Acupuncture Points Notebook

Location Guides:

: Huangmen : Vitals Gate

Bl-51 : Foot Taiyang Bladder 51

Classifications:
Trigger point (Travell & Simons, 1998, Trigger Point Manual; Melzack, Stillwell & Fox, 1977, Trigger Points and Acupuncture Points for Pain: Correlations and Implications, Pain 3, p3-23)

Location:
3 cun lateral to the midline, level with the lower border of the spinous process of the first lumbar vertebra (L1) and level with Sanjiaoshu Bl-22.

Needling:
Oblique insertion 0.5 - 1 cun

Warning:
Deep perpendicular insertion carries a risk of injuring the kidney


TCM Actions:
Dispels stagnation and benefits the breasts

TCM Indications:
  • Epigastric pain, great hardness below the Heart, constipation.
  • Breast disorders, fullness and pain of the breast.

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

    Trigger Point Associations:
    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

    Notes:
    In Thai massage:
    Acupressure point indicated for gastrointestinal ailments, indigestion, sacroiliac pain/injury/arthritis and stomach ache (Salguero & Roylance, 2011, Encyclopedia of Thai Massage)



    Reference Notes: (click to display)