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Acupuncture Points Comprehensive > Foot Taiyang 31-40 > Flashcards

Foot Taiyang 31-40 Flashcards

1
Q

BL31 Shang Liao

A

Upper Crevice

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2
Q

BL31 Location

A

Over the first posterior sacral foramen

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3
Q

BL31 Needling

A

Perpendicular 0.5 - 1 cun, or 1.5 - 2 cun directed into the foramen at a slightly oblique medial and inferior angle

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4
Q

BL31 Caution

A

Contraindicated during pregnancy. Some sources forbid moxa but Ling Shu suggests it for bipolar

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5
Q

BL31 Associations

A

No hats

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6
Q

BL31 Indications

A

Conditions / Symptoms:

Back Pain

Irregular Menstruation/Dysmenorrhea

Leukorrhea

Genital Pain, Swelling

Erectile Dysfunction

Seminal Emission

UB 31, UB 32, UB 33 & UB 34 together form the “Eight Liao” points and are all useful for local low back a/or sacrum problems and most genital and urinary related disorders. Of these UB 32 is most often used clinically.

As it quickens the connecting vessels may be useful for blockages of defecation or urination.

For the functional and movement aspects for female issues such as - Irregular menstruation, dysmenorrhea, leukorrhea. And for male issues such as impotence, erectile dysfunction (ED), seminal emission, genital pain.

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7
Q

BL31 TCM Actions

A

Regulates the lower jiao and facilitates urination and defecation

Regulates menstruation and stops leucorrhea

Benefits lumbar region and legs

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8
Q

BL31 TCM Patterns

A

Bladder Damp Heat

Liver Qi Stagnation

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9
Q

BL31 Neuroanatomy

A

Superficial Innervation: Dorsal rami of S1 - S3
Dermatome Segment: S3
Deeper Structures: Sacral nerve S1 emerging from foramen

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10
Q

BL31 Notes

A

One of the Baliao or “eight crevices” located in the sacral foramen which all regulate urination, defecation, menstruation and benefit the lumbar region and legs.

UB 31, UB 32, UB 33 & UB 34 together form the “Eight Liao” points and are all useful for local low back a/or sacrum problems and most genital and urinary related disorders. Of these UB 32 is most often used clinically.

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11
Q

BL31 Nearby Points

A

UB27 - Level with the 1st PSF, 1.5 cun lateral to GV line

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12
Q

BL 32 Ci Liao

A

Second Crevice

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13
Q

BL32 Location

A

Over the 2nd PSF

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14
Q

BL32 Needling

A

Perpendicular 0.5 - 1 cun; or 1.5 - 2 cun into the foramen using a slightly oblique medial and inferior angle

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15
Q

BL32 Caution

A

Contraindicated during pregnancy

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16
Q

BL32 Associations

A

No Hats

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17
Q

BL32 Indications

A

Conditions / Symptoms:

Back Pain

Urinary Dysfunction

Irregular Menstruation

Leukorrhea/Labor Promotion

Dysmenorrhea (Menstrual Pain/Cramps)

Sciatica

Sciatic pain, aids mobility in the lower limbs, loss of sensation in the lower limbs.

OB/GYN issues: leukorrhea - particularly white, irregulary cycles, painful menstruation, blood stagnation.

Important point for easing labor pain a/or inducing labor (needle point, bend and tape handle to the back).

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18
Q

BL32 TCM Actions

A

Regulates the lower jiao and facilitates urination and defecation

Regulates menstruation and stops leucorrhea

Benefits the lumbar region and legs

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19
Q

BL32 Neuroanatomy

A

Superficial Innervation: Dorsal rami of S1 - S3
Dermatome Segment: S3
Deeper Structures: Sacral nerve S1 emerging from foramen

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20
Q

BL32 TCM Patterns

A

Kidney Qi Deficiency

Liver Blood Stagnation

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21
Q

BL32 Notes

A

As one of the Baliao or “eight crevices” located in the sacral foramen which all regulate urination, defecation, menstruation and lumbar region, and being at the same level as the bladder-shu Pangguangshu Bl-28 this point is the strongest of the Baliao for regulating urination.

