Foot Taiyang 21-30 Flashcards

1
Q

BL21 Wei Shu

A

Stomach Shu

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2
Q

BL21 Location

A

1.5 cun lateral to the lower border of T12

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3
Q

BL21 Needling

A

Oblique towards spine 0.5-1 cun or transverse-oblique 1-1.5 cun

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4
Q

BL21 Caution

A

Perpendicular needling or oblique needling away from the spine carry a significant risk of causing a pneumothorax

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5
Q

BL21 Associations

A

Stomach Back Shu

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6
Q

BL21 Indications

A

Conditions / Symptoms:

Epigastric Pain

Prolapse/Hernia

Irritable Bowel Syndrome

Food Stagnation

Abdominal Masses

Ulcers

Nausea

Acid Reflux Disease (GERD)

Abdominal Pain

Borborygmus/Bloating/Belching

Chest Pain

Main point for all Stomach related issues in TCM diagnostic terms - harmonizes the stomach, transforms damp and resolves stagnation

Dissolve accumulations/lumps in the abdomen, combine with Pigen (point for lumps, tumors), 3.5 cun lateral to the lower border of L1. Due to the same qi stagnation resolving functions it may also be useful for pain in the chest, stomach/spleen area and lateral costal margin area.

As the point also regulates the upward rising qi functions, it is used for prolapse of the rectum and uses with other points for hiatal hernias.

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7
Q

BL21 TCM Actions

A

Regulates the stomach qi and descends rebellion

Harmonizes the middle jiao

Resolves dampness

Alleviates food stagnation

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8
Q

BL21 TCM Patterns

A
  1. Stomach Rebellious Qi
  2. Stomach Food Stagnation
  3. Stomach Qi Deficiency
  4. Cold in Stomach (Retained Fluid)
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9
Q

BL21 Neuroanatomy

A

Superficial Innervation: Posterior cutaneous thoracic nerves from T12
Dermatome Segment: T12
Deeper Structures: Dorsal rami of spinal nerves from T12

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10
Q

BL21 Nearby Points

A

UB50 - 3 cun lateral to lower border of spinous process of T12

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11
Q

BL22 San Jiao Shu

A

San Jiao Back Shu

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12
Q

BL22 Location

A

Directly below the spinous process of L1, level with GV5

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13
Q

BL22 Needling

A

Oblique or perpendicular-oblique insertion toward the spine 1 to 1.5 cun

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14
Q

BL22 Caution

A

Deep perpendicular needling may injure the kidneys

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15
Q

BL22 Associations

A

Back Shu Triple Burner

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16
Q

BL22 Indications

A

Conditions / Symptoms:

Borborygmus/Bloating/Back pain

Edema

Abdominal Pain/Masses/Ascites

Urinary retention/painful/blood

Turbidity of urine

Impotence

Food retention

Urinary pain

Lin Disease (Urinary Disorders)

Fever/alternating chills and fever

Irritating sensation of back and shoulder/headache

Jaundice

Indigestion

As Triple Heater Shu this point effects conditions related to imbalances between the upper and lower parts of the body especially those related to water: edema, bloating, ascites, borborygmus, difficult or painful urination, urinary retention.

With its ability to move water accumulations also useful for certain damp related issues in the head such as headaches and visual dizziness.

Uses with alternating chills and fever, jaundice and other issues involving difficulty digesting foods.

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17
Q

BL22 TCM Actions

A

Moves and regulates san jiao

Regulates SP & ST, resolves dampness

Regulates water passages and promotes urination

Resolves masses

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18
Q

BL22 TCM Patterns

A

Bladder Damp Heat

SP & ST Damp Heat

Stomach Dampness

Stomach Food Stagnation

Spleen Yang Deficiency (sedate BL22)

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19
Q

BL22 Neuroanatomy

A

Superficial Innervation: Dorsal rami of L1 - L3
Dermatome Segment: L1
Deeper Structures: Dorsal rami of L1

