Foot Taiyang 51-60 Flashcards

Question

BL53 Location

Answer 1

3 cun lateral to the midline, level with the second posterior sacral foramen

Answer 2

Perpendicular 1 - 1.5 cun

Answer 3

_Conditions/ Symptoms:_ ## Footnote Lumbar Pain/Stiff Abdominal Distention Retention of Urine Inability to Urinate or Defecate Difficult Ingestion Aversion to Wind Edema Laridae - gulls/terns - sea birds - UB - water

Answer 4

Benefits lumbar region Activates channel and alleviates pain Regulates lower jiao and benefits urination

Answer 5

_Superficial Innervation:_ Dorsal rami of S1 - S3 _Dermatome Segment_: S3 _Deeper Structures_: Neuromuscular junction of the superior gluteal nerve (L4 - S1) with the gluteus medius muscle

Answer 6

BL28 - 1.5 cun lateral to the PML, level with the 2nd PSF BL32 - On the sacrum, medial and inferior to the PSIS, level with the 2nd PSF

Answer 7

Lowermost Edge

Answer 8

On the buttock, 3 cun lateral to the GV line, level with the sacrococcygeal hiatus

Answer 9

Perpendicular insertion 1.5 - 2.5 cun; slanted toward the anus 2 - 3 cun

Answer 10

_Conditions/Symptoms:_ ## Footnote Lumbosacral pain/Leucorrhea Atrophy Lower Limbs Urination Problems/Dark Urine Genital Pain/Swelling Hemorrhoids Sciatica (esp. pain along back of leg) Contipation Seminal Emission Five Lin Syndrome (Painful Urine) (Laughter good for parasympathetic nervous system, sacrum location of PNS neurons)

Answer 11

Activates meridian and alleviates pain Benefits lumbar region Regulates urination and treats hemorrhoids

Answer 12

Bladder Damp Heat ? Kidney Qi Deficiency?

Answer 13

_Superficial Innervation_: Dorsal rami of S1 - S3 _Dermatome Segment_: S3

Answer 14

_Muscle_: Gluteus minimus and piriformis _Myotome Innervation_: *Gluteus minimus*: Superior gluteal nerve (L4 - S1); *Piriformis:* Nerve to the piriformis (L5 - S2) _Location Notes_: There are several other possible trigger points for gluteus minimus anterior to this point between here and juliao GB-29 _Pain Referral Pattern:_ To the buttock and lateral aspect of the hip, and down the posterior aspect of the thigh and calf _Indications_: Diseases of the hip joint ; Degenerative conditions of lumbar ; spine ; Sciatica

Answer 15

Important point for pain in the lumbar, sacral region and buttocks as well as for sciatica. ACATCM and Yin Yang House both list the location of this point as being level with the 4th posterior sacral foramen, contrary to Deadman.

Answer 16

UB30 - 1.5 cun lateral to the PML, level with 4th PSF UB34 - Level with 4th PSF, lateral to GV2 GV2 - On the midline in the sacro-coccygeal hiatus GV1 - On the midline, midway between the tip of the coccyx and the anus

Answer 17

Confluence of Yang

Answer 18

On the lower leg, 2 cun inferior to BL40, between the medial and lateral heads of the gastrocnemius, on a line connecting BL40 with BL57

Answer 19

Perpendicular 1 - 1.5 cun

Answer 20

No hats Trigger Point

Answer 21

_Conditions/Symptoms:_ ## Footnote Genital Pain Uterine Bleeding Lumbar Pain/Leucorrhea Paralysis Lower Limbs (swallowed between two heads of gastrocnemius)

Answer 22

Activates meridian and alleviates pain Stops uterine bleeding Relieves genital pain

Answer 23

_Superficial Innervation:_ Posterior cutaneous nerve of the thigh (S1 - S3) _Dermatome Segment:_ S2 _Deeper Structures:_ Tibial nerve (L5 - S2)

