Foot Taiyang 21-30 Flashcards

1
Q

BL21 Wei Shu

A

Stomach Shu

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2
Q

BL21 Location

A

1.5 cun lateral to the lower border of T12

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3
Q

BL21 Needling

A

Oblique towards spine 0.5-1 cun or transverse-oblique 1-1.5 cun

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4
Q

BL21 Caution

A

Perpendicular needling or oblique needling away from the spine carry a significant risk of causing a pneumothorax

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5
Q

BL21 Associations

A

Stomach Back Shu

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6
Q

BL21 Indications

A

Conditions / Symptoms:

Epigastric Pain

Prolapse/Hernia

Irritable Bowel Syndrome

Food Stagnation

Abdominal Masses

Ulcers

Nausea

Acid Reflux Disease (GERD)

Abdominal Pain

Borborygmus/Bloating/Belching

Chest Pain

Main point for all Stomach related issues in TCM diagnostic terms - harmonizes the stomach, transforms damp and resolves stagnation

Dissolve accumulations/lumps in the abdomen, combine with Pigen (point for lumps, tumors), 3.5 cun lateral to the lower border of L1. Due to the same qi stagnation resolving functions it may also be useful for pain in the chest, stomach/spleen area and lateral costal margin area.

As the point also regulates the upward rising qi functions, it is used for prolapse of the rectum and uses with other points for hiatal hernias.

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7
Q

BL21 TCM Actions

A

Regulates the stomach qi and descends rebellion

Harmonizes the middle jiao

Resolves dampness

Alleviates food stagnation

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8
Q

BL21 TCM Patterns

A
  1. Stomach Rebellious Qi
  2. Stomach Food Stagnation
  3. Stomach Qi Deficiency
  4. Cold in Stomach (Retained Fluid)
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9
Q

BL21 Neuroanatomy

A

Superficial Innervation: Posterior cutaneous thoracic nerves from T12
Dermatome Segment: T12
Deeper Structures: Dorsal rami of spinal nerves from T12

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10
Q

BL21 Nearby Points

A

UB50 - 3 cun lateral to lower border of spinous process of T12

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11
Q

BL22 San Jiao Shu

A

San Jiao Back Shu

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12
Q

BL22 Location

A

Directly below the spinous process of L1, level with GV5

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13
Q

BL22 Needling

A

Oblique or perpendicular-oblique insertion toward the spine 1 to 1.5 cun

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14
Q

BL22 Caution

A

Deep perpendicular needling may injure the kidneys

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15
Q

BL22 Associations

A

Back Shu Triple Burner

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16
Q

BL22 Indications

A

Conditions / Symptoms:

Borborygmus/Bloating/Back pain

Edema

Abdominal Pain/Masses/Ascites

Urinary retention/painful/blood

Turbidity of urine

Impotence

Food retention

Urinary pain

Lin Disease (Urinary Disorders)

Fever/alternating chills and fever

Irritating sensation of back and shoulder/headache

Jaundice

Indigestion

As Triple Heater Shu this point effects conditions related to imbalances between the upper and lower parts of the body especially those related to water: edema, bloating, ascites, borborygmus, difficult or painful urination, urinary retention.

With its ability to move water accumulations also useful for certain damp related issues in the head such as headaches and visual dizziness.

Uses with alternating chills and fever, jaundice and other issues involving difficulty digesting foods.

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17
Q

BL22 TCM Actions

A

Moves and regulates san jiao

Regulates SP & ST, resolves dampness

Regulates water passages and promotes urination

Resolves masses

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18
Q

BL22 TCM Patterns

A

Bladder Damp Heat

SP & ST Damp Heat

Stomach Dampness

Stomach Food Stagnation

Spleen Yang Deficiency (sedate BL22)

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19
Q

BL22 Neuroanatomy

A

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

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20
Q

BL22 Trigger Point

A

Muscle: Longissimus thoracis
Myotome Innervation: Posterior branches of dorsal rami from L1
Pain Referral Pattern: Inferior to posterior superior iliac spine
Indications: Low back pain ; Myalgia of long extensors of back

