Foot Yangming 23-33 Flashcards
ST23 Taiyi
Supreme Unity
ST23 Location
2 cun lateral to CV10, 2 cun above the umbilicus
ST23 Needling
Perpendicular 1 - 1.5 cun
ST23 Caution
Deep needling may penetrate the peritoneal cavity
ST23 Associations
None
ST23 TCM Patterns
Phlegm misting the heart
ST23 TCM Actions
- Transforms phlegm and calms the spirit
- Harmonizes the middle jiao
ST23 Indications
Harmonizes middle jiao: Abdominal Pain, Bloating, Epigastric pain, Diarrhea, Poor appetite
Transforms phlegm and calms spirit: Anxiety, Bipolar, Depression, Irritability
ST23 Notes
Shen/Spirit related imbalances related to phlegm - manic depression, irritability, anxiety.
Used with ST 24 for manic depression with stiff/thrusting tongue.
ST23 Neuranatomy
Superficial Innervation: Cutaneous branches of thoracic nerves from T9
Dermatome Segment: T9
ST23 Nearby Points
CV10 - on the AML, 2 cun above the umbilicus, 6 cun below CV16
KD17 - 0.5 cun lateral to AML, level with CV10 and ST23, 2 cun above umbilicus
ST24 Huaroumen
Slippery Flesh Gate
ST24 Location
On the abdomen, 2 cun lateral to the AML, level with CV9 (1 cun superior to CV8, 7 cun below CV16)
ST24 Needling
Perpendicular 1 - 1.5 cun
ST24 Caution
Deep needling in thin patients may puncture the peritoneal cavity
ST24 Associations
None
ST24 TCM Patterns
Phlegm Misting the Heart
Stomach Rebellious Qi
ST24 TCM Actions
- Transforms phlegm and calms the spirit
- Harmonizes the stomach and relieves vomiting
ST24 Indications
Transforms phlegm and calms spirit: Anxiety, Bipolar, Mania, Stiff tongue/tongue thrusting
Harmonizes middle jiao: Epigastric pain, Emesis, Vomiting of blood
Lotus Flower Tongue
A condition characterised by distention and protrusion of dark-red or purple coloured blood vessels below the tongue. Little growths may form resembling little tongues, hence the alternative name of baby tongue. These may join together to form larger growths resembling lotus flowers. Systemic symptoms may include tidal fever, headache with stiffness of the neck, difficulty in swallowing food, inability to speak and drooling. Over a period of time erosion may develop. This condition is usually attributed to Heart and Spleen damp-heat compounded by attack of exterior wind.
ST24 Notes
Use with ST 23 for phlegm related shen (psychological) issues - manic depression, anxiety, mania.
ST24 Neuranatomy
Superficial Innervation: Cutaneous branches of thoracic nerves from T9
Dermatome Segment: T9
ST24 Nearby Points
CV9 - 1 cun above the umbilicus on the AML
LV13 - On the lateral side of the abdomen, below the free end of the 11th floating rib (somewhat level with ST24)
ST25 Tianshu
Heaven’s Pivot
ST25 Location
On the abdomen, 2 cun lateral to the umbilicus (CV8)
ST25 Needling
Perpendicular 1 - 1.5 cun. Oblique-inferior insertion towards the uterus for diseases of the uterus.
ST25 Caution
In thin subjects, deep needling may puncture the peritoneal cavity. Do not moxa during pregnancy.
ST25 Associations
Front Mu point of the LI
ST25 TCM Patterns
LI Damp Heat
LI Blood Stagnation
LV & GB Damp Heat
LV Qi Stagnation
SP Cold-Damp Invasion
ST25 TCM Actions
- Regulates the intestines
- Regulates spleen and stomach
- Resolves dampness and damp-heat
- Regulates qi and blood and eliminates stagnation
ST25 Indications
Regulates intestine: All intestinal issues, Constipation, Diarrhea, Drum distention, Edema, Emesis, Parasites
Regulates SP/ST: SP Diarrhea, (persistent, undigested food), Difficult ingestion, Poor appetite, Lower Yuan deficient and cold
Resolves dampness and damp-heat: UTI’s, leukorrhea,
Regulates qi and blood, eliminates stagnation: Dysmenorrhea (Menstrual pain/cramps), Irregular menstruation, Fertility issues, Fibroids, Masses/accumulations of any type, Umbilical Shan disorder (hernia, genital swelling, and/or abdominal pain with stagnation)
Connects the Upper and Lower Warmers (pre & post natal Qi).