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22
Q

BL32 Nearby Points

A

UB28 - 1.5 cun lateral to the GV line, level with 2nd PSF

UB53 - 3 cun lateral to GV line, level with 2nd PSF

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23
Q

BL33 Zhong Liao

A

Central Crevice

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24
Q

BL33 Location

A

Over the 3rd PSF

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25
Q

BL33 Needling

A

Perpendicular 0.5 - 1 cun; 1.5 - 2 cun through the foramen

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26
Q

BL33 Caution

A

Contraindicated in pregnancy

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27
Q

BL33 Associations

A

No Hats.

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28
Q

BL33 Indications

A

Conditions / Symptoms:

Amenorrhea (Absence of Menstruation)

Leukorrhea/Lumbar Pain

Constipation

Infertility

Diarrhea

In women may be used for irregular menstruation, light cycles, leukorrhea, infertility.

As an adjunctive point for constipation - but may also be used for diarrhea.

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29
Q

BL33 TCM Actions

A

Regulates lower jiao and facilitates urination and defecation

Regulates menstruation and stops leucorrhea

Benefits lumbar region and legs

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30
Q

BL33 TCM Patterns

A

Kidney Qi Deficiency

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31
Q

BL33 Neuroanatomy

A

Superficial Innervation: Dorsal rami of S1 - S3
Dermatome Segment: S3
Deeper Structures: Sacral nerve S1 emerging from foramen

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32
Q

BL33 Notes

A

One of the Baliao or “eight crevices” located in the sacral foramen which all regulate urination, defecation, menstruation and benefit the lumbar region and legs.

Sacral Nerve Stimulation using an implanted device to electrostimulate this point has beeen adopted by modern surgeons to treat urinary urge incontinence and frequency (NICE guidelines). See also PTNS, a similar procedure at Sanyinjiao Sp-6.

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33
Q

BL33 Nearby Points

A

UB29 - 1.5 cun lateral to GV line level with 3rd PSF

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34
Q

BL34 Xia Liao

A

Lower Crevice

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35
Q

BL34 Location

A

Over the 4th PSF

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36
Q

BL34 Needling

A

0.5 - 1 cun Perpendicular or 1.5 - 2 cun into the foramen

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37
Q

BL34 Caution

A

Contraindicated in pregnancy

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38
Q

BL34 Associations

A

No hats

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39
Q

BL34 Indications

A

Conditions / Symptoms:

Constipation/Cramps

Leukorrhea

Urinary Disorders (Lin Disease)

Back Pain

Swelling, Genital Pain

Useful for constipation and/or pain in the lower abdomen. Urinary difficulty.

In women, painful menstrual cycles (dysmenorrhea), leukorrhea and/or vaginal pain.

Genital pain in men.

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40
Q

BL34 TCM Actions

A

Regulates lower jiao, facilitates urination and defecation

Regulates menstruation and stop leucorrhea

Benefits lumbar region and legs

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41
Q

BL34 TCM Patterns

A

None listed

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42
Q

BL34 Neuroanatomy

A

Superficial Innervation: Dorsal rami of S1 - S3
Dermatome Segment: S3
Deeper Structures: Sacral nerve S1 emerging from foramen

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43
Q

BL34 Notes

A

One of the Baliao or “eight crevices” located in the sacral foramen which all regulate urination, defecation, menstruation and benefit the lumbar region and legs. This one has the widest ranging effect on the intestines out of the group.

