Foot Taiyang 61-67 Flashcards

1
Q

BL61 Pu Can

A

Subserviant Visitor

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2
Q

BL61 Location

A

On the lateral side of the foot, 1.5 cun inferior to BL60, in a tender depression on the calcaneum

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3
Q

BL61 Needling

A

Perpendicular insertion 0.3-0.5 or transverse superior insertion

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4
Q

BL61 Associations

A

No hats

Meeting of Bladder with Yang Qiao Mai (Yang Motility)

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5
Q

BL61 Indications

A

Headache/heavy head

Atrophy of leg muscles

Urinary Dysfunction

Lumbar Pain

Mental Health: Mania, delusions

Haulm = a stalk or stem

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6
Q

BL61 TCM Actions

A

Activates channel and alleviates pain

Relaxes sinews

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7
Q

BL61 TCM Patterns

A

?

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8
Q

BL61 Neuroanatomy

A

Superficial Innervation: Sural nerve (L5 - S2)
Dermatome Segment: S1
Deeper Structures: Sural nerve (L5 - S2)

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9
Q

BL61 Notes

A

One of the points in the External Dragons protocol in five element acupuncture, along with Baihui Du-20, Dazhu Bl-11 and Shenshu Bl-23, for eliminating a blockage between the therapist and patient, or a disconnection from themselves, with the additional presence of external symptoms or trauma.

In “Yang penetrative needling”, to promote flow of qi through the foot taiyang Bladder meridian, needle transversely through Kunlun Bl-60, Fuyang Bl-59 as far as Feiyang Bl-58 (Liu Yan, 2008, Diagrams of Acupuncture Manipulations, p.138).

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10
Q

BL61 Nearby Points

A

BL62 - Approx 0.5 cun inferior to the inferior border of the lateral malleolus, in a depression posterior to the peroneal tendons

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11
Q

BL62 Shen mai

(Gui Lu)

A

Extending Vessel

(Ghost Path)

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12
Q

BL62 Location

A

On the lateral side of the foot, approx. 0.5 cun inferior to the inferior border of the lateral mallelus, posterior to the peroneal tendons

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13
Q

BL62 Needling

A

Oblique insertion directed inferiorly, 0.3 - 0.5 cun

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14
Q

BL62 Associations

A

Confluent Point of Yang Qiao Maid (Coupled with SI3)

Ghost Point

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15
Q

BL62 Indications

A

Dizziness; Deafness

Insomnia (anxiety at night) combine with KI6

Low back pain (with SI3)

Eye pain/redness

Mobility Issues

Mental Health: Mania/Depression

Aversion to wind, chills/fever

Spinal problems

Fatigue

Occipital headache

Wind-cold of Taiyang channels

Taiyang channel - stiff neck, shoulders, head

Hypertension

Fowth - plenty (opposite of dearth, scarcity)

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16
Q

BL62 TCM Actions

A

Pacifies interior wind and expels exterior wind

Calms the spirit and treats epilepsy

Benefits the head and eyes

Opens and regulates Yang Qiao Mai

Activates channel and alleviates pain

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17
Q

BL62 TCM Patterns

A

?

Liver Yang Rising

Kidney Yang Xu

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18
Q

BL62 Neuroanatomy

A

Superficial Innervation: Sural nerve (L5 - S2)
Dermatome Segment: S1
Deeper Structures: Sural nerve (L5 - S2)

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19
Q

BL62 Notes

A

Ghost Points:
The second trinity of ghost points, consisting of this point Daling Pc-7 and Fengfu Du-16, is concerned with the ghost trying to get you to search for the remnants of its past, either by dreamwork or literally going to places and seeking people it longs for. This is the most Yang phase of possession with many signs of Wind and Heat leading to agitation, uncontrollable movement and outbursts.

The alternative name Guilu, Ghost Path, represents the stage of possession when a person begins to walk the path of the ghost, actively seeking out the places or people of the ghosts past. With its relationship to the Yang qiao mai the symptoms often include symptoms similar to epilepsy, especially when confronted including disengagement and a blank forward stare, or at the other extreme uncontrollable aggression, contortions and deviations in the face.

