Points Database

Location Guides:

: Qichong : Rushing Qi

St-30 : Foot Yangming Stomach 30

Classifications:
Point of the Sea of Water and Grain
Doorway to the Earth Point
Confluent point of the Stomach and Spleen Divergent channels (Cecil-Sterman, 2012, Advanced Acupuncture)
Opening point of the Stomach Divergent channel (ibid.)
One of the "59 piercings" for clearing Heat in Su Wen Ch. 61

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

Meetings:
Meeting of Stomach with Ren Mai, Chong Mai, Stomach Divergent and Spleen Divergent

Location:
On the abdomen, 2 cun lateral to the midline and level with the lower border of the symphysis pubis, level with Qugu Ren-2.

Needling:
Perpendicular insertion 1 - 1.5 cun

Warning:
Deep needling may penetrate the peritoneal cavity in thin subjects or a full bladder. Patients should empty the bladder before needling Deep insertion in an inferior direction may penetrate the spermatic cord.


TCM Actions:
Regulates qi in the lower jiao
Regulates the Ren Mai
Subdues running piglet qi

TCM Indications:
  • Hypogastric pain, sudden fullness and distension of the abdomen, fullness of the abdomen with inability to lie down, twisting pain of the abdomen, heat in the abdomen, heat in the body with abdomen pain, hardness below the umbilicus, retention of urine and faeces, heat in the Large Intestine, prolapse of the rectum, injury by cold leading to heat in the Stomach, hot painful urinary dysfunction, stone oedema.
  • Irregular menstruation, sudden amenorrhoea, abnormal uterine bleeding, infertility, disorders related to childbirth, retention of the placenta, difficult lactation.
  • Swelling and pain of the external vagina, swelling and pain of the penis, pain of the testicles, retraction and pain of both testicles, shan disorder, impotence, pain of the lumbar region with difficulty in turning, fullness of the lateral costal region.
  • Running piglet qi, qi rushing upwards to attack the Heart, foetus (foetal qi) rushes up to attack the Heart.

    Neuroanatomy:
    Superficial Innervation: Femoral branches of gentiofemoral nerves from L1
    Dermatome Segment: L1

    Trigger Point Associations:
    Muscle: Pectineus
    Myotome Innervation: Femoral nerve (L2 - L3) and occasionally (20%) the accessory obdurator nerve (L3 - L4)
    Location Notes: May be slightly inferior to ensure you are on the belly of the muscle
    Pain Referral Pattern: Local to point
    Indications: Degenerative diseases of the hip

    Notes:
    Origin of the Chong Mai (Qi Jing Ba Mai Kao, Zhen Jiu Ju Ying)

    Origin of the 5th Trajectory of the Chong mai where it descends roughly along the Stomach channel, to Chongyang St-42 and ends in the big toe (Yuen, 2005, The Extraordinary Vessels).

    The "59 piercings" are named in the Su Wen Ch. 61 and mentioned in Su Wen Ch. 32 and Ling Shu Ch. 23 for treating Heat diseases. This point along with Zusanli St-36, Shangjuxu St-37 and Xiajuxu St-39 clear Heat from the stomach.

    Ling Shu Ch. 26, On Miscellaneous Diseases, advises piercing and then pressing this point in abdominal pain when piercing and pressing the pulsing vessels either side of the navel has failed to achieve a result.

    Ling Shu Ch. 52, On Wei Qi, suggest this point along with Chengshan Bl-57 to release evil Qi in the legs. It advises to press the point for a time until there is a reaction and then pierce with the fine needle and apply a draining technique. Conditions treated are headache, dizziness and falling to the ground, abdominal pain, fullness, distension and accumulation. If it is painful and the pain moves it can be cured easily; if is is a painless fixed accumulation it is difficult.

    Ling Shu Ch. 59, On Abnormal Wei Qi, advises this point and Zusanli St-36 to drain accumulations in the abdomen. If there are accumulations in the chest and abdomen then these three points are coupled with Renying St-9, Tiantu Ren-22 and Lianquan Ren-23 (referred to as Houzhong) used for draining accumulations above and Zhangmen Liv-13 in the middle. In severe cases a "chicken claw" technique, using three needles positioned like the character 个 Ge, are to be used. If the pulse is large and wiry and the the abdomen is tense it must not be pierced.

    Ling Shu Ch. 71, On Evil Visitors, says that when a depletion evil is in the Spleen it remains in the two thighs. Yuen's theory of the Divergent meridians suggests that they store pathogens at the major joints, depleting our resources while they do, which would suggest this is referring to the Spleen/Stomach Divergent. Biguan St-31 could also be a candidate as the text only specifies the thigh.

    When combined with Guangming GB-37 and Yintang this point is related to the final Seventh Level of Manifestation of the Soul, equivalent to the Sahasrara crown chakra. It deals with the interconnectedness of all things, collective consciousness and connection with the Divine. As the beginning of the Chong mai this point represents the return to the source.
    It could also be replaced with Gongsun Sp-4 as the Ming Dynasty alternative for opening the Chong (Yuen, 2005, 3 Spirits & 7 Souls).

    In ayurvedic medicine:
    Lohitaksha marma point
    Size: 1/2 angula (cun)
    Structure: Blood vessel
    Effect of Injury: Disability (vaikalyakar marma)
    (Harish Johari, 1996, Ayurvedic Massage, Sanatan Society; Anupama Bhattacharya, Marma Shastra)

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

    In Thai massage:
    Point along the Sahatsarangsi (left) and Tawaree (right) sen lines (Salguero & Roylance, 2011, Encyclopedia of Thai Massage)


    Reference Notes: (click to display)