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Acupuncture Points Comprehensive > Foot Taiyang 41-50 > Flashcards

Foot Taiyang 41-50 Flashcards

1
Q

BL41 Fu Fen

A

Attached Branch

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2
Q

BL41 Location

A

3 cun lateral to the midline (on the spinal border of the scapula), level with the lower border of T2 (level with BL12)

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3
Q

BL41 Needling

A

Oblique 0.3 - 0.5 cun (Deadman)

Oblique insertion 0.5 - 0.8 cun (ACATCM)

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4
Q

BL41 Associations

A

No hats

Trigger Point

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5
Q

BL41 Caution

A

Deep perpendicular or deep oblique needling has a significant risk of causing a pneumothorax

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6
Q

BL41 Indications

A

Conditions / Symptoms:

Neck Pain

Shoulder Pain

Arm Pain

Useful for dispelling cold and wind from the upper back and neck - neck pain, shoulder problems, arm and/or elbow issues.

Wind-cold lodged in the interstices, wind-taxation.

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7
Q

BL41 TCM Actions

A

Expels wind-cold

Activates channel and alleviates pain

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8
Q

BL41 TCM Patterns

A

Liver Wind

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9
Q

BL41 Neuroanatomy

A

Superficial Innervation: Posterior cutaneous thoracic nerves from T2
Dermatome Segment: T2

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10
Q

BL41 Trigger Point

A

Muscle: Rhomboid minor
Myotome Innervation: Dorsal scapular nerve (C5, with minor contribution from C4 and C6)
Pain Referral Pattern: Local to point and around medial and superior border of scapula
Indications: Shoulder pain remaining after other trigger points in the area have been deactivated

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11
Q

BL41 Nearby Points

A

UB12 - 1.5 cun lateral to the GV line, lower border of T2

SI10 - With arm abducted, directly above SI9 in a depression inferior to the scapular spine

SI13 - At the medial extremity of the suprascapular fossa, midway between SI10 and the spinous process of T2

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12
Q

BL42 Po Hu

A

Door of Corporeal Soul (which is connected to lungs)

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13
Q

BL42 Location

A

On the border of the spinal scapula, 3 cun lateral to the GV line (GV12) level with the lower border of T3 and UB13

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14
Q

BL42 Needling

A
  1. 3 - 0.5 cun Oblique (Deadman)
  2. 5 - 0.8 cun oblique (ACATCM)
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15
Q

BL42 Caution

A

Pneumothorax

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16
Q

BL42 Associations

A

No hats.

One of “59 Piercings” for clearing heat (Basic Questions)

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17
Q

BL42 Indications

A

Conditions / Symptoms:

Cough (with heat)

Asthma

Parasites/Three Corpse Possession Disorder

Shoulder/Neck/Back pain

Internal (psycho-spiritual) grief and trauma

Dyspnea/Deficiency-taxation

Reinforce the Lung Shu (UB 13) for Lung related disorders: cough, asthma, etc.

Drain heat from the Lung - cough with heat, tuberculosis.

Local point for shoulder and upper back pain and restriction.

Five corpse disorder

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18
Q

BL42 TCM Actions

A

Tonifies and nourishes lung

Soothes dyspnea and alleviates cough

Activates channel and alleviates pain

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19
Q

BL42 TCM Patterns

A

Lung Qi Deficiency

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20
Q

BL42 Neuroanatomy

A

Superficial Innervation: Posterior cutaneous thoracic nerves from T3
Dermatome Segment: T3

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21
Q

BL42 Notes

A

Three Corpse Possession Disorder:
Sanshi 三尸 (Three Corpses) or Sanchong 三蟲 (Three Worms) are a Daoist concept of parasitic entities that exist in the three Dantian centres from conception attempting to weaken the body and initiate sickness. The upper worm causes us to love finery and spectacles injuring the intellect, the middle causes us to indulge in fine flavours harming the five Zang while the lower causes sexual licentiousness weakening the Jing. Van Straten (1983) considers them as an expression of the Yin/Yang dichotomy at the most fundamental level of life where the instincts necessary for survival also sap our vitality and draw us closer to death whenever they are indulged. Addictions are a straightforward example of this.

