Acupuncture Points Notebook

Location Guides:

: Dadu : Great Metropolis

Sp-2 : Foot Taiyin Spleen 2

Classifications:
Ying-Spring and Fire point

Mother point of the Spleen channel

Location:
On the medial side of the big toe, in the depression distal and inferior to the first metatarso-phalangeal joint.

Needling:
Oblique inferior insertion 0.3 - 0.5 cun

TCM Actions:
Regulates the spleen
Resolves dampness and damp-heat
Harmonises the middle jiao and clears heat

TCM Indications:
  • Sudden swelling of the four limbs, heaviness of the body with pain of the bones, swelling of the limbs, oppression of the chest.
  • Abdominal distension, epigastric pain, vomiting, diarrhoea, constipation, agitation when hungry and dizziness when full, sudden turmoil disorder.
  • Agitation, insomnia, Heart pain, febrile disease with absence of sweating, febrile disease that does not disperse, injury by cold leading to hands and feet counterflow cold, visual dizziness.
  • Lumbar pain with inability to turn, disorders of the big toe, heat sensation in the soles of the feet.

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

    Notes:
    In five element acupuncture this point is reinforced to tonify Spleen deficiencies.

    Ling Shu Ch. 6 suggests piercing the Ying points (and Shu points according to Unschuld, 2016, but not according to Wu & Wu, 201) of the Yin channels if a disease is in the Yin of the Yin realm (e.g. the Zang organs) suggesting this point (and Taibai Sp-3) in diseases of the Spleen.

    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, Taibai Sp-3 and Zusanli St-36 as a protocol to clear Heat in the Stomach/Spleen. 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. 23, On Heat Diseases, recommends in cases of Heat disease accompanied with spontaneous sweating which is in accordance with the norms and further sweating is indicated removing the disease through this point, Taiyuan Lu-9, Yuji Lu-10 and Taibai Sp-3. Draining these points makes the Heat disappear, supplementation here makes a sweat emit. If sweating is extreme then Sanyinjiao Sp-6 ends it.

    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 Taibai Sp-3 when treating a severe Heart pain accompanied by distended abdomen and fullness in the chest, associated with the Stomach.

    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.


    Reference Notes: (click to display)