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Acupuncture Points Comprehensive > Foot Taiyin 11-21 > Flashcards

Foot Taiyin 11-21 Flashcards

1
Q

SP11 Jimen

A

Winnowing Gate

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2
Q

SP11 Location

A

On the medial side of the upper leg, 6 cun proximal to SP10, on a line connecting SP10 with SP12 (inguinal groove level with symphysis pubis, 3.5 cun lateral to RN2)

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3
Q

SP11 Needling

A

Perpendicular or oblique 0.5 - 1 cun

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4
Q

SP11 Caution

A

Deep needling may puncture femoral artery

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5
Q

SP11 Associations

A

No hats

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6
Q

SP11 Indications

A

Conditions/Symptoms:

Swelling in the groin,

Urinary issues related to damp-heat

Genital Pain/Itching

Atrophy of muscles

Retention of urine

Used for a variety of urinary issues related to a collection of dampness/damp-heat - difficult urination/obstruction, retention of urine

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7
Q

SP11 TCM Actions

A

Regulates urination

Drains damp and clears heat

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8
Q

SP11 TCM Patterns

A

Bladder Damp Heat

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9
Q

SP11 Neuroanatomy

A

Superficial Innervation: Obdurator nerve from L2 - L4
Dermatome Segment: L2, L3

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10
Q

SP11 Trigger Point

A

Muscle: Vastus medialis, adductor magnus (deep) and sartorius
Myotome Innervation: Vastus medialis and sartorius: Femoral nerve (L2 - L3); Adductor magnus: Obdurator nerve (L2 - L4);
Location Notes: For sartorius locate on the belly on the muscle, for vastus medius locate just under the sartorius
Pain Referral Pattern:
Vastus medialis: From point to medial side of the knee
Adductor magnus: Medial side of thigh from groin to knee
Sartiorus: Local to point along the path on the muscle
Indications: Diseases of the hip and knee ; Strain of vastus medialis, adductor magnus or sartorius

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11
Q

SP11 Notes

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12
Q

SP11 Nearby Points

A

UB37 - 6 cun distal to UB36 (gluteal fold) on a line connecting UB36 and UB40

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13
Q

SP12 Chongmen

A

Surging Gate

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14
Q

SP12 Location

A

Superior to the lateral end of the inguinal groove lateral to the pulsing of the external iliac artery, level with the pubic symphysis, 3.5 cun lateral to RN2

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15
Q

SP12 Needling

A

Perpendicular 0.5 - 1 cun

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16
Q

SP12 Caution

A

Deep needling in a medial direction may puncture the femoral artery and in a lateral direction the femoral nerve

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17
Q

SP12 Associations

A

No hats.

Opening point to SP Divergent channel

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18
Q

SP12 Indications

A

Conditions / Symptoms:

Lin Disease - Urinary disorders

Obstruction pain of the lower limb

Lactation difficulty

Hemorrhoids

Abdominal Pain/Fullness/Masses

Hernia

Atrophy disorder

Drain damp, clear heat, invigorate blood

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19
Q

SP12 TCM Actions

A

Invigorates blood, regulates qi to alleviate pain

Drains damp, clears heat and regulates urination

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20
Q

SP12 TCM Patterns

A

Bladder Damp Heat

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21
Q

SP12 Neuroanatomy

A

Superficial Innervation: Femoral branches of genitofemoral nerve from L1
Dermatome Segment: L1

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22
Q

SP12 Notes

A

Ling Shu Ch. 71, On Evil Visitors, says that when a depletion evil is in the Spleen it remains in the two thighs. Yuen’s theory of the Divergent meridians suggests that they store pathogens at the major joints, depleting our resources while they do, which would suggest this is referring to the Spleen/Stomach Divergent. Jimen Sp-11 could also be a candidate as the text only specifies the thigh.

http://www.steve-woodley.co.uk/?content=pointsearch&point=Sp-12

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23
Q

SP12 Nearby Points

A

RN2 - On the top notch, in the centre of the superior border of the symphysis pubis