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20
Q

BL22 Trigger Point

A

Muscle: Longissimus thoracis
Myotome Innervation: Posterior branches of dorsal rami from L1
Pain Referral Pattern: Inferior to posterior superior iliac spine
Indications: Low back pain ; Myalgia of long extensors of back

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21
Q

BL22 Nearby Points

A

GV5 - Directly below the spinous process of L1

UB51 - 3 cun lateral to GV5, lower border of L1

GB25 - On the lateral side of the abdomen, or possibly back, on the lower border of the free end of the 12th rib

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22
Q

BL23 Shen Shu

A

Kidney Shu

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23
Q

BL23 Location

A

1.5 cun lateral to GV4, lower border of L2

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24
Q

BL23 Needling

A

Oblique or perpendicular-oblique insertion toward the spine 1 - 1.5 cun

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25
BL23 Caution
Deep perpendicular needling carries a risk of injuring the kidney
26
BL23 Associations
Back Shu of Kidney
27
BL23 Indications
_Conditions / Symptoms:_ ## Footnote Back pain acute or chronic, Empirical Point Edema/fluid retention in abdomen Abdominal pain/amenorrhea Urination dripping, frequent Taxation of 5 Zang/Tooth problems Irregular Menstruation/Infertility Fatigue/Fibromyalgia Urination difficult, blood, turbid Leukorrhea Spermatorrhea/Sterility Headache Asthma Mental Health Ear issues - tinnitus, deafness, infection Dysmennorhea/diarrhea cold and damp For all Kidney system related issues from a Chinese Medicine perspective which effect the brain, bone, hair, teeth a/or hearing. Male deficiency related sexual problems: impotence, premature ejaculation, spermatorrhea, sterility, exhaustion following ejaculation. Female sexual and reproductive disorders: irregular cycles, dysmenorrhea, amenorrhea, infertility, leukorrhea. Tonification point in deficiency conditions: exhaustion, weakness, chronic fatique, good point for the elderly as Kidney Jing is naturally depleted. Main point for acute or chronic low back pain, sprains a/or strains. Useful for KD related ear issues: tinnitus, deafness, chronic ear infections. Useful for dampness issues and water metabolism issues - edema, fluid retentions in the lower abdomen. As the kidney system provides the root of the bodies energy many psychological conditions will respond well to tonification of this point as well - depression, anxiety disorders.
28
BL23 TCM Actions
Tonifies kidneys and fortifies yang Benefits essence Nourishes kidney yin Firms kidney qi Regulates water passages and benefits urination Benefits and warms uterus Benefits ears and bones Strengthens lumbar region
29
BL23 TCM Patterns
Kidney Yang Deficiency Kidney Yin Deficiency Kidney Qi Deficiency Kidney Jing Deficiency
30
BL23 Neuroanatomy
_Superficial Innervation:_ Dorsal rami of L1 - L3 _Dermatome Segment_: L2 _Deeper Structures_: Dorsal rami of spinal nerves from L2
31
BL23 Trigger Point
_Muscle:_ Multifidus _Myotome Innervation:_ Posterior branches of dorsal rami from L3 _Pain Referral Pattern_: Around the point and radiating down the back. Also to the abdomen directly anterior to the point. _Indications_: Myalgia of the long extensors of the back ; Paraumbilical pain
32
BL23 Nearby Points
GV4 - Directly below the spinous process of the second lumbar vertebrae UB52 - 3 cun lateral to GV4, lower border of L2
33
BL24 Qi Hai Shu
Sea of Qi Shu
34
BL24 Location