Answer 24

_Muscle:_ Gastrocnemius, soleus and popliteus (deep) _Myotome Innervation:_ *Gastrocnemius*: Tibial nerve, specifically roots from S1 and S2; Soleus: Tibial nerve, specifically roots from L5 - S2; *Popliteus*: Tibial nerve from L5 and S1 _Location Notes:_ Gastrocnemus trigger points may be found all around this point in the upper part of the gastrocnemus muscle. For popliteus point it may be useful to locate slightly medial to make sure you are on the muscle. _Pain Referral Pattern:_ *Gastrocnemus*: Around point and across posterior calf to sole of foot *Soleus*: To medial calf *Popliteus*: To back of knee _Indications_: Calf strain and cramps (gastrocnemus) ; Tenderness in the heel (soleus) ; Diseases of the knee (popliteus)

Answer 25

SP9 - On the medial side of the lower leg, in a depression in teh angle formed by the medial condyle of the tibia and the posterior border of the tibia (2 cun below knee joint) LV7 - Posterior and inferior to the medial condyle of the tibia, 1 cun posterior to SP9 GB34 - Below the lateral aspect of the knee, in the tender depression approximately 1 cun anterior and inferior to the head of the fibula (level with SP 9, also 2 cun below knee joint)

Answer 26

Support the Sinews

Answer 27

On the lower leg, 5 cun below BL40, midway between BL55 and BL57, in the centre of the belly of the gastrocnemius muscle

Answer 28

Perpendicular 1 - 1.5 cun

Answer 29

Contraindicated to needling by some classic texts??

Answer 30

No hats Trigger Point

Answer 31

_Conditions/Symptoms:_ ## Footnote Haemorrhoids/Headache/Heat in Head Urinary/Fecal Incontinence Muscle Cramps (Calf and Foot) Acute Lumbar Pain Nosebleed

Answer 32

Activates channel and alleviates pain Relaxes the sinews Benefits foot and heel

Answer 33

_Superficial Innervation:_ Posterior cutaneous nerve of the thigh (S1 - S3) _Dermatome Segment_: S2 _Deeper Structures:_ Tibial nerve (L5 - S2)

Answer 34

_Muscle_: Tibialis posterior _Myotome Innervation:_ Tibial nerve (L5 - S2) _Location Notes_: May be slightly medial and deep to the gastrocnemus muscle _Pain Referral Pattern_: To achilles tendon with spillover across calf and sole of foot _Indications:_ Pain in the foot and Achilles tendon when running and walking

Answer 35

SP8 - On the medial side of the lower leg, 3 cun inferior to SP9, in a depression just posterior to the medial crest of the tibia (5 cun below knee joint so level with BL56)

Answer 36

Support the Mountain

Answer 37

On the posterior midline of the lower leg, 8 cun below UB40 in a depression formed below the bellies of the gastrocnemius when the muscle is flexed

Answer 38

Perpendicular 1 - 2 cun, or oblique directed proximally or inferiorly

Answer 39

Heavenly Star Point Meeting of Bladder with Yang Wei Mai Trigger Point

Answer 40

_Conditions/Symptoms:_ ## Footnote Constipation; Diarrhea Anal Prolapse Muscle Cramps Calf and Foot Enterorrhagia Lumbar/Leg Pain Inability to stand for long Sciatica; Sore Throat Hemorrhoids; Heat in Head Empirical point for hemorrhoids Word Choice: The bellies of gastrocnemius looks like a camel's lip

Answer 41

Relaxes the sinews Activates the channel and alleviates pain Benefits the calf and heel Treats hemorrhoids (empirical point)

Answer 42

_Superficial Innervation:_ Sural nerve (L5 - S2) _Dermatome Segment_: S2 _Deeper Structures:_ Sural nerve (L5 - S2)

Answer 43

_Muscle:_ Soleus _Myotome Innervation:_ Tibial nerve (L5 - S2) _Pain Referral Pattern:_ To sacroiliac joint _Indications_: Tenderness in the heel

Answer 44

The Nei Jing suggests this is the origin of the Yang wei mai instead of Jinmen Bl-63. Ling Shu Ch. 52, On Wei Qi, suggest this point along with Qichong St-30 to release evil Qi in the legs. It advises to press the point for a time until there is a reaction and then pierce with the fine needle and apply a draining technique. Conditions treated are headache, dizziness and falling to the ground, abdominal pain, fullness, distension and accumulation. If it is painful and the pain moves it can be cured easily; if is is a painless fixed accumulation it is difficult.