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44
Q

BL34 Nearby Points

A

UB30 - 1.5 cun lateral to GV2 line, level with 4th PSF

UB54 - 3 cun lateral to GV2, level with 4th PSF

GV2 - On the midline in the sacrococcygeal hiatus

45
Q

BL35 Hui Yang

A

Meeting of Yang

46
Q

BL35 Location

A

0.5 cun lateral to the GV line, level with the coccyx

47
Q

BL35 Needling

A

Perpendicular 1 - 1.5 cun

48
Q

BL35 Associations

A

No hats

49
Q

BL35 Indications

A

Conditions / Symptoms:

Leukorrhea

Erectile Dysfunction

Impotence

Genital Pain, Swelling

Hemorrhoids

Clears damp heat from the lower warmer - principle point for hemorrhoids, also vaginal disharges/leukorrhea, diarrhea.

Trauma a/or pain of the coccyx, deviation.

Potentially useful for impotence and/or swellings in the genitals or in the lower warmer area generally.

50
Q

BL35 TCM Actions

A

Clears damp-heat and regulates lower jiao

Treats trauma to coccyx

Treats hemorrhoids

51
Q

BL35 TCM Patterns

A

Bladder Damp Heat

52
Q

BL35 Neuroanatomy

A

Superficial Innervation: Dorsal rami of S1 - S3
Dermatome Segment: S4
Deeper Structures: Dorsal rami of the coccygeal nerve

53
Q

BL35 Trigger Point

A

Muscle: Gluteus maximus
Myotome Innervation: Inferior gluteal nerve (L5 - S2)
Location Notes: There is another gluteus maximus trigger point located slightly lateral, between this point and huantiao GB-30
Pain Referral Pattern: Local to buttock or to sacrum and lateral hip below iliac spine if located slightly lateral
Indications: Pain in buttocks or leg, aggravated by walking uphill

54
Q

BL35 Notes

A

This point is also indicated in problems with the Fourth Level of Manifestation of the Soul, or the Anahatachakra, concerned with creation, “mind becoming matter” and the ability to turn ideas into actions that have consequences. This manifests in hopelessness, cynicism and inability to see reality as illusion.
The other points in this set are Baihui Du-20 and Huiyin Ren-1 or Yinjiao Ren-7 (Yuen, 2005, 3 Spirits & 7 Souls).

55
Q

BL35 Nearby Points

A

GV1 - Midway between the tip of the coccyx and the anus

GB30 - At the junction of the lateral 1/3 and medial 2/3 of a line drawn between the prominence of the greater trochanter and the hiatus of the sacrum (patient lying in a lateral recumbent position with thigh flexed)

56
Q

BL36 Cheng Fu

A

Hold and Support

(lift up butt cheek lol)

57
Q

BL36 Location

A

Just below the buttock, on a line directly superior to BL40, in the centre of the transverse gluteal crease, in a depression between the hamstring muscles.

or more simply:

On the posterior side of thigh at the midpoint of the inferior gluteal crease, directly above BL40

58
Q

BL36 Needling

A

Perpendicular 1 - 2 cun

59
Q

BL36 Associations

A

No hats

(Trigger Point)

60
Q

BL36 Indications

A

Conditions / Symptoms:

Genital Pain, Swelling

Urinary Disorders (Lin)

Seminal Emission

Hemorrhoids

Back Pain

Sciatica down back of leg

Weakness of lower limbs

(Bachelor of Social Work, Hold & Support, Gushy feelings)

Similar functions to UB 35 in clearing damp heat and swellings from the lower warmer - genital pain and swelling, hemorrhoids, seminal emission, difficult urination.

Pain in the lower back and gluteal region, constipation, muscular atrophy, numbness and motor impairment of the lower extremities.