1.5 cun lateral to the GV line, level with the lower border of L3
35
BL24 Needling
Perpendicular insertion 1 - 1.5 cun
36
BL24 Associations
No hats
37
BL24 Indications
_Conditions / Symptoms:_ ## Footnote Cramps/Dysmenorrhea Hemorrhoids Asthma Leukorrhea Knee Pain/Back pain Generally used as a local point for back pain. General weakness in the low back and/or knees. Due to the qi moving functions in the area, may be used with hemorrhoids, dysmehorrhea and other discharges such as leukorrhea, blood stools, etc.
38
BL24 TCM Actions
Strengthens lumbar region and legs Regulates lower jiao
39
BL24 TCM Patterns
N/A
40
BL24 Neuroanatomy
_Superficial Innervation_: Dorsal rami of L1 - L3 _Dermatome Segment:_ S2 _Deeper Structures:_ Dorsal rami of spinal nerves from L3
41
BL24 Trigger Point
_Muscle:_ Iliopsoas and deep quadratus lumborum _Myotome Innervation:_ Iliopsoas: Femoral nerve (L1 - L2); Quadratus lumborum: Dorsal rami of spinal nerves from T12 - L4 _Location Notes:_ Lumbar pain and stiffness, painful obstruction and pain of the lower limb, atrophy disorder. _Pain Referral Pattern_: Around lower vertebral region (iliopsoas) and to buttock (quadratus lumborum) _Indications_: Low back pain ; Myalgia of long extensors of back
42
BL24 Nearby Points
43
BL25 Da Chang Shu
Large Intestine Shu
44
BL25 Location
1.5 cun lateral to the lower border of L4
45
BL25 Needling
1 - 1.5 cun perpendicular
46
BL25 Associations
Back Shu of LI
47
BL25 Indications
_Conditions / Symptoms:_ ## Footnote Poor Assimilation of Food Low Back Pain Abdominal Pain/Distention Constipation/Crohn's IBS (Inflammatory Bowel Syndrom)/IBD(Disease) Diarrhea (cold-damp) Wei and Bi Syndrome of lower legs Main point for low back pain especially when related to constipation a/or menstruation. Main point for all intestine related issues: constipation, diarrhea, dysentery, colitis, IBS, etc. Regulates the function in the colon so as potential uses for poor assimilation, limited weight gain despite eating many calories.
48
BL25 TCM Actions
Regulates the intestines Transforms stagnation and alleviates pain Strengthens lumbar region and legs
49
BL25 TCM Patterns
Large Intestine Dryness Large Intestine Damp Heat Large Intestine Cold Large Intestine Blood Stagnation
50
BL25 Neuroanatomy
_Superficial Innervation_: Dorsal rami of S1 - S3 _Dermatome Segment:_ S3 _Deeper Structures:_ Dorsal rami of L4
51
BL25 Notes
Main point for low back pain especially when related to constipation a/or menstruation. Combine with local points such as GV 3, UB 26, Shiqizhui (between L5 and S1), UB 31, UB 32, GB 30 & distal points such as GB 34, GB 39, GB 41, UB 40, UB 57, UB 58, UB 60 & UB 62. Main point for all intestine related issues: constipation, diarrhea, dysentery, colitis, IBS, etc. Regulates the function in the colon so as potential uses for poor assimilation, limited weight gain despite eating many calories.
52
BL25 Nearby Points
GV3 - Directly below the spinous process of L4 Yaoyan - 3.5 cun lateral to the lower border of L4 (GV3)
53
BL26 Guan Yuan Shu
Origin Gate Shu
54
BL26 Location
1.5 cun lateral to the lower border of L5
55
BL26 Needling
1 -1.5 cun Perpendicular
56
BL26 Associations
Storage of Yuan Qi Back Shu Point | (Trigger Point)
57
BL26 Indications
_Conditions / Symptoms:_ ## Footnote Cysts/Fibroids Urinary Disorders (Lin Disease) Back Pain Local point for clearing the channel - low back pain, both as a local point and from wind invasion (possibly with UB 28). Dissipates cold in the lower warmer - abdominal pain, bowel issues, abdominal masses. Possibly useful for a range of urinary issues - frequency, nighttime urination, difficult urination.
