Urinary Bladder - Special pt groupings, Properties and clinical applications Flashcards

1
Q

What is the function of the Bladder?

A

store fluid and via its qi transformation action to convert the waste into urine for excretion

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2
Q

Taiyang channel is the most superficial of the six channels and is therefore the first to be attacked by _____________

A

exterior wind.

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3
Q

What do the points of the Bladder channel on the head from Zanzhu BL-2 toTiānzhù BL-10, and on the foot fromKūnlún BL-60toZútōnggǔ BL-66all have in common to treat?

A

psycho-emotional disorders

mania and epilepsy.

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4
Q

What do the back-shu points such asFèishū BL-13,Xīnshū BL-15andGānshū BL-18have in common that they treat?

A

disorders of the spirit, in this case due to their action on the Lung, Heart and Liver zang as much as their effect on the Bladder channel itself

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5
Q

Which points expel exterior wind from their local area, pacify interior wind and treat disorders of the eyes, nose, head and face.

A

PointsJīngmíng BL-1​(at the inner canthus of the eye) toTiānzhù BL-10(on the nape of the neck)

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6
Q

hui-meeting point of bones

A

Dàzhù BL-11

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7
Q

back-shu point of the Bladder

A

Pángguāngshū BL-28

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8
Q

Points____________________are able to expel exterior pathogens and regulate the Lung

A

Dàzhù BL-11to Fèishū BL-13

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9
Q

Points__________________treat the Heart and spirit.

A

Juéyīnshū BL-14 andXīnshū BL-15

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10
Q

Points _______________ treat disorders of the middle jiao (Stomach, Spleen, Liver and Gall Bladder)

A

Géshū BL-17toSānjiāoshu BL-22

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11
Q

Points__________________________treat disorders of the Kidneys, lumbar region and lower jiao (intestines, Bladder, uterus, genitals, anus).

A

Shènshū BL-23toHuìyáng BL-35andBāohuāng BL-53toHéyáng BL-55

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12
Q

Points of the outer, lateral, Bladder channel on the back fromFùfēn BL-41through toZhìshì BL-52have similar indications to the corresponding points of the inner Bladder channel, although they are generally less extensive in their actions and indications. The exceptions are _______________________which have a profound effect on tonifying deficiency.

A

Pòhù BL-42andGāohuāngshū BL-43

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13
Q

Points on the posterior portion of the thigh from____________________treat disorders of the lumbar region, anus and leg.

A

Chéngfú BL-36toKūnlún BL-60

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14
Q

_______________, located on the calf, is the first distal point of the Bladder channel to have an effect on disorders of the head

A

Fēiyáng BL-58

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15
Q

In keeping with the general characteristics of the channels, especially the yang channels, the more distal the points, the stronger their effect on the channel as a whole rather than simply their local area. This may be observed in the indications for points________________, which treat disorders of the Bladder channel in the head, upper and lower back, upper and lower leg and foot.

A

Kūnlún BL-60toJīnggǔ BL-64

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16
Q

Clinical Application: BL-10 Tiānzhù

A
  • Window of Heaven point for qi rebelling to the head: dizziness, headache, heavy head, stiff neck, pain and swelling of the throat, eyes and nose, inability of the legs to support the body.
  • For mania, incessant talking, ‘seeing ghosts’ and epilepsy.
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17
Q

Clinical Application: BL-12 Fēngmén

A

i. attack by exterior pathogens
ii. deficiency of defensive qi: attack by wind with fever, cold shivering, dislike of wind and cold, headache, injury by cold with rigidity of the head and neck, flaccidity of the interstices with frequent coughing and clear watery nasal discharge, flaccidity of the interstices with susceptibility to catching wind-cold.

