lecture recording on 21 June 2025 at 20.39.52 PM
Clinical Practice & Channel Pathways
Clinical practice considerations for channel pathways.
Review of channel pathways using picture pages.
Picture Page (Page 22)
Focus on the primary channel pathway.
Study by asking: What channel precedes the stomach channel?
Understand the channel's path: body surface distribution (with points) and internal branches (without points).
Determine what channel follows the stomach channel.
Visualize the channel if possible; otherwise, use the picture.
Stomach Channel of Foot Yang Ming
Keywords: starts beside the nose at LI20.
Path: Inner canthus → infraorbital ridge → face (below pupil).
Passes through points: Stomach 1, Stomach 2, Stomach 3, Stomach 4 (corner of the mouth).
Curves to the angle of the mandible, in front of the ear, and to the anterior hairline.
Connects to DU24, rocking the head.
Stomach 1-8: treat local problems (eye, face, gum, teeth, mandibular, ear, head).
Neck and Throat Region
Channel passes through the neck (Stomach 5 onward).
Stomach 9, 10, 11, 12: treat neck and throat problems.
Stomach 12: Important point for multiple Yang channels passing through.
Internal trunk connection to internal organs.
Chest Points
Two branches: body surface distribution passing through the nipple.
Stomach 12 to Stomach 19: chest points that treat chest, heart, and lung problems.
Passes through the breast and treats breast problems.
Abdominal Area
Channel distribution narrows down to 2 cun lateral to the Ren channel.
Regions: upper, middle (around umbilicus), and lower abdomen.
Points: Stomach 19 to Stomach 30.
Upper abdomen: treat stomach problems.
Near umbilicus: treat intestinal problems.
Lower abdomen: treat lower abdominal problems (bowel movement, urination, gynecological issues).
Internal Branch
Travels from the chest, through the diaphragm.
Enters the stomach and connects with the spleen (internally/externally related organs).
Another branch separates from the lower part of the stomach.
Goes to Stomach 30 to join the body surface branch.
Trunk Area
Stomach 12 to Stomach 18: on the chest.
Stomach 19 to Stomach 30: on the abdomen.
Leg Points
Primarily treat local problems.
Stomach 31, 32, 33, 34.
Stomach 31: hip joint; treats hip and thigh problems.
Stomach 32 & 33: also treat hip and thigh problems.
Stomach 34 (Liang Qiu): C-cleft point for acute and painful conditions.
Treats acute pain along the channel (head to toes).
Acute stomach pain, cramping, nausea, vomiting.
Acute breast problems.
Lower Leg & Foot
Stomach channel travels on the anterior lateral aspect of the leg.
Stomach 35 to the ankle and second toe (primary channel).
Branches:
Tibial branch: Stomach 36 to the middle toe.
From the back of the foot: Stomach 42 to the middle to the big toe (medial side, connecting with the spleen channel).
Lower Connecting Channel
Lower connecting point: Stomach 40.
Remember the path from Stomach 40 to the throat, ear, and nape.
Branch to the back of the neck.
Divergent Channel
Starts on the lateral side of the thigh.
Passes through the stomach, connects to the spleen, and passes through the heart (important).
Goes to the eye.
Muscle Region
Starts from the three middle toes.
Passes through the ankle and knee.
Two branches:
Hip branch: goes to the back.
Medial branch: goes to the genital area.
Entire branch goes from the genital to the supraclavicular fossa, through the neck.
Two branches from the neck: one to the ear, the other below the eyes.
Power of the Mind
We are who we are.
We are who we believe we are.
"I can do this."
We are perfect, but we cannot always do everything.
Accept challenges and try your best.
Stomach 35 (Du Bi)
Descriptive name: cough's nose (patella as cough's nose).
Location: On the knee in the hollow formed when the knee is flexed, immediately below the patella, lateral to the patellar ligament.
Medial and lateral C Yan (knee eye), extra points.
Stomach 35, also known as lateral C Yan.
Needling: Perpendicularly or obliquely insertion, cun deep.
Needling Techniques
Perpendicular insertion directed towards Wei Zhong (Bladder 40), cun deep.
Oblique insertion in the medial and superior direction behind the patella, cun deep.
Needle behind the patellar ligament to join with the medial C Yan.
Knee flexion is required and supported by a rolled pillow or cushion.
Anatomy
Femur, tibia, fibula, and patella.
Patellar ligament (strongest tendon).
Actions and Indications
Expel wind damp and reduce swelling.
Activate the channel and alleviate pain.
Swelling and pain of the knee joint.
Difficulty in flexing and extending the knee.
Weakness and numbness of the knee joint.
Atrophy disorder of the lower limb.
Leg Qi.
Beriberi (Leg Qi)
Deficiency in thiamine (Vitamin B1).
Wet Beriberi: Affects the cardiovascular system (heart problems, increased heart rate, shortness of breath, swelling of the lower leg).
Dry Beriberi: Affects the nervous system (difficulty walking, loss of feeling, paralysis, speech difficulty, mental confusion, etc.).
Jiao Qi (Athlete's Foot)
Tinea Pedis: Fungal skin infection, usually between the toes.
Common in sweaty feet confined to tight shoes.
Contagious: spread via contaminated floors, towels, clothing, etc.
Signs/Symptoms: Itchy, scaly rash.
Stomach 36 (Zu San Li)
Five-star point: very important.
English name: Leg Three Miles.
Nature: Earth point, He-Sea point, Lower He-Sea point of the stomach, one of Gao's command points, Madan-Yang's heavenly star point, point of Sea of Water and Grain.
Location: Below the knee, 3 cun inferior to Stomach 35, one-finger breadth lateral to the anterior crest of the tibia.
Proportional measurement: Distance between the popliteal crease and the tip of the lateral malleolus is 16 cun.
Need to mark porportional measurements.
Meaning of "Three Miles"
Indicates location: 3 cun below Stomach 35.
Indicates power: Able to run for three miles after needling.
Helps three things: Qi, blood, and yang.
Regulates upper, middle, and lower jiao (triple burner).
Regulates three organs: spleen, stomach, and heart.
Anatomical Reference
Anterior crest of the tibia.
Tibialis Anterior muscle.
Accurate Location
Below the knee and three "swing" inferior to Stomach 35.
One-finger breath lateral to the anterior crest of the tibia.
Suggestion: first locate GB 34 and then stomach 36 is one cun inferior to Yang Mingqian GB 34 and one-finger breadth lateral to the anterior crest of the tibia.
Measure Four fingers from Stomach 35 then do proportional measurement.
Needling
Perpendicularly, 1-1.5 cun deep depending on the patient's build.
Functions and Indications
Harmonize the stomach (for disharmony of the stomach—rebellious stomach qi, nausea, vomiting, hiccup, belching, epigastric pain/distension/indigestion, acid reflux).
Tonify the spleen, resolve dampness, and edema (for spleen deficiency, damp accumulation, fluid retention).
Tonify qi, nourish blood, and yin, strengthen the body (for qi deficiency, blood deficiency, yin deficiency, immune deficiency).
Brighten the eyes (for eye problems, blurred vision).
Regulate the nutritive and defensive qi (prevent attack of exterior pathogens during colds/flus).
