastric pain, abdominal distention, borborygmus.
Chest / Cardiac pain - unbinds the chest.
BL16 TCM Actions
Regulates qi in chest and abdomen
Opens chest
Invigorates Blood (skin conditions)
BL16 TCM Patterns
Liver Qi Stagnation
Stomach Rebellious Qi
BL16 Neuroanatomy
Superficial Innervation: Posterior cutaneous thoracic nerves from T6
Dermatome Segment: T6
Deeper Structures: Dorsal rami of spinal nerves from T5 if directed inward and accessory nerve (CN XI) if directed into trapezius and dorsal scapular (C5) if directed into rhombus major
BL16 Trigger Point
Muscle: Trapezius or rhomboid major at deeper levels
Myotome Innervation:
Trapezius: Motor - accessory nerve (CN XI), Sensation - dorsal rami of C2 - C3;
Rhomboid major: Dorsal scapular nerve (C4 - C5)
Pain Referral Pattern: Local to point and to chest
Indications: Cardiac syndromes
BL16 Nearby Points
GV10 - Direclty beneath the spinous process of T6
UB45 - 3 cun lateral to GV10 (lower border of T6)
BL17 Ge Shu
Diaphragm Shu
BL17 Location
1.5 cun lateral to the lower border of T7 (level with GV9)
BL17 Needling
Oblique toward the spine 0.5 - 1 cun or transverse-oblique 1 - 1.5 cun
BL17 Caution
Pneumothorax
BL17 Associations
Diaphragm Back Shu point
Hui Meeting Point of Blood
BL17 Indications
Conditions / Symptoms:
Dysmenorrhea (Menstrual Pain/Cramps)/Amenorrhea (Absence of Menstruation)
Asthma/Acid Reflux/Vomit
Eczema/Carbuncles/Acne (heat in blood)
Manic Depression (Mental Health)
Oppression of chest/Obstruction pain of whole body
Nosebleed (Epistaxis)
For menstrual problems, from deficiency (scanty, light periods, amenorrhea) or stasis (dark clots, dysmenorrhea).
Important point for red, itchy skin disorders, from heat in the Blood: eczema, carbuncles.
As the “Diaphgram shu” it harmonizes the chest and descends rebellious qi - problems with diaphragmatic breathing or shortness of breath and other diaphragm related conditions such as hiccups, belching or hiatal hernia.
Chest / cardiac pain, also psychological “heart” related conditions - manic depression.
A range of digestive issues, particularly those involving rebellious qi - vomiting, epigastric pain, reflux.
BL17 TCM Actions
Harmonizes diaphragm and descends rebellious qi
Invigorates blood and dispels stasis
Cools blood heat and stops bleeding
Nourishes and harmonizes blood
BL17 TCM Patterns
- Blood Stagnation
- Heat in Blood
- Stomach Rebellious Qi
- Spleen Unable to Control Blood (tonify/moxa BL17)
BL17 Neuroanatomy
Superficial Innervation: Posterior cutaneous thoracic nerves from T7
Dermatome Segment: T7
Deeper Structures: Dorsal rami of spinal nerves from T7
BL17 Notes
UB 17 is a very important point to treat any blood-related conditions. Since it’s the Back-Shu of the Diaphragm, it is also an important point to treat conditions related to diaphragmatic problems such as hiccups and shortness of breath.
Hui-meeting Point of the Blood, useful for all Blood related conditions. Classically combined with UB 19 to create the “Four Flowers” which is used to nourish the Blood, although in clinical practice UB 18 & UB 19 may used equally as often. These conditions may include coughing or vomiting of blood, blood in the stool.
BL17 Nearby Points
GV9 - Directly below the spinous process of T7
UB46 - 3 cun lateral to GV9 (level with T7)
BL18 Gan Shu
Liver Shu
BL18 Location
1.5 cun lateral to the lower border of T9 (GV8)
BL18 Needling
Oblique toward spine 0.5 - 1 cun or transverse-oblique 1 to 1.5 cun
Bl18 Caution
Pneumothorax
BL18 Associations
Back Shu of Liver
BL18 Indications
Conditions / Symptoms:
Mental Health (GAD, Anxiety/Depression)
Irregular Menstruation
Sinew problems (back, neck, shoulder pain)
Hepatitis/Hypochondriac Pain
Anger/Irritability
PMS
Cirrhosis/Jaundice
Abdominal Pain/Masses
Vision Problems (blurred, night blind, visual dizzy)
Eye Problems (yellow, burning, red, itchy)
Main point for all Liver related conditions in TCM terms - physical and psycho-emotional.
Physical liver issues such as - hepatitis, jaundice, cirrhosis. Generalized blood stagnation, qi stagnation, etc.
Brightens the eyes - important point for eye problems, pain, itching, dryness, redness, blurred vision, visual dizziness, twitching, night blindness.
Spreads liver qi and stablizes the spirit - important point for LV related emotional issues such as anger, depression, irritability, frustration, stress a/or PMS.
Useful for hypochondriac a/or subcostal pain/distention.