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18
Q

Clinical Application: BL-14 Juéyīnshū

A
  • Back-shu point of the Pericardium (jueyin) which is intimately linked to the Liver (jueyin). Stasis in chest
  • Regulates qi in the chest, Heart and Lung: pain or oppression of the Heart, chest and diaphragm due to accumulation of qi, palpitations, cough, shortness of breath, rebellious qi vomiting.
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19
Q

Clinical Application: BL-15 Xīnshū

A

Treats diseases of the Heart

Treats psychic and psychosomatic dysfunctions

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20
Q

Clinical Application: BL-17 Géshū

A

Invigorates blood & dispels stasis
Cools blood heat & stops bleeding,
Regulates middle jiao
Tonifies deficiency and treats fevers

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21
Q

Clinical Application: BL-18 Gānshū

A

Back shu pt for LIV - treats def. or XS affecting the chest, Lung, lateral costal region and abdomen
Clears LIV & HE fire: anger and benefits eyes
Benefits sinews and spine

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22
Q

Clinical Application: BL-19 Dǎnshū

A

Treats LIV & GB damp heat & shaoyang patterns
Tonifies GB qi & clears ST heat
Treats 4 bigs

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23
Q

Back-Shu point of the Lung

A

BL-13 Fèishū

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24
Q

Back-Shu point of the Pericardium

A

BL-14 Juéyīnshū

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25
Q

Back-Shu point of the Heart

A

BL-15 Xīnshū

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26
Q

Hui-Meeting point of Blood

A

BL-17 Géshū

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27
Q

Back-Shu point of the Liver

A

BL-18 Gānshū

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28
Q

Back-Shu point of the Gall Bladder

A

BL-19 Dǎnshū

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29
Q

Back-Shu point of the Spleen

A

BL-20 Píshū

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30
Q

Clinical Application for BL-20 Píshū

A

Tonify SP & resolve damp & stagnant Qi (Food stuff)

Tonifies SP to hold blood in place and raise Qi

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31
Q

Back-Shu point of the Stomach

A

BL-21 Wèishū

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32
Q

Clinical application for BL-21 Wèishū

A

Treats ST disharmony whether XS / Def, Hot / cold

33
Q

Back-Shu point of the Sanjiao

A

BL-22 Sānjiāoshu

34
Q

Back-Shu point of the Kidneys

A

BL-23 Shènshū

35
Q

Clinical applications of BL-23 Shènshū

A

Supports the KID & enriches the yin,
regulates sexual fnxs of KID,
promotes urination

36
Q

Back-Shu point of the Large Intestine

A

BL-25 Dàchángshū

37
Q

Back-Shu point of the Small Intestine

A

BL-27 Xiǎochángshū

38
Q

Clinical application of BL-26 Guānyuánshú

A

Commonly used for lumbar pain

Tonifies deficiency of the bladder

39
Q

Clinical application of BL-27 Xiǎochángshū

A

regulates defecation and urination

40
Q

Back-Shu point of the Bladder

A

BL-28 Pángguāngshū

41
Q

Location BL-28 Pángguāngshū

A

1.5 cun lateral to the midline, at the level of the second posterior sacral foramen.

42
Q

clinical application of BL-28 Pángguāngshū

A

clears heat, promotes urination, decongests and activates channel and its vessels

43
Q

BL-32 Cìliáo - location

A

Over the second posterior sacral foramen.

44
Q

Clinical application of BL-32 Cìliáo

A
  • Regulates the lower jiao and facilitates urination and defecation
  • Regulates menstruation and stops leucorrhoea
45
Q

Clinical application BL-37 Yīnmén

A

sciatica with pain radiating down the Bladder channel from the buttock

46
Q

Lower uniting point of Sanjiao

A

BL-39 Wěiyáng

47
Q

Location of BL-39 Wěiyáng

A

At the back of the knee, on the popliteal crease and towards its lateral end, in the depression medial to the tendon of biceps femoris.

48
Q

clinical applications of BL-39 Wěiyáng

A

Promotes urination & facilitates water discharge, regulates Sanjiao

49
Q

He-Sea and ________ point of the Bladder channel

A

Earth

BL-40 Wěizhōng

50
Q

Lower uniting point for BL

A

BL-40 Wěizhōng

51
Q

Cleft point of the blood

A

BL-40 Wěizhōng

52
Q

Location BL-40 Wěizhōng

A

At the back of the knee, on the popliteal crease, in a depression midway between the tendons of biceps femoris and semitendinosus.

53
Q

Clinical application BL-40 Wěizhōng

A

Lumbar pain & knees;
treats summer heat;
clears heat from blood;
treats UB

54
Q

Clinical application BL-43 Gāohuāngshū

A

Tonifies and nourishes the Lung, Heart, Kidneys, Spleen and Stomach; nourishes yin and clears heat,

55
Q

Location BL-43 Gāohuāngshū

A

3 cun lateral to the midline, level with the lower border of the spinous process of the fourth thoracic vertebra (T4) and level withJuéyīnshū BL-14.