KD11 - 0.5 cun lateral to RN2, 5 cun below RN8

ST30 - 2 cun lateral to AML level with RN2

LV12 - Lateral and inferior to ST30 in the inguinal groove where the femoral artery is palpable, 2.5 cun lateral to the midline

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24
Q

SP13 Fushe

A

Bowel Abode (Abode of Fu)

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25
Q

SP13 Location

A

4 cun lateral to the midline, 0.7 cun superior to SP12 (superior border of symphysis pubis)

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26
Q

SP13 Needling

A

Perpendicular 1 - 1.5 cun

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27
Q

SP13 Caution

A

In thin patients deep needling could puncture the peritoneal cavity

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28
Q

SP13 Associations

A

None

Trigger Point

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29
Q

SP13 Indications

A

Conditions / Symptoms:

Alleviate pain

Thigh pain

Too much stress

Abdominal Masses/Pain

Cysts/Fibroids

Hernia

Emotion causing masses

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30
Q

SP13 TCM Actions

A

Regulates liver qi and alleviates pain

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31
Q

SP13 TCM Patterns

A

Liver Qi Stagnation

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32
Q

SP13 Neuroanatomy

A

Superficial Innervation: Femoral branches of genitofemoral nerve from L1
Dermatome Segment: L1

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33
Q

SP13 Trigger Point

A

Muscle: Lateral abdominals
Myotome Innervation: Intercostal nerves from T8 - T12 and iliohypogastric and ilioinguinal nerves (L1)
Location Notes: Various points around here may cause diarrhoea if active
Pain Referral Pattern: From point and inferiorly to groin with spillover across abdomen
Indications: Abdominal pain and digestive discomfort

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34
Q

SP13 Nearby Points

A

RN2 - in the notch on the midline of the superior border of the pubic symphysis

RN3 - On the midline 1 cun above the superior border of the pubic symphysis

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35
Q

SP14 Fujie

A

Abdominal Bind (Knot)

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36
Q

SP14 Location

A

On the lower abdomen, 1.3 cun inferior to SP15 and 4 cun lateral to the midline on the border of rectus abdominus

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37
Q

SP14 Needling

A

Perpendicular 1 - 1.5 cun

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38
Q

SP14 Caution

A

In thin patients, deep needling may puncture the peritoneal cavity

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39
Q

SP14 Associations

A

None

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40
Q

SP14 Indications

A

Conditions / Symptoms:

Panic Attack/Periumbilical Pain

Abdominal Pain

Rushing Qi

Constipation/Cough

Heart Pain

Esophageal Reflux (GERD)

Diarrhea

Warms the middle warmer and dissipates cold for lower abdominal pain, diarrhea (from cold), abdominal pain, constipation.

Resolves counterflow qi - can be used to subdue fright (i.e. panic attacks) from counterflow qi disrupting the heart and/or cough from counterflow qi disrupting the lung.

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41
Q

SP14 TCM Actions

A

Warms and benefits the lower jiao

Regulates qi and descends rebellion

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42
Q

SP14 TCM Patterns

A

Stomach Cold

Stomach Rebellious Qi

Heart Qi Stagnation

Lung Qi Stagnation

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43
Q

SP14 Neuroanatomy

A

Superficial Innervation: Lateral cutaneous thoracic nerve from T12
Dermatome Segment: T12

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44
Q

SP14 Major Combination

A

Major Combinations:

Rushing Heart:
  Fujie Sp-14 and Xingjian Liv-2 (CAM)

http://www.steve-woodley.co.uk/?content=pointsearch&point=Sp-14

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45
Q

SP14 Nearby Points

A

RN6 - Midway between RN5 and RN7, 1.5 cun inferior to the umbilicus

RN7 - 1 cun inferior to the umbilicus

ST26 - 2 cun lateral to the AML, level with RN7

KD15 - 1 cun below RN8, 0.5 cun lateral to RN7

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46
Q

SP15 Daheng

A

Great Horizontal

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47
Q

SP15 Location

A

On the abdomen, in the depression at the lateral border of the rectus abdominus muscle, 4 cun from the midline, level with the umbilicus

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48
Q

SP15 Needling

A

Perpendicular insertion 0.5- 1 cun

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49
Q

SP15 Caution

A

In thin patients, deep needling may puncture the peritoneal cavity. Deep needling at this point may puncture an enlarged liver or spleen.