Pomen Bl-42 is the only acupuncture point specifically associated with this disorder in Deadman (2001) with little explanation given. Presumably it is due to their association with the Po which are seen as similar endogenous pathogenic entities often under their command in some Daoist schools (Huang, 2011). Van Straten (1983) also describes rituals of cutting the finger and toe nails and burning them on specific days when they are thought to reside here, or bathing and fumigating the lower body from morning to evening to eliminate them from the intestines. A more common method was the avoidance of grains (Bigu) on which they feed, then poisoning them with medicines (Waidan, External Alchemy) and eliminating desire through meditation practices (Neidan, Internal Alchemy).

Several modern therapies can be seen as adaptations on this idea. Addiction treatments that use a combination of therapies to eliminate triggers and starve opportunities for relapse, condition an aversion with emetic medication and cultivate mindfulness to manage current stresses seem to be following the same principle of starve, purge and meditate. Theories that the gut microbiome drives our cravings are more literally similar seeing our addictions as due to parasitic influence. These schools teach that we should avoid sugars and simple carbohydrates on which microorganisms feed whilst administering medication to eliminate infections and cultivate a new ecosystem.

One of the classical “59
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 Shentang Bl-44, Hunmen Bl-47, Yishe Bl-49 and Zhishi Bl-52 clear Heat from the five Zang.

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22
Q

BL42 Nearby Points

A

GV12 - Directly below the spinous process of the third thoracic vertebra

UB13 - 1.5 cun lateral to GV12, level with lower border of T3

SI11 - Found at the junction of the upper and middle third of a line drawn between teh lower scapular spine and the inferior angle of the scapula. In a depression at the centre of the infrascapular fossa