BL18 TCM Actions
Spreads liver qi
Regulates and nourishes Liver Blood
Pacifies Wind
Cools fire and clears damp-heat
Benefits eyes and sinews
BL18 TCM Patterns
Liver Fire
Liver Yang Rising
Liver Qi Stagnation
Liver Blood Deficiency
Liver Blood Stagnation
SP & ST Damp Heat
BL18 Neuroanatomy
Superficial Innervation: Posterior cutaneous thoracic nerves from T9
Dermatome Segment: T9
Deeper Structures: Dorsal rami of spinal nerves from T9
BL18 Nearby Points
GV8 - Directly below the spinous proces of T9
UB47 - 3 cun lateral to GV8 (level with T9)
BL19 Dan Shu
Gallbladder Shu
BL19 Location
1.5 cun lateral to the lower border of T10 (GV7)
BL19 Needling
0.5 -1 cun oblique toward spine; 1 - 1.5 cun transverse oblique
BL19 Caution
Pneumothorax
BL19 Associations
Back Shu of Gallbladder
BL19 Indications
Conditions / Symptoms:
Chronic Cholecystitis/Cholelithiasis
Anxiety
Vomiting
Eye disorders
Flu/Cold
Insomnia
Shaoyang level, alternating fever and chills
Herpes zoster/hypochondriac pain/hepatitis
Palpitations
Bitter Taste in mouth
Jaundice
Timidity/Indecision
Main point for damp heat in the Liver and Gall Bladder: hepatitis, cholecystitis, jaundice, vomiting, flank pain and distension, bitter taste in the mouth. Often combined with the LV Shu (UB 18).
UB 17 & UB 19 are classcially known as the “Four Flowers,” useful for tonifying the Blood.
Pain along the GB meridian (sides of the body) from any etiology, intercostal neuralgia, rib pain, trauma, herpes zoster.
Gall Bladder related emotional issues: indecision, timidity, fear. As well as damp-heat related psycho-emotional issues such as insomnia, anxiety (often with bitter taste in the mouth), palpitations.
BL19 TCM Action
Clear damp heat from LV & GB
Clear pathogencic factors from Shaoyang
Tonify and regulate gallbladder qi
Tonify deficiency
BL19 TCM Patterns
LV & GB Damp Heat
Stomach Rebellious Qi
BL19 Neuroanatomy
Superficial Innervation: Posterior cutaneous thoracic nerves from T10
Dermatome Segment: T10
Deeper Structures: Dorsal rami of spinal nerves from T10
BL19 Trigger Point
Muscle: Longissimus thoracis
Myotome Innervation: Posterior branches of dorsal rami from T10
Pain Referral Pattern: Inferior to base of buttock
Indications: Dorso lumbar pain ; Myalgia of long extensors of back
BL19 Nearby Points
GV7 - Directly below the spinous process of T10
UB48 - 3 cun lateral to GV7 (T10)
BL20 Pi Shu
Spleen Shu
BL20 Location
1.5 cun lateral to the lower border of T11
BL20 Needling
Oblique insertion toward the spine 0.5 - 1 cun or transverse oblique 1 - 1.5 cun
BL20 Caution
Pneumothorax
BL20 Associations
Back Shu of Spleen
(Trigger Point)
BL20 Indications
Conditions / Symptoms:
Dysentary/Diarrhea
Abdominal Pain/Bloating
Malaria/Menorrhagia
Poor Appetite
Fatigue/Fibromyalgia
Lumbar Pain
Uterine Bleeding
Blood in stool/urine
Main point for all Spleen problems from a TCM perspective of both the physical organ functions and the energetic/psychological relationships.
Physical spleen issues - distention, abdominal pain, bloating, poor appetite along with more involved conditions - dysentary, malarial diseases.
Blood related conditions - heavy menstrual bleeding, uterine bleeding, blood in the stools and/or urine.
Commonly used for SP Qi Deficiency: fatigue (can be heavy, spreading through the limbs/heaviness), lack of appetite, abdominal bloating a/or distention, undigested food in the stools, chronic diarrhea a/or belching.
BL20 TCM Actions
Tonifies spleen qi and yang
Resolves dampness
Raises spleen qi and holds blood
Harmonizes qi of middle jiao
BL20 TCM Patterns
- Spleen Qi Deficiency
- Spleen Blood Deficiency
- Spleen Invasion Cold Damp
- Spleen and Stomach Damp Heat
- Stomach Cold (Retained fluid)
BL20 Neuroanatomy
Superficial Innervation: Posterior cutaneous thoracic nerves from T11
Dermatome Segment: T11
Deeper Structures: Dorsal rami of spinal nerves from T11
BL20 Trigger Point
Muscle: Longissimus thoracis
Myotome Innervation: Posterior branches of dorsal rami from T11
Pain Referral Pattern: Inferior to base of buttock
Indications: Low back pain ; Myalgia of long extensors of back
BL20 Notes
As the back-shu of the Spleen this is the main back point for digestive and abdominal issues, bleeding disorders and resolving damp. http://www.steve-woodley.co.uk/?content=pointsearch&point=Bl-20
BL20 Nearby Points
GV6 - Directly below the spinos process of T11
UB49 - 3 cun lateral to GV6, level with T11