Regulate the intestines (for intestinal/bowel movement/digestive system problems).
Raise yang (treat prolapse of the organs—spleen qi collapse).
Activate the channel and alleviate pain (for B syndrome—painful obstruction syndrome).
Specific Indications
Deficiency of spleen and stomach (gastric pain, vomiting, hiccup, abdominal distension, borborygmus, diarrhea, dysentery, constipation).
Prevention of attack by exterior pathogens.
General deficiency of qi and blood (fatigue, shortness of breath, dyspnea).
Blurred vision and declining eyesight.
Edema.
Prolapse of internal organs.
Constipation of deficiency nature.
Painful obstruction syndrome (wind/cold/dampness such as knee/wrist pain).
Dizziness, insomnia, palpitations, postpartum dizziness (qi and blood deficiency).
Four Command Points
Stomach 36 is one of the four command points and a very general point.
Points for specific areas and treat disorders in related areas from any etiology (acute/chronic, excess/deficiency, exterior/interior, cold/heat).
Heavenly Star Points
Twelve very important points, including the command points.
Named the Heavenly Star Points.
Stomach 37 (Shang Ju Xu)
Lower He-Sea point of the Large Intestine.
Point of the Sea of Blood.
Location: Lower leg, 3 cun inferior to Stomach 36, one-finger breadth lateral to the anterior crest of the tibia.
Needling: Perpendicular/oblique insertion, cun deep.
Actions
Regulate the intestine and transform stagnation.
Clear damp heat and alleviate diarrhea and dysentery.
Regulate the spleen and stomach.
Activate the channel and alleviate pain.
Indications
Regulate the stomach and intestine, eliminate damp heat, dispel retention of fluid.
Chronic diarrhea, damp heat pattern of the large intestine with loose/offensive stools with mucus/blood, abdominal pain/distension, borborygmus.
Dysentery, Constipation.
Enteritis (IBS—irritable bowel syndrome).
Paralysis due to stroke.
Asthma and breathlessness (large intestine/lung relationship).
Stomach 38 (Tiao Kou)
Loosen Chest.
Location: Lower leg, midway between the tibiofemoral joint line (level with popliteal crease) and the prominence of the lateral malleolus, one-finger breadth lateral to the anterior crest of the tibia.
Needling: Perpendicular/oblique insertion, cun deep.
Action
Expel wind damp and alleviate pain; benefit the shoulder.
Indication
Shoulder problem, atrophy disorders, and so on.
Atrophy, pain, numbness, coldness, swelling of the shin.
Knee and lower leg problems.
Heat in the soles of the foot.
Pain and stiffness of the shoulder, abdominal pain.
Needle on the same side as shoulder problem.
Stomach 39 (Xia Ju Xu)
Lower He-Sea point of the Small Intestine.
Sea of Blood.
Location: Lower leg, cun inferior to Stomach 37, one-finger breadth lateral to the anterior crest of the tibia.
Divide the distance between the tibiofemoral joint line and the prominence of the lateral malleolus into two equal parts; Stomach 38 is at the midpoint, and Stomach 39 is located one cun below Stomach 38.
Needling: Perpendicular, cun deep.
Actions
Move and transform stagnation of the Small Intestine.
Regulate and harmonize the intestines; clear damp heat.
Activate the channel and leave the pain.
Indication
Lower abdominal pain, lumbar pain radiating to testicles (small intestine hernia).
Diarrhea, undigested food, dysentery, pus/blood in the stool.
Painful Obstruction.
Numbness of the lower leg.
Extreme sensation to cold/heat in the shoulder.
Heat sensation between ring/little fingers.
Burning sensation in front of the ear.
Stomach 40 (Feng Long)
Four-star point: Very important.
English name: Abundant bulge.
Lower-Connecting point.
Location: Lower leg, between the middle of the tibiofemoral joint line and the lateral malleolus, two-finger breadth lateral to the anterior crest of the tibia.
Needling: Perpendicular/oblique insertion, cun deep.
Actions and Indications
Transform phlegm and dampness, open the chest.
Clear phlegm in the lung.
Alleviate cough and asthma.
Clear phlegm from the heart and calm the spirit.
Activate the channel and alleviate pain.
We use it for channel obstruction, painful obstruction, atrophy diorder, stiffnes, and pain of the knees, and so on.
Pathologies and Corresponding Issues of Phlegm
Spleen's failure to transport the damp.
Phlegm obstructing the body and the channel lead to chest depression and tightness.
Lung obstruction by phlegm leads to dyspnea, cough and asthma.
Thrombus.
Plaques.
High level of fat, and cholesterol levels.
Understanding Clear Lung From the Heart and Calm the Spirit
Heart is the house of the mind, which can be disturbed by phlegm.
• Fire phlegm is very crazy while cold phlegm is just the heart is mistening.
Symptoms and Signs of Phlegm
Copious of them.
Fullness.
Oppression.
Pain in the chest.
Headache, dizziness, and vertigo that's in the brain.
In the heart, the plum stone chi is found.
Damp, slackness, and heaviness of the body.
Cough and shortness of breath, dyspnea, asthma, and cough with copious phlegm.
Mania, depression, restlessness, and the night here calm the mind.
Constipation difficulty in passing urine and stool, this is something about phlegm when it's affected too.
The disorder. Painful obstruction disorder, and so on.
Stomach 41 (Jie Xi)
Stream Divide.
Jing-River.
Location: On the ankle, level with the prominence of the lateral malleolus; in a depression between the tendons of extensor hallucis longus and extensor digitorum longus.
Needling: Perpendicular, cun deep. Be careful not to injure anterior tibial vessels and nerve lying deep to this point.
Functions and Applications
Clear heat from the stomach channel: for problems along the channel. Alleviate pain
Local: Treats foot problems like drop foot
Clear: Spirit (Shen) for cardiac spasms, epilepsy, spiritual problems
Treats abdominal distention, constipation, vertigo.
Proportional Measurements of Stomach Lower Leg Points
Stomach 35 → Stomach 41: 16 cun.
Lateral Side of the lower leg proportional measurements:
Keep in mind that the measurements should follow the stomach channel.
Stomach 35 → Stomach 36: ~ 3 cun
Stomach 36 → Stomach 37: ~ 3 cun
Stomach 37 → Stomach 39: ~ 3 cun
Two Points that Break The Rule
Stomach 38: ~ Middle point between Stomach 35 and Stomach 41.
Stomach 40: Lies one finger bredth lateral to Stomach 38.
Tibial Landmark
Most of the Stomach lower leg points have anatomical relationship with the anterior crest of the tibia.
Practice on page 72 with picture book to properly see this relationships.
Points On The Thigh
Superior border of the patella, which treated as 18 cun.
Stomach 32: 6 cun above the superior border of the patella.
Stomach 33: ~ ~ 3 cun above the the superior border of the patella.
Stomach 34: ~ 2 cun above the superior border of the patella.
Major Points On The Top Of The Foot
Tendons of extensor digitorum longus and extensor hallucis longus.
• Key anatomical structures with point locations.Be familiar with cuneiform, phalanges, and metatarsals bones!