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23
Q

BL43 Gao Huang Shu

A

Vital Region Shu

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24
Q

BL43 Location

A

On the border of the scapular spine, 3 cun lateral to the lower border of T4

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25
BL43 Needling
0. 3 - 0.5 cun Oblique (Deadman) 0. 5 - 0.8 cun oblique (ACATCM)
26
BL43 Caution
Pneumothorax
27
BL43 Associations
No hats
28
BL43 Indications
_Conditions/Symptoms:_ ## Footnote SP-ST Xu/Sweating spon/night Cough/Chronic illness Asthma Neck/back/shoulder pain Taxations: 5 taxations and 7 injuries Palpitations/Poor memory/Phlegm-fire Insomnia Emaciation (Pie - sugar - phlegm/heat ; Scant - deficiency conditions) All kinds of deficiency, Lung deficiency-taxation, deficiency-taxation, the five taxations and the seven injuries, cough, asthma, coughing blood, night sweating, spontaneous sweating, steaming bone disorder, consumption, emaciation. Feebleness and deficiency of the Spleen and Stomach, undigested food in the stool, oesophageal constriction, weariness of the four limbs, vomiting blood. Main point for all disorders of the Lung and Upper Warmer: asthma, dyspnea, cough, tuberculosis, etc. Tonification point for cases of weakness and deficiency especially from chronic illness.
29
BL43 TCM Actions
Nourishes and tonifies yin organs (LU, HT, SP, ST, KI) Nourishes yin and clears heat Calms the spirit (emotional) Fosters original qi Resolves phlegm
30
BL43 TCM Patterns
Lung Yin Xu Heart Yin Xu Kidney Yin/Yang Xu SP Qi Xu ST Qi Xu ST Yin Xu ??
31
BL43 Neuroanatomy
_Superficial Innervation:_ Posterior cutaneous thoracic nerves from T4 _Dermatome Segment:_ T4
32
BL43 Notes
* In five element acupuncture indicated for a fire cf, weakness from chronic diseases, generalized fatigue. * Wang Zhizhong (12th century) in Supporting Life with Acupuncture and Moxibustion, claims that this point treats everything including marked emaciation, seminal loss while dreaming, counterflow Qi ascent with cough, mania and forgetfulness, and more. It is especially effective if combined with Zusanli St-36 and Yongquan Kid-1 (Lu & Wilcox, 2014) * UB 43 is unique in that it tonifies the Qi of the whole body and strengthens weak and deficient people. Using moxa on this point works well.
33
BL43 Nearby Points
UB14 - 1.5 cun lateral to the GV line, level with lower border of T4
34
BL44 Shen Tang
Spirit Hall
35
BL44 Location
3 cun lateral to the lower border of T5 on GV line (GV11), level with BL15
36
BL44 Needling
0.3 - 0.5 cun oblique (D) or 0.5 - 0.8 cun oblique (A)
37
BL44 Caution
Pneumothorax
38
BL44 Associations
No hats
39
BL44 Indications
_Conditions/Symptoms_ ## Footnote Cough; Cardiac Pain Unbinds chest; Upper back pain Palpitations Insomnia/Internal mental health Dyspnea; Depression Reinforce the HT Shu (UB 15) and treat Heart related psycho-emotional issues: anxiety, insomnia, et. Cough, asthma, dyspnoea, fullness of the chest with rebellious qi.
40
BL44 TCM Actions
Unbinds chest and regulates qi Activates channel and alleviates pain
41
BL44 TCM Patterns
?
42
BL44 Neuroanatomy
_Superficial Innervation:_ Posterior cutaneous thoracic nerves from T5 _Dermatome Segment:_ T5 _Deeper Structures:_ Neuromuscular junction of accessory nerve XI with trapezius muscle and branches of C3 - C4
43
BL44 Trigger Point
_Muscle:_ Lower trapezius and rhomboid major _Myotome Innervation:_ *Trapezius*: Motor - accessory nerve (CN XI), Sensation - dorsal rami of C2 - C3; *Rhomboid major:* Dorsal scapular nerve (C4 - C5) _Pain Referral Pattern:_ *Lower trapezius*: To the origin and insertion points of the trapezius at the acromion and the occiput, and along the muscle at the area between these two points *Rhomboid major*: Local to point and around medial border of scapula _Indications_: Shoulder arm and neck pain ; Headache ; Intrascapular pain
44
BL44 Notes
