Acupuncture Points Notebook

Location Guides:

: Yinbai : Hidden White

Sp-1 : Foot Taiyin Spleen 1

Alternative Name(s): Guilei, Guiyan
Translation: Ghost Fortress, Ghost Eye

Classifications:
Jing-Well and Wood point

Sun Si-Miao Ghost point (1st Trinity)
Entry point from Chongyang St-42

Location:
On the dorsal aspect of the big toe, at the junction of lines drawn along the medial border of the nail and the base of the nail, approximately 0.1 cun from the corner of the nail.

Needling:
Perpendicular or oblique insertion directed proximally 0.1 - 0.2 cun, or prick to bleed.

TCM Actions:
Stops bleeding
Regulates the spleen
Unbinds the chest
Calms the heart and spirit and restores consciousness

TCM Indications:
  • Uterine bleeding, menorrhagia, blood in the urine, blood in the stool, vomiting blood, nosebleed, febrile disease with nosebleed.
  • Abdominal distension, sudden swelling of the four limbs, sudden diarrhoea, vomiting, no desire to eat or drink, difficult ingestion.
  • Agitation, heat in the chest, fullness of the chest, dyspnoea, sighing, propensity to sadness, mania-depression, excessive dreaming, insomnia, chronic childhood fright wind, loss of consciousness.
  • Fever with absence of sweating, cold feet, cold sensation in the lower leg.

    Neuroanatomy:
    Superficial Innervation: Superficial peroneal nerve from L4 - S1
    Dermatome Segment: L4

    Notes:
    This point is also on the 5th trajectory of the Chong mai relating to digestive functions (Yuen, 2005, The Extraoridinary Vessels).

    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. 23, On Heat Diseases, recommends using this point in cases of Heat disease when the patient pants and coughs. If it is Cold Qi then the needle is retained, if it is Heat Qi it is removed quickly.

    Ling Shu Ch. 44, On the Qi Moving in Accordance with the Norms, indicates that the Jing-Well points should be pierced in winter or when the disease is in the Zang organs. The seasonal aspect should not be interpreted literally as it describes the nature of winter as the the time of storage and the Zang as "controlled by winter" (i.e. to be storage depots by nature). It also describes the morning, afternoon, evening and night cycle of the day to be like the four seasons of the year with night corresponding to winter.

    Ghost Points:
    The first trinity of ghost points, consisting of this point, Shaoshang Lu-11 and Renzhong Du-26, represent the initial stages of being taken over. Being at the peripheries of the body they are aimed at expelling the influence before it takes hold.

    Its Ghost Point name, Guilei, Ghost Fortress, indicates that at this stage is when depression and withdrawal begins to settle in as the ghost erects a barrier to the outside world. Its other name Guiyan, Ghost Eye, reflects this depressive phase in that you now start to see like the ghost.
    Other symptoms may include a heaviness on the chest causing sleepiness but restless dreaming when asleep, known as Guiza, the Ghost sitting on your Chest.

    This is the first of the Ghost Points that is treated with moxa, due to the ghosts Yin nature (Yuen, 2005, 3 Spirits & 7 Souls).

    Medieval phlebotomy point (John de Foxton, 1408: Liber Cosmographiae, maa.cam.ac.uk).

    Lad and Durve (2008) in Marma Points of Ayurveda locate a point at the midpoint of the base of the nail on the big toe, between this point and Dadun Liv-1, called Pada Kshpira and associate it with Prana Vayu, Udna Vayu, Apana Vayu, Vyana Vayu, Tarpaka Kapha and Shleshaka Kapha.

    They give the following functions:
    - Relieves headaches
    - Activates prana
    - Regulates kundalini
    - Benefits shukra and artava dhatus

    In Siddha medicine this is the origin of the Nati channels. The Itakalai (Ida) Nati begins on the big toe of the right foot, ascends to the pelvic region, alternates to the left side of the spine towards the left nostril (Yingxiang LI-20) where it moves down the left arm the tip of the middle finger (Zhongchong Pc-9). The Pinkalai (Pingala) Nati does the reverse, starting on the left toe at this point and ending at the tip of the right middle finger (Sieler, 2008, Lethal Spots, Vital Secrets).

    In Tibetan medicine:
    Can be treated with cones of dried edelweiss flowers (Trah-wah) on crushed garlic for stiffness of neck and swollen testicles (Bradley, 2000: Principles of Tibetan Medicine).

    In Thai massage:
    Acupressure point (Salguero & Roylance, 2011, Encyclopedia of Thai Massage).



    Reference Notes: (click to display)