Answer 45

ST38 - 8 cun below ST35, one fingerbreadth lateral from the anterior border of the tibia ST40 - 8 cun below ST35, two fingerwidths lateral to the anterior border of the tibia LV6 - 7 cun above the tip of the medial malleolus (8 cun below knee joint) on the midline of the medial surface of the tibia

Answer 46

Soaring Upwards (Taking Flight)

Answer 47

On the lower leg, 7 cun directly superior to BL60, lateral to and approximately 1 cun inferior to BL57

Answer 48

Perpendicular, or oblique insertion directed proximally or distally, 1 - 1.5 cun

Answer 49

Luo Connecting Point Trigger Point

Answer 50

_Conditions/Symptoms:_ ## Footnote Chills and fever w/o sweat Atrophy of Legs Blurry Vision Back Pain Epistaxis/Nasal Congestion Dizziness Mental Health - Bipolar Headache Hemorrhoids

Answer 51

Treats Hemorrhoids Harmonizes excess above and deficiency below Expels Wind-Damp from Taiyang Channel Activates channel and alleviates pain

Answer 52

_Superficial Innervation:_ Sural nerve (L5 - S2) _Dermatome Segment_: S2 _Deeper Structures:_ Sural nerve (L5 - S2)

Answer 53

_Muscle_: Soleus _Myotome Innervation:_ Tibial nerve (L5 - S2) _Pain Referral Pattern_: To ipsilateral face and jaw (exceptional pattern recorded by Travell & Simons, 1998) _Indications_: Tenderness in the heel

Answer 54

Ling Shu Ch. 6 suggests piercing the Luo points if a disease is in the Yang of the Yin realm (e.g. the Fu organs) implying this point for disorders of the Bladder. Ling Shu Ch. 19, On the Four Seasonal Qi, advises using the channels and Luo vessels for diseases which occur in spring. They are pierced deeply if severe and more shallow if mild. For the other seasons: - in summer choose the Yang channels and Luo located in the partings between the skin and flesh - in autumn choose the Shu-Stream points unless the disease in the Fu organs, then use the He-Sea points - in winter choose Jing-Well and Ying-Spring opening and retain the needle. Ling Shu Ch. 21, On Cold and Heat Diseases, repeats the advice to use Luo in spring but and adds that they can also treat diseases of the skin. For the other seasons it differs slightly from Ch. 19: - in summer choose the partings in skin structures which also treat the muscle and flesh - in autumn Taiyuan Lu-9 is chosen and can treat the sinews and vessels (this may also apply to other Shu-Stream points for this purpose, text is unclear) - in winter one chooses the main channel points which also treat the bones and marrow. Later it suggests using these Luo vessels when the lower abdomen is swollen and there is difficulty urinating along with Luo of the Jueyin (Ligou Liv-5) if they are knotted with blood. If it reaches the stomach then Zusanli St-36 is added. Ling Shu Ch. 21, on Cold and Heat Disease, advises pricking the Luo collaterals of the Taiyang emanating from here in cases of alternating cold and heat with supplementation of an additional channel based on the specific presentation: - if the hot and cold sensations are in the skin, the nose is dried up and the patient unable to sweat, supplement the Hand Taiyin Lung channel - if the hot and cold sensations are in the muscles, the lips are dry and they are unable to sweat, supplement the Foot Taiyin Spleen channel - if the hot and cold sensations are in the bones and they sweat ceaselessly then this point is not used but the Luo of the Foot Shaoyin, Dazhong Kid-4, is chosen instead.

Answer 55

ST39 - 9 cun below ST35 (7 cun above BL60) one fingerwidth lateral from the anterior border of the tibia GB35 - 7 cun above the tip of the external malleolus on the posterior border of the fibula, level with GB 36 and UB58 GB36 - 7 cun above the tip of the external malleolus on the anterior border of the fibula

Answer 56

Instep Yang

Answer 57

On lower leg, 3 cun superior to BL60

Answer 58

Perpendicular or oblique insertion directed proximally or distally, 1-1.5 cun

Answer 59

Xi Cleft Point Trigger Point

Answer 60

_Conditions/Symptoms:_ ## Footnote Chills/fever Acute spasm of Bladder or Yang Qiao meridians Low back pain/Lateral ankle sprain Atrophy of lower limb Sciatica Headache Calash - low wheeled carriage - wheel - feet