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21
Q

BL22 Nearby Points

A

GV5 - Directly below the spinous process of L1

UB51 - 3 cun lateral to GV5, lower border of L1

GB25 - On the lateral side of the abdomen, or possibly back, on the lower border of the free end of the 12th rib

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22
Q

BL23 Shen Shu

A

Kidney Shu

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23
Q

BL23 Location

A

1.5 cun lateral to GV4, lower border of L2

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24
Q

BL23 Needling

A

Oblique or perpendicular-oblique insertion toward the spine 1 - 1.5 cun

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25
Q

BL23 Caution

A

Deep perpendicular needling carries a risk of injuring the kidney

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26
Q

BL23 Associations

A

Back Shu of Kidney

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27
Q

BL23 Indications

A

Conditions / Symptoms:

Back pain acute or chronic, Empirical Point

Edema/fluid retention in abdomen

Abdominal pain/amenorrhea

Urination dripping, frequent

Taxation of 5 Zang/Tooth problems

Irregular Menstruation/Infertility

Fatigue/Fibromyalgia

Urination difficult, blood, turbid

Leukorrhea

Spermatorrhea/Sterility

Headache

Asthma

Mental Health

Ear issues - tinnitus, deafness, infection

Dysmennorhea/diarrhea cold and damp

For all Kidney system related issues from a Chinese Medicine perspective which effect the brain, bone, hair, teeth a/or hearing.

Male deficiency related sexual problems: impotence, premature ejaculation, spermatorrhea, sterility, exhaustion following ejaculation.

Female sexual and reproductive disorders: irregular cycles, dysmenorrhea, amenorrhea, infertility, leukorrhea.

Tonification point in deficiency conditions: exhaustion, weakness, chronic fatique, good point for the elderly as Kidney Jing is naturally depleted.

Main point for acute or chronic low back pain, sprains a/or strains.

Useful for KD related ear issues: tinnitus, deafness, chronic ear infections.

Useful for dampness issues and water metabolism issues - edema, fluid retentions in the lower abdomen.

As the kidney system provides the root of the bodies energy many psychological conditions will respond well to tonification of this point as well - depression, anxiety disorders.

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28
Q

BL23 TCM Actions

A

Tonifies kidneys and fortifies yang

Benefits essence

Nourishes kidney yin

Firms kidney qi

Regulates water passages and benefits urination

Benefits and warms uterus

Benefits ears and bones

Strengthens lumbar region

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29
Q

BL23 TCM Patterns

A

Kidney Yang Deficiency

Kidney Yin Deficiency

Kidney Qi Deficiency

Kidney Jing Deficiency

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30
Q

BL23 Neuroanatomy

A

Superficial Innervation: Dorsal rami of L1 - L3
Dermatome Segment: L2
Deeper Structures: Dorsal rami of spinal nerves from L2

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31
Q

BL23 Trigger Point

A

Muscle: Multifidus
Myotome Innervation: Posterior branches of dorsal rami from L3
Pain Referral Pattern: Around the point and radiating down the back. Also to the abdomen directly anterior to the point.
Indications: Myalgia of the long extensors of the back ; Paraumbilical pain

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32
Q

BL23 Nearby Points

A

GV4 - Directly below the spinous process of the second lumbar vertebrae

UB52 - 3 cun lateral to GV4, lower border of L2

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33
Q

BL24 Qi Hai Shu

A

Sea of Qi Shu

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34
Q

BL24 Location

A

1.5 cun lateral to the GV line, level with the lower border of L3

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35
Q

BL24 Needling

A

Perpendicular insertion 1 - 1.5 cun

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36
Q

BL24 Associations

A

No hats

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37
Q

BL24 Indications

A

Conditions / Symptoms:

Cramps/Dysmenorrhea

Hemorrhoids

Asthma

Leukorrhea

Knee Pain/Back pain

Generally used as a local point for back pain. General weakness in the low back and/or knees.