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50
Q

SP15 Associations

A

Intersection point of SP with Yin Wei Mai, Dai Mai and Kidney Divergent

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51
Q

SP15 Indications

A

Conditions / Symptoms:

Sighing

Constipation/Cold abdomen

Abdominal Pain

Diarrhea (ST25 better)

Sadness

52
Q

SP15 TCM Actions

A

Disperses water (water retention in the intestine, mucus in stool, chronic diarrhea)

Moves qi and regulates intestines

53
Q

SP15 TCM Patterns

A

Large Intestine Damp Heat

Cold in the Large Intestine

54
Q

SP15 Neuroanatomy

A

Superficial Innervation: Lateral cutaneous thoracic nerve from T11
Dermatome Segment: T11

55
Q

SP15 Major Point Combinations

A

Arched back with sorrowful weeping:
  Daheng Sp-15 with Tianchong GB-9

Constipation:
  Daheng Sp-15 with Dachangshu Bl-25 and Zhigou SJ-6 (Deadman)

http://www.steve-woodley.co.uk/?content=pointsearch&point=Sp-15

56
Q

SP15 Notes

A

Classical texts such as the Nei Jing and Ling Shu which considered the Dai mai as simple a circle around the waist, would include this as a point on the Dai mai, along with others level to Shenque Ren-8 and Mingmen Du-4 instead of the traditional points (Yuen, 2005, The Eight Extraordinary Vessels).

http://www.steve-woodley.co.uk/?content=pointsearch&point=Sp-15

57
Q

SP15 Nearby Points

A

RN8 - Centre of the umbilicus

KD16 - 0.5 cun lateral to umbilicus

ST25 - 2 cun lateral to AML, level with umbilicus

GB26 - Directly below LV13 at the crossing point of a vertical line through the free end of the 11th rib and a horizontal line through the umbilicus

58
Q

SP16 Fuhai

A

Abdomen Sorrow (Abdominal Lament)

59
Q

SP16 Location

A

On the abdomen at the lateral depression of the rectus abdominus muscle, 4 cun from the midline, 3 cun superior to SP15, level with RN11 and ST22

60
Q

SP16 Needling

A

Perpendicular 0.5 - 1 cun

61
Q

SP16 Caution

A

In thin patients deep needling may penetrate the peritoneal cavity. Deep needling at this point on the left may penetrate an enlarged spleen.

62
Q

SP16 Associations

A

Intersection of SP and Yin Wei Mai

63
Q

SP16 Indications

A

Conditions / Symptoms:

Blood in stool

Undigested food in stool

Diarrhea

Dysentary

Heat in intestines

Abdominal Pain

64
Q

SP16 TCM Actions

A

Regulates intestines

65
Q

SP16 TCM Patterns

A

Stomach Cold

Cold Invading Large Intestine

Large Intestine Damp Heat

LV & GB Damp Heat

66
Q

SP16 Neuroanatomy

A

Superficial Innervation: Lateral cutaneous thoracic nerve from T9
Dermatome Segment: T9

67
Q

SP16 Major Combination

A

Undigested food in the stool:
  Fuhai Sp-16 and Taibai Sp-3

http://www.steve-woodley.co.uk/?content=pointsearch&point=Sp-16

68
Q

SP16 Notes

A

This points name, “abdomen sorrow”, its function of regulating the intestines, its location under the ribcage where Liver Qi stagnation can is diagnosed by palpable tightness and its assignment to the Yin Wei Mai (opened with Pc-6) suggest its main use is for digestive disorders due to emotional trauma.