Stomach 42 (Chongyang)
Yuang-Prime point.
Location: On the dorsum of the foot, in a depression formed by the junction of the 2nd and 3rd metatarsal bones, distal to Stomach 41. 1.5 cun distal to Stomach 41, but also on the line between Stomach 41 and 43. Also at the location where you can palpate the dorsalis pedis artery May be palpated.
Needling: Oblique/perpendicular, cun.
Caution: Avoid puncturing artery
Functions and Indications
Clear heat from the stomach channel, harmonize the stomach.
Calm the spirit, activate the channel and alleviate the pain.
Pain of upper teeth, deviation of mouth and eyes, heat and pain inside of mouth, sweating, pain of the face, abdominal distention with no pleasure to eat and, also gastric pain due to vomiting.
Redness and swelling of dorsum of the foot.
Atrophy and motor impairment of the foot.
Stomach 43 (Xiangu)
*Stream-divide, shu-stream and wood point
Located on dorsum (top) of the foot between 2nd and 3 rd metatarsals
Proximal to Stomach 44 (if you palp from 44 your finger can fall into depression, remember above 44!)
.* Needling perpendicular or oblique insertions, cun depths.
Functions and Indications
Regulates the spleen to dispel edema.
Regulates stomach harmonizes intestine, regulates spleen. Also clear down heat.
Facial swelling, pain and sweating of the eye.
Swelling, pain of dorsam of the foot, abdominal pain distention and fullness, the barbaricamus.
Stomach 44 (Neiting)
Inner courtyard
Ying-Spring point and waterpoint
Madan-Yang's Heavenly Star point
Located on dorsum of foot, between second and third toe
*0.5 con0.01 to point 0.2 con
Application & Indication
Clear heat calm, mind and restore consciousness restore the clear heat from the stomach channel.
It Covers entire face such as eating, the head, nose bleeding and tooth ache, for lack joy. Spleen and to the area.
*Is a point to look at for those with abdominal distention, favorial disease disturb sleeping insomnia and cause. There lost loss of consciousness. Coldness in the like with trauma when patients lose consciousness
*Also very effective is for heat in head nose bleeding
Point for when code is in leg on food to is. Always for point with for. It need to use for is at Jing-Well
Specific Point Table
Remember the 10 groups and be able to fill them
Fill in the blank with specific point of all 14 channels
Specific Points of the Stomach Channel Table
The 19 specific points are:
Five element
Five Shoe points *
*Lower Has-SeaYuan-Prime
Low connecting
Front Mu-
Back Shoe -
Confluent - N/A
* No Influential also - A. I also
*Cross Point:She-cleft:
Heavenly Star:
All Channel Points Break Down
Specific points of channel: what has to be here then
.5 shoe points is every channel
Summary of Specific Points Table
She -cleft point every channel is a
Specific information to
4 you have 16 She collective points. No all channel and how many channels every chart is how many numbers are from channel to channel. Cross point list
Now divergent channel. What and what is what will you text all these
Do well do the exams
Practice the Primary 14 chart create a table you can just go over
Review of the Spleen Channel of Foot Taiyin
Spleen primary channel
Lower connecting channel Lower
Lower channel muscle channel channel
The greater connecting channel of the spleen or major collateral off the spleen a. So which is. So the picture and what
Review Points (Picture Book - 35-39)
Point review is
Spleen start in the medial big toe rise and aspect for the foot at junction red and skin and the anterior to medialis a spleen 5 The border and cross section about with the to is for you get the spleen as it channel with. Right
From to for 10 before in the connection for 17 and connect stomach relation to is and primary channel connect with and so know from in to it for 424 of 25. Descend
Review 2: Spleen Points
Review points and this the the what and heart to. There there were. Another to.
That and spread. Another spread. Also. It channel to here
That review about that the for.
Major Clinical Pathologies & Review of Primary Functions
Dominate: Transformation of food and water *Controlling blood *Dominating muscles limb
Open Dominating sense test *Controlling of Qi to is of.
To also about
Spleen Actions and Indications
Point: Spleen the channel 70 action related chart to function for for, related. Points we use that one one. The with chart
Those function to stomach with. Now for or has.
For or can. This a can for the that it you to what
Those the. 3 has has now with of. In for. All to
The spleen of. To all to. Damp all to that to and there. With all. Now on. You and. This it and
In and and
A and in of. Because about it the what on for what. The and
As those is now.
*Spleen one.
Point: This the to. That
*Spleen chart: Now.
Spleen or the
/
Clinical Practice & Channel Pathways
Clinical practice considerations for channel pathways.
Review of channel pathways using picture pages.
Picture Page (Page 22)
Focus on the primary channel pathway.
Study by asking: What channel precedes the stomach channel?
Understand the channel's path: body surface distribution (with points) and internal branches (without points).
Determine what channel follows the stomach channel.
Visualize the channel if possible; otherwise, use the picture.
Stomach Channel of Foot Yang Ming
Keywords: starts beside the nose at LI20.
Path: Inner canthus
infraorbital ridge
face (below pupil).
Passes through points: Stomach 1, Stomach 2, Stomach 3, Stomach 4 (corner of the mouth).
Curves to the angle of the mandible, in front of the ear, and to the anterior hairline.
Connects to DU24, rocking the head.
Stomach 1-8: treat local problems (eye, face, gum, teeth, mandibular, ear, head).
Neck and Throat Region
Channel passes through the neck (Stomach 5 onward).
Stomach 9, 10, 11, 12: treat neck and throat problems.
Stomach 12: Important point for multiple Yang channels passing through.
Internal trunk connection to internal organs.
Chest Points
Two branches: body surface distribution passing through the nipple.
Stomach 12 to Stomach 19: chest points that treat chest, heart, and lung problems.
Passes through the breast and treats breast problems.
Abdominal Area
Channel distribution narrows down to 2 cun lateral to the Ren channel.
Regions: upper, middle (around umbilicus), and lower abdomen.
Points: Stomach 19 to Stomach 30.
Upper abdomen: treat stomach problems.
Near umbilicus: treat intestinal problems.
Lower abdomen: treat lower abdominal problems (bowel movement, urination, gynecological issues).
Internal Branch
Travels from the chest, through the diaphragm.
Enters the stomach and connects with the spleen (internally/externally related organs).
Another branch separates from the lower part of the stomach.
Goes to Stomach 30 to join the body surface branch.
Trunk Area
Stomach 12 to Stomach 18: on the chest.
Stomach 19 to Stomach 30: on the abdomen.
Leg Points
Primarily treat local problems.
Stomach 31, 32, 33, 34.
Stomach 31: hip joint; treats hip and thigh problems.
Stomach 32 & 33: also treat hip and thigh problems.
Stomach 34 (Liang Qiu): C-cleft point for acute and painful conditions.
Treats acute pain along the channel (head to toes).
Acute stomach pain, cramping, nausea, vomiting.
Acute breast problems.
Lower Leg & Foot
Stomach channel travels on the anterior lateral aspect of the leg.
Stomach 35 to the ankle and second toe (primary channel).
Branches:
Tibial branch: Stomach 36 to the middle toe.
