Acupuncture Points Notebook

Location Guides:

: Zhangmen : Completion Gate

Liv-13 : Foot Jueyin Liver 13

Classifications:
Front Mu point of the spleen
Hui-Meeting point of the zang
Meeting point of the liver and gall bladder channels
Origin of the Dai Mai

Meetings:
Meeting of Liver with Dai Mai, Gall Bladder Divergent and Liver Divergent

Location:
Directly anterior and inferior to the free end of the eleventh rib. This point is usually lies just above the level of the umbilicus and on or near the mid-axillary line.

Needling:
Transverse of oblique insertion medially or laterally, along the line of the rib 0.5 - 1 cun

Warning:
Deep perpendicular needling may damage an enlarged liver or spleen


TCM Actions:
Harmonises the liver and spleen
Regulates the middle and lower jiao
Fortifies the spleen
Spreads the liver and regulates qi

TCM Indications:
  • Injury to the Stomach and Spleen from overindulgence in eating, focal distension, distension and pain of the abdomen, drum distension, abdominal (ju ji) masses, oesophageal constriction, vomiting, pain of the Heart with vomiting, no pleasure in eating, undigested food in the stool, borborygmus, diarrhoea, constipation, emaciation and jaundice, frequent urination with turbid white discharge.
  • Fullness of the chest and lateral costal region, pain of the ribs, sudden difficulty in breathing, inability to catch the breath, dyspnoea, cough, stone oedema.
  • Weariness of the four limbs, running piglet qi with distension of the abdomen, diminished qi with inversion counterflow.
  • Agitation and heat with dry mouth, propensity to anger, propensity to fear, mad walking, epilepsy.
  • Cold and pain of the lumbar spine, rigidity of the spine, lumbar pain with inability to turn and bend the waist, inability to raise the arm and shoulder.

    Neuroanatomy:
    Superficial Innervation: Lateral cutaneous thoracic nerve from T11
    Dermatome Segment: T11

    Notes:
    Mainly used for spreading the Liver qi stagnation affecting the middle and lower jiao, especially digestion and the intestines.

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    This point is also on the 3rd trajectory of the Chong mai connecting the Chong with the Du (Yuen, 2005, The Extraordinary Vessels).

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    Ling Shu Ch. 59, On Abnormal Wei Qi, advises this point combined with Renying St-9, Tiantu Ren-22, Lianquan Ren-23 (referred to as Houzhong) Qichong St-30 and Zusanli St-36 to drain accumulations in the chest and abdomen. In severe cases a "chicken claw" technique, using three needles positioned like the character 个 Ge, are to be used. If the pulse is large and wiry and the the abdomen is tense it must not be pierced.

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    Shang Han Lun, line 343, advises using moxa on Jueyin if a Jueyin pattern has lasted 6 or 7 days and is accompanied by faint pulse, reversal cold of the extremities, vexation and agitation. If it fails to restore the reversal the condition was considered fatal. Zhang Xi-Ju suggests this means using this point and Xingjian Liv-2 while Chang Qi-Zhi suggests Taichong Liv-3. (Mitchell, Ye and Wiseman, 1999, Shang Han Lun).

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    The Front Mu points make likely locations for application of leeches to reduce fevers according to François Broussais' (1772–1838) philosophy who believed in placing them over the diseased organs to reduce inflammation (Greenstone, 2010, The history of bloodletting, BCMJ, Vol. 52, No. 1, Pp 12-14).

    Lad and Durve (2008) in Marma Points of Ayurveda call this point Parshva Sandhi and associate it with Prana Vayu, Udana Vayu Sadhaka Pitta, Ranjaka Pitta and Avalambaka Kapha.

    They give the following functions:
    - Enhances flow of prana
    - Benefits the lungs and respiration
    - Benefits liver, spleen and kidney function
    - Relieves pain locally


    Reference Notes: (click to display)