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Acupuncture Points Comprehensive > Foot Taiyang 41-50 > Flashcards

Foot Taiyang 41-50 Flashcards

1
Q

BL41 Fu Fen

A

Attached Branch

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2
Q

BL41 Location

A

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

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3
Q

BL41 Needling

A

Oblique 0.3 - 0.5 cun (Deadman)

Oblique insertion 0.5 - 0.8 cun (ACATCM)

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4
Q

BL41 Associations

A

No hats

Trigger Point

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5
Q

BL41 Caution

A

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

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6
Q

BL41 Indications

A

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.

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7
Q

BL41 TCM Actions

A

Expels wind-cold

Activates channel and alleviates pain

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8
Q

BL41 TCM Patterns

A

Liver Wind

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9
Q

BL41 Neuroanatomy

A

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

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10
Q

BL41 Trigger Point

A

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

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11
Q

BL41 Nearby Points

A

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

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12
Q

BL42 Po Hu

A

Door of Corporeal Soul (which is connected to lungs)

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13
Q

BL42 Location

A

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

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14
Q

BL42 Needling

A
  1. 3 - 0.5 cun Oblique (Deadman)
  2. 5 - 0.8 cun oblique (ACATCM)
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15
Q

BL42 Caution

A

Pneumothorax

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16
Q

BL42 Associations

A

No hats.

One of “59 Piercings” for clearing heat (Basic Questions)

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17
Q

BL42 Indications

A

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

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18
Q

BL42 TCM Actions

A

Tonifies and nourishes lung

Soothes dyspnea and alleviates cough

Activates channel and alleviates pain

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19
Q

BL42 TCM Patterns

A

Lung Qi Deficiency

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20
Q

BL42 Neuroanatomy

A

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

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21
Q

BL42 Notes

A

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.

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22
Q

BL42 Nearby Points

A

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

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23
Q

BL43 Gao Huang Shu

A

Vital Region Shu

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24
Q

BL43 Location

A

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

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25
Q

BL43 Needling

A
  1. 3 - 0.5 cun Oblique (Deadman)
  2. 5 - 0.8 cun oblique (ACATCM)
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26
Q

BL43 Caution

A

Pneumothorax

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27
Q

BL43 Associations

A

No hats

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28
Q

BL43 Indications

A

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.

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29
Q

BL43 TCM Actions

A

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

Nourishes yin and clears heat

Calms the spirit (emotional)

Fosters original qi

Resolves phlegm

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30
Q

BL43 TCM Patterns

A

Lung Yin Xu

Heart Yin Xu

Kidney Yin/Yang Xu

SP Qi Xu

ST Qi Xu

ST Yin Xu

??

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31
Q

BL43 Neuroanatomy

A

Superficial Innervation: Posterior cutaneous thoracic nerves from T4
Dermatome Segment: T4

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32
Q

BL43 Notes

A
  • In five element acupuncture indicated for a fire cf, weakness from chronic diseases, generalized fatigue.
  • Wang Zhizhong (12th century) in Supporting Life with Acupuncture and Moxibustion, claims that this point treats everything including marked emaciation, seminal loss while dreaming, counterflow Qi ascent with cough, mania and forgetfulness, and more. It is especially effective if combined with Zusanli St-36 and Yongquan Kid-1 (Lu & Wilcox, 2014)
  • UB 43 is unique in that it tonifies the Qi of the whole body and strengthens weak and deficient people. Using moxa on this point works well.
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33
Q

BL43 Nearby Points

A

UB14 - 1.5 cun lateral to the GV line, level with lower border of T4

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34
Q

BL44 Shen Tang

A

Spirit Hall

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35
Q

BL44 Location

A

3 cun lateral to the lower border of T5 on GV line (GV11), level with BL15

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36
Q

BL44 Needling

A

0.3 - 0.5 cun oblique (D)

or

0.5 - 0.8 cun oblique (A)

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37
Q

BL44 Caution

A

Pneumothorax

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38
Q

BL44 Associations

A

No hats

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39
Q

BL44 Indications

A

Conditions/Symptoms

Cough; Cardiac Pain

Unbinds chest; Upper back pain

Palpitations

Insomnia/Internal mental health

Dyspnea; Depression

Reinforce the HT Shu (UB 15) and treat Heart related psycho-emotional issues: anxiety, insomnia, et.

