Acupuncture Points Notebook

Location Guides:

: Qugu : Curved Bone

Ren-2 : Extraordinary Conception Vessel 2

Classifications:
Doorway to the Earth Point
Confluent point of the Gall Bladder and Liver Divergent channels (Cecil-Sterman, 2012, Advanced Acupuncture)
Master Tung's Bowel Nest Twenty-Three

Meetings:
Meeting of Conception Vessel with Liver, Gall Bladder Divergent and Liver Divergent

Location:
On the midline of the lower abdomen, at the superior border of the pubic symphysis, 5 cun below the umbilicus.

Needling:
Perpendicular insertion 0.5 - 1 cun

Warning:
Deep insertion will penetrate a full bladder which should therefore be emptied before treatment. No deep needling in pregnancy, or perpendicular needling in advanced pregnancy.


TCM Actions:
Benefits urination
Regulates the lower jiao
Warms and invigorates the kidneys

TCM Indications:
  • Dribbling and hesitant flow of urine, difficult urination, retention of urine due to foetal pressure, enuresis, the five types of painful urinary dysfunction.
  • Fullness, distension and pain of the lower abdomen, acute lower abdominal pain, painful shan disorder.
  • Impotence, seminal emission, dampness and itching of the scrotum, contraction of the penis, dryness and pain of the genitals.
  • Red and white leucorrhoea, irregular menstruation, dysmenorrhoea.
  • Deficiency and exhaustion of the five zang, deficiency and weariness with extreme cold.

    Neuroanatomy:
    Superficial Innervation: Ilioinguinal nerve (L1)
    Dermatome Segment: S4

    Notes:
    In Tung lineage acupuncture the Bowel Nest 23 (Fu Chao Er Shi San) are a group of points located in a line at 1 cun intervals between Ren-2 and Ren-10. An additional eight points on either side form a 4x5 grid at the levels of Ren-9 to Ren-5, also at 1 cun intervals. Ren-8, on the navel, is not included.

    They are pricked using Tung's method in local disorders of pain, stagnation and heat in the abdomen such as uteritis, nephritis, umbilical area pain, enteritis, appendicitis and intestinal cancers (McCann, 2014, Pricking the Vessels).

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    Several medieval phlebotomy points exist between Ren-1 and Ren-2 on the genitals themselves (Hans von Gersdorff, 1517: Feldtbüch der Wundartzney, www.nlm.nih.gov; Hans von Gersdorff, 1517: Feldtbüch der Wundartzney, www.nlm.nih.gov). See note to Huiyin Ren-1

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    In ayurvedic medicine:
    Vastih marma point
    Size: 4 angula (cun)
    Structure: Ligament
    Effect of Injury: Fatal (sadhyapranahar marma)
    (Harish Johari, 1996, Ayurvedic Massage, Sanatan Society; Anupama Bhattacharya, Marma Shastra)

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

    They give the following functions:
    - Regulates male and female reproductive organs
    - Enhances circulation and function in the pelvic organs
    - Relives pelvic pain
    - Regulates bladder and treats urinary dysfunction
    - Stimulates sexual energy

    In Hindu tantrism this point would be the location of the kshetram or activation point of the Swadhisthana chakra.

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    In Tibetan medicine:
    Moxa point (AMNH, Tibetan Medical Paintings).


    Reference Notes: (click to display)