Points Database

: Jimen : Winnowing Gate

Sp-11 : Foot Taiyin Spleen 11

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

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

Warning:
Deep needling may puncture the femoral artery


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:
    \nVastus medialis: From point to medial side of the knee
    \nAdductor magnus: Medial side of thigh from groin to knee
    \nSartiorus: Local to point along the path on the muscle
    Indications: Diseases of the hip and knee ; Strain of vastus medialis, adductor magnus or sartorius

    Notes:
    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 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: (click to display)