Foot Taiyang 41-50 Flashcards
BL41 Fu Fen
Attached Branch
BL41 Location
3 cun lateral to the midline (on the spinal border of the scapula), level with the lower border of T2 (level with BL12)
BL41 Needling
Oblique 0.3 - 0.5 cun (Deadman)
Oblique insertion 0.5 - 0.8 cun (ACATCM)
BL41 Associations
No hats
Trigger Point
BL41 Caution
Deep perpendicular or deep oblique needling has a significant risk of causing a pneumothorax
BL41 Indications
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.
BL41 TCM Actions
Expels wind-cold
Activates channel and alleviates pain
BL41 TCM Patterns
Liver Wind
BL41 Neuroanatomy
Superficial Innervation: Posterior cutaneous thoracic nerves from T2
Dermatome Segment: T2
BL41 Trigger Point
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
BL41 Nearby Points
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
BL42 Po Hu
Door of Corporeal Soul (which is connected to lungs)
BL42 Location
On the border of the spinal scapula, 3 cun lateral to the GV line (GV12) level with the lower border of T3 and UB13
BL42 Needling
- 3 - 0.5 cun Oblique (Deadman)
- 5 - 0.8 cun oblique (ACATCM)
BL42 Caution
Pneumothorax
BL42 Associations
No hats.
One of “59 Piercings” for clearing heat (Basic Questions)
BL42 Indications
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
BL42 TCM Actions
Tonifies and nourishes lung
Soothes dyspnea and alleviates cough
Activates channel and alleviates pain
BL42 TCM Patterns
Lung Qi Deficiency
BL42 Neuroanatomy
Superficial Innervation: Posterior cutaneous thoracic nerves from T3
Dermatome Segment: T3
BL42 Notes
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.
BL42 Nearby Points
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
BL43 Gao Huang Shu
Vital Region Shu
BL43 Location
On the border of the scapular spine, 3 cun lateral to the lower border of T4
BL43 Needling
- 3 - 0.5 cun Oblique (Deadman)
- 5 - 0.8 cun oblique (ACATCM)
BL43 Caution
Pneumothorax
BL43 Associations
No hats
BL43 Indications
Conditions/Symptoms:
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.
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
BL43 TCM Patterns
Lung Yin Xu
Heart Yin Xu
Kidney Yin/Yang Xu
SP Qi Xu
ST Qi Xu
ST Yin Xu
??
BL43 Neuroanatomy
Superficial Innervation: Posterior cutaneous thoracic nerves from T4
Dermatome Segment: T4
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.
BL43 Nearby Points
UB14 - 1.5 cun lateral to the GV line, level with lower border of T4
BL44 Shen Tang
Spirit Hall
BL44 Location
3 cun lateral to the lower border of T5 on GV line (GV11), level with BL15
BL44 Needling
0.3 - 0.5 cun oblique (D)
or
0.5 - 0.8 cun oblique (A)
BL44 Caution
Pneumothorax
BL44 Associations
No hats
BL44 Indications
Conditions/Symptoms
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.
BL44 TCM Actions
Unbinds chest and regulates qi
Activates channel and alleviates pain
BL44 TCM Patterns
?
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
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
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.
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
BL45 Yi Xi
Yi Xi (No English translation?!)
BL45 Location
3 cun lateral to the midline, level with the lower border of T6 (GV10)
BL45 Needling
- 3-0.5 cun oblique (Deadman)
- 5-0.8 cun obique (acatcm)
BL45 Caution
Deep perpendicular or deep oblique needling carries a significant risk of causing a pneumothorax
BL45 Associations
No hats
Trigger Point
BL45 Indications
Conditions/Symptoms:
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.