Like the other outer Bladder points of the five Zang, despite being named after their spiritual aspect, they have little indication for treatment of psychological disorders in the classical literature but are mainly used for draining Heat from their corresponding Zang (Deadman et al, 2001). One possible answer to this is that the Shen is often agitated by excessive Heat making clearing Heat from the Zang a possible protocol for calming the mind. ----------------------------------- In five element acupuncture indicated for a fire cf, spirit issues, emotional/psychological trauma, anxiety, insomnia. ----------------------------------- 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 Pohu Bl-42, Hunmen Bl-47, Yishe Bl-49 and Zhishi Bl-52 clear Heat from the five Zang. [http://steve-woodley.co.uk/?content=pointsearch&point=Bl-44](http://steve-woodley.co.uk/?content=pointsearch&point=Bl-44)
45
BL44 Nearby Points
UB15 - 1.5 cun lateral to GV11, lower border of T5 GV11 - Directly beneath the spinous process of the fifth thoracic vertebra
46
BL45 Yi Xi
Yi Xi (No English translation?!)
47
BL45 Location
3 cun lateral to the midline, level with the lower border of T6 (GV10)
48
BL45 Needling
0. 3-0.5 cun oblique (Deadman) 0. 5-0.8 cun obique (acatcm)
49
BL45 Caution
Deep perpendicular or deep oblique needling carries a significant risk of causing a pneumothorax
50
BL45 Associations
No hats Trigger Point
51
BL45 Indications
_Conditions/Symptoms:_ ## Footnote Cough Loss and Grief Asthma Shoulder/Back pain Stomach diseases/distention Mostly local point. In five element acupuncture indicated for strong experiences of grief, cannot let go of past events a/or losses.
52
BL45 TCM Actions
Expels Wind, Descends lung qi Clears Heat Invigorates qi and blood, alleviates pain
53
BL45 TCM Patterns
Unsure
54
BL45 Neuroanatomy
_Superficial Innervation:_ Posterior cutaneous thoracic nerves from T6 _Dermatome Segment:_ T6
55
BL45 Trigger Point
_Muscle:_ Lower trapezius (superficial), rhomboid major (middle) or iliocostalis thoracis (deep) _Myotome Innervation:_ Trapezius: Motor - accessory nerve (CN XI), Sensation - dorsal rami of C2 - C3; _Rhomboid major:_ Dorsal scapular nerve (C4 - C5); _Iliocostalis:_ Dorsal rami of T6 Pain Referral Pattern: *Lower trapezius:* Local to point and along muscle, to shoulder and occiput if trapezius *Rhomboid major:* Local to point and around medial border of scapula *Iliocostalis thoracis:* To inferior angle of scapula and medial border of scapula _Indications:_ Shoulder pain ; Back pain
56
BL45 Nearby Points
GV10 - Directly below the spinous process of the 6th thoracic vertebra UB16 - 1.5 cun lateral to GV10, level with lower border of T6
57
BL46 Ge Guan
Diaphragm Gate
58
BL46 Location
3 cun lateral to the midline (GV7), level with the lower border of T7 (lateral to UB17)
59
BL46 Needling
Oblique 0.3-0.5 cun | (oblique 0.5-0.8cun ACATCM)
60
BL46 Caution
Pneumothorax
61
BL46 Indications
_Conditions/Symptoms:_ ## Footnote Belching/Back pain and stiff Oppression of chest Vomiting Irregular Defecation Dysphagia Sighing In five element acupuncture indicated for issues related to breathing, counterflow qi (hiccups). Bovidae - cloven-hoofed, ruminant mammals (cows) steak - iron - blood Hui Meeting Point of Blood Also diaphragm - ruminant animals
62
BL46 TCM Actions
Regulate diaphragm and descend counter qi stagnation Harmonize middle jiao
63
BL46 TCM Patterns
Liver Qi Stagnation Blood Stagnation
64
BL46 Neuroanatomy
_Superficial Innervation:_ Posterior cutaneous thoracic nerves from T7 _Dermatome Segment_: T7
65
BL46 Nearby Points
GV9 - Directly beneath the spinous process of T7 UB17 - 1.5 cun lateral to GV9, level with lower border of T7
66
BL47 Hun Men
Gate of Etheral Soul
67
BL47 Location
3 cun lateral to the GV line, level with the lower border of T9 (level with BL18)
68
BL47 Needling
Oblique 0.3 - 0.5 cun | (Oblique 0.5 - 0.8 cun ACACTM)
69
BL47 Caution
Pneumothorax if needling deep perpendicular or deep oblique
70
BL47 Associations
No hats
71
BL47 Indications
_Conditions/Symptoms:_ ## Footnote Vomiting Diarrhea Aversion to wind and cold. Back Pain; Bone and Joint Pain Anger Sadness/Depression Emotions creating hypochondriac/chest pain Abase - to lower or depress Reinforce the LV Back Shu (UB 18) as well to help treat the psycho-emotional aspects of the LV: depression, frustration, etc.
72
BL47 TCM Actions
Spread liver qi and relax sinews Harmonize middle jiao
73
BL47 TCM Patterns
Liver Qi Stagnation Heart stuff? also for BL46?
74
BL47 Notes