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20
Q

BL62 Nearby Points

A

GB40 - At the ankle joint in the depression anterior and inferior to the lateral malleolus

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21
Q

BL63 Jin Men

A

Golden Gate (bridge - close to arch of foot)

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22
Q

BL63 Location

A

On the lateral side of the foot, in a depression posterior to the tuberosity of the fifth metatarsal bone

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23
Q

BL63 Needling

A

Perpendicular insertion 0.3 - 0.5 cun

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24
Q

BL63 Associations

A

Xi Cleft Point

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25
BL63 Indications
_Conditions/Symptoms:_ ## Footnote Mania; Motor Impairment Obstruction of lower limb Toothache Epilepsy Loss of consciousness; Lumbar pain Shan disorder, sudden and violent
26
BL63 TCM Actions
Pacifies wind Moderates acute conditions (Xi Cleft) Relaxes sinews, activates channel and alleviates pain
27
BL63 TCM Patterns
Liver Wind ???
28
BL63 Neuroanatomy
_Superficial Innervation:_ Sural nerve (L5 - S2) _Dermatome Segment:_ S1 _Deeper Structures_: Sural nerve (L5 - S2)
29
BL63 Notes
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.
30
BL63 Nearby Points
ST42 - On the dorsum of the foot, in the depression formed by the junction of the second and third metatarsal bones and the cuneiform bones, 1.5 cun distal to ST41 on the line drawn between ST41 and ST43 , at the point where the pulsation of the dorsalis pedis artery can be felt
31
BL64 Jing Gu
Capital Bone
32
BL64 Location
In a depression anterior and inferior to the tuberosity of the fifth metatarsal bone at the junction of the red and white skin
33
BL64 Needling
Perpendicular 0.3 - 0.5
34
BL64 Associations
Yuan Source Point
35
BL64 Indications
_Conditions/Symptoms:_ ## Footnote Scoliosis Palpitations/Chest Pain Headache Epilepsy Rhinitis Irritability/Mental Health Chest Pain Abdominal fullness Lumbar/Leg Pain/Cramps Mental health Visual Disturbance (dizziness, obstruction)
36
BL64 TCM Actions
Clears the head and eyes and eliminates wind Calms the spirit Relaxes sinews, activates channel and alleviates pain
37
BL64 TCM Patterns
?
38
BL64 Notes
Ling Shu Ch. 24, On Counterflow Diseases, employs this point for the treatment of Heart pain. It advises piercing this point and Kunlun Bl-60 when treating a Heart pain that feels like being struck with a bent and painful back, associated with the Kidneys Clinically, Yuan-Source points are of great significance in treating diseases of the internal organs. Yuan-Source points are the sites where the Yuan (Primary) qi of the Zang-Fu organs passes and stays. Puncturing the Yuan-Source points stimulates the vital energy of the regular meridians, regulates the functional activities of the internal organs, reinforces antipathogenic factors and eliminates pathogenic factors. This method of treating diseases deals principally with the root causes. The Yuan (source) point from the affected meridian is often combined with the Luo (Connecting) point of the internally-externally related meridians in use.
39
BL64 Neuroanatomy
Neuroanatomy: _Superficial Innervation:_ Sural nerve (L5 - S2) _Dermatome Segment_: S1 _Deeper Structures_: Sural nerve (L5 - S2)
40
BL64 Nearby Points
GB41 - In a depression distal to the conjunction of the fourth and fifth metatarsals, just proximal to the extensor digitorum longus tendon (abduct little toe to make it prominent)
41
BL65 Shu Gu
Restraining Bone
42
BL65 Location
On the lateral side of the foot, in a depression posterior and inferior to the head of the fifth metatarsal bone
43
BL65 Needling
Perpendicular 0.3 - 0.5 cun
44
BL65 Associations
Shu Stream Wood Point (Sedation)
45
BL65 Indications
_Conditions/Symptoms:_ ## Footnote Headache/Neck Pain Aversion to Wind-Cold; Chills/Fever (U)Vision Blurring/Redness Lumbar/Leg Pain Mental health - manic Haulm - stems or tops of crop plants
46
BL65 TCM Actions
Clears head and eyes Clears heat and dissipates swelling Activates channel and alleviatese pain
47
BL65 TCM Patterns
?
48
BL65 Neuroanatomy
_Superficial Innervation:_ Sural nerve (L5 - S2) _Dermatome Segment_: S1 _Deeper Structures_: Sural nerve (L5 - S2)