BL45 TCM Actions
Expels Wind, Descends lung qi
Clears Heat
Invigorates qi and blood, alleviates pain
BL45 TCM Patterns
Unsure
BL45 Neuroanatomy
Superficial Innervation: Posterior cutaneous thoracic nerves from T6
Dermatome Segment: T6
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
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
BL46 Ge Guan
Diaphragm Gate
BL46 Location
3 cun lateral to the midline (GV7), level with the lower border of T7 (lateral to UB17)
BL46 Needling
Oblique 0.3-0.5 cun
(oblique 0.5-0.8cun ACATCM)
BL46 Caution
Pneumothorax
BL46 Indications
Conditions/Symptoms:
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
BL46 TCM Actions
Regulate diaphragm and descend counter qi stagnation
Harmonize middle jiao
BL46 TCM Patterns
Liver Qi Stagnation
Blood Stagnation
BL46 Neuroanatomy
Superficial Innervation: Posterior cutaneous thoracic nerves from T7
Dermatome Segment: T7
BL46 Nearby Points
GV9 - Directly beneath the spinous process of T7
UB17 - 1.5 cun lateral to GV9, level with lower border of T7
BL47 Hun Men
Gate of Etheral Soul
BL47 Location
3 cun lateral to the GV line, level with the lower border of T9 (level with BL18)
BL47 Needling
Oblique 0.3 - 0.5 cun
(Oblique 0.5 - 0.8 cun ACACTM)
BL47 Caution
Pneumothorax if needling deep perpendicular or deep oblique
BL47 Associations
No hats
BL47 Indications
Conditions/Symptoms:
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.
BL47 TCM Actions
Spread liver qi and relax sinews
Harmonize middle jiao
BL47 TCM Patterns
Liver Qi Stagnation
Heart stuff? also for BL46?
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.
BL47 Neuroanatomy
Superficial Innervation: Posterior cutaneous thoracic nerves from T9
Dermatome Segment: T9
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
BL48 Yang Gang
Yang Headrope (Key Link)
BL48 Location
3 cun lateral to the PML, level with teh lower border of the tenth thoracic vertebra and level with BL19
BL48 Needling
Oblique insertion 0.3 - 0.5 cun
Oblique 0.5 - 0.8 acatcm
BL48 Caution
Deep oblique or perpendicular needling carries a substantial risk of causing a pneumothorax
BL48 Associations
No hats
BL48 Indications
Conditions/Symptoms
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
BL48 TCM Actions
Regulates GB and clears damp heat
Harmonizes lower jiao
BL48 Neuroanatomy
Superficial Innervation: Posterior cutaneous thoracic nerves from T10
Dermatome Segment: T10
BL48 Nearby Points
BL19 - 1.5 cun lateral to the PML level with the lower border of T10
BL49 Yi She
Reflection Abode (Abode of Thought)
BL49 Location
3 cun lateral to GV6, level with the lower border of T11 and BL20
BL49 Needling
- 3 - 0.5 oblique
- 5 - 0.8 oblique acatcm
BL49 Caution
Pneumothorax
BL49 Associations
No hats
Trigger Point
BL49 Indications
Conditions/Symtpoms:
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.
BL49 TCM Actions
Clears damp heat
Regulates the spleen
BL49 TCM Patterns
LV & GB Damp Heat
SP & ST Damp Heat
?
BL49 Neuroanatomy
Superficial Innervation: Posterior cutaneous thoracic nerves from T11
Dermatome Segment: T11
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
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
BL50 Wei Cang
Stomach Granary
BL50 Location
3 cun lateral to PML, level with lower border of T12 (level with BL21)
BL50 Needling
Oblique insertion 0.3 - 0.5 cun
(0.5-0.8 acatcm)
BL50 Associations
No hats
BL50 Caution
Pneumothorax
BL50 Indications
Conditions/Symptoms:
Abdominal distension
Childhood malnutrition
Aversion to cold, much cold
Infantile indigestion
Back pain
Epigastric pain
Edema
(High density nutritional products; acai and bee pollen!)
BL50 TCM Actions
Harmonizes the middle jiao
Regulates the SP & ST
BL50 Notes
In five element acupuncture indicated for earth cf, obsessive thoughts, overthinking, eating disorders, digestive disorders.
BL50 Patterns
Stomach Cold
Stomach Food Stagnation
?
BL50 Neuroanatomy
Superficial Innervation: Posterior cutaneous thoracic nerves from T12
Dermatome Segment: T12
BL50 Nearby Points
BL21 - 1.5 cun lateral to the GV line, level with lower border of T12