Due to the qi moving functions in the area, may be used with hemorrhoids, dysmehorrhea and other discharges such as leukorrhea, blood stools, etc.

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38
Q

BL24 TCM Actions

A

Strengthens lumbar region and legs

Regulates lower jiao

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39
Q

BL24 TCM Patterns

A

N/A

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40
Q

BL24 Neuroanatomy

A

Superficial Innervation: Dorsal rami of L1 - L3
Dermatome Segment: S2
Deeper Structures: Dorsal rami of spinal nerves from L3

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41
Q

BL24 Trigger Point

A

Muscle: Iliopsoas and deep quadratus lumborum
Myotome Innervation: Iliopsoas: Femoral nerve (L1 - L2); Quadratus lumborum: Dorsal rami of spinal nerves from T12 - L4
Location Notes: Lumbar pain and stiffness, painful obstruction and pain of the lower limb, atrophy disorder.
Pain Referral Pattern: Around lower vertebral region (iliopsoas) and to buttock (quadratus lumborum)
Indications: Low back pain ; Myalgia of long extensors of back

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42
Q

BL24 Nearby Points

A
43
Q

BL25 Da Chang Shu

A

Large Intestine Shu

44
Q

BL25 Location

A

1.5 cun lateral to the lower border of L4

45
Q

BL25 Needling

A

1 - 1.5 cun perpendicular

46
Q

BL25 Associations

A

Back Shu of LI

47
Q

BL25 Indications

A

Conditions / Symptoms:

Poor Assimilation of Food

Low Back Pain

Abdominal Pain/Distention

Constipation/Crohn’s

IBS (Inflammatory Bowel Syndrom)/IBD(Disease)

Diarrhea (cold-damp)

Wei and Bi Syndrome of lower legs

Main point for low back pain especially when related to constipation a/or menstruation.

Main point for all intestine related issues: constipation, diarrhea, dysentery, colitis, IBS, etc.

Regulates the function in the colon so as potential uses for poor assimilation, limited weight gain despite eating many calories.

48
Q

BL25 TCM Actions

A

Regulates the intestines

Transforms stagnation and alleviates pain

Strengthens lumbar region and legs

49
Q

BL25 TCM Patterns

A

Large Intestine Dryness

Large Intestine Damp Heat

Large Intestine Cold

Large Intestine Blood Stagnation

50
Q

BL25 Neuroanatomy

A

Superficial Innervation: Dorsal rami of S1 - S3
Dermatome Segment: S3
Deeper Structures: Dorsal rami of L4

51
Q

BL25 Notes

A

Main point for low back pain especially when related to constipation a/or menstruation. Combine with local points such as GV 3, UB 26, Shiqizhui (between L5 and S1), UB 31, UB 32, GB 30 & distal points such as GB 34, GB 39, GB 41, UB 40, UB 57, UB 58, UB 60 & UB 62.

Main point for all intestine related issues: constipation, diarrhea, dysentery, colitis, IBS, etc.

Regulates the function in the colon so as potential uses for poor assimilation, limited weight gain despite eating many calories.

52
Q

BL25 Nearby Points

A

GV3 - Directly below the spinous process of L4

Yaoyan - 3.5 cun lateral to the lower border of L4 (GV3)

53
Q

BL26 Guan Yuan Shu

A

Origin Gate Shu

54
Q

BL26 Location

A

1.5 cun lateral to the lower border of L5

55
Q

BL26 Needling

A

1 -1.5 cun Perpendicular

56
Q

BL26 Associations

A

Storage of Yuan Qi Back Shu Point

(Trigger Point)

57
Q

BL26 Indications

A

Conditions / Symptoms:

Cysts/Fibroids

Urinary Disorders (Lin Disease)

Back Pain

Local point for clearing the channel - low back pain, both as a local point and from wind invasion (possibly with UB 28).

Dissipates cold in the lower warmer - abdominal pain, bowel issues, abdominal masses.

Possibly useful for a range of urinary issues - frequency, nighttime urination, difficult urination.

