Acupuncture Points Notebook

Location Guides:

: Zuwuli : Leg Five Miles

Liv-10 : Foot Jueyin Liver 10

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 inferior to Qichong St-30 (2 cun from the midline level with the superior border of the symphysis pubis, Qugu Ren-2) on the anterior border of m. adductor longus.

Needling:
Perpendicular or oblique insertion 0.5 - 1.5 cun

TCM Actions:
Clears damp-heat and benefits the lower jiao

TCM Indications:
  • Difficult urination, retention of urine, enuresis, itching of the genitals, swelling and pain of the testicles, fullness of the abdomen, fullness of the lower abdomen.
  • Wind-taxation somnolence, difficult respiration, cough.

    Neuroanatomy:
    Superficial Innervation: Obdurator nerve (L2 - L3)
    Dermatome Segment: L3

    Trigger Point Associations:
    Muscle: Adductor longus and sartorius
    Myotome Innervation: Adductor longus: Anterior branch of obdurator nerve (L2 - L4); Sartorius: Femoral nerve (L2 - L4))
    Location Notes: Sartorius trigger point would be located slightly inferior, on the belly of the muscle
    Pain Referral Pattern:
    \nAdductor longus: Radiating from the point to the hip and medial aspect of the thigh. Also radiating down the medial aspect of the leg with concentration around the upper medial border of the patella
    \nSartorius: Local to point along the path of the muscle
    Indications: Strain of adductor muscles or sartorius muscles ; Degenerative diseases of the hip

    Notes:
    In Mayan medicine:
    Used to treat pain in the lower limbs (Garcia, Sierra, Balam, 1999: Wind in the Blood)

    In ayurvedic medicine:
    Vitapa marma point
    Size: 1 angula (cun)
    Structure: Blood vessel
    Effect of Injury: Disability (vaikalyakar marma)
    (Harish Johari, 1996, Ayurvedic Massage, Sanatan Society; Anupama Bhattacharya, Marma Shastra)

    Lad and Durve (2008) in Marma Points of Ayurveda call this point Lohitaksha and associate it with Vyana Vayu, Apana Vayu, Shleshaka Kapha and Ranjaka Pitta.

    They give the following functions:
    - Promotes circulation in the lower extremities
    - Balances apana vayu
    - Relieves pain locally
    - Regulates blood flow to the legs
    - Benefits the heart and colon

    In Thai massage:
    Acupressure point called "femoral wind gate" (Salguero & Roylance, 2011, Encyclopedia of Thai Massage)



    Reference Notes: (click to display)