61
Q

BL36 TCM Actions

A

Activates channel, relaxes sinews and alleviates pain

Regulates lower jiao

Treats hemorrhoids

62
Q

BL36 TCM Patterns

A

Bladder Damp Heat

63
Q

BL36 Neuroanatomy

A

Superficial Innervation: Posterior cutaneous nerve of the thigh (S1 - S3)
Dermatome Segment: S3
Deeper Structures: Sciatic nerve (L4 - S3)

64
Q

BL36 Trigger Point

A

Muscle: Adductor magnus
Myotome Innervation: Posterior branch of obdurator nerve (L2 - L4) and sciatic nerve (L4 - S3)
Pain Referral Pattern: Intrapelvic
Indications: Diseases of the hip and knee

65
Q

BL36 Nearby Points

A

GB30 - On the lateral 1/3 and medial 2/3rds of a line drawn between the greater trochanter and the sacral hiatus.

66
Q

BL37 Yin Men

A

Gate of Abundance

67
Q

BL37 Location

A

On the back of the thigh, in a depression between the hamstring muscles, 6 cun distal to BL36 and 8 cun proximal to BL40, on a line connecting BL36 with BL40

or more simply

6 cun below BL36 on a line connecting BL36 and BL40

68
Q

BL37 Needling

A

Perpendicular 1 - 2 cun

69
Q

BL37 Associations

A

No hats

(Trigger Point)

70
Q

BL37 Indications

A

Conditions / Symptoms:

Back Pain - strengthens

Leg Pain/Cramps

Atrophy of leg muscles

Diarrhea (watery)

Sciatica

(Blad - promotional flyer or mock up for a product like a book… in between 2 hamstring muscles like open book, strengthens spine like spine of book)

Strengthens the spine and alleviates pain - low back pain, sciatic pain, local hamstring, thigh, leg pain.

Also used for watery diarrhea.

Pain in the lower back and thigh, muscular atrophy, pain, numbness and motor impairment of the lower extremities, hemiplegia.

71
Q

BL37 TCM Actions

A

Activates channel and alleviates pain
Benefits lumbar spine

72
Q

BL37 TCM Patterns

A

Large Intestine Damp Heat

73
Q

BL37 Neuroanatomy

A

Superficial Innervation: Posterior cutaneous nerve of the thigh (S1 - S3)
Dermatome Segment: S2
Deeper Structures: Sciatic nerve (L4 - S3)

74
Q

BL37 Trigger Point

A

Muscle: Adductor magnus or biceps femoris
Myotome Innervation: Adductor magnus: Posterior branch of obdurator nerve (L2 - L4) and sciatic nerve (L4 - S3); Biceps femoris: Common peroneal and tibial branches of sciatic nerve (L5 - S2)
Location Notes: Biceps femoris trigger points would lie either side
Pain Referral Pattern: Adductor magnus: To medial side of thigh and knee
Biceps femoris: either to lower buttock and down medial side of knee (medial point) or to posterior apsect of the knee (lateral point)
Indications: Diseases of the hip and knee

75
Q

BL37 Nearby Points

A

GB31 - 2 cun below BL37 directly below greater trochanter

described more accurately as: 7 cun above popliteal crease directly below greater trochanter (12 cun below gt)

76
Q

BL38 Fu Xi

A

Floating (Superficial) Cleft

77
Q

BL38 Location

A

On the back of the knee, 1 cun superior to BL39 (popliteal crease) on the medial side of the tendon of biceps femoris. Locate with knee slightly flexed.

78
Q

BL38 Needling

A

Perpendicular 1 - 1.5 cun

79
Q

BL38 Associations

A

No hats

(Luo Harmonizing Point

Trigger Point)

80
Q

BL38 Indications

A

Conditions / Symptoms:

Thigh/buttocks pain

Urinary Problems - hot urine

Constipation (hard stools from Heat in SI/LI)

Knee Bursitis

Sciatica/SI Heat

Similar functions to the bladder points on the sacrum and leg in that it relieves pain and moves the triple warmer.

Draws heat from the lower warmer - small intestine heat, hard stools from heat in the large intestine.

81
Q

BL38 TCM Actions

A

Relaxes sinews and alleviates pain

Clears heat and soothes contraction

82
Q

BL38 TCM Patterns

A

Large Intestine Dryness

Small Intestine…?

