Acupuncture Points Notebook

Location Guides:

: Sanjiaoshu : San Jiao Shu

Bl-22 : Foot Taiyang Bladder 22

Classifications:
Back-Shu point of the san jiao
Trigger point (Travell & Simons, 1998, Trigger Point Manual)

Location:
1.5 cun lateral to the lower border of the spinous process of the first lumbar vertebra (L1).

Needling:
Oblique or perpendicular-oblique insertion towards the spine 1 - 1.5 cun

Warning:
Perpendicular needling carries a risk of injuring the kidney.


TCM Actions:
Moves and regulates the san jiao
Regulates the spleen and stomach and resolves dampness
Regulates the water passages and promotes urination
Resolves masses

TCM Indications:
  • Borborygmus, diarrhoea, undigested food in the stool, dysenteric disorder, oeseophageal constriction, vomiting, difficult ingestion.
  • Abdominal distension with emaciation, abdominal (zheng ju) masses and emaciation in women, zangdu (ji ju) masses, large and hard hypogastric (ji ju) masses.
  • Oedema, difficult urination, white turbidity, blood in the urine, deficiency-taxation.
  • Headache, visual dizziness, alternating chills and fever, heat in the body, bitter taste in the outh and cracked lips, jaundice.
  • Stiffness and pain of the lumbar spine, inflexibility and stiffness of the shoulder and back.

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

    Trigger Point Associations:
    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

    Notes:
    In Tibetan medicine:
    Moxa point (AMNH, Tibetan Medical Paintings)

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    In Thai massage:
    Acupressure point along the Itha (left) and Pingala (right) sen lines running from the navel Shenque Ren-8 to the knee and up the back to the neck and head.
    Indicated for back, hip and sacroiliac joint pain/injury/arthritis, erectile dysfunction, gastrointestinal ailments, hypertension, indigestion, infertility, loss of libido, menstruation difficulties, PMS, reproductive system ailments, stomach ache and stress.
    (Salguero & Roylance, 2011, Encyclopedia of Thai Massage)


    Reference Notes: (click to display)