49
BL65 Notes
In five element acupuncture this point is reduced to drain excess in the Bladder. Ling Shu Ch. 19, on the Four Seasonal Qi, advises using the Shu-Stream points, unless the diseases are in the Fu organs, in which case the He-Sea points are chosen. Ling Shu Ch. 34, On the Five Disturbances, advises piercing this point and and Zutonggu Bl-66 to remove disturbing Qi in the head causing counterflow leading to headaches, a heavy head and dizziness with falling down if Tianzhu Bl-10 and Dazhu Bl-11 did not work.
50
BL65 Nearby Points
GB42 - Between the 4th and 5th metatarsal bones, in the depression proximal to the metatarsal heads, on the medial side of the tendon of m. extensor digitorum longus (branch to little toe)
51
BL66 Zu Tong Gu
Valley Passage
52
BL66 Location
On the lateral aspect of the foot, anterior to the fifth metatarsophalangeal joint, at the junction of red and white skin
53
BL66 Needling
Perpendicular-oblique insertion toward the sole 0.2 - -0.3 cun
54
BL66 Associations
Ying Spring Water Point (Horary)
55
BL66 Indications
_Conditions/Symptoms:_ Blurring of vision Undigested Food Neck Rigidity Cough/Full chest Headache 'Epistaxis Mental Health - anxiety, mania
56
BL66 TCM Actions
Clears Head Clears heat Descends Lung and Stomach Qi
57
BL66 TCM Patterns
?
58
BL66 Neuroanatomy
_Superficial Innervation:_ Sural nerve (L5 - S2) _Dermatome Segment_: S1 _Deeper Structures_: Sural nerve (L5 - S2)
59
BL66 Notes
Ling Shu Ch. 19, on the Four Seasonal Qi, advises opening the Jing-Well and Ying-Spring openings in winter, piercing deeply and retaining the needle for a while. Ling Shu Ch. 34, On the Five Disturbances, advises piercing this point and and Shugu Bl-65 to remove disturbing Qi in the head causing counterflow leading to headaches, a heavy head and dizziness with falling down if Tianzhu Bl-10 and Dazhu Bl-11 did not work. ing-Spring points are where the qi dribbles down the meridian. Ying-Spring points are indicated for heat in the body and changes in the complexion. Ying-Spring points are known to clear heat from the meridian.
60
BL66 Nearby Points
GB43 - Between the 4th and 5th toes, 0.5 cun proximal to the margin of the web
61
BL67 Zhi Yin
Reaching Yin
62
BL67 Location
On the dorsal aspect of the little toe, a the junction of lines drawn along the inferior and lateral borders of the nail, approx. 0.1 cun from the corner of the nail
63
BL67 Needling
Perp or oblique insertion directed proximall 0.1 - 0.2 cun or prick to bleed Moxibustion for malposition of fetus (generally indirect moxa for 10-20 minutes 1x/day).
64
BL67 Associations
Jing Well Metal Point (Tonification Point) Exit Point to Kid 1
65
BL67 Indications
Fetus malpositioned Labour Difficult; Lin Syndrome Opposite end of channel pain Skin disorders Seminal Emission Headache Eye Pain; Epistaxis Wei syndrome.
66
BL67 TCM Actions
Expels wind Clears head and eyes Turn fetus and facilitates labour
67
BL67 TCM Patterns
?
68
BL67 Neuroanatomy
_Superficial Innervation_: Sural nerve (L5 - S2) _Dermatome Segment:_ S1 _Deeper Structures_: Sural nerve (L5 - S2)
69
BL67 Notes
Well known empirical point for turning a malpositioned foetus during labour through the use of moxa (Van der Berg et al, 2008) UB 67 is the point to turn the fetus. Because this point is the place where the UB meridian and Kidney meridian connect, it can regulate the Kidney and tonify Qi. If the Kidney Qi is not sufficient, it is difficult to maintain the fetus in the correct position. The deficiency of Kidney Qi also causes lack of strength, making the labor difficult. UB 67 regulates and tonifies Kidney Qi. Jing-Well points are where the qi bubbles up. Jing-Well points are indicated to revive consciousness. Jing-Well points are known to treat fullness below the Heart and clear Heat. In five element acupuncture this point is reinforced to tonify Bladder deficiencies. Ling Shu Ch. 19, on the Four Seasonal Qi, advises opening the Jing-Well and Ying-Spring openings in winter, piercing deeply and retaining the needle for a while.
70
BL67 Nearby Points
GB44 - On the dorsal aspect of the 4th toe, at the junction of lines drawn along the lateral and inferior borders of the nail, approx. 0.1 cun from the corner
71