Answer 61

Benefits lumbar region and legs Activates channel and alleviates pain

Answer 62

Superficial Innervation: Sural nerve (L5 - S2) Dermatome Segment: S2 Deeper Structures: Sural nerve (L5 - S2)

Answer 63

_Muscle_: Flexor digitorum longus _Myotome Innervation_: Tibial nerve (L5 - S2) _Location Notes_: Slightly medial and deep to the gastrocnemus muscle _Pain Referral Pattern_: To lateral sole of foot and spillover across medial calf and ankle Indications: Strain of toe flexors

Answer 64

A Xi-Cleft point is the site where the Qi of the meridian is deeply converged. Qi and blood are stored deeply at these particular points. If there appear abnormal reactions at X-Cleft points, it shows that the pathogens have entered the deeper parts of Zang-Fu organs. Thus, they are used for acute, painful symptoms, inflammation, protracted diseases of its pertaining meridian and Zang-Fun organ. Also, Xi-Cleft points of the Yin meridians have hemostatic functions. Ling Shu Ch. 52, On the Wei Qi, considers this to be the root of the foot Taiyang meridian with the tip being at Jingming Bl-1.

Answer 65

GB39 - 3 cun superior to the prominence of the lateral malleolus, between the posterior border of the fibula and the tendons of peroneus longus and brevis GB38 - 4 cun superior to the prominence of the lateral malleolus, at the anterior border of the fibula SP6 - 3 cun superior to the prominence of the medial malleolus in a depression close to the medial crest of the tibia

Answer 66

Kunlun Mountains

Answer 67

Behind the ankle joint, in the depression between the prominence of the lateral malleolus and the Achilles tendon

Answer 68

Perpendicular insertion 0.5 - 1 cun; or directed superiorly to join with KI3 1.5 - 2 cun

Answer 69

Contraindicated in **Pregnancy**!!

Answer 70

Jing River Fire Point Heavenly Star Point

Answer 71

Labour - promote; Low back pain Epistaxis Genital Pain; Glandular Disorders Epilepsy Neck pain; Headache Diarrhea; Dyspnea Spinal Pain anywhere Main point for pain anywhere along the spine (UB 40 may be used more for pain in the middle of the spine). Main point for chronic low back pain a/or problems of pain a/or numbness in the lower limbs. Main point for headache and other excesses effecting the head. Induce labor or promote discharge of a retained placent.

Answer 72

Clears heat and lowers yang Pacifies wind and lowers excess Activates entire bladder channel and relieves pain Relaxes sinews and strengthens lumbar spine Promotes labour

Answer 73

Bladder Damp Heat Liver Yang Rising Lung Rebellious Qi ?

Answer 74

_Superficial Innervation:_ Sural nerve (L5 - S2) _Dermatome Segment_: S1 _Deeper Structures_: Sural nerve (L5 - S2)

Answer 75

The name of this point references the Kunlun mountain range, a metaphor for the ridges of the spine. This indicated the ability of this point to affect the entire length of bladder channel. Ling Shu Ch. 20, On the Five Evils, advises piercing this point and Yongquan Kid-1, removing any stagnant blood from visible vessels for pathogens in the Kidneys causing aching bones and Yin-type Bi syndrome with numbness, swollen abdomen, difficult defecation, dizziness and aching of the lower back, neck, nape and shoulders. A near identical passage in the Su Wen Ch. 74, gives the same advice but only refers to this point which might save a lot of unnecessary pain. Ling Shu Ch. 24, On Counterflow Diseases, employs this point for the treatment of Heart pain. It advises piercing this point and Jinggu Bl-64 when treating a Heart pain that feels like being struck with a bent and painful back, associated with the Kidneys.

Answer 76

BL62 - Approx 0.5 cun below the inferior border of the lateral maleollus, posterior to the peroneal tendons GB40 - Anterior and inferior to the external malleolus in a depression on the lateral side of the tendon of extensor digitorum longus KI3 - In a depression halfway between the prominence of the medial mallolus and the Achilles tendon