58
Q

BL26 TCM Actions

A

Strengthens lumbar region

Regulates lower jiao

59
Q

BL26 TCM Patterns

A

Large Intestine Cold

60
Q

BL26 Neuroanatomy

A

Superficial Innervation: Dorsal rami of S1 - S3
Dermatome Segment: S3
Deeper Structures: Dorsal rami of L5

61
Q

BL26 Trigger Point

A

Muscle: Quadratus lumborum
Myotome Innervation: Posterior branches of dorsal rami from T12 - L4
Pain Referral Pattern: To buttocks
Indications: Low back pain

62
Q

BL26 Nearby Points

A
63
Q

BL27 Xiao Chang Shu

A

Small Intestine Shu

64
Q

BL27 Location

A

1.5 cun lateral to the GV line level with the 1st posterior sacral foramen (PSF)

65
Q

BL27 Needling

A

Perpendicular 0.5-1 cun

66
Q

BL27 Associations

A

Small Intestine Back Shu Point

67
Q

BL27 Indications

A

Conditions / Symptoms:

Leukorrhea

Urinary Disorders (Lin Disease)

Seminal Emission

Hemorrhoids

Diarrhea/Dysentary

Difficult, painful, dark urine

Main function is regulating water with regard to the bladder and intestines

Yin (cold) of Bladder and Sanjiao, Yin (cold) or Yang (hot) disoders of Large and Small Intestine,

Damp heat effecting the bladder (difficult or painful urination, hematuria, dark urine).

Damp heat effecting the intestines (diarrhea, hemorrhoids, dysentary).

Other lower warmer discharges - leukorrhea, seminal emission.

68
Q

BL27 TCM Actions

A

Separate pure from the turbid

Regulate intestines and bladder

Drain turbid dampness and clear damp-heat

Regulate small intestine qi

69
Q

BL27 TCM Patterns

A

Bladder Damp Heat

Large Intestine Damp Heat

Large Intestine Cold

70
Q

BL27 Neuroanatomy

A

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

71
Q

BL27 Trigger Point

A

Muscle: Multifidus
Myotome Innervation: Posterior branches of dorsal rami from S1
Pain Referral Pattern: Around the point and radiating down the buttock to the sacrum with some radiation to the posterior aspect of the upper thigh and to the abdomen directly anterior to the point
Indications: Myalgia of the long extensors of the back ; Paraumbilical pain.

72
Q

BL27 Nearby Points

A

UB31 - On the sacrum, at the midpoint between the PSIS and the PML, level with the first PSF

73
Q

BL28 Pang Guang Shu

A

Bladder Shu

74
Q

BL28 Location

A

1.5 cun lateral to the PML, level with the second PSF

75
Q

BL28 Needling

A

Perpendicular 0.5 - 1 cun

76
Q

BL28 Associations

A

Bladder Back Shu Point

77
Q

BL28 Indications

A

Conditions / Symptoms:

Damp-heat (painful, dark urine, diarrhea)

Urinary Disorders (Lin Disease) - frequent, incontinence/UTI

Back Pain

Sacral pain/stiff

Main point for all Bladder issues: from damp heat (painful a/or dark urination), from cold (frequent urination, incontinence).

For damp-heat anywhere in the body, combine with SP 9 to expel dampness through urination - diarrhea, constipation, sore back, infections and/or swellings in the lower warmer.

78
Q

BL28 TCM Actions

A

Regulates bladder

Clears damp-heat from lower jiao

Dispels stagnation and resolves masses

Benefits lumbar region and legs

Opens water passages

79
Q

BL28 TCM Patterns

A

Bladder Damp Heat

Large Intestine Damp Heat

80
Q

BL28 Notes

A

As back-shu of the bladder this is the main point on the back for treatment of urinary disorders, the external genitals and regulating water balance. It is also an important point for lumbar, sacral and lower limb disorders.

