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Acupuncture Points Comprehensive > Foot Taiyang 51-60 > Flashcards

Foot Taiyang 51-60 Flashcards

1
Q

BL51 Huang Men

A

Vitals Gate

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2
Q

BL51 Location

A

3 cun lateral to GV5, level with the lower border of L1, level with BL22

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3
Q

BL51 Needling

A

Oblique insertion 0.5 - 1 cun

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4
Q

BL51 Caution

A

Deep perpendicular insertion carries a risk of injuring the kidney

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5
Q

BL51 Associations

A

No hats

Trigger Point

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6
Q

BL51 Indication

A

Conditions/Symptoms:

Breast disorders/pain

Epigastric Pain

Abdominal pain/masses

Constipation

Hardness below Heart

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7
Q

BL51 TCM Actions

A

Removes stagnation

Regulates San Jiao

Benefits breasts

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8
Q

BL51 Neuroanatomy

A

Superficial Innervation: Dorsal rami of L1 - L3
Dermatome Segment: L1

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9
Q

BL51 TCM Patterns

A

?

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10
Q

BL51 Trigger Point

A

Muscle: Iliocostalis lumborum and superficial quadratus lumborum
Myotome Innervation: Iliocostalis lumborum: dorsal rami of L1; Quadratus lumborum: dorsal rami of T12 - L4
Pain Referral Pattern: Radiating inferiorly along the paraspinal muscles to the buttock
Indications: Low back pain ; myalgia of long extensors of back

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11
Q

BL51 Nearby Points

A

GV5 - Directly beneath the spinous process of L1

BL22 - 1.5 cun lateral to GV5, level with the lower border of L1

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12
Q

BL52 Zhi Shi

A

Residence of the Will (Willpower Chamber)

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13
Q

BL52 Location

A

3 cun lateral to GV4, level with the lower border of L2

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14
Q

BL52 Needling

A

Oblique insertion 0.5 - 1 cun

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15
Q

BL52 Caution

A

Deep perpendicular insertion carries risk of injuring the kidney

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16
Q

BL52 Associations

A

No hats

Trigger Point

59 Piercings for Clearing Heat

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17
Q

BL52 Indications

A

Lin Syndrome (urination problems)

Urination Difficulty

Genital Swelling/Pain

Strengthen Willpower

Abdominal Distention/Pain

Impotence; Irregular Menstruation

Lumbar Pain/Stiffness

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18
Q

BL52 TCM Actions

A

Tonifies kidneys and benefits essence

Regulates urination

Strengthens lumbar region

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19
Q

BL52 TCM Patterns

A

Kidney Essence Deficiency

?

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20
Q

BL52 Neuroanatomy

A

Superficial Innervation: Dorsal rami of L1 - L3
Dermatome Segment: L2

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21
Q

BL52 Trigger Point

A

Muscle: Superficial quadratus lumborum
Myotome Innervation: Dorsal rami of spinal nerves from T12 - L4
Location Notes: Travell & Simons (1998) diagram looks closer to L3 at the crest of the iliac spine
Pain Referral Pattern: To lateral hip and below and anterior to iliac spine
Indications: Low back pain

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22
Q

BL52 Notes

A

Its alternative name Jinggong (Palace of Essence) reflects this points strengthening influence over sexual function (ibid).

In five element acupuncture indicated for a water cf, lack of willpower, sense of hopelessness, weakness from overwork.

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 Pohu Bl-42, Shentang Bl-44, Hunmen Bl-47 and Yishe Bl-49 clear Heat from the five Zang.

Jeffrey Yuen (2005, 3 Spirits & 7 Souls) suggests for inability to express fear we can direct the Yuan qi to here for expression by needling Shenshu Bl-23 outwards and then this point relatively perpendicularly.
For excessive fear we can direct it back to the Zang by needling this point obliquely towards the inner Bladder line and then needling Shenshu Bl-23 downards.
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23
Q

BL52 Nearby Points

A

GV4 - Directly beneath the spinous process of the second lumbar vertebra

BL23 - 1.5 cun lateral to GV4, level with the lower border of L3

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24
Q

BL53 Bao Huang

A

Bladder’s Vitals

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25
Q

BL53 Location

A

3 cun lateral to the midline, level with the second posterior sacral foramen

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26
Q

BL53 Needling

A

Perpendicular 1 - 1.5 cun

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27
Q

BL53 Associations

A

No hats

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28
Q

BL53 Indications

A

Conditions/ Symptoms:

Lumbar Pain/Stiff

Abdominal Distention

Retention of Urine

Inability to Urinate or Defecate

Difficult Ingestion

Aversion to Wind

Edema

Laridae - gulls/terns - sea birds - UB - water

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29
Q

BL53 TCM Actions

A

Benefits lumbar region

Activates channel and alleviates pain

Regulates lower jiao and benefits urination

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30
Q

BL53 TCM Patterns

A

?

