Acupuncture Points Notebook

Location Guides:

: Xingjian : Moving Between

Liv-2 : Foot Jueyin Liver 2

Classifications:
Ying-Spring and Fire point

Child point of the Liver channel

Location:
On the dorsum of the foot, between the first and second toes, 0.5 cun proximal to the margin of the web.

Needling:
0.5 - 1 cun obliquely towards the heel, or perpendicular insertion 0.5 - 0.8 cun.

TCM Actions:
Clears liver fire
Spreads liver qi
Pacifies liver wind
Clears heat and stops bleeding
Benefits the lower jiao

TCM Indications:
  • Headache, dizziness, redness and pain of the eyes, lacrimation, eye diseases.
  • Nosebleed, thirst, burning heat of the face, dark green complexion, death-like green colour.
  • Throat painful obstruction, dry throat with agitation and thirst, clutching sensation in the throat, bitter taste in the mouth, heat in the body.
  • Propensity to anger, sadness, propensity to fright, closes the eyes and has no desire to look, excessive fright and little strength, propensity to fear as if seeing ghosts, madness, insomnia, palpitations, epilepsy, loss of consciousness, chronic and acute childhood fright wind.
  • Contracted sinews, windstroke, fullness of the four limbs, deviation of the mouth, tetany, hypertension.
  • Pain and itching of the genitals, pain of the penis, sudden involuntary erection, the seven kinds of shan disorder, cold shan disorder, painful urinary dysfunction, enuresis, retention of urine, difficult urination, white turbidity, red and white leucorrhoea, cold or damp (dong) diarrhoea, constipation, abdominal distension.
  • Incessant uterine bleeding, menorrhagia, inhibited menstruation, early menstruation, lower abdominal fullness, abdominal (jia) masses in women, difficult lactation.
  • Coughing blood, vomiting, pain of the Heart and the Liver, distension and pain of the chest and lateral costal region, pain of the chest and back, pain below the Heart, much sighing, inability to catch the breath all day long, difficulty in catching the breath, shortness of breath.
  • Four limbs and counterflow cold, wasting and thirsting disorder with desire to drink, malaria, lotus flower tongue in children.
  • Lumbar pain with difficulty in flexing and extending the back, swelling of the knee, pain of the inner aspect of the leg, heat in the shin, leg qi with redness and swelling, pain and swelling of the instep.

    Neuroanatomy:
    Superficial Innervation: Deep fibular (peroneal) from L5
    Dermatome Segment: L4, L5

    Notes:
    Main point for treating Liver heat and fire.

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    In five element acupuncture this point is reduced to drain excess in the Liver.

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    Ling Shu Ch. 6 suggests piercing the Ying points (and Shu points according to Unschuld, 2016, but not according to Wu & Wu, 2010) of the Yin channels if a disease is in the Yin of the Yin realm (e.g. the Zang organs) suggesting this point (and Taichong Liv-3) in diseases of the Liver.

    Ling Shu Ch. 9, On Ends and Beginnings, advises that in the case of Heat associated with receding Yin Qi the Yang conduit should be pierced once and the Yin conduits twice. Based on other recommendation to use the He-Sea of the Yang conduits (Ch. 19) and the Yuan-Source with the Ying-Spring points (Chs. 6, 19 and 24) to clear Heat from the Zangfu, that would suggest this point, Taiching Liv-3 and Yanglingquan GB-34 as a protocol to clear Heat in the Liver/Gall Bladder. Next it advises that in Cold associated with receding Yang Qi the Yang should be pierced twice and the Yin once but no such obvious protocol is evident for this situation.

    Ling Shu Ch. 19, on the Four Seasonal Qi, advises opening the Jing-Well and Ying-Spring openings in winter, piercing deeply and retaining the needle for a while.

    Ling Shu Ch. 20, On the Five Evils, advises piercing this point while supplementing Zusanli St-36 to warm the middle, removing malign blood from the vessels and from the green veins in the ears to remove pathogens in the Liver causing flank pain, cold centre, joint cramps and swollen legs. Wu & Wu, 2010, say the vessels should be "of the same channel" while Unschuld, 2016, only specifies "Blood is removed from the vessels" leaving both unclear as to whether it should be the Liver or Stomach Luo. Stomach makes more sense as the Stomach point is mentioned immediately before and its Luo covers the hypochondriac region where the "malign blood" is residing while the Liver Luo only goes to the genitals.

    Ling Shu Ch. 24, On Counterflow Diseases, employs the point combination mentioned in Ch. 6 for the treatment of Heart pain. It advises piercing this point and Taichong Liv-3 when treating a Heart pain accompanied by ash-grey corpse-like complexion and inability to breathe deeply, associated with the Liver.

    Ling Shu Ch. 44, On the Qi Moving in Accordance with the Norms, indicates that the Ying-Spring points should be pierced in spring or when the disease is associated with a change in complexion. The seasonal aspect should not be interpreted literally as it describes the colours as "controlled by spring". It also describes the morning, afternoon, evening and night cycle of the day to be like the four seasons of the year with morning corresponding to spring.

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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 Zhangmen Liv-13 while Chang Qi-Zhi suggests Taichong Liv-3. (Mitchell, Ye and Wiseman, 1999, Shang Han Lun).

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    In Tung acupuncture the Huo Ying, Fire Hard, point is located 0.5 cun proximal to this point. It is indicated for Liver patterns with Heat, much the same as the regular point. It is often combined with Huo Zhu, Fire Ruler, 0.5 cun proximal to Taichong Liv-3 (Chu, 2015).

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    In ayurvedic medicine:
    Kshipra marma point
    Size: 1/2 angula (cun)
    Structure: Tendon
    Effect of Injury: Belatedly fatal (kalantarpranahar marma)
    (Harish Johari, 1996, Ayurvedic Massage, Sanatan Society; Anupama Bhattacharya, Marma Shastra)

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    In Thai massage:
    Acupressure point indicated for back pain (Salguero & Roylance, 2011, Encyclopedia of Thai Massage)


    Reference Notes: (click to display)