ST25 Notes
One of the points in the Internal Dragons protocol in five element acupuncture, along with Jiuwei Ren-15, Futu St-32 and Jiexi St-41, for eliminating a blockage between the therapist and patient, or a disconnection from themselves, due to internal causes.
Front-Mu points can be used to treat diseases of the affected Zang-Fu organ, and those of Yang meridians and collaterals. They treat diseases of Six Fu-organs and diseases of yang meridians. An adverse reaction when a Front-Mu point is pressed can help make a diagnosis.
ST25 Neuroanatomy
Superficial Innervation: Cutaneous branches of thoracic nerves from T10
Dermatome Segment: T10
ST25 Nearby Points
CV8 - at the umbilicus
KD16 - 0.5 cun lateral to the AML, at the level of CV8
SP15 - 4 cun lateral to the centre of the umbilicus, lateral to recuts abdominus
ST26 Wailing
Outer Mound
ST26 Location
On the abdomen, 2 cun lateral to the midline and 1 cun inferior to the umbilicus, level with CV7
ST26 Needling
Perpendicular 1 - 1.5 cun
ST26 Caution
In thin subjects, deep needling may penetrate the peritoneal cavity.
ST26 Associations
No hats.
ST26 TCM Patterns
Liver Qi Stagnation
ST26 TCM Actions
- Regulates qi and alleviates pain
ST26 Indications
Regulates qi and alleviates pain: Abdominal pain (severe), Amenorrhea, Dysmenorrhea, Hernia, Shan disorder
ST26 Neuroanatomy
Superficial Innervation: Cutaneous branches of thoracic nerves from T11
Dermatome Segment: T11
ST26 Nearby Points
CV7 - 1 cun below the umbilicus on the AML
KD15 - 1 cun below the umbilicus, 0.5 cun lateral to the AML, level with CV7
SP14 - 1.3 cun below SP15, 4 cun lateral to the AML between CV7 and CV6, lateral to rectus abdominus
ST27 Daju
The Great
ST27 Location
2 cun lateral to the AML, 2 cun inferior to the umbilicus, level with CV5
ST27 Needling
Perpendicular 1 - 1.5 cun
ST27 Caution
In thin subjects deep needling may penetrate the peritoneal cavity
ST27 Associations
No hats.
Trigger point
ST27 TCM Patterns
Liver Qi Stagnation
Heart Yin Deficiency
Shen Disturbance
ST27 TCM Actions
- Benefits the kidneys and firms the essence
- Regulates Stomach qi and promotes urination
ST27 Indications
Benefits Kidneys and strengthens Essence: Erectile dysfunction, Irregular menstruation, Insomnia, Premature Ejaculation, Palpitations, Panic attacks, Seminal emission, Stroke
Regulates Stomach qi and promotes urination: Abdominal pain/bloating, Hernia, Shan disorder, Urinary disorders (Lin disease)
shapeups psi fi
ST27 Trigger Point
Muscle: McBurney’s point
Location Notes: McBurney’s point is measured as approximately 1/3 distance from ASIS to navel which would put it around this point. Travell & Simons (1998) picture would confirm this.
