Acupuncture Points Notebook

Location Guides:

: Qimen : Cycle Gate or Gate of Hope

Liv-14 : Foot Jueyin Liver 14

Classifications:
Front Mu point of the Liver
Exit point to Zhongfu Lu-1
Spirit point

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

Meetings:
Meeting of Liver with Spleen, Yin Wei Mai, Gall Bladder Divergent and Liver Divergent

Location:
On the mamillary line, in the sixth intercostal space, 4 cun lateral to the midline.

Needling:
Transverse-oblique medial or lateral insertion 0.5 - 1 cun

Warning:
Deep perpendicular or oblique insertion carries a substantial risk of causing a pneumothorax


TCM Actions:
Spreads the liver and regulates qi
Invigorates blood and disperses masses
Harmonises the liver and stomach

TCM Indications:
  • Pain, distension and fullness of the chest, ji ju masses in the lateral costal region, pain of the of the lateral costal region, much sighing, cutting pain of the Heart, distension and pain of the breast, agitaion and heat of the chest, cough, dyspnoea, enlarged and hard abdomen with difficulty breathing.
  • Epigastric distension and pain, acid regurgitation, vomiting and hiccup, vomiting fluid after eating, sudden turmoil disorder, desire to eat despite difficult ingestion, abdominal distension and watery diarrhoea, hardness of the epigastrium, hypogastrium and abdomen.
  • Injury by cold leading to heat which enters the blood chamber, manic raving, alternating chills and fever, uterine bleeding, post-partum disorders, red face, tetany, dry mouth.
  • Malaria, jaundice, gallstones, wasting and thirsting disorder, running piglet qi, stiffness and pain of the head and neck, visual dizziness.

    Neuroanatomy:
    Superficial Innervation: Cutaneous thoracic nerves from T7
    Dermatome Segment: T7

    Trigger Point Associations:
    Muscle: Intercostals
    Myotome Innervation: Intercostal nerve from T6
    Location Notes: Intercostals can produce trigger points anywhere in the intercostal space
    Pain Referral Pattern: Locally and towards the sternum. The more posterior the point the stronger its tendency to radiate pain to the front
    Indications: Aching pain exacerbated by deep inhalation and activities such as sneezing and coughing

    Notes:
    Mainly used for spreading Liver qi stagnation in the middle and upper jiao, affecting the Stomach, Heart or Lungs.

    In five element acupuncture indicated for a wood cf who feels hopeless.

    期 has several meaning but is derived from a changing moon marking the passage of a period of time, hence a "cycle" or "hope (for the future)". These meanings, together with its function as the front Mu of the Liver, the organ most concerned with self-determination, and its position on the Yin Wei Mai suggest a primary indication of providing closure and the hope of a new beginning on a person who has experienced trauma.

    Ling Shu Ch. 22, On Mania and Madness, suggests bleeding from the flanks below the chest when the patient's abdomen feels swollen with intestinal noises and has a fullness in the chest with difficulty breathing. If they move their hands when they cough then the back Shu points are to be pressed with the hand too for immediate relief.

    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).


    Reference Notes: (click to display)