Acupuncture Points Notebook

Location Guides:

: Futu : Crouching Rabbit

St-32 : Foot Yangming Stomach 32


Location:
On the thigh, on a line drawn between the lateral border of the patella and the ASIS, in a depression 6 cun proximal to the superior border of the patella, or 1/3 of the distance from the superior border of the patella and the level of the greater trochanter, on the border of the lower and middle thirds.

Needling:
Perpendicular or oblique insertion 1 - 2 cun

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

TCM Indications:
  • Painful obstruction and atrophy disorder of the lower limb, leg qi, pain, numbness and contraction of the muscles of the thigh, coldness and pain of the knee, weakness of the knee, lumbar pain, contraction of the arm.
  • Shan disorder, abdominal distension with diminished qi, dieseases of the eight regions in women, mania, ghost talk, urticaria, heavy head.

    Neuroanatomy:
    Superficial Innervation: Lateral femoral cutaneous nerve of the thigh from L2 - L3
    Dermatome Segment: L2

    Notes:
    One of the points in the Internal Dragons protocol in five element acupuncture, along with Jiuwei Ren-15, Tianshu St-25 and Jiexi St-41, for eliminating a blockage between the therapist and patient, or a disconnection from themselves, due to internal causes.

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    In Tung acupuncture a group of points called Si Ma, Four Chariots are located near this point. Si Ma Zhong, the Four Chariots Centre (88.17), is on the Stomach line, level with and 4 cun anterior to Fengshi. Si Ma Shang, Upper Chariot (88.18), is 2 cun superior to this and Si Ma Xia, Lower Chariot, 2 cun inferior, the closest to this point. They are indicated for allergies, sinus, skin conditions and all Lung problems based on the Stomach channel being Tung's Lung channel (Chu, 2015).

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    A medieval phlebotomy point is located near here but appears to be a couple of cun higher, approximately midway between the superior border of the patella and the level of the greater trochanter (Hans von Gersdorff, 1517: Feldtbüch der Wundartzney, www.nlm.nih.gov)

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


    Reference Notes: (click to display)