From the back of the foot: Stomach 42 to the middle to the big toe (medial side, connecting with the spleen channel).
Lower Connecting Channel
Lower connecting point: Stomach 40.
Remember the path from Stomach 40 to the throat, ear, and nape.
Branch to the back of the neck.
Divergent Channel
Starts on the lateral side of the thigh.
Passes through the stomach, connects to the spleen, and passes through the heart (important).
Goes to the eye.
Muscle Region
Starts from the three middle toes.
Passes through the ankle and knee.
Two branches:
Hip branch: goes to the back.
Medial branch: goes to the genital area.
Entire branch goes from the genital to the supraclavicular fossa, through the neck.
Two branches from the neck: one to the ear, the other below the eyes.
Power of the Mind
We are who we are.
We are who we believe we are.
"I can do this."
We are perfect, but we cannot always do everything.
Accept challenges and try your best.
Stomach 35 (Du Bi)
Descriptive name: cough's nose (patella as cough's nose).
Location: On the knee in the hollow formed when the knee is flexed, immediately below the patella, lateral to the patellar ligament.
Medial and lateral C Yan (knee eye), extra points.
Stomach 35, also known as lateral C Yan.
Needling: Perpendicularly or obliquely insertion, cun deep.
Needling Techniques
Perpendicular insertion directed towards Wei Zhong (Bladder 40), cun deep.
Oblique insertion in the medial and superior direction behind the patella, cun deep.
Needle behind the patellar ligament to join with the medial C Yan.
Knee flexion is required and supported by a rolled pillow or cushion.
Anatomy
Femur, tibia, fibula, and patella.
Patellar ligament (strongest tendon).
Actions and Indications
Expel wind damp and reduce swelling.
Activate the channel and alleviate pain.
Swelling and pain of the knee joint.
Difficulty in flexing and extending the knee.
Weakness and numbness of the knee joint.
Atrophy disorder of the lower limb.
Leg Qi.
Beriberi (Leg Qi)
Deficiency in thiamine (Vitamin B1).
Wet Beriberi: Affects the cardiovascular system (heart problems, increased heart rate, shortness of breath, swelling of the lower leg).
Dry Beriberi: Affects the nervous system (difficulty walking, loss of feeling, paralysis, speech difficulty, mental confusion, etc.).
Jiao Qi (Athlete's Foot)
Tinea Pedis: Fungal skin infection, usually between the toes.
Common in sweaty feet confined to tight shoes.
Contagious: spread via contaminated floors, towels, clothing, etc.
Signs/Symptoms: Itchy, scaly rash.
Stomach 36 (Zu San Li)
Five-star point: very important.
English name: Leg Three Miles.
Nature: Earth point, He-Sea point, Lower He-Sea point of the stomach, one of Gao's command points, Madan-Yang's heavenly star point, point of Sea of Water and Grain.
Location: Below the knee, 3 cun inferior to Stomach 35, one-finger breadth lateral to the anterior crest of the tibia.
Proportional measurement: Distance between the popliteal crease and the tip of the lateral malleolus is 16 cun.
Need to mark porportional measurements.
Meaning of "Three Miles"
Indicates location: 3 cun below Stomach 35.
Indicates power: Able to run for three miles after needling.
Helps three things: Qi, blood, and yang.
Regulates upper, middle, and lower jiao (triple burner).
Regulates three organs: spleen, stomach, and heart.
Anatomical Reference
Anterior crest of the tibia.
Tibialis Anterior muscle.
Accurate Location
Below the knee and three "swing" inferior to Stomach 35.
One-finger breath lateral to the anterior crest of the tibia.
Suggestion: first locate GB 34 and then stomach 36 is one cun inferior to Yang Mingqian GB 34 and one-finger breadth lateral to the anterior crest of the tibia.
Measure Four fingers from Stomach 35 then do proportional measurement.
Needling
Perpendicularly, 1-1.5 cun deep depending on the patient's build.
Functions and Indications
Harmonize the stomach (for disharmony of the stomach
rebellious stomach qi, nausea, vomiting, hiccup, belching, epigastric pain/distension/indigestion, acid reflux).
Tonify the spleen, resolve dampness, and edema (for spleen deficiency, damp accumulation, fluid retention).
Tonify qi, nourish blood, and yin, strengthen the body (for qi deficiency, blood deficiency, yin deficiency, immune deficiency).
Brighten the eyes (for eye problems, blurred vision).
Regulate the nutritive and defensive qi (prevent attack of exterior pathogens during colds/flus).
Regulate the intestines (for intestinal/bowel movement/digestive system problems).
Raise yang (treat prolapse of the organs
spleen qi collapse).
Activate the channel and alleviate pain (for B syndrome
painful obstruction syndrome).
Specific Indications
Deficiency of spleen and stomach (gastric pain, vomiting, hiccup, abdominal distension, borborygmus, diarrhea, dysentery, constipation).
Prevention of attack by exterior pathogens.
General deficiency of qi and blood (fatigue, shortness of breath, dyspnea).
Blurred vision and declining eyesight.
Edema.
Prolapse of internal organs.
Constipation of deficiency nature.
Painful obstruction syndrome (wind/cold/dampness such as knee/wrist pain).
Dizziness, insomnia, palpitations, postpartum dizziness (qi and blood deficiency).
Four Command Points
Stomach 36 is one of the four command points and a very general point.
Points for specific areas and treat disorders in related areas from any etiology (acute/chronic, excess/deficiency, exterior/interior, cold/heat).
Heavenly Star Points
Twelve very important points, including the command points.
Named the Heavenly Star Points.
Stomach 37 (Shang Ju Xu)
Lower He-Sea point of the Large Intestine.
Point of the Sea of Blood.
Location: Lower leg, 3 cun inferior to Stomach 36, one-finger breadth lateral to the anterior crest of the tibia.
Needling: Perpendicular/oblique insertion, cun deep.
Actions
Regulate the intestine and transform stagnation.
Clear damp heat and alleviate diarrhea and dysentery.
Regulate the spleen and stomach.
Activate the channel and alleviate pain.
Indications
Regulate the stomach and intestine, eliminate damp heat, dispel retention of fluid.
Chronic diarrhea, damp heat pattern of the large intestine with loose/offensive stools with mucus/blood, abdominal pain/distension, borborygmus.
Dysentery, Constipation.
Enteritis (IBS
irritable bowel syndrome).
Paralysis due to stroke.
Asthma and breathlessness (large intestine/lung relationship).
Stomach 38 (Tiao Kou)
Loosen Chest.
Location: Lower leg, midway between the tibiofemoral joint line (level with popliteal crease) and the prominence of the lateral malleolus, one-finger breadth lateral to the anterior crest of the tibia.
Needling: Perpendicular/oblique insertion, cun deep.
Action
Expel wind damp and alleviate pain; benefit the shoulder.
Indication
Shoulder problem, atrophy disorders, and so on.
Atrophy, pain, numbness, coldness, swelling of the shin.
Knee and lower leg problems.
Heat in the soles of the foot.
Pain and stiffness of the shoulder, abdominal pain.
Needle on the same side as shoulder problem.
Stomach 39 (Xia Ju Xu)
Lower He-Sea point of the Small Intestine.