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31
Q

BL53 Neuroanatomy

A

Superficial Innervation: Dorsal rami of S1 - S3
Dermatome Segment: S3
Deeper Structures: Neuromuscular junction of the superior gluteal nerve (L4 - S1) with the gluteus medius muscle

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32
Q

BL53 Nearby Points

A

BL28 - 1.5 cun lateral to the PML, level with the 2nd PSF

BL32 - On the sacrum, medial and inferior to the PSIS, level with the 2nd PSF

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33
Q

BL54 Zhi Bian

A

Lowermost Edge

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34
Q

BL54 Location

A

On the buttock, 3 cun lateral to the GV line, level with the sacrococcygeal hiatus

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35
Q

BL54 Needling

A

Perpendicular insertion 1.5 - 2.5 cun;

slanted toward the anus 2 - 3 cun

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36
Q

BL54 Associations

A

No hats

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37
Q

BL54 Indications

A

Conditions/Symptoms:

Lumbosacral pain/Leucorrhea

Atrophy Lower Limbs

Urination Problems/Dark Urine

Genital Pain/Swelling

Hemorrhoids

Sciatica (esp. pain along back of leg)

Contipation

Seminal Emission

Five Lin Syndrome (Painful Urine)

(Laughter good for parasympathetic nervous system, sacrum location of PNS neurons)

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38
Q

BL54 TCM Actions

A

Activates meridian and alleviates pain

Benefits lumbar region

Regulates urination and treats hemorrhoids

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39
Q

BL54 TCM Patterns

A

Bladder Damp Heat ?

Kidney Qi Deficiency?

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40
Q

BL54 Neuroanatomy

A

Superficial Innervation: Dorsal rami of S1 - S3
Dermatome Segment: S3

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41
Q

BL54 Trigger Point

A

Muscle: Gluteus minimus and piriformis
Myotome Innervation: Gluteus minimus: Superior gluteal nerve (L4 - S1); Piriformis: Nerve to the piriformis (L5 - S2)
Location Notes: There are several other possible trigger points for gluteus minimus anterior to this point between here and juliao GB-29
Pain Referral Pattern: To the buttock and lateral aspect of the hip, and down the posterior aspect of the thigh and calf
Indications: Diseases of the hip joint ; Degenerative conditions of lumbar ; spine ; Sciatica

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42
Q

BL54 Notes

A

Important point for pain in the lumbar, sacral region and buttocks as well as for sciatica.

ACATCM and Yin Yang House both list the location of this point as being level with the 4th posterior sacral foramen, contrary to Deadman.

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43
Q

BL54 Nearby Points

A

UB30 - 1.5 cun lateral to the PML, level with 4th PSF

UB34 - Level with 4th PSF, lateral to GV2

GV2 - On the midline in the sacro-coccygeal hiatus

GV1 - On the midline, midway between the tip of the coccyx and the anus

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44
Q

BL55 He Yang

A

Confluence of Yang

45
Q

BL55 Location

A

On the lower leg, 2 cun inferior to BL40, between the medial and lateral heads of the gastrocnemius, on a line connecting BL40 with BL57

46
Q

BL55 Needling

A

Perpendicular 1 - 1.5 cun

47
Q

BL55 Associations

A

No hats

Trigger Point

48
Q

BL55 Indications

A

Conditions/Symptoms:

Genital Pain

Uterine Bleeding

Lumbar Pain/Leucorrhea

Paralysis Lower Limbs

(swallowed between two heads of gastrocnemius)

49
Q

BL55 TCM Actions

A

Activates meridian and alleviates pain

Stops uterine bleeding

Relieves genital pain

50
Q

BL55 TCM Patterns

A

?

51
Q

BL55 Neuroanatomy

A

Superficial Innervation: Posterior cutaneous nerve of the thigh (S1 - S3)
Dermatome Segment: S2
Deeper Structures: Tibial nerve (L5 - S2)

52
Q

BL55 Trigger Point

A

Muscle: Gastrocnemius, soleus and popliteus (deep)
Myotome Innervation: Gastrocnemius: Tibial nerve, specifically roots from S1 and S2; Soleus: Tibial nerve, specifically roots from L5 - S2; Popliteus: Tibial nerve from L5 and S1
Location Notes: Gastrocnemus trigger points may be found all around this point in the upper part of the gastrocnemus muscle. For popliteus point it may be useful to locate slightly medial to make sure you are on the muscle.
Pain Referral Pattern:
Gastrocnemus: Around point and across posterior calf to sole of foot
Soleus: To medial calf
Popliteus: To back of knee
Indications: Calf strain and cramps (gastrocnemus) ; Tenderness in the heel (soleus) ; Diseases of the knee (popliteus)