Pain Referral Pattern: To lateral side of abdomen
Indications: Appendicitis
ST27 Neuroanatomy
Superficial Innervation: Cutaneous branches of thoracic nerves from T12
Dermatome Segment: T12
ST27 Notes
None for now
ST27 Nearby Points
CV5 - 2 cun below the umbilicus on the AML
KD14 - 0.5 cun lateral to CV5
SP14 - 1.3 cun below SP15, 4 cun lateral to the AML, in between CV7 and CV6
ST28 Shuidao
Waterway
ST28 Location
2 cun lateral to the AML, level with CV4 (3 cun below umbilicus)
ST28 Needling
Perpendicular 1 - 1.5 cun
ST28 Caution
In thin patients, deep needling may puncture the peritoneal cavity
ST28 Associations
None
ST28 TCM Patterns
Bladder Damp Heat
Spleen Yang Deficiency (Sedate ST28 for edema or dampness)
ST28 TCM Actions
- Regulates the lower jiao and dispels stagnation
- Benefits the bladder and uterus
ST28 Indications
Regulates the lower jiao and dispels stagnation:
Cysts
Edema
Pain of lumbar vertebrae, shoulder and back
Heat binding three jiaos
Expel either placenta or stillborn baby
Urinary Disorders (Lin Disease)/UTI
Shan disorder
Fibroids
Retention of urine
Infertility
Dysmenorrhea (Menstrual pain/cramps)
Gynecological issues of an excess nature - dysmenorrhea, fibroids, cysts.
Excess Cold/Damp Issues of the Lower Warmer - retention of urine, inflammations.
ST28 Neuroanatomy
Superficial Innervation: Iliophygastric nerve from L1
Dermatome Segment: L1
ST28 Notes
none yet
ST28 Nearby Points
CV4 - on the AML, 3 cun below umbilicus, 2 cun above pubic symphysis
KD13 - 0.5 cun lateral to CV4, 3 cun below CV8
GB27 - on the lateral side of the abdomen, anterior to the ASIS, 3 cun below the level of the umbilicus, lateral to CV4
ST29 Guilai
Return
ST29 Location
On the abdomen, 2 cun lateral to the AML, level with CV3 (1 cun above the pubic symphysis)
ST29 Needling
Perpendicular 1 - 1.5 cun
ST29 Caution
In thin patients, deep needling may penetrate the peritoneal cavity or a full bladder. Patients should empty bladder before being needled.
ST29 Associations
None
ST29 TCM Patterns
Kidney Jing Deficiency
Liver Blood Stagnation
ST29 TCM Actions
- Benefits the essence
- Invigorates blood in the uterus
- Raise the qi
- Regulates menstruation and benefits the genital region
- Warms lower jiao
ST29 Indications
Benefits the essence: Infertility,
Invigorates blood in the uterus: Blood stasis, Infertility, Uterine masses
Raise the qi: Hernia, Organ prolapse, Seminal emission, Seven kinds of Shan disorder
Regulates menstruation and benefits the genital region: Blood stasis amenorrhea, Erectile dysfunction, Genital pain and swelling, Leukorrhea, Painful and irregular menstruation,
Warms lower jiao: Excess or Cold/Deficient disorders of the Lower Warmer - amenorrhea, irregular menstruation, dysmenorrhea, qi stagnation/masses, leukorrhea
.
ST29 Neuroanatomy
Superficial Innervation: Femoral branches of gentiofemoral nerves from L1
Dermatome Segment: L1
ST29 Notes
Find out seven shan disorders
ST29 Nearby Points
CV3 - On the AML, 1 cun above pubic symphysis
KD12 - 0.5 cun lateral to CV3
SP13 - 4 cun lateral to AML, in between CV3 and CV2, 0.7 cun laterosuperior to SP12
GB28 - anterior and inferior to the ASIS, 0.5 cun anterior and inferior to GB27
ST30 Qichong
Surging Qi
ST30 Location
On the abdomen, 2 cun lateral to the midline, level with the upper border of the pubic symphysis (CV2)
ST30 Needling
Perpendicular 1 - 1.5 cun
ST30 Caution
In thin patients, deep needling may puncture the peritoneal cavity or a full bladder. Patients should empty the bladder before needling. Deep insertion in an inferior direction may puncture the spermatic cord
ST30 Associations
Sea of Water and Grain point
ST30 TCM Patterns
Stomach Qi Deficiency
Stomach Dampness
Stomach Food Stagnation
ST30 TCM Actions
- Invigorates the Blood
- Regulates qi in the lower jiao
- Regulates the Ren mai and Chong Mai
- Subdues running piglet qi.