Sea of Blood.
Location: Lower leg, cun inferior to Stomach 37, one-finger breadth lateral to the anterior crest of the tibia.
Divide the distance between the tibiofemoral joint line and the prominence of the lateral malleolus into two equal parts; Stomach 38 is at the midpoint, and Stomach 39 is located one cun below Stomach 38.
Needling: Perpendicular, cun deep.
Actions
Move and transform stagnation of the Small Intestine.
Regulate and harmonize the intestines; clear damp heat.
Activate the channel and leave the pain.
Indication
Lower abdominal pain, lumbar pain radiating to testicles (small intestine hernia).
Diarrhea, undigested food, dysentery, pus/blood in the stool.
Painful Obstruction.
Numbness of the lower leg.
Extreme sensation to cold/heat in the shoulder.
Heat sensation between ring/little fingers.
Burning sensation in front of the ear.
Stomach 40 (Feng Long)
Four-star point: Very important.
English name: Abundant bulge.
Lower-Connecting point.
Location: Lower leg, between the middle of the tibiofemoral joint line and the lateral malleolus, two-finger breadth lateral to the anterior crest of the tibia.
Needling: Perpendicular/oblique insertion, cun deep.
Actions and Indications
Transform phlegm and dampness, open the chest.
Clear phlegm in the lung.
Alleviate cough and asthma.
Clear phlegm from the heart and calm the spirit.
Activate the channel and alleviate pain.
We use it for channel obstruction, painful obstruction, atrophy diorder, stiffnes, and pain of the knees, and so on.
Pathologies and Corresponding Issues of Phlegm
Spleen's failure to transport the damp.
Phlegm obstructing the body and the channel lead to chest depression and tightness.
Lung obstruction by phlegm leads to dyspnea, cough and asthma.
Thrombus.
Plaques.
High level of fat, and cholesterol levels.
Understanding Clear Lung From the Heart and Calm the Spirit
Heart is the house of the mind, which can be disturbed by phlegm.
• Fire phlegm is very crazy while cold phlegm is just the heart is mistening.
Symptoms and Signs of Phlegm
Copious of them.
Fullness.
Oppression.
Pain in the chest.
Headache, dizziness, and vertigo that's in the brain.
In the heart, the plum stone chi is found.
Damp, slackness, and heaviness of the body.
Cough and shortness of breath, dyspnea, asthma, and cough with copious phlegm.
Mania, depression, restlessness, and the night here calm the mind.
Constipation difficulty in passing urine and stool, this is something about phlegm when it's affected too.
The disorder. Painful obstruction disorder, and so on.
Stomach 41 (Jie Xi)
Stream Divide.
Jing-River.
Location: On the ankle, level with the prominence of the lateral malleolus; in a depression between the tendons of extensor hallucis longus and extensor digitorum longus.
Needling: Perpendicular, cun deep. Be careful not to injure anterior tibial vessels and nerve lying deep to this point.
Functions and Applications
Clear heat from the stomach channel: for problems along the channel. Alleviate pain
Local: Treats foot problems like drop foot
Clear: Spirit (Shen) for cardiac spasms, epilepsy, spiritual problems
Treats abdominal distention, constipation, vertigo.
Proportional Measurements of Stomach Lower Leg Points
Stomach 35
Stomach 41: 16 cun.
Lateral Side of the lower leg proportional measurements:
Keep in mind that the measurements should follow the stomach channel.
Stomach 35
Stomach 36: ~ 3 cun
Stomach 36
Stomach 37: ~ 3 cun
Stomach 37
Stomach 39: ~ 3 cun
Two Points that Break The Rule
Stomach 38: ~ Middle point between Stomach 35 and Stomach 41.
Stomach 40: Lies one finger bredth lateral to Stomach 38.
Tibial Landmark
Most of the Stomach lower leg points have anatomical relationship with the anterior crest of the tibia.
Practice on page 72 with picture book to properly see this relationships.
Points On The Thigh
Superior border of the patella, which treated as 18 cun.
Stomach 32: 6 cun above the superior border of the patella.
Stomach 33: ~ ~ 3 cun above the the superior border of the patella.
Stomach 34: ~ 2 cun above the superior border of the patella.
Major Points On The Top Of The Foot
Tendons of extensor digitorum longus and extensor hallucis longus.
• Key anatomical structures with point locations.
Be familiar with cuneiform, phalanges, and metatarsals bones!
Stomach 42 (Chongyang)
Yuang-Prime point.
Location: On the dorsum of the foot, in a depression formed by the junction of the 2nd and 3rd metatarsal bones, distal to Stomach 41. 1.5 cun distal to Stomach 41, but also on the line between Stomach 41 and 43. Also at the location where you can palpate the dorsalis pedis artery May be palpated.
Needling: Oblique/perpendicular, cun.
Caution: Avoid puncturing artery
Functions and Indications
Clear heat from the stomach channel, harmonize the stomach.
Calm the spirit, activate the channel and alleviate the pain.
Pain of upper teeth, deviation of mouth and eyes, heat and pain inside of mouth, sweating, pain of the face, abdominal distention with no pleasure to eat and, also gastric pain due to vomiting.
Redness and swelling of dorsum of the foot.
Atrophy and motor impairment of the foot.
Stomach 43 (Xiangu)
*Stream-divide, shu-stream and wood point
Located on dorsum (top) of the foot between 2nd and 3 rd metatarsals
Proximal to Stomach 44 (if you palp from 44 your finger can fall into depression, remember above 44!)
.* Needling perpendicular or oblique insertions, cun depths.
Functions and Indications
Regulates the spleen to dispel edema.
Regulates stomach harmonizes intestine, regulates spleen. Also clear down heat.
Facial swelling, pain and sweating of the eye.
Swelling, pain of dorsam of the foot, abdominal pain distention and fullness, the barbaricamus.
Stomach 44 (Neiting)
Inner courtyard
Ying-Spring point and waterpoint
Madan-Yang's Heavenly Star point
Located on dorsum of foot, between second and third toe
*0.5 con0.01 to point 0.2 co
Application & Indication
Clear heat calm, mind and restore consciousness restore the clear heat from the stomach channel.
It Covers entire face such as eating, the head, nose bleeding and tooth ache, for lack joy. Spleen and to the area.
