腹結 : Fujie : Abdomen Knot

Location Guides:

Location:

On the lower abdomen, 1.3 cun inferior to Daheng Sp-15, 4 cun lateral to the midline.

Needling:

Perpendicular insertion 1 - 1.5 cun

Warnings:

In thin patients, deep needling may penetrate the peritoneal cavity.

Classical Needling:

"The Taiyin usually has much Qi and little Blood" (Su Wen 素問 ch. 24) implying this channel should normally be needled.
"The foot Taiyin is to be pierced 3 fen deep and remain inserted for four exhalations" (Ling Shu 靈樞 ch. 12).
"It is needled to a depth of seven fen and moxaed with five cones" (Huangfu Mi 皇甫謐, 3rd Century, Zhenjiu Jiayi Jing 針灸甲乙經).

TCM Actions:

Warms and benefits the Lower Jiao
Regulates Qi and descends rebellion

TCM Indications:

• Periumbilical pain, diarrhoea and Dysenteric Disorder (痢疾, Li Ji), diarrhoea due to cold in the abdomen, abdominal distension and constipation, painful Shan (疝) Disorder.
  
• Qi rushes up to the Heart, Heart pain, cough.

Neuroanatomy:

Superficial Innervation: Lateral cutaneous thoracic nerve from T12

Dermatome Segment: T12

Martial Applications & Effects of Injury:

Listed in the Wu Bei Zhi 武備志 (Treatise on Armament Technology) by Mao Yuanyi 茅元儀 (1621), Article 9: Twelve-Hour (Shichen 時辰) Vital Points Revealed as the vital point associated with the Si 巳 Snake (9 - 11 am) and the Spleen meridian (McCarthy, 2016, Bubishi: The Classic Manual of Combat).

Striking this point can shock the whole body and cause knock out but the area is well protected by the external oblique muscles so must come unexpectedly (Montaigue, Dim Mak Locations, Taijiworld.com).

Major Combinations:

• Rushing Heart:
    Fujie Sp-14 and Xingjian Liv-2
    (Wang Zhizhong, 王執中, 1220: Zhen Jiu Zi Sheng Jing, 針灸資生經, Classic of Supporting Life with Acupuncture and Moxibustion).

Notes:

In nine palaces abdominal acupuncture, this point is located in the region associated with ☳ Zhen, Thunder, the east and the Liver and Gallbladder organs on the right; and ☱ Dui, Lake, the west and the Lung and Large Intestine on the left (Schelbert, 2014, Ryan, 2009).

Lad and Durve (2008) in Marma Points of Ayurveda locate a group of five points slightly medial to this point and at Taiyi St-23 and at Shenque Ren-8 called Nabhi Marmani. They are all associated with Prana Vayu, Samana Vayu, Apana Vayu, Vyana Vayu, Pachaka Pitta, Ranjaka Pitta and Kledaka Kapha.

They all have the following actions:
- Enkindles agni, regulates samana vayu
- Stimulates digestion and absorption in stomach, small intestine and colon
- Regulates functions of liver, gallbladder, spleen, intestines
- Regulates function of kidneys, pancreas, and adrenals
- Relieves congestion in these associated organs
- Relieves stagnation locally caused by vyana vayu
- Relieves abdominal pain and distension
The right point is especially connected with functions of the cecum, ileocecal valve, appendix, ascending colon and right ureter.
The left point is especially connected with the descending colon, sigmoid colon, rectum and left ureter.

Reference Notes:

Basic information on location, needle depth, TCM actions, indications and combinations is taken from Deadman et al (2001): A Manual of Acupuncture with additional anatomical information researched by reference to Gray's Anatomy (38th Ed., 1995) unless otherwise referenced. Images were found on acupunctureschoolonline.com and can be traced back to Claudia Focks (2008) Atlas of Acupuncture originally. I cannot claim any credit or rights over them. Other sources should be quoted in the text.

For some of the more unusual terms I have created a glossary here