- Subdues the rebellion of Qi.
- Tonifies the Sea of Food (SP and ST).
- Tonifies Qi pre and post-Celestial
ST30 Indications
Invigorates the Blood: Abdominal masses, Excessive, irregular, painful or delayed menstruation caused by stasis of blood (xue)
Regulates qi in the lower jiao: Abdominal pain, Fullness/distention, Rectal prolapse,
Regulates the Ren mai and Chong Mai: Infertility, Swelling of penis and prostate,
Subdues running piglet qi.
Subdues the rebellion of Qi: Abdominal distention, fullness
Tonifies the Sea of Food (SP and ST).
Tonifies Qi pre and post-Celestial
Retained placenta. Lack of milk. Abdominal masses. Hernia. Fullness, abdominal distension and pain that goes up. Squirming pain in the abdomen. Stiffness below the navel.
Conditions / Symptoms:
Heat in abdomen/large intestine
Erectile Dysfunction
Rectal prolapse
Twisting pain in stomach
Genital pain/swelling
Uterine bleeding abnormal
Amenorrhea
Running Piglet Disorder - qi rushing up to attack Heart
Dysmenorrhea (Menstrual Pain/Cramps)
Borborygmus
Urinary dysfunction
Digestive issues
Difficulties related to childbirth
Hernia
Infertility
Shan disorder
Turning difficult - back pain
Injury by cold leading to heat in the Stomach,
ST30 Neuroanatomy
Superficial Innervation: Femoral branches of gentiofemoral nerves from L1
Dermatome Segment: L1
ST30 Trigger Point
Muscle: Pectineus
Myotome Innervation: Femoral nerve (L2 - L3) and occasionally (20%) the accessory obdurator nerve (L3 - L4)
Location Notes: May be slightly inferior to ensure you are on the belly of the muscle
Pain Referral Pattern: Local to point
Indications: Degenerative diseases of the hip
ST30 Notes
ST30 Nearby Points
CV2 - On the AML, level with superior border of pubic symphysis
KD11 - Level with superior border of pubic symphysis, 0.5 cun lateral to CV2
ST31 Biguan
Thigh Gate
ST31 Location
On the upper thigh, in a depression just lateral to the sartorius muscle, at the junction of a vertical line drawn downward from the ASIS, and a horizontal line drawn level with the lower border of the pubic symphysis, approximately level with the prominent point of the greater trochanter.
ST31 Needling
Perpendicular or oblique insertion 1 - 2 cun
ST31 Caution
None
ST31 TCM Associations
No hats.
ST31 TCM Patterns
Spleen Qi Deficiency
ST31 TCM Actions
Activates the channel and alleviates pain
Dispels wind damp
ST31 Indications
Conditions / Symptoms:
Back Pain
Leg Pain
Arthritis (Bi Syndromes)
Cold Damp Leg Qi
Knee Pain
Sciatica
Jaundice
Atrophy/Weakness
Muscular Dystrophy
ST 31, ST 32 & ST 33 are all useful for Bi-Syndromes a/or Wei Syndromes (flaccidity or weakness) of the lower legs
ST31 Neuroanatomy
Superficial Innervation: Femoral branches of genitofemoral nerve from L1
Dermatome Segment: L1
ST31 Trigger Point
Muscle: Iliopsoas, rectus femoris and sartorius
Myotome Innervation: Femoral nerve (L2 - L3)
Location Notes: Only accessible point of the iliopsoas muscle group. Other trigger points should be deactivated first to prevent increased soreness at this point. Sartorius trigger point would be slightly medial, on the belly of the muscle
Pain Referral Pattern:
Iliopsoas: To lower back and anterior of thigh
Rectus femoris: To knee
Sartorius: Local along the path of the muscle
Indications: Low back pain (iliopsoas) diseases of the hip and knee (rectus femoris) or strain of sartorius muscle
ST31 Nearby Points
CV2 - On the AML, level with the upper border of the pubic symphysis
SP12 - superior to the lateral end of the inguinal groove, lateral to the pulsating external iliac artery (joins femoral artery) level with symphysis pubis. 3.5 cun lateral to CV2
LV11 - 2 cun below ST30 at the proximal end of the thigh, on the anterior border of adductor longus
LV10 - 3 cun below ST30 at the proximal end of the thigh and anterior border of adductor longus (1 cun below LV11)
GB30 - At the junction of the lateral 1/3rd and medial 2/3rds distance between the prominence of the trochanter and the hiatus of the sacrum (GV2)
ST32 Futu
Crouching Rabbit
ST32 Location
On the thigh, on a line drawn between the ASIS and the superior-lateral corner of the patella, in a depresison 6 cun proximal to the superior border of the patella. Or…1/3 of the distance between the superior border of the patella and the greater trochanter, on the border of the lower and middle thirds.