Cough, asthma, dyspnoea, fullness of the chest with rebellious qi.

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40
Q

BL44 TCM Actions

A

Unbinds chest and regulates qi

Activates channel and alleviates pain

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41
Q

BL44 TCM Patterns

A

?

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42
Q

BL44 Neuroanatomy

A

Superficial Innervation: Posterior cutaneous thoracic nerves from T5
Dermatome Segment: T5
Deeper Structures: Neuromuscular junction of accessory nerve XI with trapezius muscle and branches of C3 - C4

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43
Q

BL44 Trigger Point

A

Muscle: Lower trapezius and rhomboid major
Myotome Innervation: Trapezius: Motor - accessory nerve (CN XI), Sensation - dorsal rami of C2 - C3; Rhomboid major: Dorsal scapular nerve (C4 - C5)
Pain Referral Pattern: Lower trapezius: To the origin and insertion points of the trapezius at the acromion and the occiput, and along the muscle at the area between these two points
Rhomboid major: Local to point and around medial border of scapula
Indications: Shoulder arm and neck pain ; Headache ; Intrascapular pain

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44
Q

BL44 Notes

A

Like the other outer Bladder points of the five Zang, despite being named after their spiritual aspect, they have little indication for treatment of psychological disorders in the classical literature but are mainly used for draining Heat from their corresponding Zang (Deadman et al, 2001). One possible answer to this is that the Shen is often agitated by excessive Heat making clearing Heat from the Zang a possible protocol for calming the mind.

In five element acupuncture indicated for a fire cf, spirit issues, emotional/psychological trauma, anxiety, insomnia.

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, Hunmen Bl-47, Yishe Bl-49 and Zhishi Bl-52 clear Heat from the five Zang.

http://steve-woodley.co.uk/?content=pointsearch&point=Bl-44

45
Q

BL44 Nearby Points

A

UB15 - 1.5 cun lateral to GV11, lower border of T5

GV11 - Directly beneath the spinous process of the fifth thoracic vertebra

46
Q

BL45 Yi Xi

A

Yi Xi (No English translation?!)

47
Q

BL45 Location

A

3 cun lateral to the midline, level with the lower border of T6 (GV10)

48
Q

BL45 Needling

A
  1. 3-0.5 cun oblique (Deadman)
  2. 5-0.8 cun obique (acatcm)
49
Q

BL45 Caution

A

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

50
Q

BL45 Associations

A

No hats

Trigger Point

51
Q

BL45 Indications

A

Conditions/Symptoms:

Cough

Loss and Grief

Asthma

Shoulder/Back pain

Stomach diseases/distention

Mostly local point. In five element acupuncture indicated for strong experiences of grief, cannot let go of past events a/or losses.

52
Q

BL45 TCM Actions

A

Expels Wind, Descends lung qi

Clears Heat

Invigorates qi and blood, alleviates pain

53
Q

BL45 TCM Patterns

A

Unsure

54
Q

BL45 Neuroanatomy

A

Superficial Innervation: Posterior cutaneous thoracic nerves from T6
Dermatome Segment: T6

55
Q

BL45 Trigger Point

A

Muscle: Lower trapezius (superficial), rhomboid major (middle) or iliocostalis thoracis (deep)
Myotome Innervation: Trapezius: Motor - accessory nerve (CN XI), Sensation - dorsal rami of C2 - C3; Rhomboid major: Dorsal scapular nerve (C4 - C5); Iliocostalis: Dorsal rami of T6
Pain Referral Pattern:
Lower trapezius: Local to point and along muscle, to shoulder and occiput if trapezius
Rhomboid major: Local to point and around medial border of scapula
Iliocostalis thoracis: To inferior angle of scapula and medial border of scapula
Indications: Shoulder pain ; Back pain