58
BL26 TCM Actions
Strengthens lumbar region Regulates lower jiao
59
BL26 TCM Patterns
Large Intestine Cold
60
BL26 Neuroanatomy
_Superficial Innervation_: Dorsal rami of S1 - S3 _Dermatome Segment:_ S3 _Deeper Structures_: Dorsal rami of L5
61
BL26 Trigger Point
_Muscle:_ Quadratus lumborum _Myotome Innervation:_ Posterior branches of dorsal rami from T12 - L4 _Pain Referral Pattern:_ To buttocks _Indications:_ Low back pain
62
BL26 Nearby Points
63
BL27 Xiao Chang Shu
Small Intestine Shu
64
BL27 Location
1.5 cun lateral to the GV line level with the 1st posterior sacral foramen (PSF)
65
BL27 Needling
Perpendicular 0.5-1 cun
66
BL27 Associations
Small Intestine Back Shu Point
67
BL27 Indications
_Conditions / Symptoms:_ ## Footnote Leukorrhea Urinary Disorders (Lin Disease) Seminal Emission Hemorrhoids Diarrhea/Dysentary Difficult, painful, dark urine Main function is regulating water with regard to the bladder and intestines Yin (cold) of Bladder and Sanjiao, Yin (cold) or Yang (hot) disoders of Large and Small Intestine, Damp heat effecting the bladder (difficult or painful urination, hematuria, dark urine). Damp heat effecting the intestines (diarrhea, hemorrhoids, dysentary). Other lower warmer discharges - leukorrhea, seminal emission.
68
BL27 TCM Actions
Separate pure from the turbid Regulate intestines and bladder Drain turbid dampness and clear damp-heat Regulate small intestine qi
69
BL27 TCM Patterns
Bladder Damp Heat Large Intestine Damp Heat Large Intestine Cold
70
BL27 Neuroanatomy
_Superficial Innervation:_ Dorsal rami of S1 - S3 _Dermatome Segment:_ S3 _Deeper Structures_: Dorsal rami of S1
71
BL27 Trigger Point
_Muscle:_ Multifidus _Myotome Innervation:_ Posterior branches of dorsal rami from S1 _Pain Referral Pattern_: Around the point and radiating down the buttock to the sacrum with some radiation to the posterior aspect of the upper thigh and to the abdomen directly anterior to the point _Indications:_ Myalgia of the long extensors of the back ; Paraumbilical pain.
72
BL27 Nearby Points
UB31 - On the sacrum, at the midpoint between the PSIS and the PML, level with the first PSF
73
BL28 Pang Guang Shu
Bladder Shu
74
BL28 Location
1.5 cun lateral to the PML, level with the second PSF
75
BL28 Needling
Perpendicular 0.5 - 1 cun
76
BL28 Associations
Bladder Back Shu Point
77
BL28 Indications
_Conditions / Symptoms:_ ## Footnote Damp-heat (painful, dark urine, diarrhea) Urinary Disorders (Lin Disease) - frequent, incontinence/UTI Back Pain Sacral pain/stiff Main point for all Bladder issues: from damp heat (painful a/or dark urination), from cold (frequent urination, incontinence). For damp-heat anywhere in the body, combine with SP 9 to expel dampness through urination - diarrhea, constipation, sore back, infections and/or swellings in the lower warmer.
78
BL28 TCM Actions
Regulates bladder Clears damp-heat from lower jiao Dispels stagnation and resolves masses Benefits lumbar region and legs Opens water passages
79
BL28 TCM Patterns
Bladder Damp Heat Large Intestine Damp Heat
80
BL28 Notes
As back-shu of the bladder this is the main point on the back for treatment of urinary disorders, the external genitals and regulating water balance. It is also an important point for lumbar, sacral and lower limb disorders.
81
BL28 Neuroanatomy
_Superficial Innervation:_ Dorsal rami of S1 - S3 _Dermatome Segment:_ S3 _Deeper Structures:_ Dorsal rami of S2
