Acupuncture - Spleen

Question 1

Sp 1 - Well point

Answer 1

On medial side of big toe about 0.1 cun posterior to corner of nail bed. PP or PO 0.1-0.2 inch proximally or prick to cause bleeding.

N: Branches of superficial peroneal nerve and plantar digital proprial nerve.

C: None

I: Abdominal distension

A: Clears heat

Question 2

Sp 3 - Source Point of Spleen

Answer 2

Proximal and inferior to the head of the 1st metatarsal bone at the junction of the red and white skin. PP 0.3-1.0 inch.

N: Branches of saphenous nerve and superficial peroneal nerve

C: None

I: Abdominal distension

A: Harmonizes the middle burner

Question 3

Sp 4

Answer 3

In depression distal and inferior to base of first metatarsal bone at the junction of the red and white skin. PP 0.5-1.0 inch.

N: Saphenous nerve and a branch of superficial peroneal nerve.

C: None

I: Abdominal pain and distension

A: Harmonizes the middle burner

Question 4

Sp 6 - Meeting of 3 Yin of Leg

Answer 4

3 cun proximal to the tip of the medial malleolus on the posterior border of the tibia (13 cun from inferior border of medial tibial condyle to prominence of medial malleolus - measure midpoint at 6.5 cun, slide down half a cun to 6 cun, take midpoint which is 3 cun proximal to tip of medial malleolus). PP 0.5-1.0 inch or PO 1.0-1.5 inch proximally.

N: Tibial nerve

C: CI in pregnancy. Caution w/ great saphenous vein and posterior tibial artery and vein.

I: Abdominal pain and distension

A: Benefits the lower burner

Question 5

Sp 9

Answer 5

Just distal to the lower border of the medial tibial condyle in the depression on the medial border of the tibia. PP 0.5-1.0 inch.

N: Tibial nerve

C: Caution w/ great saphenous vein and posterior tibial artery and vein.

I: Abdominal pain and distension

A: Benefits the lower burner

Question 6

Sp 10

Answer 6

2 cun proximal to the mediosuperior border of the patella on the belly of the vastus medialis muscle. Point best located with knee flexed. PP 0.5-1.0 inch.

N: Branches of femoral nerve

C: None

I: Irregular menses, amenorrhea

A: Benefits the lower burner

Question 7

Sp 15

Answer 7

4 cun lateral to CV 8 (centre of umbilicus) at the border of the rectus abdominis muscle. Also 2 cun lateral to St 25 or 3.5 cun lateral to Kd 16. PP 0.5-1.0 inch.

N: 10th intercostal nerve

C: Peritoneal cavity in thinner patients

I: Abdominal pain, abdominal distension

A: Regulates Qi

Question 8

Sp 21

Answer 8

On mid-axillary line, 6 cun inferior to axilla, midway between axilla and free end of eleventh rib (note - Lv 13 is anterior and inferior to the free end of the 11th rib). PO 0.3-0.5 inch along the intercostal space.

N: 7th intercostal nerve and a branch of the long thoracic nerve.

C: Caution for pneumothorax w/ Lung and costodiaphragmatic recess.

I: Weak muscles, weak joints

A: Regulates Qi

Question 9

Which 3 Spleen points for abdominal distension?

Answer 9

Sp 1
Sp 3
Sp 15

Question 10

Which 4 Spleen points for abdominal pain and distension together?

Answer 10

Sp 4
Sp 6
Sp 9
Sp 15 is for abdominal pain AND abdominal distension together or separately

Question 11

Which Spleen point clears heat?

Answer 11

Sp 1 - Well point

Question 12

Which 2 Spleen points harmonize the middle burner?

Answer 12

Sp 3

Sp 4

Question 13

Which 3 Spleen points benefit the lower burner?

Answer 13

Sp 6
Sp 9
Sp 10

Question 14

Which 2 Spleen points regulate Qi?

Answer 14

Sp 15

Sp 21

Question 15

Which Spleen point is indicated for weak muscles or weak joints?

Answer 15

Sp 21