Points Database

Location Guides:

: Youmen : Dark or Hidden Gate

Kid-21 : Foot Shaoyin Kidney 21

Classifications:
Spirit Point

Trigger point (Travell & Simons, 1998, Trigger Point Therapy)

Meetings:
Meeting of Kidney with Chong Mai

Location:
On the upper abdomen, 6 cun above the umbilicus, 0.5 cun lateral to the midline (Juque Ren-14). Note: The Great Compendium of Acupuncture and Moxibustion locates this 1.5 cun from the midline.

Needling:
Perpendicular insertion 0.5 - 1 cun

Warning:
Deep needling, especially in thin subjects may penetrate the liver on the right side and the peritoneum on the left.


TCM Actions:
Fortifies the spleen, harmonises the stomach and lowers rebellion
Spreads liver qi, benefits the chest and breasts and alleviates pain

TCM Indications:
  • Abdominal pain, lower abdominal pain, abdominal urgency, vomiting, nausea and counterflow qi, retching, vomiting of foamy (watery) saliva, much spittle, nausea and vomiting of pregnancy, fullness with no pleasure in eating, difficult ingestion, focal distension below the Heart, fullness and agitation below the Heart, diarrhoea, blood in the stool, dysenteric disorder.
  • Chest pain, distension of the lateral costal region, pain of the chest and lateral costal region radiating to the back, cough, coughing blood.
  • Breast milk does not flow, breast abscess.
  • Heart pain in women, poor memory, redness of the eyes originating at the inner canthus.

    Neuroanatomy:
    Superficial Innervation: Anterior cutaneous thoracic nerve from T7
    Dermatome Segment: T7

    Trigger Point Associations:
    Muscle: Rectus abdominus
    Myotome Innervation: Thoraco-abdominal nerves from T7
    Location Notes: The Great Compendium's location of 1.5 cun from the midline would probably be a better choice for this trigger point as the diagram shows it in the middle of the rectus abdominus muscle, near the costal margin
    Pain Referral Pattern: In a band across the back at the level of the the point, from around T8 to T10
    Indications: Abdominal pain and digestive discomfort

    Notes:
    In five element acupuncture indicated when everything appears as "dark" or negative.

    Jeffrey Yuen translates Youmen as "Gate to the Mysterious" as it is the final point along the Kidney channel before the chong mai moves into the Heart and diffuses Qi into the chest (Yuen, 2005, The Eight Extraordinary Vessels, p.49).


    Reference Notes: (click to display)