Acupuncture Points Notebook

Location Guides:

: Sanyinjiao : Three Yin Intersection

Sp-6 : Foot Taiyin Spleen 6

Classifications:
Homeostatic point 6 (Ma, Ma & Cho, 2005, Biomedical Acupuncture for Pain Management)

Meetings:
Meeting of Spleen with Liver and Kidney

Location:
On the medial side of the lower leg, 3 cun superior to the prominence of the medial malleolus, in a depression close to the medial crest of the tibia.

Needling:
Perpendicular or oblique proximal insertion 1 - 1.5 cun

Warning:
Contraindicated in pregnancy


TCM Actions:
Tonifies the spleen and stomach
Resolves dampness
Harmonises the liver and tonifies the kidneys
Regulates menstruation and induces labour
Harmonises the lower jiao
Regulates unination and benefits the genitals
Calms the spirit
Invigorates blood
Activates the channel and alleviates pain

TCM Indications:
  • Spleen and Stomach deficiency, Spleen deficiency with heavy body, heavy body with heaviness of the four limbs, oedema, borborygmus, diarrhoea, undigested food in the stool, abdominal distension, cold abdomen, unbearable pain below the umbilicus, pain of the Spleen, fullness and distension of the Heart and abdomen, no desire to eat and drink, vomiting of fluid after eating, sudden turmoil disorder.
  • Irregular menstruation, uterine bleeding, uterine bleeding with dizziness, menorrhagia, amenorrhoea, dysmenorrhoea, abdominal (zheng jia) masses in women, leucorrhoea, uterine prolapse.
  • Infertility, restless foetus syndrome, transverse presentation, delayed labour, prolonged or difficult labour, retention of lochia, retention of dead foetus, post-partum dizziness.
  • Seminal emission, seminal emission with dreaming, sexual hyperactivity in men, impotence, pain of the genitals, pain of the penis, contracted testicles, shan disorder, pain due to shan disorder.
  • Difficult urination, enuresis, the five types of painful urinary dysfunction, cloudy urine, white turbidity.
  • Pailpitations, insomnia, Gall Bladder deficiency, sudden fright disorder in children.
  • Dizziness, blurred vision, tinnitus, yawning, hypertension.
  • Leg pain, crane's knee, damp painful obstruction, atrophy disorder and painful obstruction of the lower limbs, hemiplegia, heat in the soles of the feet, shin pain, eczema, urticaria, counterflow cold of the foot and hand.

    Neuroanatomy:
    Superficial Innervation: Tibial nerve from sciatic nerve (L4 - S3)
    Dermatome Segment: L4

    Notes:
    One of the most important points for tonifying the yin aspects of the spleen, liver and kidneys together. Since spleen and liver have strong influence over blood and all three influence the menstrual cycle it is a very strong point for nourishing and cooling blood, especially menstrual blood.

    Its ability to regulate urination has seen electro-acupuncture at this point approved by NICE as "percutaneous tibial nerve stimulation" (PTNS), with the second electrode being a pad applied to the foot (probably Shuiquan Kid-5). See also Sacral Nerve Stimulation for a similar form of modern treatment at Zhongliao Bl-33 over the third sacral foramen.

    Ling Shu Ch. 23, On Heat Diseases, recommends using this point to stop an extreme sweat brought by treatment.

    Ling Shu Ch. 52, On the Wei Qi, considers this to be the root of the foot Taiyin meridian with the tip being at Pishu Bl-20 and the root of the tongue.

    In Tung acupuncture this point is known as Ren Huang, Human Emperor (77.21) and is often combined with Di Huang, Earthly Emperor (77.21), 4 cun above, 1 cun above Lougu Sp-7, and Tian Huang, Heavenly Emperor, at Yinlingquan Sp-9 to make Xia San Huang, the Lower Three Emperors. They all treat many disorders of the Spleen, Liver and Kidney, this one especially focuses on the Liver (Chu, 2015).

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

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



    Reference Notes: (click to display)