83
Q

BL38 Neuroanatomy

A

Superficial Innervation: Posterior cutaneous nerve of the thigh (S1 - S3)
Dermatome Segment: S2
Deeper Structures: Tibial nerve (L5 - S2)

84
Q

BL38 Trigger Point

A

Myotome Innervation: Common peroneal nerve (short head), tibial nerve (long head) both from sciatic nerve (L5 - S2)
Pain Referral Pattern: Mainly at the back of the knee over the popliteal crease with areas radiating around the point and down to the medial aspect of the calf
Indications: Diseases of the knee joint ; Myalgia of the posterior thigh

85
Q

BL38 Notes

A

At the end of a Bladder Luo treatment this point is needled, deqi grasped and removed immediately to normalize the circulation of blood (Cecil-Sterman, 2012, Advanced Acupuncture)

86
Q

BL38 Nearby Points

A

UB39 - 1 cun below UB38 in the popliteal crease, lateral to UB40 on the medial border biceps femoris

UB40 - Midpoint of the transverse crease of the popliteal fossa, between the tendons of biceps femoris (lateral) and semitendinosis (medial)

ST34 - With knee flexed, 2 cun above superior-lateral border of the patella on a line connecting with the ASIS

87
Q

BL39 Wei Yang

A

Outside of Crook (Bend of Yang)

88
Q

BL39 Location

A

On the popliteal crease, lateral to UB40 on the medial border of the tendon of biceps femoris (1 cun below UB38)

89
Q

BL39 Needling

A

Perpendicular 1 - 1.5 cun; Transverse to KI10 and add BL40 (cross T-shaped needling)

90
Q

BL39 Associations

A

Lower He Sea point of San Jiao

91
Q

BL39 Indications

A

Conditions / Symptoms:

Back Pain/local knee pain

Axillary swelling/Arm Pain

Syncope (swoon, pass out, hence bashful)

Hemorrhoids

Fullness of Chest

Urinary Disorders (disperse)/Incontinence (tonify)

Lower Intestinal Distention

Harmonize the triple warmer, damp heat conditions effecting the lower warmer: disperse for difficult urination, tonify for urinary incontinence.

Frees the channel - lumbar pain, lower intestinal distention, hemorrhoids.

Swellings in the axillary region.

Local point for knee issues.

92
Q

BL39 TCM Actions

A

Activate channel and alleviate pain

Harmonize san jiao, regulate urination

Open water passages, clear damp heat

93
Q

BL39 TCM Patterns

A

LI Damp Heat

BL Damp Heat

94
Q

BL39 Neuroanatomy

A

Superficial Innervation: Posterior cutaneous nerve of the thigh (S1 - S3)
Dermatome Segment: S2
Deeper Structures: Possibly common fibular peroneal nerve (L4 - S2)

95
Q

BL39 Notes

A

This point is also on the 4th trajectory of the Chong mai relating to structural aspects of the body via the Qiao (Yuen, 2005, The Extraoridinary Vessels).

“Crossed T-Shaped Needling” involves transverse needling from Weiyang Bl-40 to Ququan Kid-10 combined with perpendicular needling of Weizhong Bl-40 for numbness or paralysis of the leg (Liu Yan, 2008, Diagrams of Acupuncture Manipulations, p.138).

96
Q

BL39 Nearby Points

A

UB40 - In the centre of the popliteal crease, between the tendons of biceps femoris and semitendinosis

KD10 - At the medial end of the popliteal crease, between the tendons of semitondinosis and semimembranosus. Needle with knee slightly flexed.

LV8 - Just superior to the medial end of the popliteal crease, posterior to the medial epicondyle of the tibia, on the anterior border of semitendinosus and semimembranosus with knee flexed (about 1 cun anterior to KD10)

97
Q

BL40 Wei Zhong

A

Middle of the Crook

98
Q

BL40 Location

A

In the middle of the popliteal crease, between the tendons of semitendinosis and biceps femoris

99
Q

BL40 Needling

A

Perpendicular 1 - 1.5 cun or prick to bleed superficial veins

100
Q

BL40 Caution

A

Tibial nerve and popliteal artery and vein lie deep to this point

101
Q

BL40 Associations

A

He Sea and Earth point

Lower He Sea of UB (?)