In five element acupuncture indicated for a wood cf, issues of anger a/or resentment, lack of sense of purpose in life, depression, drug a/or alcohol abuse issues. ----------------------------------- 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 Pohu Bl-42, Shentang Bl-44, Yishe Bl-49 and Zhishi Bl-52 clear Heat from the five Zang. ----------------------------------- ``` Jeffrey Yuen (2005, 3 Spirits & 7 Souls) suggests for inability to express anger we can direct the Yuan qi to here for expression by needling Ganshu Bl-18 outwards and then this point relatively perpedicularly. For excessive anger we can direct it back to the Zang by needling this point obliquely towards the inner Bladder line and then needling Ganshu Bl-18 downwards. ```
75
BL47 Neuroanatomy
_Superficial Innervation:_ Posterior cutaneous thoracic nerves from T9 _Dermatome Segment:_ T9
76
BL47 Nearby Points
GV8 - Directly beneath the spinous process of T9 UB18 - 1.5 cun lateral to GV8, level with the lower border of T9
77
BL48 Yang Gang
Yang Headrope (Key Link)
78
BL48 Location
3 cun lateral to the PML, level with teh lower border of the tenth thoracic vertebra and level with BL19
79
BL48 Needling
Oblique insertion 0.3 - 0.5 cun Oblique 0.5 - 0.8 acatcm
80
BL48 Caution
Deep oblique or perpendicular needling carries a substantial risk of causing a pneumothorax
81
BL48 Associations
No hats
82
BL48 Indications
_Conditions/Symptoms_ ## Footnote Jaundice (yellow eyes and face) Abdominal pain/distention Diarrhea Hypochondriac pain Dark urine (heat in body) In 5 element acupuncture indicated for problems making decisions
83
BL48 TCM Actions
Regulates GB and clears damp heat Harmonizes lower jiao
84
BL48 Neuroanatomy
Superficial Innervation: Posterior cutaneous thoracic nerves from T10 Dermatome Segment: T10
85
BL48 Nearby Points
BL19 - 1.5 cun lateral to the PML level with the lower border of T10
86
BL49 Yi She
Reflection Abode (Abode of Thought)
87
BL49 Location
3 cun lateral to GV6, level with the lower border of T11 and BL20
88
BL49 Needling
0. 3 - 0.5 oblique 0. 5 - 0.8 oblique acatcm
89
BL49 Caution
Pneumothorax
90
BL49 Associations
No hats Trigger Point
91
BL49 Indications
_Conditions/Symtpoms:_ ## Footnote Reddish-yellow urine Abdominal distension Yellow face and eyes Aversion to wind and cold Hypochondriac pain Difficulty swallowing Diarrhea Rayah - serfs Ottoman Empire, millet community (SP - earth), central community 90% Reinforce the SP Shu (UB 20) especially with damp heat conditions: hepatitis, cholecystitis, wasting and thirsting (diabetes), et.
92
BL49 TCM Actions
Clears damp heat Regulates the spleen
93
BL49 TCM Patterns
LV & GB Damp Heat SP & ST Damp Heat ?
94
BL49 Neuroanatomy
_Superficial Innervation:_ Posterior cutaneous thoracic nerves from T11 _Dermatome Segment_: T11
95
BL49 Trigger Point
_Muscle:_ Serratus posterior inferior and iliocostalis thoracis _Myotome Innervation:_ Serratus posterior inferior: Intercostal nerves from T9 - T12; Iliocostalis: Dorsal rami of T11 _Pain Referral Pattern:_ *Serratus posterior inferior*: Around point *Iliocostalis thoracis:* Along intercostal space and to lower lateral quadrant of abdomen. Some spillover along back and shoulder _Indications_*:* Nagging ache in lower thoracic region after other points have been deactivated ; Back pain
96
BL49 Nearby Points
BL20 - 1.5 cun lateral to the PML, level with the lower border of T11 (GV6) GV6 - Directly beneath the spinous process of T11
97
BL50 Wei Cang
Stomach Granary
98
BL50 Location
3 cun lateral to PML, level with lower border of T12 (level with BL21)
99
BL50 Needling
Oblique insertion 0.3 - 0.5 cun | (0.5-0.8 acatcm)
100
BL50 Associations
No hats
101
BL50 Caution
Pneumothorax
102
BL50 Indications
_Conditions/Symptoms:_ ## Footnote Abdominal distension Childhood malnutrition Aversion to cold, much cold Infantile indigestion Back pain Epigastric pain Edema (High density nutritional products; acai and bee pollen!)
103
BL50 TCM Actions
Harmonizes the middle jiao Regulates the SP & ST
104
BL50 Notes
In five element acupuncture indicated for earth cf, obsessive thoughts, overthinking, eating disorders, digestive disorders.
105
BL50 Patterns
Stomach Cold Stomach Food Stagnation ?
106
BL50 Neuroanatomy
_Superficial Innervation_: Posterior cutaneous thoracic nerves from T12 _Dermatome Segment:_ T12
107
BL50 Nearby Points
BL21 - 1.5 cun lateral to the GV line, level with lower border of T12
108

Acupuncture Points Comprehensive (24 decks)

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