53
Q

BL55 Nearby Points

A

SP9 - On the medial side of the lower leg, in a depression in teh angle formed by the medial condyle of the tibia and the posterior border of the tibia (2 cun below knee joint)

LV7 - Posterior and inferior to the medial condyle of the tibia, 1 cun posterior to SP9

GB34 - Below the lateral aspect of the knee, in the tender depression approximately 1 cun anterior and inferior to the head of the fibula (level with SP 9, also 2 cun below knee joint)

54
Q

BL56 Cheng Jin

A

Support the Sinews

55
Q

BL56 Location

A

On the lower leg, 5 cun below BL40, midway between BL55 and BL57, in the centre of the belly of the gastrocnemius muscle

56
Q

BL56 Needling

A

Perpendicular 1 - 1.5 cun

57
Q

BL56 Caution

A

Contraindicated to needling by some classic texts??

58
Q

BL56 Associations

A

No hats

Trigger Point

59
Q

BL56 Indications

A

Conditions/Symptoms:

Haemorrhoids/Headache/Heat in Head

Urinary/Fecal Incontinence

Muscle Cramps (Calf and Foot)

Acute Lumbar Pain

Nosebleed

60
Q

BL56 TCM Actions

A

Activates channel and alleviates pain

Relaxes the sinews

Benefits foot and heel

61
Q

BL56 TCM Patterns

A

?

62
Q

BL56 Neuroanatomy

A

Superficial Innervation: Posterior cutaneous nerve of the thigh (S1 - S3)
Dermatome Segment: S2
Deeper Structures: Tibial nerve (L5 - S2)

63
Q

BL56 Trigger Point

A

Muscle: Tibialis posterior
Myotome Innervation: Tibial nerve (L5 - S2)
Location Notes: May be slightly medial and deep to the gastrocnemus muscle
Pain Referral Pattern: To achilles tendon with spillover across calf and sole of foot
Indications: Pain in the foot and Achilles tendon when running and walking

64
Q

BL56 Nearby Points

A

SP8 - On the medial side of the lower leg, 3 cun inferior to SP9, in a depression just posterior to the medial crest of the tibia (5 cun below knee joint so level with BL56)

65
Q

BL57 Cheng Shan

A

Support the Mountain

66
Q

BL57 Location

A

On the posterior midline of the lower leg, 8 cun below UB40 in a depression formed below the bellies of the gastrocnemius when the muscle is flexed

67
Q

BL57 Needling

A

Perpendicular 1 - 2 cun, or oblique directed proximally or inferiorly

68
Q

BL57 Associations

A

Heavenly Star Point

Meeting of Bladder with Yang Wei Mai

Trigger Point

69
Q

BL57 Indications

A

Conditions/Symptoms:

Constipation; Diarrhea

Anal Prolapse

Muscle Cramps Calf and Foot

Enterorrhagia

Lumbar/Leg Pain

Inability to stand for long

Sciatica; Sore Throat

Hemorrhoids; Heat in Head

Empirical point for hemorrhoids

Word Choice: The bellies of gastrocnemius looks like a camel’s lip

70
Q

BL57 TCM Actions

A

Relaxes the sinews

Activates the channel and alleviates pain

Benefits the calf and heel

Treats hemorrhoids (empirical point)

71
Q

BL57 Neuroanatomy

A

Superficial Innervation: Sural nerve (L5 - S2)
Dermatome Segment: S2
Deeper Structures: Sural nerve (L5 - S2)

72
Q

BL57 Trigger Point

A

Muscle: Soleus
Myotome Innervation: Tibial nerve (L5 - S2)
Pain Referral Pattern: To sacroiliac joint
Indications: Tenderness in the heel

73
Q

BL57 Notes

A

The Nei Jing suggests this is the origin of the Yang wei mai instead of Jinmen Bl-63.

Ling Shu Ch. 52, On Wei Qi, suggest this point along with Qichong St-30 to release evil Qi in the legs. It advises to press the point for a time until there is a reaction and then pierce with the fine needle and apply a draining technique. Conditions treated are headache, dizziness and falling to the ground, abdominal pain, fullness, distension and accumulation. If it is painful and the pain moves it can be cured easily; if is is a painless fixed accumulation it is difficult.