http://www.steve-woodley.co.uk/?content=pointsearch&point=Sp-16

69
Q

SP16 Nearby Points

A

RN11 - 3 cun above the umbilicus on the AML

KD18 - 3 cun above the umbilicus and 0.5 cun lateral to the AML

ST22 - 3 cun above the umbilicus and 2 cun lateral to the AML

LV13 - on the lateral side of the abdomen directly below the free end of the 11th floating rib

GB25 - on the lateral side of the abdomen on the lower border of the free end of the 12th floating rib

70
Q

SP17 Shidou

A

Food Cavity

71
Q

SP17 Location

A

On the lateral side of the chest, in the fifth intercostal space, 6 cun lateral to the midline

72
Q

SP17 Needling

A

Transverse-oblique insertion along the intercostal space 0.5 - 1 cun

73
Q

SP17 Caution

A

Perpendicular insertion, especially in thin patients, carries a substantial risk of inducing a pneumothorax

74
Q

SP17 Associations

A

None

75
Q

SP17 Indications

A

Conditions / Symptoms:

Indigestion

Chronic pain of chest

Edema

Cough

Undigested food

Borborygmus/Breast Distention

Emesis

Promotes smooth spleen qi (digestion), moves water stagnation -

76
Q

SP17 TCM Actions

A

Dissipates accumulation of food and promotes digestion

77
Q

SP17 TCM Patterns

A

Food Accumulation in the Stomach

Small Intestine Qi Stagnation

78
Q

SP17 Neuroanatomy

A

Superficial Innervation: Lateral cutaneous thoracic nerve from T6
Dermatome Segment: T6
Deeper Structures: Neuromuscular junction of long thoracic nerve (C5 - C7) to the serratus anterior muscle

79
Q

SP17 Trigger Point

A

Muscle: Serratus anterior
Myotome Innervation: Long thoracic nerve (C5 - C7)
Location Notes: Although Melzack (1977) locates the serratus anterior here, Travell & Simons’ (1998) diagrams show Dabao Sp-21 to be a better location
Pain Referral Pattern: Around the point on the lateral aspect of the chest and on the back at the medial-inferior border of the scapula
Indications: Costal vertebral sprain ; Scapular fractures

80
Q

SP17 Nearby Points

A

ST18 - 4 cun lateral to the AML in teh 5th intercostal space

GB23 - 1 cun anterior to GB22, level with the nipple in the 5th ICS

KD22 - in the 5th ICS, 2 cun lateral to RN16

LV14 - On the mamillary line, directly below the nipple, 4 cun lateral to the AML in the 6th ICS

RN16 - Level with the 5th ICS, where the right and left ribs meet on the lower border of the sternum, at the junction of the sternum and xyphoid process

GB22 - On the midaxillary line when the arm is raised, below the axilla in the 5th ICS (directly below HT1)

81
Q

SP18 Tianxi

A

Heavenly Stream (Celestial Ravine)

82
Q

SP18 Location

A

On the lateral side of the chest, 6 cun from the AML, in the 4th ICS

83
Q

Sp18 Needling

A

Transverse oblique insertion along the intercostal space 0.5 - 1 cun

84
Q

SP18 Caution

A

Perpendicular insertion, esp. in thin patients, carries substantial risk of pneumothorax

85
Q

SP18 Associations

A

No hats.

Trigger point

86
Q

SP18 Indications

A

Conditions / Symptoms:

Wheezing (Dyspnea)

Breast Distention/Abscess

Insufficient Lactation

Running Piglet Disorder

Cough

Hiccups

Descends qi - chest oppression, shortness of breath, cough, hiccup, running piglet disorder.

Opens the chest and circulation in the breasts - breast pain, insufficient lactation.