*Is a point to look at for those with abdominal distention, favorial disease disturb sleeping insomnia and cause. There lost loss of consciousness. Coldness in the like with trauma when patients lose consciousness
*Also very effective is for heat in head nose bleeding
Point for when code is in leg on food to is. Always for point with for. It need to use for is at Jing-Well
Specific Point Table
Remember the 10 groups and be able to fill them
Fill in the blank with specific point of all 14 channels
Specific Points of the Stomach Channel Table
The 19 specific points are:
Five element
Five Shoe points *
*Lower Has-Sea
Yuan-Prime
Low connecting
Front Mu-
Back Shoe -
Confluent - N/A
* No Influential also - A. I also
*Cross Point:
She-cleft:
Heavenly Star:
All Channel Points Break Down
Specific points of channel: what has to be here then
.5 shoe points is every channel
Summary of Specific Points Table
She -cleft point every channel is a
Specific information to
4 you have 16 She collective points. No all channel and how many channels every chart is how many numbers are from channel to channel. Cross point list
Now divergent channel. What and what is what will you text all these
Do well do the exams
Practice the Primary 14 chart create a table you can just go over
Review of the Spleen Channel of Foot Taiyin
Spleen primary channel
Lower connecting channel Lower
Lower channel muscle channel channel
The greater connecting channel of the spleen or major collateral off the spleen a. So which is. So the picture and what
Review Points (Picture Book - 35-39)
Point review is
Spleen start in the medial big toe rise and aspect for the foot at junction red and skin and the anterior to medialis a spleen 5 The border and cross section about with the to is for you get the spleen as it channel with. Right
From to for 10 before in the connection for 17 and connect stomach relation to is and primary channel connect with and so know from in to it for 4
24 of 25. Descend
Review 2: Spleen Points
Review points and this the the what and heart to. There there were. Another to.
That and spread. Another spread. Also. It channel to here
That review about that the for.
Major Clinical Pathologies & Review of Primary Functions
Dominates Transformation and Transportation:
Oversees the transformation of food and water into essential substances (Qi, Blood, Body Fluids).
Controls the transportation of these substances throughout the body.
Dysfunction can lead to dampness, phlegm, edema, poor digestion, and absorption issues.
Controls the Blood:
Keeps Blood within the blood vessels, preventing hemorrhage.
Involved in the production of Blood (through its role in transforming food essence).
Deficiency can lead to bleeding disorders (e.g., menorrhagia, purpura) and anemia.
Dominates the Muscles and Four Limbs:
Provides Qi and nourishment to the muscles, ensuring strength and tone.
Weakness, atrophy, flaccidity, or fatigue of the limbs often indicate Spleen Qi deficiency.
Opens into the Mouth and Manifests in the Lips:
The Spleen's health is reflected in the condition of the lips (color, moisture).
Taste perception is governed by the Spleen (poor appetite, altered taste can indicate Spleen imbalance).
Controls the Upright Qi / Raising Qi:
Responsible for raising Qi upwards to prevent prolapse of organs (e.g., uterine prolapse, stomach prolapse).
Deficiency can lead to a feeling of heaviness or sinking, and organ prolapse.
Spleen Actions and Indications
Harmonizes the Spleen and Stomach: Treats digestive disorders such as abdominal distension, poor appetite, nausea, vomiting, diarrhea, and constipation caused by Spleen and Stomach disharmony.
Resolves Dampness and Reduces Edema: Effective for conditions like edema, borborygmus, and loose stools due to the Spleen's inability to transform water and fluids.
Tonifies Qi and Nourishes Blood: Used for deficiency syndromes characterized by fatigue, weakness, shortness of breath, pale complexion, and dizziness, all stemming from insufficient Qi and Blood production.
Regulates and Controls Blood: Addresses bleeding disorders, such as chronic menorrhagia, purpura, or internal bleeding, by strengthening the Spleen's function of keeping blood within vessels.
Lifts Yang and Prevents Prolapse: Applied for conditions of Spleen Qi sinking, including organ prolapse (e.g., uterine, rectal, stomach prolapse), and chronic debilitating illnesses with a feeling of heaviness.
Activates Channel and Alleviates Pain: Treats local pain and obstruction syndromes along the Spleen channel, especially in the medial aspect of the leg and knee.
Calms the Shen (Mind): Indirectly supports mental clarity and focus by ensuring adequate nourishment of the Heart and Brain through efficient Qi and Blood production; can be used for overthinking and worry related to Spleen imbalance.
For a comprehensive review, refer to detailed Spleen channel charts and specific point locations and their full functions.
Understanding the interconnectedness of Spleen functions directly informs clinical point selection and treatment strategies.
Clinical Practice & Channel Pathways
Clinical practice considerations for channel pathways.
Review of channel pathways using picture pages.
Picture Page (Page 22)
Focus on the primary channel pathway.
Study by asking: What channel precedes the stomach channel?
Understand the channel's path: body surface distribution (with points) and internal branches (without points).
Determine what channel follows the stomach channel.
Visualize the channel if possible; otherwise, use the picture.
Stomach Channel of Foot Yang Ming
Keywords: starts beside the nose at LI20.
Path: Inner canthus
infraorbital ridge
face (below pupil).
Passes through points: Stomach 1, Stomach 2, Stomach 3, Stomach 4 (corner of the mouth).
Curves to the angle of the mandible, in front of the ear, and to the anterior hairline.
Connects to DU24, rocking the head.
Stomach 1-8: treat local problems (eye, face, gum, teeth, mandibular, ear, head).
Neck and Throat Region
Channel passes through the neck (Stomach 5 onward).
Stomach 9, 10, 11, 12: treat neck and throat problems.
Stomach 12: Important point for multiple Yang channels passing through.
Internal trunk connection to internal organs.
Chest Points
Two branches: body surface distribution passing through the nipple.
Stomach 12 to Stomach 19: chest points that treat chest, heart, and lung problems.
Passes through the breast and treats breast problems.
Abdominal Area
Channel distribution narrows down to 2 cun lateral to the Ren channel.
Regions: upper, middle (around umbilicus), and lower abdomen.
Points: Stomach 19 to Stomach 30.
Upper abdomen: treat stomach problems.
Near umbilicus: treat intestinal problems.
Lower abdomen: treat lower abdominal problems (bowel movement, urination, gynecological issues).
Internal Branch
Travels from the chest, through the diaphragm.
Enters the stomach and connects with the spleen (internally/externally related organs).
Another branch separates from the lower part of the stomach.
Goes to Stomach 30 to join the body surface branch.
Trunk Area
Stomach 12 to Stomach 18: on the chest.
Stomach 19 to Stomach 30: on the abdomen.
Leg Points
Primarily treat local problems.
Stomach 31, 32, 33, 34.
Stomach 31: hip joint; treats hip and thigh problems.
Stomach 32 & 33: also treat hip and thigh problems.
Stomach 34 (Liang Qiu): C-cleft point for acute and painful conditions.
Treats acute pain along the channel (head to toes).
Acute stomach pain, cramping, nausea, vomiting.
Acute breast problems.
Lower Leg & Foot
Stomach channel travels on the anterior lateral aspect of the leg.
Stomach 35 to the ankle and second toe (primary channel).
Branches:
Tibial branch: Stomach 36 to the middle toe.
From the back of the foot: Stomach 42 to the middle to the big toe (medial side, connecting with the spleen channel).
Lower Connecting Channel
Lower connecting point: Stomach 40.
Remember the path from Stomach 40 to the throat, ear, and nape.
Branch to the back of the neck.
Divergent Channel
Starts on the lateral side of the thigh.
Passes through the stomach, connects to the spleen, and passes through the heart (important).
Goes to the eye.
Muscle Region
Starts from the three middle toes.
Passes through the ankle and knee.
Two branches:
Hip branch: goes to the back.
Medial branch: goes to the genital area.
Entire branch goes from the genital to the supraclavicular fossa, through the neck.
Two branches from the neck: one to the ear, the other below the eyes.
Power of the Mind
We are who we are.
We are who we believe we are.