74
Q

BL57 Nearby Points

A

ST38 - 8 cun below ST35, one fingerbreadth lateral from the anterior border of the tibia

ST40 - 8 cun below ST35, two fingerwidths lateral to the anterior border of the tibia

LV6 - 7 cun above the tip of the medial malleolus (8 cun below knee joint) on the midline of the medial surface of the tibia

75
Q

BL58 Fei Yang

A

Soaring Upwards (Taking Flight)

76
Q

BL58 Location

A

On the lower leg, 7 cun directly superior to BL60, lateral to and approximately 1 cun inferior to BL57

77
Q

BL58 Needling

A

Perpendicular, or oblique insertion directed proximally or distally,

1 - 1.5 cun

78
Q

BL58 Associations

A

Luo Connecting Point

Trigger Point

79
Q

BL58 Indications

A

Conditions/Symptoms:

Chills and fever w/o sweat

Atrophy of Legs

Blurry Vision

Back Pain

Epistaxis/Nasal Congestion

Dizziness

Mental Health - Bipolar

Headache

Hemorrhoids

80
Q

BL58 TCM Actions

A

Treats Hemorrhoids

Harmonizes excess above and deficiency below

Expels Wind-Damp from Taiyang Channel

Activates channel and alleviates pain

81
Q

BL58 TCM Patterns

A

?

82
Q

BL58 Neuroanatomy

A

Superficial Innervation: Sural nerve (L5 - S2)
Dermatome Segment: S2
Deeper Structures: Sural nerve (L5 - S2)

83
Q

BL58 Trigger Point

A

Muscle: Soleus
Myotome Innervation: Tibial nerve (L5 - S2)
Pain Referral Pattern: To ipsilateral face and jaw (exceptional pattern recorded by Travell & Simons, 1998)
Indications: Tenderness in the heel

84
Q

BL58 Notes

A

Ling Shu Ch. 6 suggests piercing the Luo points if a disease is in the Yang of the Yin realm (e.g. the Fu organs) implying this point for disorders of the Bladder.

Ling Shu Ch. 19, On the Four Seasonal Qi, advises using the channels and Luo vessels for diseases which occur in spring. They are pierced deeply if severe and more shallow if mild. For the other seasons:

  • in summer choose the Yang channels and Luo located in the partings between the skin and flesh
  • in autumn choose the Shu-Stream points unless the disease in the Fu organs, then use the He-Sea points
  • in winter choose Jing-Well and Ying-Spring opening and retain the needle.

Ling Shu Ch. 21, On Cold and Heat Diseases, repeats the advice to use Luo in spring but and adds that they can also treat diseases of the skin. For the other seasons it differs slightly from Ch. 19:

  • in summer choose the partings in skin structures which also treat the muscle and flesh
  • in autumn Taiyuan Lu-9 is chosen and can treat the sinews and vessels (this may also apply to other Shu-Stream points for this purpose, text is unclear)
  • in winter one chooses the main channel points which also treat the bones and marrow.

Later it suggests using these Luo vessels when the lower abdomen is swollen and there is difficulty urinating along with Luo of the Jueyin (Ligou Liv-5) if they are knotted with blood. If it reaches the stomach then Zusanli St-36 is added.

Ling Shu Ch. 21, on Cold and Heat Disease, advises pricking the Luo collaterals of the Taiyang emanating from here in cases of alternating cold and heat with supplementation of an additional channel based on the specific presentation:

  • if the hot and cold sensations are in the skin, the nose is dried up and the patient unable to sweat, supplement the Hand Taiyin Lung channel
  • if the hot and cold sensations are in the muscles, the lips are dry and they are unable to sweat, supplement the Foot Taiyin Spleen channel
  • if the hot and cold sensations are in the bones and they sweat ceaselessly then this point is not used but the Luo of the Foot Shaoyin, Dazhong Kid-4, is chosen instead.
85
Q

BL58 Nearby Points

A

ST39 - 9 cun below ST35 (7 cun above BL60) one fingerwidth lateral from the anterior border of the tibia

GB35 - 7 cun above the tip of the external malleolus on the posterior border of the fibula, level with GB 36 and UB58

GB36 - 7 cun above the tip of the external malleolus on the anterior border of the fibula

86
Q

BL59 Fu Yang

A

Instep Yang

87
Q

BL59 Location

A

On lower leg, 3 cun superior to BL60

88
Q

BL59 Needling

A

Perpendicular or oblique insertion directed proximally or distally, 1-1.5 cun

89
Q

BL59 Associations

A

Xi Cleft Point

Trigger Point

90
Q

BL59 Indications

A

Conditions/Symptoms:

Chills/fever

Acute spasm of Bladder or Yang Qiao meridians

Low back pain/Lateral ankle sprain

Atrophy of lower limb

Sciatica

Headache

Calash - low wheeled carriage - wheel - feet

91
Q

BL59 TCM Actions

A

Benefits lumbar region and legs

Activates channel and alleviates pain

92
Q

BL59 TCM Patterns

A

?