87
Q

SP18 TCM Actions

A

Regulates and descends qi

Opens chest

Benefits the breast

Promotes lactation

88
Q

SP18 TCM Patterns

A

Liver Qi Stagnation

89
Q

SP18 Neuroanatomy

A

Superficial Innervation: Lateral cutaneous thoracic nerve from T5
Dermatome Segment: T5

90
Q

SP18 Trigger Point

A

Muscle: Intercostals
Myotome Innervation: Intercostal nerve from T4
Location Notes: Intercostals can produce trigger points anywhere in the intercostal space
Pain Referral Pattern: Locally and towards the sternum. The more posterior the point the stronger its tendency to radiate pain to the front
Indications: Aching pain exacerbated by deep inhalation and activities such as sneezing and coughing

91
Q

SP18 Nearby Points

A

ST17 - never needled, landmark in centre of nipple

GB22 - On the midaxillary line when the arm is raised, below the axilla in the 5th ICS

RN17 - Level with teh 4th ICS, midway between the nipples

KD23 - in the 4th ICS, 2 cun lateral to RN17

92
Q

SP19 Xiongxiang

A

Chest Village

93
Q

SP19 Location

A

6 cun lateral to the midline in the 3rd ICS

94
Q

SP19 Needling

A

Oblique or subq insertion on lateral direction along the ICS 0.5 - 0.8 cun. Do not puncture deeply.

95
Q

SP19 Caution

A

Perpendicular insertion, especially in thin patients, carries substantial risk of pneumothorax

96
Q

SP19 Associations

A

No hats.

Trigger point

97
Q

SP19 Indications

A

Conditions/Symptoms:

  • Cough
  • SOB

Fullness of chest and pain in hypochondriac region (aca)

Aids the descent of lung qi - cough.

Regulate lung qi - shortness of breath, chest oppression

98
Q

SP19 TCM Actions

A

Regulates and descends qi and unbinds chest

99
Q

SP19 TCM Patterns

A

Lung Rebellious Qi

100
Q

SP19 Neuroanatomy

A

Superficial Innervation: Lateral cutaneous thoracic nerve from T4 at the skin and anterior thoracic nerve (C5 - C6) to the muscle
Dermatome Segment: T4

101
Q

SP19 Trigger Point

A

Muscle: Pectoralis major (costal section)
Myotome Innervation: Medial pectoral nerve (C7 - T1)
Pain Referral Pattern: To the breast around the nipple
Indications: Strain of pectoralis major

102
Q

SP19 Nearby Points

A

ST16 - 4 cun lateral to the AML in the 3rd ICS

KD24 - 2 cun lateral to CV18, in the 3rd ICS

CV18 - level with the 3rd ICS

103
Q

SP20 Zhourong

A

Encircling Glory

104
Q

SP20 Location

A

On the lateral side of the chest, in the 2nd ICS, 6 cun lateral to the midline

105
Q

SP20 Needling

A

Transverse-oblique insertion along the ICS 0.5 - 1 cun

Oblique-subq along the ICS 0.5-0.8 cun (ACA)

106
Q

SP20 Caution

A

Risk of pneumothorax

107
Q

SP20 Associations

A

No hats.

Trigger point

108
Q

SP20 Indications

A

Conditions / Symptoms:

Cough

Asthma

Indigestion

Aids the descent of lung qi - cough, shortness of breath, chest oppression.

109
Q

SP20 TCM Action

A

Regulates and descends qi

Unbinds the chest

110
Q

SP20 TCM Patterns

A

Lung Rebellious Qi

111
Q

SP20 Neuroanatomy

A

Superficial Innervation: Lateral cutaneous thoracic nerve from T3
Dermatome Segment: T3

112
Q

SP20 Trigger Point

A

Muscle: Pectoralis major (clavicular head)
Myotome Innervation: Lateral pectoral nerve (C5 - C7)
Pain Referral Pattern: From point across top of chest inferior to clavicle
Indications: Strain of pectorals ; Cardiac syndromes