56
Q

BL-54 Zhìbiān Location

A

On the buttock, in the depression 3 cun lateral to the sacro-coccygeal hiatus.

57
Q

Clinical application BL-54 Zhìbiān

A
  • Commonly used in the treatment of pain of the lumbar region, sacrum and buttocks and of sciatica.
  • Treats obstructed urination and defecation as well as haemorrhoids.
58
Q

BL-57 Chéngshān - location

A

On the lower leg, in the depression formed below the bellies of the gastrocnemius muscle when the muscle is flexed, approximately 8 cun distal toWěizhōng BL-40, i.e. midway betweenWěizhōng BL-40andKūnlún BL-60

59
Q

Important distal point for haemorrhoids.

A

BL-57 Chéngshān

60
Q

Luo-Connecting point of the Bladder channel

A

BL-58 Fēiyáng

61
Q

Location BL-58 Fēiyáng

A

On the lower leg, 7 cun directly superior toKūnlún BL-60, lateral to and approximately 1 cun inferior toChéngshān BL-57.

62
Q

Clinical application BL-58 Fēiyáng

A

• For fullness above (heat in the head, headache, dizziness, pain of the neck and occiput, pain of the head and back, rhinitis, nosebleed, nasal congestion etc.) and deficiency below (lumbar pain, coldness of the lower part of the body, weakness of the legs etc.).
• For sciatic pain
Headache

63
Q

Jing-River and _____ point of the Bladder channel

A

Fire

BL-60 Kūnlún

64
Q

BL-60 Kūnlún location

A

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

65
Q

Clinical Applications BL-60 Kūnlún

A

Descends excess wind, fire and yang from the upper part of the body;
Treats pain along the whole course of the Bladder channel;
Promotes labour and treats retention of the placenta.

66
Q

contraindication of BL-60 Kūnlún

A

Caution:contraindicated in pregnancy.

67
Q

Confluent point of the Yang Motility / Quio vessel

A

BL-62 Shēnmài

68
Q

Location BL-62 Shēnmài

A

On the lateral side of the foot, approximately 0.5 cun inferior to the inferior border of the lateral malleolus, in a depression posterior to the peroneal tendons.

69
Q

Clinical applications BL-62 Shēnmài

A

Expels exterior wind and pacifies interior wind; Clears heat and excess from the head; Classically indicated for daytime epilepsy and insomnia; Treats disorder of both the Bladder channel and the Yang Motility vessel (midline and lateral headache, pain of both the lumbar region and hip).

70
Q

Xi-Cleft point of the Bladder channel

A

BL-63 Jīnmén

71
Q

Location BL-63 Jīnmén

A

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

72
Q

Clinical application BL-63 Jīnmén

A

• Xi-cleft point for sudden onset of:
○ i. severe shan disorder
○ ii. sudden turmoil disorder with cramps (i.e. the onset of simultaneous and severe diarrhoea and vomiting with abdominal discomfort and pain);
○ iii. epilepsy, and
○ iv. ‘white tiger’ joint pain - severe painful obstruction which is like the bite of a tiger.

73
Q

Yuan-Source point of the Bladder channel

A

BL-64 Jīnggǔ

74
Q

Clinical application of BL-64 Jīnggǔ

A

Clears fullness from the head and eyes due to exterior pathogenic wind, interior wind, upsurging of yang due to Kidney deficiency, or disharmony between the upper and lower parts of the body;
Calms the Heart and spirit

75
Q

Shu-Stream and ______ point of the Bladder channel

A

Wood

BL-65 Shùgǔ

76
Q

Clinical application BL-65 Shùgǔ

A

Clears fullness and heat from the head & clears heat

77
Q

Ying-Spring and _____ point of the Bladder channel

A

Water

BL-66 Zútōnggǔ

78
Q

Jing-Well and _______ point of the Bladder channel

A

Metal

BL-67 Zhìyīn

79
Q

Clinical application of BL-67 Zhìyīn

A
  • Expels wind and clears the head and eyes

* Turns the foetus and facilitates labour