"I can do this."
We are perfect, but we cannot always do everything.
Accept challenges and try your best.
Stomach 35 (Du Bi)
Descriptive name: cough's nose (patella as cough's nose).
Location: On the knee in the hollow formed when the knee is flexed, immediately below the patella, lateral to the patellar ligament.
Medial and lateral C Yan (knee eye), extra points.
Stomach 35, also known as lateral C Yan.
Needling: Perpendicularly or obliquely insertion, cun deep.
Needling Techniques
Perpendicular insertion directed towards Wei Zhong (Bladder 40), cun deep.
Oblique insertion in the medial and superior direction behind the patella, cun deep.
Needle behind the patellar ligament to join with the medial C Yan.
Knee flexion is required and supported by a rolled pillow or cushion.
Anatomy
Femur, tibia, fibula, and patella.
Patellar ligament (strongest tendon).
Actions and Indications
Expel wind damp and reduce swelling.
Activate the channel and alleviate pain.
Swelling and pain of the knee joint.
Difficulty in flexing and extending the knee.
Weakness and numbness of the knee joint.
Atrophy disorder of the lower limb.
Leg Qi.
Beriberi (Leg Qi)
Deficiency in thiamine (Vitamin B1).
Wet Beriberi: Affects the cardiovascular system (heart problems, increased heart rate, shortness of breath, swelling of the lower leg).
Dry Beriberi: Affects the nervous system (difficulty walking, loss of feeling, paralysis, speech difficulty, mental confusion, etc.).
Jiao Qi (Athlete's Foot)
Tinea Pedis: Fungal skin infection, usually between the toes.
Common in sweaty feet confined to tight shoes.
Contagious: spread via contaminated floors, towels, clothing, etc.
Signs/Symptoms: Itchy, scaly rash.
Stomach 36 (Zu San Li)
Five-star point: very important.
English name: Leg Three Miles.
Nature: Earth point, He-Sea point, Lower He-Sea point of the stomach, one of Gao's command points, Madan-Yang's heavenly star point, point of Sea of Water and Grain.
Location: Below the knee, 3 cun inferior to Stomach 35, one-finger breadth lateral to the anterior crest of the tibia.
Proportional measurement: Distance between the popliteal crease and the tip of the lateral malleolus is 16 cun.
Need to mark proportional measurements.
Meaning of "Three Miles"
Indicates location: 3 cun below Stomach 35.
Indicates power: Able to run for three miles after needling.
Helps three things: Qi, blood, and yang.
Regulates upper, middle, and lower jiao (triple burner).
Regulates three organs: spleen, stomach, and heart.
Anatomical Reference
Anterior crest of the tibia.
Tibialis Anterior muscle.
Accurate Location
Below the knee and three "swing" inferior to Stomach 35.
One-finger breath lateral to the anterior crest of the tibia.
Suggestion: first locate GB 34 and then stomach 36 is one cun inferior to Yang Mingqian GB 34 and one-finger breadth lateral to the anterior crest of the tibia.
Measure Four fingers from Stomach 35 then do proportional measurement.
Needling
Perpendicularly, 1-1.5 cun deep depending on the patient's build.
Functions and Indications
Harmonize the stomach (for disharmony of the stomach: rebellious stomach qi, nausea, vomiting, hiccup, belching, epigastric pain/distension/indigestion, acid reflux).
Tonify the spleen, resolve dampness, and edema (for spleen deficiency, damp accumulation, fluid retention).
Tonify qi, nourish blood, and yin, strengthen the body (for qi deficiency, blood deficiency, yin deficiency, immune deficiency).
Brighten the eyes (for eye problems, blurred vision).
Regulate the nutritive and defensive qi (prevent attack of exterior pathogens during colds/flus).
Regulate the intestines (for intestinal/bowel movement/digestive system problems).
Raise yang (treat prolapse of the organs: spleen qi collapse).
Activate the channel and alleviate pain (for B syndrome: painful obstruction syndrome).
Specific Indications
Deficiency of spleen and stomach (gastric pain, vomiting, hiccup, abdominal distension, borborygmus, diarrhea, dysentery, constipation).
Prevention of attack by exterior pathogens.
General deficiency of qi and blood (fatigue, shortness of breath, dyspnea).
Blurred vision and declining eyesight.
Edema.
Prolapse of internal organs.
Constipation of deficiency nature.
Painful obstruction syndrome (wind/cold/dampness such as knee/wrist pain).
Dizziness, insomnia, palpitations, postpartum dizziness (qi and blood deficiency).
Four Command Points
Stomach 36 is one of the four command points and a very general point.
Points for specific areas and treat disorders in related areas from any etiology (acute/chronic, excess/deficiency, exterior/interior, cold/heat).
Heavenly Star Points
Twelve very important points, including the command points.
Named the Heavenly Star Points.
Stomach 37 (Shang Ju Xu)
Lower He-Sea point of the Large Intestine.
Point of the Sea of Blood.
Location: Lower leg, 3 cun inferior to Stomach 36, one-finger breadth lateral to the anterior crest of the tibia.
Needling: Perpendicular/oblique insertion, cun deep.
Actions
Regulate the intestine and transform stagnation.
Clear damp heat and alleviate diarrhea and dysentery.
Regulate the spleen and stomach.
Activate the channel and alleviate pain.
Indications
Regulate the stomach and intestine, eliminate damp heat, dispel retention of fluid.
Chronic diarrhea, damp heat pattern of the large intestine with loose/offensive stools with mucus/blood, abdominal pain/distension, borborygmus.
Dysentery, Constipation.
Enteritis (IBS - irritable bowel syndrome).
Paralysis due to stroke.
Asthma and breathlessness (large intestine/lung relationship).
Stomach 38 (Tiao Kou)
Loosen Chest.
Location: Lower leg, midway between the tibiofemoral joint line (level with popliteal crease) and the prominence of the lateral malleolus, one-finger breadth lateral to the anterior crest of the tibia.
Needling: Perpendicular/oblique insertion, cun deep.
Action
Expel wind damp and alleviate pain; benefit the shoulder.
Indication
Shoulder problem, atrophy disorders, and so on.
Atrophy, pain, numbness, coldness, swelling of the shin.
Knee and lower leg problems.
Heat in the soles of the foot.
Pain and stiffness of the shoulder, abdominal pain.
Needle on the same side as shoulder problem.
Stomach 39 (Xia Ju Xu)
Lower He-Sea point of the Small Intestine.
Sea of Blood.
Location: Lower leg, cun inferior to Stomach 37, one-finger breadth lateral to the anterior crest of the tibia.
Divide the distance between the tibiofemoral joint line and the prominence of the lateral malleolus into two equal parts; Stomach 38 is at the midpoint, and Stomach 39 is located one cun below Stomach 38.
Needling: Perpendicular, cun deep.
Actions
Move and transform stagnation of the Small Intestine.
Regulate and harmonize the intestines; clear damp heat.
Activate the channel and leave the pain.
Indication
Lower abdominal pain, lumbar pain radiating to testicles (small intestine hernia).
Diarrhea, undigested food, dysentery, pus/blood in the stool.
Painful Obstruction.