Command Point of Back

Heavenly Star point

102
Q

BL40 Indications

A

Conditions / Symptoms:

Skin Problems (Rash)

Night Sweats (Sleep Hyperhidrosis)

Acute/Chronic Low Back Pain

Knee Pain

Erysepalis/Eczema

Bi Syndrome of Lower limbs

Incontinence/Itching/Inflammation

Rebelliuos Qi (vomiting, nosebleed)

Diarrhea/Difficult Urination

Summer Heat, Heat Stroke

As the Lumbar Command Point, useful for all lumbar related issues: acute low back pain, sprain, muscle spasms, etc.

Main point for heat conditions such as summer heat, heatstroke and heat exhaustion. Nightsweats in some cases from deficiency.

Main point for all skin related issues: itching, oozing, inflammation, eczema, etc.

Good local point for hip, leg a/or knee pain.

Wei and Bi syndromes of lower limbs (Bi syndrome of knee, Bi syndrome of hip, paralysis of lower limbs

103
Q

BL40 TCM Actions

A

Benefits lumbar region and knees

Activates channel and alleviates pain

Cools the blood

Clears summer heat, stops vomiting and diarrhea

Benefits the bladder

104
Q

BL40 TCM Patterns

A

Summer Heat

(Bladder Damp Heat

Large Intestine Damp Heat

Heat in Blood

Blood Stagnation?)

105
Q

BL40 Neuroanatomy

A

Superficial Innervation: Posterior cutaneous nerve of the thigh (S1 - S3)
Dermatome Segment: S2
Deeper Structures: Tibial nerve (L5 - S2)

106
Q

BL40 Trigger Point

A

Muscle: Plantaris
Myotome Innervation: Tibial nerve (L5 - S2)
Pain Referral Pattern: Local to point and to upper calf
Indications: Pain in the back of the knee and upper calf

107
Q

BL40 Notes

A

Location of popliteal pulse

This point is also on the 4th trajectory of the Chong mai relating to structural aspects of the body via the Qiao (Yuen, 2005, The Extraordinary Vessels).

This point is unusual in Cecil-Sterman’s Bladder Divergent treatment in that it is both the opening and confluent point (Cecil-Sterman, 2012, Advanced Acupuncture).

The “59 piercings” are named in the Su Wen Ch. 61 and mentioned in Su Wen Ch. 32 for treating Heat diseases. This point along with Yunmen Lu-2, Jianyu LI-15 and Yaoshu Du-2 clear Heat from the four limbs.

Ling Shu (Spiritual Pivot) Ch. 71, On Evil Visitors, says that when a depletion evil is in the Kidneys it remains in the hollows of the knees. Yuen’s theory of the Divergent meridians suggests that they store pathogens at the major joints, depleting our resources while they do, which would make this a potential point for for the Kidney/Bladder Divergent.

108
Q

BL40 Nearby Points

A

UB39 - On popliteal crease on the medial border of the tendon of biceps femoris, level with BL40

KI10 - On the medial end of the poplitial crease between the tendons of semitendinosus and semimembranosus, needled with the knee slightly bent

LV8 - Just superior to the medial end of the popliteal crease, in a depression on the anterior border of the tendons of semimembranosus and semitendinosus, posterior to the medial epicondyle of the tibia (1 cun anterior to KI10)

ST35 - With knee flexed, below the patella in a hollow lateral to the patellar tendon

EX-LE-5 Xiyan - Lateral (ST35) and medial knee depressions

EX-LE-2 Heding - In a depression at the midpoint of and superior to the patella

Acupuncture Points Comprehensive (24 decks)

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