Foot Taiyang 41-50 Flashcards Preview

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Flashcards in Foot Taiyang 41-50 Deck (108)
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1

BL41 Fu Fen

Attached Branch

2

BL41 Location

3 cun lateral to the midline (on the spinal border of the scapula), level with the lower border of T2 (level with BL12) 

3

BL41 Needling

Oblique 0.3 - 0.5 cun (Deadman)

Oblique insertion 0.5 - 0.8 cun (ACATCM)

4

BL41 Associations

No hats 

Trigger Point

5

BL41 Caution

Deep perpendicular or deep oblique needling has a significant risk of causing a pneumothorax

6

BL41 Indications

Conditions / Symptoms:

Neck Pain

Shoulder Pain

Arm Pain

 

Useful for dispelling cold and wind from the upper back and neck - neck pain, shoulder problems, arm and/or elbow issues. 

Wind-cold lodged in the interstices, wind-taxation.

7

BL41 TCM Actions

Expels wind-cold

Activates channel and alleviates pain

8

BL41 TCM Patterns

Liver Wind

9

BL41 Neuroanatomy

Superficial Innervation: Posterior cutaneous thoracic nerves from T2
Dermatome Segment: T2

10

BL41 Trigger Point

Muscle: Rhomboid minor
Myotome Innervation: Dorsal scapular nerve (C5, with minor contribution from C4 and C6)
Pain Referral Pattern: Local to point and around medial and superior border of scapula
Indications: Shoulder pain remaining after other trigger points in the area have been deactivated

11

BL41 Nearby Points

UB12 - 1.5 cun lateral to the GV line, lower border of T2

SI10 - With arm abducted, directly above SI9 in a depression inferior to the scapular spine

SI13 - At the medial extremity of the suprascapular fossa, midway between SI10 and the spinous process of T2

12

BL42 Po Hu

Door of Corporeal Soul (which is connected to lungs)

13

BL42 Location

On the border of the spinal scapula, 3 cun lateral to the GV line (GV12) level with the lower border of T3 and UB13

14

BL42 Needling

0.3 - 0.5 cun Oblique (Deadman)

0.5 - 0.8 cun oblique (ACATCM)

15

BL42 Caution

Pneumothorax

16

BL42 Associations

No hats.

One of "59 Piercings" for clearing heat (Basic Questions)

17

BL42 Indications

Conditions / Symptoms:

Cough (with heat)

Asthma

Parasites/Three Corpse Possession Disorder

Shoulder/Neck/Back pain

Internal (psycho-spiritual) grief and trauma

Dyspnea/Deficiency-taxation

 

Reinforce the Lung Shu (UB 13) for Lung related disorders: cough, asthma, etc.

Drain heat from the Lung - cough with heat, tuberculosis.

Local point for shoulder and upper back pain and restriction.

Five corpse disorder

18

BL42 TCM Actions

Tonifies and nourishes lung

Soothes dyspnea and alleviates cough

Activates channel and alleviates pain

 

19

BL42 TCM Patterns

Lung Qi Deficiency

20

BL42 Neuroanatomy

Superficial Innervation: Posterior cutaneous thoracic nerves from T3
Dermatome Segment: T3

21

BL42 Notes

Three Corpse Possession Disorder:
Sanshi 三尸 (Three Corpses) or Sanchong 三蟲 (Three Worms) are a Daoist concept of parasitic entities that exist in the three Dantian centres from conception attempting to weaken the body and initiate sickness. The upper worm causes us to love finery and spectacles injuring the intellect, the middle causes us to indulge in fine flavours harming the five Zang while the lower causes sexual licentiousness weakening the Jing. Van Straten (1983) considers them as an expression of the Yin/Yang dichotomy at the most fundamental level of life where the instincts necessary for survival also sap our vitality and draw us closer to death whenever they are indulged. Addictions are a straightforward example of this.

Pomen Bl-42 is the only acupuncture point specifically associated with this disorder in Deadman (2001) with little explanation given. Presumably it is due to their association with the Po which are seen as similar endogenous pathogenic entities often under their command in some Daoist schools (Huang, 2011). Van Straten (1983) also describes rituals of cutting the finger and toe nails and burning them on specific days when they are thought to reside here, or bathing and fumigating the lower body from morning to evening to eliminate them from the intestines. A more common method was the avoidance of grains (Bigu) on which they feed, then poisoning them with medicines (Waidan, External Alchemy) and eliminating desire through meditation practices (Neidan, Internal Alchemy).

Several modern therapies can be seen as adaptations on this idea. Addiction treatments that use a combination of therapies to eliminate triggers and starve opportunities for relapse, condition an aversion with emetic medication and cultivate mindfulness to manage current stresses seem to be following the same principle of starve, purge and meditate. Theories that the gut microbiome drives our cravings are more literally similar seeing our addictions as due to parasitic influence. These schools teach that we should avoid sugars and simple carbohydrates on which microorganisms feed whilst administering medication to eliminate infections and cultivate a new ecosystem.

One of the classical "59
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 Shentang Bl-44, Hunmen Bl-47, Yishe Bl-49 and Zhishi Bl-52 clear Heat from the five Zang.

 

22

BL42 Nearby Points

GV12 - Directly below the spinous process of the third thoracic vertebra

UB13 - 1.5 cun lateral to GV12, level with lower border of T3

SI11 - Found at the junction of the upper and middle third of a line drawn between teh lower scapular spine and the inferior angle of the scapula. In a depression at the centre of the infrascapular fossa

23

BL43 Gao Huang Shu

Vital Region Shu

24

BL43 Location

On the border of the scapular spine, 3 cun lateral to the lower border of T4

25

BL43 Needling

0.3 - 0.5 cun Oblique (Deadman)

0.5 - 0.8 cun oblique (ACATCM)

26

BL43 Caution

Pneumothorax

27

BL43 Associations

No hats

28

BL43 Indications

Conditions/Symptoms:

SP-ST Xu/Sweating spon/night

Cough/Chronic illness

Asthma

Neck/back/shoulder pain

Taxations: 5 taxations and 7 injuries

 

Palpitations/Poor memory/Phlegm-fire

Insomnia

Emaciation

 

(Pie - sugar - phlegm/heat ; Scant - deficiency conditions)

 

All kinds of deficiency, Lung deficiency-taxation, deficiency-taxation, the five taxations and the seven injuries, cough, asthma, coughing blood, night sweating, spontaneous sweating, steaming bone disorder, consumption, emaciation.

Feebleness and deficiency of the Spleen and Stomach, undigested food in the stool, oesophageal constriction, weariness of the four limbs, vomiting blood.

Main point for all disorders of the Lung and Upper Warmer: asthma, dyspnea, cough, tuberculosis, etc.

Tonification point for cases of weakness and deficiency especially from chronic illness.

29

BL43 TCM Actions

Nourishes and tonifies yin organs (LU, HT, SP, ST, KI)

Nourishes yin and clears heat

Calms the spirit (emotional)

Fosters original qi

Resolves phlegm

 

30

BL43 TCM Patterns

Lung Yin Xu

Heart Yin Xu

Kidney Yin/Yang Xu

SP Qi Xu

ST Qi Xu

ST Yin Xu

??