Foot Yangming 34-45 Flashcards
ST34 Liangqiu
Beam Hill (Ridge Mound)
ST34 Location
With knee flexed, 2 cun above the superior lateral border of the patella on a line connecting with the ASIS.
ST34 Needling
Perpendicular or oblique 1 - 1.5 cun
ST34 Associations
Xi Cleft Point
ST34 TCM Patterns
- Stomach Food Stagnation
- Stomach Blood Stagnation
- Stomach Rebellious Qi
- Stomach Cold Invasion
- Spleen Qi Deficiency
ST34 TCM Actions
Activates the channel and alleviates pain
Harmonizes the stomach and alleviates pain
Moderates acute conditions
ST34 Indications
Conditions / Symptoms:
Back pain & Breast Distention
Leg pain
Acid Reflux Disease (GERD)
Circulation issues of knee and lower leg
Knee Pain (Lateral
Parkinson’s Disease (PD)
Vomiting
Abdominal Pain
ST34 Neuroanatomy
Superficial Innervation: Intermediate femoral cutaneous nerve of the thigh from L2 - L4
Dermatome Segment: L3
ST34 Nearby Points
SP10 - With knee flexed, 2 cun superior to the superior medial border of the patella on a bulge in the middle of the vastus lateralis (quadriceps femoris)
LV9 - 4 cun above the medial epicondyle of the femur in a depression between vastus lateralis and sartorius
ST35 Dubi
Calf’s Nose
ST35 Location
On the knee, in a hollow formed when the knee is flexed, immediately below the patella and lateral to the patellar ligament
ST35 Needling
With the knee flexed and supported by a rolled pillow: perpendicular insertion directed towards Weizhong Bl-40, 1 - 2 cun, or oblique insertion in a medial and superior direction, behind the patella 1 - 2 cun, or behind the patella ligaement to join with medial Xiyan (MN-LE-16)
ST35 Associations
No hats.
Luo harmonizing point?
ST35 TCM Patterns
?
ST35 TCM Actions
Dispels wind-damp and reduces swelling
Activates the channel and alleviates pain
ST35 Indications
Conditions and Symptoms:
Knee pain - swelling, difficult movement, weakness
Atrophy of lower limb
Knee problems. Often used with heding and the medial xiyan extra points.
ST35 Neuroanatomy
Superficial Innervation: Lateral femoral cutaneous nerve of the calf from L4 - S1
Dermatome Segment: L5
ST35 Notes
At the end of a Stomach Luo treatment this point is needled, deqi grasped and removed immediately to normalize the circulation of blood
http://www.steve-woodley.co.uk/?content=pointsearch&point=St-35
ST35 Nearby Points
GB33 - 3 cun above GB34, lateral to the knee joint, in a depression above the external epicondyle of the femur, between the femur and tendon of biceps femoris
LV8 - At the medial end of the transverse popliteal crease, posterior to the medial apicondyle of the femur, in a depression on the anterior border of the insertions of semitendinosus and semimembranosus, about 1 cun anterior to KD10.
EX-LE-2 Heding - in a depression at the midpoint and superior to the patella
EX-LE-5 Xiyan - Lateral (ST35) and medial knee depressions
ST36 Zusanli
Leg Three Miles
ST36 Location
3 cun inferior to ST35, 1 fingerbreadth lateral to the anterior crest of the tibia
ST36 Needling
Perpendicular insertion 1 to 1.5 cun
ST36 Associations
He Sea and Earth point
(Horary Point of ST channel)
Lower He Sea point of ST
Command Point of Abdomen
Heavenly Star Point
Point of Sea of Water and Grain
ST36 TCM Actions
Activates the channel and alleviates pain
Fortifies the spleen and resolves dampness
Supports the correct qi and fosters original qi
Tonifies qi and nourishes blood and yin
Clears fire and calms the spirit
Revives the Yang and restores consciousness
ST36 Indications
Conditions / Symptoms:
Muscle Weakness
Abdominal Pain/Distention
Nausea
Diabetes Type I/Type II
Immunity
Breast Distention
Urination/Bladder problems
Leg pain
Asthma
Rebellious qi - vomiting, hiccup, belching
Wheezing (Dyspnea)
Appetite (Too Much/Too Little)
Tinnitus
Constipation
Hypertenstion/Palpitations
EPF’s (fever/chills, fever w/o sweating)
Diarrhea (Chronic/Acute)
Mental Health/Middle Jiao Hot or Cold
Acute heart/chest pain
Taxations 5 and 7 injuries
Chronic pain anywhere
Headaches
Edema
Dizziness
4 insufficiencies: insufficiency of original qi, insufficiency of yin qi, insufficiency of zang qi, insufficiency of Stomach qi,
ST36 Neuroanatomy
Superficial Innervation: Lateral femoral cutaneous nerve of the calf (L4 - S1)
Dermatome Segment: L5
Deeper Structures: Common fibular (peroneal) nerve (L4 - S3)
ST36 Trigger Point
Muscle: Tibialis anterior
Myotome Innervation: Deep fibular (peroneal) nerve (L4 - S3)
Pain Referral Pattern: Inferior to the point, across the front of the leg to the anterior of the ankle and the big toe
Indications: Strain of dorsiflexors of foot ; Ankle sprain
ST36 TCM Patterns/Notes
- SP Qi Deficiency
- SP Qi Sinking
- SP Unable to Control Blood
- SP Blood Deficiency
- Stomach Yin Deficiency
- Stomach Qi Deficiency (and Cold)
- LU Qi Deficiency
http://www.steve-woodley.co.uk/?content=pointsearch&point=St-36
ST36 Nearby Points
GB34 - In a depression anterior and inferior to the head of the fibula
SP9 - In a depression posterior and inferior to the medial condyle of the tibia. Or…on the lower border of the medial condyle of the tibia on level with tuberosity of the tibia.