93
Q

BL59 Neuroanatomy

A

Superficial Innervation: Sural nerve (L5 - S2)
Dermatome Segment: S2
Deeper Structures: Sural nerve (L5 - S2)

94
Q

BL59 Trigger Point

A

Muscle: Flexor digitorum longus
Myotome Innervation: Tibial nerve (L5 - S2)
Location Notes: Slightly medial and deep to the gastrocnemus muscle
Pain Referral Pattern: To lateral sole of foot and spillover across medial calf and ankle
Indications: Strain of toe flexors

95
Q

BL59 Notes

A

A Xi-Cleft point is the site where the Qi of the meridian is deeply converged. Qi and blood are stored deeply at these particular points. If there appear abnormal reactions at X-Cleft points, it shows that the pathogens have entered the deeper parts of Zang-Fu organs. Thus, they are used for acute, painful symptoms, inflammation, protracted diseases of its pertaining meridian and Zang-Fun organ. Also, Xi-Cleft points of the Yin meridians have hemostatic functions.

Ling Shu Ch. 52, On the Wei Qi, considers this to be the root of the foot Taiyang meridian with the tip being at Jingming Bl-1.

96
Q

BL59 Nearby Points

A

GB39 - 3 cun superior to the prominence of the lateral malleolus, between the posterior border of the fibula and the tendons of peroneus longus and brevis

GB38 - 4 cun superior to the prominence of the lateral malleolus, at the anterior border of the fibula

SP6 - 3 cun superior to the prominence of the medial malleolus in a depression close to the medial crest of the tibia

97
Q

BL60 Kunlun

A

Kunlun Mountains

98
Q

BL60 Location

A

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

99
Q

BL60 Needling

A

Perpendicular insertion 0.5 - 1 cun; or directed superiorly to join with KI3 1.5 - 2 cun

100
Q

BL60 Caution

A

Contraindicated in Pregnancy!!

101
Q

BL60 Associations

A

Jing River

Fire Point

Heavenly Star Point

102
Q

BL60 Indications

A

Labour - promote; Low back pain

Epistaxis

Genital Pain; Glandular Disorders

Epilepsy

Neck pain; Headache

Diarrhea; Dyspnea

Spinal Pain anywhere

Main point for pain anywhere along the spine (UB 40 may be used more for pain in the middle of the spine).

Main point for chronic low back pain a/or problems of pain a/or numbness in the lower limbs.

Main point for headache and other excesses effecting the head.

Induce labor or promote discharge of a retained placent.

103
Q

BL60 TCM Actions

A

Clears heat and lowers yang

Pacifies wind and lowers excess

Activates entire bladder channel and relieves pain

Relaxes sinews and strengthens lumbar spine

Promotes labour

104
Q

BL60 TCM Patterns

A

Bladder Damp Heat

Liver Yang Rising

Lung Rebellious Qi

?

105
Q

BL60 Neuroanatomy

A

Superficial Innervation: Sural nerve (L5 - S2)
Dermatome Segment: S1
Deeper Structures: Sural nerve (L5 - S2)

106
Q

BL60 Notes

A

The name of this point references the Kunlun mountain range, a metaphor for the ridges of the spine. This indicated the ability of this point to affect the entire length of bladder channel.

Ling Shu Ch. 20, On the Five Evils, advises piercing this point and Yongquan Kid-1, removing any stagnant blood from visible vessels for pathogens in the Kidneys causing aching bones and Yin-type Bi syndrome with numbness, swollen abdomen, difficult defecation, dizziness and aching of the lower back, neck, nape and shoulders. A near identical passage in the Su Wen Ch. 74, gives the same advice but only refers to this point which might save a lot of unnecessary pain.

Ling Shu Ch. 24, On Counterflow Diseases, employs this point for the treatment of Heart pain. It advises piercing this point and Jinggu Bl-64 when treating a Heart pain that feels like being struck with a bent and painful back, associated with the Kidneys.

107
Q

BL60 Nearby Points

A

BL62 - Approx 0.5 cun below the inferior border of the lateral maleollus, posterior to the peroneal tendons

GB40 - Anterior and inferior to the external malleolus in a depression on the lateral side of the tendon of extensor digitorum longus

KI3 - In a depression halfway between the prominence of the medial mallolus and the Achilles tendon

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Acupuncture Points Comprehensive (24 decks)

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