Acupuncture Points Notebook

Location Guides:

: Yingu : Yin Valley

Kid-10 : Foot Shaoyin Kidney 10

He-Sea and Water point

Horary point of the Kidney channel
Opening point of the Kidney Divergent channel (Cecil-Sterman, 2012, Advanced Acupuncture)

Trigger point (Melzack, Stillwell & Fox, 1977, Trigger Points and Acupuncture Points for Pain: Correlations and Implications, Pain 3, p3-23)
Homeostatic point 11 (Ma, Ma & Cho, 2005, Biomedical Acupuncture for Pain Management)

Meeting of Kidney with Kidney Divergent

At the medial end of the popliteal crease, between the semitendonosus and semimembranosus tendons. Locate and needle with the knee slightly flexed.

Perpendicular insertino 1 - 1.5 cun

TCM Actions:
Clears damp-heat from the lower jiao
Benefits the kidneys
Activates the channel and alleviates pain

TCM Indications:
  • Difficult urination, urgency of urination with pain radiating to the thigh, pain on urination, dark urine, diarrhoea.
  • Impotence, pain of the genitals, itching of the scrotum.
  • Shan disorder, hypogastric pain radiating to the genitals and inner thigh, abdominal distension, abdominal pain, periumbilical pain.
  • Uterine bleeding, leucorrhoea, difficult conception.
  • Manic disorders, mania-depression, protrusion of the tongue with drooling.
  • Drilling knee pain with immobility, pain of the inner aspect of the thigh.

    Superficial Innervation: Medial femoral cutaneous nerve of the thigh (L2 - L4)
    Dermatome Segment: L4
    Deeper Structures: Tibial nerve (S1 - S2) in Melzack's location

    Trigger Point Associations:
    Muscle: Gastrocnemius
    Myotome Innervation: Tibial nerve (roots from S1 & S2)
    Location Notes: Melzack's trigger point location for this point is lower than the classical acupuncture description, on the belly of the calf approx. 5 cun inferior to the classical location, on a line connecting the classical Yingu Kid-10 with Taixi Kid-3
    Pain Referral Pattern: To the medial aspect of the sole of the foot, around the navicular
    Indications: Tendon and muscle strains of the lower leg ; Periostitis of calcaneus

    Ling Shu Ch. 44, On the Qi Moving in Accordance with the Norms, indicates that the He-Sea points should be pierced in autumn or when the disease is a result of immoderate diet. The seasonal aspect should not be interpreted literally as it describes the flavours as "controlled by autumn", probably referring to the mouth, nose and throat where the metal channels run. It also describes the morning, afternoon, evening and night cycle of the day to be like the four seasons of the year with evening corresponding to autumn. Perhaps the most likely interpretation is during middle age, the autumn period of life, when the effects immoderate diet are likely to start to show.

    Ling Shu Ch. 71, On Evil Visitors, says that when a depletion evil is in the Kidneys it remains in hollows of the knees. Yuen's theory of the Divergent meridians suggests that they store pathogens at the major joints, depleting our resources while they do, which gives a likely rationale for this statement.


    This point is also on the 4th trajectory of the Chong mai relating to structural aspects of the body via the Qiao (Yuen, 2005, The Extraoridinary Vessels).

    When combined with Yangchi SJ-4 and Waiguan SJ-5 this point relates to the Sixth Level of Manifestation of the Soul or the Ajna chakra concerned with the Will to Create endless possibilities. This point pools the Yin while Yangchi SJ-4 pools the Yang and Waiguan SJ-5 emanates the resulting mixture outwards via the Yang wei mai and the San jiao as an irrigation system.
    This stage also relates to the formation of the spiritual embryo and attainment of immortality in meditation practice (Yuen, 2005, 3 Spirits & 7 Souls).


    Hippocrates' The Nature of Man describes the use of venesection in the popliteal area or the inner ankle for pain the loins and testicles which seems to correlate to this point. It is related to a channel that begins near the ears, runs down the neck through the jugular, continues deeply close to the spine, passing close to the muscles of the loins, entering the testicles and thighs, traversing the popliteal fossa on the medial side and ending on the inner ankles and feet. The lower half of this channel is almost identical to the foot Shaoyin Kidney channel with some overlap with the foot Jueyin Liver channel, both of which have significant influence over the loins, testicles and reproductive function.


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


    In Thai massage:
    Acupressure point indicated for back, leg and knee pain/injury/arthritis and sciatica (Salguero & Roylance, 2011, Encyclopedia of Thai Massage)

    Reference Notes: (click to display)