56
Q

BL45 Nearby Points

A

GV10 - Directly below the spinous process of the 6th thoracic vertebra

UB16 - 1.5 cun lateral to GV10, level with lower border of T6

57
Q

BL46 Ge Guan

A

Diaphragm Gate

58
Q

BL46 Location

A

3 cun lateral to the midline (GV7), level with the lower border of T7 (lateral to UB17)

59
Q

BL46 Needling

A

Oblique 0.3-0.5 cun

(oblique 0.5-0.8cun ACATCM)

60
Q

BL46 Caution

A

Pneumothorax

61
Q

BL46 Indications

A

Conditions/Symptoms:

Belching/Back pain and stiff

Oppression of chest

Vomiting

Irregular Defecation

Dysphagia

Sighing

In five element acupuncture indicated for issues related to breathing, counterflow qi (hiccups).

Bovidae - cloven-hoofed, ruminant mammals (cows) steak - iron - blood

Hui Meeting Point of Blood

Also diaphragm - ruminant animals

62
Q

BL46 TCM Actions

A

Regulate diaphragm and descend counter qi stagnation

Harmonize middle jiao

63
Q

BL46 TCM Patterns

A

Liver Qi Stagnation

Blood Stagnation

64
Q

BL46 Neuroanatomy

A

Superficial Innervation: Posterior cutaneous thoracic nerves from T7
Dermatome Segment: T7

65
Q

BL46 Nearby Points

A

GV9 - Directly beneath the spinous process of T7

UB17 - 1.5 cun lateral to GV9, level with lower border of T7

66
Q

BL47 Hun Men

A

Gate of Etheral Soul

67
Q

BL47 Location

A

3 cun lateral to the GV line, level with the lower border of T9 (level with BL18)

68
Q

BL47 Needling

A

Oblique 0.3 - 0.5 cun

(Oblique 0.5 - 0.8 cun ACACTM)

69
Q

BL47 Caution

A

Pneumothorax if needling deep perpendicular or deep oblique

70
Q

BL47 Associations

A

No hats

71
Q

BL47 Indications

A

Conditions/Symptoms:

Vomiting

Diarrhea

Aversion to wind and cold.

Back Pain; Bone and Joint Pain

Anger

Sadness/Depression

Emotions creating hypochondriac/chest pain

Abase - to lower or depress

Reinforce the LV Back Shu (UB 18) as well to help treat the psycho-emotional aspects of the LV: depression, frustration, etc.

72
Q

BL47 TCM Actions

A

Spread liver qi and relax sinews

Harmonize middle jiao

73
Q

BL47 TCM Patterns

A

Liver Qi Stagnation

Heart stuff? also for BL46?

74
Q

BL47 Notes

A

In five element acupuncture indicated for a wood cf, issues of anger a/or resentment, lack of sense of purpose in life, depression, drug a/or alcohol abuse issues.

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, Yishe Bl-49 and Zhishi Bl-52 clear Heat from the five Zang.

Jeffrey Yuen (2005, 3 Spirits & 7 Souls) suggests for inability to express anger we can direct the Yuan qi to here for expression by needling Ganshu Bl-18 outwards and then this point relatively perpedicularly. 
For excessive anger we can direct it back to the Zang by needling this point obliquely towards the inner Bladder line and then needling Ganshu Bl-18 downwards.
75
Q

BL47 Neuroanatomy

A

Superficial Innervation: Posterior cutaneous thoracic nerves from T9
Dermatome Segment: T9

76
Q

BL47 Nearby Points

A

GV8 - Directly beneath the spinous process of T9

UB18 - 1.5 cun lateral to GV8, level with the lower border of T9

77
Q

BL48 Yang Gang

A

Yang Headrope (Key Link)

78
Q

BL48 Location

A

3 cun lateral to the PML, level with teh lower border of the tenth thoracic vertebra and level with BL19

79
Q

BL48 Needling

A

Oblique insertion 0.3 - 0.5 cun

Oblique 0.5 - 0.8 acatcm

80
Q

BL48 Caution

A

Deep oblique or perpendicular needling carries a substantial risk of causing a pneumothorax