82
BL28 Nearby Points
UB32 - Level with 2nd PSF, medial and inferior to PSIS UB53 - 3 cun lateral to medial sacral crest, level with 2nd PSF
83
BL29 Zhong Lu Shu
Central Spine Shu
84
BL29 Location
1.5 cun lateral to the GV line of the 3rd PSF
85
BL29 Needling
Perpendicular insertion 0.5 - 1 cun
86
BL29 Associations
(Center of Back Muscle Back Shu Trigger Point)
87
BL29 Indications
_Conditions/Symptoms:_ ## Footnote Back Pain Sweat Problems (lack) Kidney deficiency wasting and thirsting disorder, absence of sweating. Stiffness and pain of the lumbar spine, inability to turn the spine. Generally a local point for back pain and/or stiffness, hernia. Warms the kidney yang - wasting and thirsting, lack of sweating.
88
BL29 TCM Actions
Benefits lumbar region Dispels cold and stops diarrhea
89
BL29 TCM Patterns
Kidney Yang Deficiency? (would it not be kidney yin if absence of sweat?)
90
BL29 Neuroanatomy
_Superficial Innervation_: Dorsal rami of S1 - S3 _Dermatome Segment:_ S3 _Deeper Structures:_ Dorsal rami of S3
91
BL29 Trigger Point
_Muscle:_ Piriformis and gluteus maximus _Myotome Innervation:_ *Piriformis*: nerve to the piriformis (L5 - S2); *Gluteus maximus:* Inferior gluteal nerve (L5 - S2) _Pain Referral Pattern:_ *Piriformis:* To the greater trochanter of the humerus and down the posterior of the thigh *Gluteus maximus:* To the buttock _Indications:_ Sciatica ; Pain in the buttocks
92
BL29 Nearby Points
UB33 - Level with 3rd sacral foramen, medial and inferior to UB32
93
BL29 Notes
Ling Shu Ch. 75, On Piercing to Regulate True and Evil Qi, recommends this point as part of the "Undressing" treatment. Its indications are when there is a surplus of Yang and insufficiency of Yin Qi causing Heat in the interior and exterior. The two heats combine to become hot like burning coal and they cannot bear to have clothes touch the skin or to lie on a mattress, the pores are closed and there is no sweating, the tongue is scorched, the lips are desiccated, the flesh dries up, the throat is parched and they cannot tell good from bad food. It is treated by removing the Heat from this point, Tianfu Lu-3 and Dazhu Bl-11, then supplementing the Taiyin channels of hand and foot, Lung and Spleen, to diminish the sweat. Presumably the initial piercings are supposed to induce the sweat or this contradicts the earlier symptom of the pores being closed and the sweat not leaving.
94
BL30 Bai Huan Shu
White Ring Shu
95
BL30 Location
1.5 cun lateral to the PML level with the 4th posterior sacral foramen
96
BL30 Needling
0.5 - 1 cun perpendicular
97
BL30 Associations
(Trigger Point)
98
BL30 Indications
_Conditions / Symptoms:_ ## Footnote Back/Hip Pain Rectal Prolapse Irregular Menstruation/Insomnia Dysmenorrhea Endometriosis/Leukorrhea Shan Disorder (Hernia)
99
BL30 TCM Actions
Benefits lumbar region and legs Regulates menstruation Stops leucorrhea and seminal emission
100
BL30 TCM Patterns
Kidney Yang Deficiency
101
BL30 Neuroanatomy
_Superficial Innervation:_ Dorsal rami of S1 - S3 _Dermatome Segment_: S3 _Deeper Structures_: Dorsal rami of S3
102
BL30 Trigger Point
_Muscle:_ Multifidus _Myotome Innervation_: Posterior branches of dorsal rami from S4 _Pain Referral Pattern:_ Local to point and to midline _Indications:_ Low back pain
103
BL30 Nearby Points
UB34 - Level with 4th PSF, lateral to GV2 UB54 - 3 cun lateral to the GV line, level with the 4th PSF EX-BW-8 Shi Qi Zhui Xia - On the midline of the lower back, in a depression below the spinous process of the fifth lumbar vertebra
104