81
Q

BL28 Neuroanatomy

A

Superficial Innervation: Dorsal rami of S1 - S3
Dermatome Segment: S3
Deeper Structures: Dorsal rami of S2

82
Q

BL28 Nearby Points

A

UB32 - Level with 2nd PSF, medial and inferior to PSIS

UB53 - 3 cun lateral to medial sacral crest, level with 2nd PSF

83
Q

BL29 Zhong Lu Shu

A

Central Spine Shu

84
Q

BL29 Location

A

1.5 cun lateral to the GV line of the 3rd PSF

85
Q

BL29 Needling

A

Perpendicular insertion 0.5 - 1 cun

86
Q

BL29 Associations

A

(Center of Back Muscle Back Shu

Trigger Point)

87
Q

BL29 Indications

A

Conditions/Symptoms:

Back Pain

Sweat Problems (lack)

Kidney deficiency wasting and thirsting disorder, absence of sweating.

Stiffness and pain of the lumbar spine, inability to turn the spine.

Generally a local point for back pain and/or stiffness, hernia.

Warms the kidney yang - wasting and thirsting, lack of sweating.

88
Q

BL29 TCM Actions

A

Benefits lumbar region

Dispels cold and stops diarrhea

89
Q

BL29 TCM Patterns

A

Kidney Yang Deficiency?

(would it not be kidney yin if absence of sweat?)

90
Q

BL29 Neuroanatomy

A

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

91
Q

BL29 Trigger Point

A

Muscle: Piriformis and gluteus maximus
Myotome Innervation:

Piriformis: nerve to the piriformis (L5 - S2);

Gluteus maximus: Inferior gluteal nerve (L5 - S2)
Pain Referral Pattern: Piriformis: To the greater trochanter of the humerus and down the posterior of the thigh
Gluteus maximus: To the buttock
Indications: Sciatica ; Pain in the buttocks

92
Q

BL29 Nearby Points

A

UB33 - Level with 3rd sacral foramen, medial and inferior to UB32

93
Q

BL29 Notes

A

Ling Shu Ch. 75, On Piercing to Regulate True and Evil Qi, recommends this point as part of the “Undressing” treatment. Its indications are when there is a surplus of Yang and insufficiency of Yin Qi causing Heat in the interior and exterior. The two heats combine to become hot like burning coal and they cannot bear to have clothes touch the skin or to lie on a mattress, the pores are closed and there is no sweating, the tongue is scorched, the lips are desiccated, the flesh dries up, the throat is parched and they cannot tell good from bad food. It is treated by removing the Heat from this point, Tianfu Lu-3 and Dazhu Bl-11, then supplementing the Taiyin channels of hand and foot, Lung and Spleen, to diminish the sweat. Presumably the initial piercings are supposed to induce the sweat or this contradicts the earlier symptom of the pores being closed and the sweat not leaving.

94
Q

BL30 Bai Huan Shu

A

White Ring Shu

95
Q

BL30 Location

A

1.5 cun lateral to the PML level with the 4th posterior sacral foramen

96
Q

BL30 Needling

A

0.5 - 1 cun perpendicular

97
Q

BL30 Associations

A

(Trigger Point)

98
Q

BL30 Indications

A

Conditions / Symptoms:

Back/Hip Pain

Rectal Prolapse

Irregular Menstruation/Insomnia

Dysmenorrhea

Endometriosis/Leukorrhea

Shan Disorder (Hernia)

99
Q

BL30 TCM Actions

A

Benefits lumbar region and legs

Regulates menstruation

Stops leucorrhea and seminal emission

100
Q

BL30 TCM Patterns

A

Kidney Yang Deficiency

101
Q

BL30 Neuroanatomy

A

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

102
Q

BL30 Trigger Point

A

Muscle: Multifidus
Myotome Innervation: Posterior branches of dorsal rami from S4
Pain Referral Pattern: Local to point and to midline
Indications: Low back pain

103
Q

BL30 Nearby Points

A

UB34 - Level with 4th PSF, lateral to GV2

UB54 - 3 cun lateral to the GV line, level with the 4th PSF

EX-BW-8 Shi Qi Zhui Xia - On the midline of the lower back, in a depression below the spinous process of the fifth lumbar vertebra

104
Q
A