81
Q

BL48 Associations

A

No hats

82
Q

BL48 Indications

A

Conditions/Symptoms

Jaundice (yellow eyes and face)

Abdominal pain/distention

Diarrhea

Hypochondriac pain

Dark urine (heat in body)

In 5 element acupuncture indicated for problems making decisions

83
Q

BL48 TCM Actions

A

Regulates GB and clears damp heat

Harmonizes lower jiao

84
Q

BL48 Neuroanatomy

A

Superficial Innervation: Posterior cutaneous thoracic nerves from T10
Dermatome Segment: T10

85
Q

BL48 Nearby Points

A

BL19 - 1.5 cun lateral to the PML level with the lower border of T10

86
Q

BL49 Yi She

A

Reflection Abode (Abode of Thought)

87
Q

BL49 Location

A

3 cun lateral to GV6, level with the lower border of T11 and BL20

88
Q

BL49 Needling

A
  1. 3 - 0.5 oblique
  2. 5 - 0.8 oblique acatcm
89
Q

BL49 Caution

A

Pneumothorax

90
Q

BL49 Associations

A

No hats

Trigger Point

91
Q

BL49 Indications

A

Conditions/Symtpoms:

Reddish-yellow urine

Abdominal distension

Yellow face and eyes

Aversion to wind and cold

Hypochondriac pain

Difficulty swallowing

Diarrhea

Rayah - serfs Ottoman Empire, millet community (SP - earth), central community 90%

Reinforce the SP Shu (UB 20) especially with damp heat conditions: hepatitis, cholecystitis, wasting and thirsting (diabetes), et.

92
Q

BL49 TCM Actions

A

Clears damp heat

Regulates the spleen

93
Q

BL49 TCM Patterns

A

LV & GB Damp Heat

SP & ST Damp Heat

?

94
Q

BL49 Neuroanatomy

A

Superficial Innervation: Posterior cutaneous thoracic nerves from T11
Dermatome Segment: T11

95
Q

BL49 Trigger Point

A

Muscle: Serratus posterior inferior and iliocostalis thoracis
Myotome Innervation: Serratus posterior inferior: Intercostal nerves from T9 - T12; Iliocostalis: Dorsal rami of T11
Pain Referral Pattern:
Serratus posterior inferior: Around point
Iliocostalis thoracis: Along intercostal space and to lower lateral quadrant of abdomen. Some spillover along back and shoulder
Indications: Nagging ache in lower thoracic region after other points have been deactivated ; Back pain

96
Q

BL49 Nearby Points

A

BL20 - 1.5 cun lateral to the PML, level with the lower border of T11 (GV6)

GV6 - Directly beneath the spinous process of T11

97
Q

BL50 Wei Cang

A

Stomach Granary

98
Q

BL50 Location

A

3 cun lateral to PML, level with lower border of T12 (level with BL21)

99
Q

BL50 Needling

A

Oblique insertion 0.3 - 0.5 cun

(0.5-0.8 acatcm)

100
Q

BL50 Associations

A

No hats

101
Q

BL50 Caution

A

Pneumothorax

102
Q

BL50 Indications

A

Conditions/Symptoms:

Abdominal distension

Childhood malnutrition

Aversion to cold, much cold

Infantile indigestion

Back pain

Epigastric pain

Edema

(High density nutritional products; acai and bee pollen!)

103
Q

BL50 TCM Actions

A

Harmonizes the middle jiao

Regulates the SP & ST

104
Q

BL50 Notes

A

In five element acupuncture indicated for earth cf, obsessive thoughts, overthinking, eating disorders, digestive disorders.

105
Q

BL50 Patterns

A

Stomach Cold

Stomach Food Stagnation

?

106
Q

BL50 Neuroanatomy

A

Superficial Innervation: Posterior cutaneous thoracic nerves from T12
Dermatome Segment: T12

107
Q

BL50 Nearby Points

A

BL21 - 1.5 cun lateral to the GV line, level with lower border of T12

108
Q
A

Acupuncture Points Comprehensive (24 decks)

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