LV7 - 1 cun posterior to SP9, posterior and inferior to the medial condyle of the tibia, in th upper portion of the medial head of the gastrocnemius muscle
ST37 Shangjuxu
Upper Great Void
ST37 Location
6 cun below ST35, 1 finger width lateral to the anterior crest of the tibia
ST37 Needling
Perpendicular 1 - 1.5 cun
ST37 Associations
Lower He Sea Point of the LI
Sea of Blood Point
ST37 TCM Patterns
ST Fire
ST Food Stagnation
Blood Stagnation
SP Blood Xu
SP Damp-Cold Invasion
ST37 TCM Actions
Activates channel and alleviates pain
Regulates the intestines and transforms stagnation
Clear damp-heat and alleviates diarrhea/dysenteric disorder
Regulates SP & ST
ST37 Indications
Conditions / Symptoms:
Dysentary/Diarrhea
Insufficient Zang Qi
SOB/Dyspnea
Pain/Cold/Numb Legs - Bone Marrow Pain
Leukemia
Abdominal Pain/Distention
Constipation
Excess/acute disorders of GI system
Damp/heat problems (eg. Dark Urine)
Mental Health - manic
Anxiety/Palpitations
Sound Sensitivity
Qi rushing to chest/fullness of chest
Swelling of face
Sea of Blood Point - if excess the patient may have feelings of largeness, whereas, if deficient the patient may feel small.
ST37 Neuroanatomy
Superficial Innervation: Lateral femoral cutaneous nerve of the calf (L4 - S1)
Dermatome Segment: L5
Deeper Structures: Common fibular (peroneal) nerve (L4 - S1)
ST37 Trigger Point
Muscle: Extensor digitorum longus
Myotome Innervation: Common fibula (peroneal) nerve (L4 - S1)
Pain Referral Pattern: On the lateral anterior aspect of the lower half of the lower leg and ankle, and concentrating on the lateral aspect of the dorsum of the foot, possibly extending to the 4 lateral toes.
Indications: Strain of toe extensors
ST37 Notes
This point is also on the 5th trajectory of the Chong mai relating to digestive functions
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 Qichong St-30, Zusanli St-36 and Xiajuxu St-39 clear Heat from the stomach.
Ling Shu Ch. 19, on the Four Seasonal Qi, recommends this point for disease in the Large Intestine with borborygmus and rushing against the chest, use this hole, Zusanli St-36 and either the diaphragm (Unschuld, 2016) or Qihai Ren-6 (Wu & Wu, 2010)
http://www.steve-woodley.co.uk/?content=pointsearch&point=St-37
ST37 Nearby Points
SP8 - 3 cun below SP9 on a line joining SP9 and the tip of the medial malleolus
ST38 Tiaokou
Ribbon Opening (Lines Opening)
ST38 Location
8 cun below ST35, one fingerwidth lateral from the anterior border of the tibia
ST38 Needling
Perpendicular or oblique insertion 1 - 1.5 cun
ST38 Associations
None
ST38 TCM Patterns
Expels wind-damp and alleviates pain
Benefits shoulder
ST38 TCM Patterns
Blood Stagnation
ST38 Indications
Conditions / Symptoms:
Parkinson’s Disease (PD)
Leg Pain (Swelling, Atrophy, Numbness)
Adhesive Capsulitis (Frozen Shoulder)
Shoulder Pain - Empirical point
Muscle Weakness
Abdominal pain
ST38 Neuroanatomy
Superficial Innervation: Lateral cutaneous nerve of the calf from L4 - S1
Dermatome Segment: L5
ST38 Notes
Ling Shu Ch. 19, on the Four Seasonal Qi, recommends this point for disease in the Small Intestine reversing to attack the Intestines and Stomach, combined with Qihai Ren-6 (Unschuld, 2016) or “the Source point of the Chest” (Wu & Wu, 2010), plus points on the Hand Taiyin Lung to supplement and Foot Jueyin Liver to drain.
http://www.steve-woodley.co.uk/?content=pointsearch&point=St-38