113
Q

SP20 Nearby Points

A

CV19 (Zi Gong Purple Palace) - On the anterior midline, level with the 2nd ICS

ST15 (Wu Yi Roof) - 4 cun lateral to the AML level with the 2nd ICS

KI25 (Shen Cang Storehouse of the Spirit) 2 cun lateral to the AML, level with the 2nd ICS

114
Q

SP21 Dabao

A

Great Wrapping (Embracement)

115
Q

SP21 Location

A

On the mid-axillary line, in the seventh ICS (note: some sources locate this in teh 6th ICS

6 cun below the axilla midway between the axilla and the free end of the 11th floating rib

116
Q

SP21 Needling

A

Transverse-oblique along teh ICS 0.5 - 1 cun

Oblique or subq in a posterior direction 0.5 - 0.8 cun (ACA)

117
Q

SP21 Caution

A

Risk of pneumothorax

118
Q

SP21 Associations

A

Great Luo of the Spleen (Grand Luo Connecting Point)

Exit point

119
Q

SP21 Indications

A

Conditions / Symptoms:

Chest Pain

Cough

Limb flaccidity/Joint flaccidity

Asthma

Pain of the whole body

Mentioned classically that when this point is deficient, all the joints are flaccid, and when excess, pain all over the body.

Descends lung qi - cough, chest oppression, shortness of breath.

120
Q

SP21 TCM Actions

A

Regulates qi and blood and firms sinews and joints

Unbinds the chest and benefits the lateral costal region

121
Q

SP21 TCM Patterns

A

Lung Rebellious Qi

?

122
Q

SP21 Neuroanatomy

A

Superficial Innervation: Lateral cutaneous thoracic nerve from T6 or T7
Dermatome Segment: T6, T7

123
Q

SP21 Trigger Point

A

Muscle: Latissimus dorsi, serratus anterior or intercostals
Myotome Innervation: Latissimus dorsi: Thoracodorsal (long scapular) nerve (C6 - C8); Serratus anterior: Long thoracic nerve (C5 - C7); Intercostals: Intercostal nerve from T6 or T7
Location Notes: For latissimus dorsi trigger point palpation or needling needs to be directed into the latissimus dorsi muscle posteriorly. Can also be located posteriorly on the back just lateral to the inferior angle of the scapula. Melzack (1977) locates the serratus anterior point at Shidou sp-17, but Travell & Simons (1998) diagram clearly shows it to be on the axillary line at the 6th intercostal space.
Pain Referral Pattern:
Latissimus dorsi: To inferior corner of scapula and down posterior and ulnar side of the arm
Serratus anterior: Around point and to inferior medial border of scapula
Indications: Mid-thoracic backache unresponsive to stretching and movement (latissimus dorsi) or chest pain, especially on deep or heavy breathing (serratus anterior)

124
Q

SP21 Notes

A

Ling Shu Ch. 10 describes the diseases relating to the Luo emanating from this point as:
Repletion: Entire body aches
Depletion: All the joints relax
(Unschuld, 2016).

This point creates the connection between Blood and the lower Jiao via the Bao mai which drains Blood stasis from this point, the great Luo of the Spleen, to the Dai mai, first via the Luo of the Ren Jiuwei Ren-15 to the Du, and then from the Luo of the Du Chanqiang Du-1 to the Dai mai to create symptoms of Blood stagnation with Shen disturbance often seen in gynaecological disorders (Yuen, 2005, The Eight Extraordinary Vessels).

http://steve-woodley.co.uk/?content=pointsearch&point=Sp-21

125
Q

SP21 Nearby Points

A

GB22 - On the midaxillary line when the arm is raised, in the 5th ICS (directly below HT1)

GB23 - 1 cun anterior to GB22, level with teh nipple in the 5th ICS

LV14 - On the mamillary line, directly below the nipple, 4 cun lateral to the AML in teh 6th ICS

126
Q
A

Acupuncture Points Comprehensive (24 decks)

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