Classifications:
Trigger point (Travell & Simons, 1998,
Trigger Point Manual)
Meetings:
Meeting of Spleen with Spleen Divergent
Location:
On the medial side of the upper leg, 6 cun proximal to Xuehai Sp-10, on a line connecting Xuehai Sp-10 iwth Chongmen Sp-12
Needling:
Perpendicular or oblique insertion 0.5 - 1 cun
Warnings:
Deep needling may puncture the femoral artery
Classical Needling:
It is needled to a depth of three fen, (the needle) is retained for a duration of six exhalations, and it is moxaed with three cones. (Huangfu Mi 皇甫謐, 3rd Century,
Zhenjiu Jiayi Jing 針灸甲乙經)
TCM Actions:
Regulates urination
Drains Damp and clears Heat
TCM Indications:
- Painful urinary dysfunction, retention of urine, obstucted urination, enuresis.
- Eczema of the scrotum, damp itching of the external genitalia, pain and swelling of the inguinal region, pain of the lower abdomen.
Neuroanatomy:
Superficial Innervation: Obdurator nerve from L2 - L4
Dermatome Segment: L2, L3
Trigger Point Associations:
Muscle:
Vastus medialis, adductor magnus (deep) and sartorius
Myotome Innervation:
Vastus medialis and sartorius: Femoral nerve (L2 - L3); Adductor magnus: Obdurator nerve (L2 - L4);
Location Notes:
For sartorius locate on the belly on the muscle, for vastus medius locate just under the sartorius
Pain Referral Pattern:
Vastus medialis: From point to medial side of the knee
Adductor magnus: Medial side of thigh from groin to knee
Sartiorus: Local to point along the path on the muscle
Indications:
Diseases of the hip and knee
; Strain of vastus medialis, adductor magnus or sartorius
Martial Applications & Effects of Injury:
Struck with accuracy, this point can give much local pain and
Qi drainage and loss of power due to it affecting way the Spleen transports the
Qi (Montaigue,
Dim Mak Locations,
Taijiworld.com).
Major Combinations:
Notes:
The
Su Wen Ch. 20, Discourse on the Three Sections and Nine Indicators, describes "The man [indicator] of the lower section: the foot major yin [locations]... The man [indicator] serves to examine the qi of spleen and stomach". Wang Bing's commentary says this means "This is to say: the spleen vessels. Their movement can be felt at the 'winnower gate (箕門)' section directly below the 'five miles' [section] between the running sinews (趨筋) above the 'fish belly (魚腹)'" (
Huang Di Nei Jing Su Wen, trans. Unschuld & Tessenow, 2011). Wang (2019,
Daoist Internal Mastery) says this means this point,
Chengshan Bl-57 or
Chongyang St-42.
Lad and Durve (2008) in
Marma Points of Ayurveda locate a point called the anterior
Sakthi Urvi slightly anterior and superior to this point at the level of the mid thigh on the anterior face of the quadriceps muscle. They associate it with the
doshas: Vyana Vayu, Udana Vayu and Apana Vayu.
They give the following functions:
- Promotes circulation in lower extremities, especially the thighs
- Benefits bladder, colon and kidneys
- Benefits ovaries and testicles
Another posterior
Sakthi Urvi is located at
Yinmen Bl-37.
Reference Notes:
Basic information on location, needle depth, TCM actions, indications and combinations is taken from Deadman et al (2001): A Manual of Acupuncture with additional anatomical information researched by reference to Gray's Anatomy (38th Ed., 1995) unless otherwise referenced. Images were found on acupunctureschoolonline.com and can be traced back to Claudia Focks (2008) Atlas of Acupuncture originally. I cannot claim any credit or rights over them. Other sources should be quoted in the text.
For some of the more unusual terms I have created a glossary here
