Points Database

Location Guides:

: Biguan : Thigh Gate

St-31 : Foot Yangming Stomach 31

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

Location:
On the upper thigh, in a depression just lateral to the sartorius muscle, at the junction of a vertical line drawn downward from the ASIS, and a horizontal line drawn level with the lower border of the pubic symphysis, approximately level with the prominent point of the greater trochanter.

Needling:
Perpendicular or oblique insertion 1 - 2 cun

TCM Actions:
Activates the channel and alleviates pain
Dispels wind-damp

TCM Indications:
  • Atrophy disorder and painful obstruction of the lower limb, hemiplegia, numbness of the legs, cold damp leg qi, pain of the hip joint, pain of the thigh, sciatica, contraction of the thigh muscles, cold painful obstruction of the knees, inability to extend and bend the knee, lumbar pain, jaundice.

    Neuroanatomy:
    Superficial Innervation: Femoral branches of genitofemoral nerve from L1
    Dermatome Segment: L1

    Trigger Point Associations:
    Muscle: Iliopsoas, rectus femoris and sartorius
    Myotome Innervation: Femoral nerve (L2 - L3)
    Location Notes: Only accessible point of the iliopsoas muscle group. Other trigger points should be deactivated first to prevent increased soreness at this point. Sartorius trigger point would be slightly medial, on the belly of the muscle
    Pain Referral Pattern:
    \nIliopsoas: To lower back and anterior of thigh
    \nRectus femoris: To knee
    \nSartorius: Local along the path of the muscle
    Indications: Low back pain (iliopsoas) diseases of the hip and knee (rectus femoris) or strain of sartorius muscle


    Reference Notes: (click to display)