ST32 Needling
Perpendicular or oblique insertion 1 to 2 cun
ST32 Associations
None
ST32 TCM Patterns
Spleen Qi Deficiency
ST32 TCM Actions
Activates the channel and alleviates pain
Dispels wind-damp
ST32 Indications
Conditions / Symptoms:
Back pain
Leg pain
Arthritis (Bi Syndromes)
Cold damp qi
Knee pain
Shan disorder
Women 8 region diseases
Hives (urticaria)
Abdominal distention with diminished qi
Muscular Dystrophy and Atrophy
ST 31, ST 32 & ST 33 are all useful for Bi-Syndromes a/or Wei Syndromes (flaccidity or weakness) of the lower legs.
ST32 Neuroanatomy
Superficial Innervation: Lateral femoral cutaneous nerve of the thigh from L2 - L3
Dermatome Segment: L2
ST32 Notes
One of the points in the Internal Dragons protocol in five element acupuncture, along with Jiuwei Ren-15, Tianshu St-25 and Jiexi St-41, for eliminating a blockage between the therapist and patient, or a disconnection from themselves, due to internal causes.
ST32 Nearby Points
SP11 - 6 cun above SP10 (8 cun above patella) on a line connecting SP12 to SP10
GB31 - On the midline of the lateral aspect of the thigh, 7 cun above the transverse popliteal crease. When patient is standing with hands against thighs, the point is where the tip of the middle finger comes to
GB32 - 2 cun below GB31, 5 cun above popliteal crease, between the tendons of vastus lateralis and biceps femoris
ST33 Yinshi
Yin Market (Yoshi - Mariocart - Market)
ST33 Location
With knee flexed, 3 cun above the superior lateral border of the patella on a line connecting with the ASIS
ST33 Needling
Perpendicular or oblique insertion 1 to 1.5 cun
ST33 Associations
None
ST33 TCM Patterns
Spleen Qi Deficiency
ST33 TCM Actions
Activates the channel and alleviates pain
Dispels wind-damp
ST33 Indications
Conditions / Symptoms:
Sensation of cold water lumbar
Cold shan disorder
Arthritis (Bi Syndromes_
Muscle Weakness/Atrophy
Parkinson’s Disease (PD)
Wasting and thirsting
Abdominal distention/pain
Control of motor issues
Knee pain
ST 31, ST 32 & ST 33 are all useful for Bi-Syndromes a/or Wei Syndromes (flaccidity or weakness) of the lower legs.
Weakness, numbness, motor control issues of the leg and/or knee.
ST33 Neuroanatomy
Superficial Innervation: Intermediate femoral cutaneous nerve of the thigh from L2 - L4
Dermatome Segment: L2
ST33 Nearby Points
SP10 - With the knee flexed, 2 cun above the superior medial border of the patella, on a line connecting with SP9, on the bulge of the medial portion of the quadriceps femoris (vastus medialis)