Numbness of the lower leg.
Extreme sensation to cold/heat in the shoulder.
Heat sensation between ring/little fingers.
Burning sensation in front of the ear.
Stomach 40 (Feng Long)
Four-star point: Very important.
English name: Abundant bulge.
Lower-Connecting point.
Location: Lower leg, between the middle of the tibiofemoral joint line and the lateral malleolus, two-finger breadth lateral to the anterior crest of the tibia.
Needling: Perpendicular/oblique insertion, cun deep.
Actions and Indications
Transform phlegm and dampness, open the chest.
Clear phlegm in the lung.
Alleviate cough and asthma.
Clear phlegm from the heart and calm the spirit.
Activate the channel and alleviate pain.
We use it for channel obstruction, painful obstruction, atrophy disorder, stiffness, and pain of the knees, and so on.
Pathologies and Corresponding Issues of Phlegm
Spleen's failure to transport the damp.
Phlegm obstructing the body and the channel lead to chest depression and tightness.
Lung obstruction by phlegm leads to dyspnea, cough and asthma.
Thrombus.
Plaques.
High level of fat, and cholesterol levels.
Understanding Clear Lung From the Heart and Calm the Spirit
Heart is the house of the mind, which can be disturbed by phlegm.
Fire phlegm can lead to more agitated mental states, while cold phlegm may cause mental fogginess or dullness.
Symptoms and Signs of Phlegm
Copious amounts of phlegm.
Fullness.
Oppression.
Pain in the chest.
Headache, dizziness, and vertigo that's in the brain.
In the heart, the plum stone chi is found.
Damp, slackness, and heaviness of the body.
Cough and shortness of breath, dyspnea, asthma, and cough with copious phlegm.
Mania, depression, restlessness, and night here calm the mind.
Constipation difficulty in passing urine and stool, this is something about phlegm when it's affected too.
The disorder. Painful obstruction disorder, and so on.
Stomach 41 (Jie Xi)
Stream Divide.
Jing-River.
Location: On the ankle, level with the prominence of the lateral malleolus; in a depression between the tendons of extensor hallucis longus and extensor digitorum longus.
Needling: Perpendicular, cun deep. Be careful not to injure anterior tibial vessels and nerve lying deep to this point.
Functions and Applications
Clear heat from the stomach channel: for problems along the channel. Alleviate pain.
Local: Treats foot problems like drop foot.
Clear: Spirit (Shen) for cardiac spasms, epilepsy, spiritual problems.
Treats abdominal distention, constipation, vertigo.
Proportional Measurements of Stomach Lower Leg Points
Stomach 35
Stomach 41: 16 cun.
Lateral Side of the lower leg proportional measurements:
Keep in mind that the measurements should follow the stomach channel.
Stomach 35
Stomach 36: ~ 3 cun
Stomach 36
Stomach 37: ~ 3 cun
Stomach 37
Stomach 39: ~ 3 cun
Two Points that Break The Rule
Stomach 38: ~ Middle point between Stomach 35 and Stomach 41.
Stomach 40: Lies one finger breadth lateral to Stomach 38.
Tibial Landmark
Most of the Stomach lower leg points have anatomical relationship with the anterior crest of the tibia.
Practice on page 72 with picture book to properly see this relationships.
Points On The Thigh
Superior border of the patella, which treated as 18 cun.
Stomach 32: 6 cun above the superior border of the patella.
Stomach 33: ~ ~ 3 cun above the the superior border of the patella.
Stomach 34: ~ 2 cun above the superior border of the patella.
Major Points On The Top Of The Foot
Tendons of extensor digitorum longus and extensor hallucis longus.
Key anatomical structures with point locations.
Be familiar with cuneiform, phalanges, and metatarsals bones!
Stomach 42 (Chongyang)
Yuang-Prime point.
Location: On the dorsum of the foot, in a depression formed by the junction of the 2nd and 3rd metatarsal bones, distal to Stomach 41. 1.5 cun distal to Stomach 41, but also on the line between Stomach 41 and 43. Also at the location where you can palpate the dorsalis pedis artery May be palpated.
Needling: Oblique/perpendicular, cun.
Caution: Avoid puncturing artery.
Functions and Indications
Clear heat from the stomach channel, harmonize the stomach.
Calm the spirit, activate the channel and alleviate the pain.
Pain of upper teeth, deviation of mouth and eyes, heat and pain inside of mouth, sweating, pain of the face, abdominal distention with no pleasure to eat and, also gastric pain due to vomiting.
Redness and swelling of dorsum of the foot.
Atrophy and motor impairment of the foot.
Stomach 43 (Xiangu)
Stream-divide, shu-stream and wood point.
Located on dorsum (top) of the foot between 2nd and 3 rd metatarsals.
Proximal to Stomach 44 (if you palp from 44 your finger can fall into depression, remember above 44!)
Needling: perpendicular or oblique insertions, cun depths.
Functions and Indications
Regulates the spleen to dispel edema.
Regulates stomach harmonizes intestine, regulates spleen. Also clear damp heat.
Facial swelling, pain and sweating of the eye.
Swelling, pain of dorsum of the foot, abdominal pain distention and fullness, the borborygmus.
Stomach 44 (Neiting)
Inner courtyard.
Ying-Spring point and waterpoint.
Madan-Yang's Heavenly Star point.
Located on dorsum of foot, between second and third toe.
cun proximal to margin of web.
Distal to metatarsal phalangeal joint.
Needling: perpendicular inserting in the distance.
Point cun for oblique insertion.
Function of the Point
Clears heat and spring point where mother can benefit.
Clears heat for stomach channel also alleviates pain. Is to use them for stomach pain.
Harmonize intestine to clear damp heat too.
Application and Indications
Toothache also an eye/face deviation. Toothache is also related to the Stomach channel. General for disease of the Yang Ming stage.
Heat and problems of stomach channel.
Pain and acid and abdominal problems and is mainly a small intestine issue.
Digestion. Inclined affect the stomach and the chest.
Stomach 45 (Lidui)
Jin-Well point (on dorsal aspect of the second toe).
Metal point and Sun reduction point for Earth channel. Use mainly.
At junction of the dorsal aspect of second toe on a line drawing lateral border on the nail and base of the nail.
At 0.1 cun from corner.
Needling: Insert perpendicularly or obliquely towards proximal for 0.2 cun.
Application & Indication
Clear heat, calm the mind, and restore consciousness; clears heat from the Stomach channel.
Covers problems of the entire face, such as eye and head issues, nose bleeding, and toothache. It also addresses issues related to the Spleen affecting the facial area.
It is a point to consider for abdominal distention, febrile diseases disturbing sleep (insomnia), and loss of consciousness, as seen in cases of trauma.
Also very effective for heat in the head and nose bleeding.
As a Jing-Well point, it is always used for acute conditions, coldness in the leg, or foot issues.
Specific Point Table
Remember the 10 groups and be able to fill them.
Fill in the blank with specific point of all 14 channels.
Specific Points of the Stomach Channel Table
The 19 specific points include classifications such as:
Five Element Points
Five Shu Points
Lower He-Sea Points
Yuan-Primary Points
Luo-Connecting Points
Front-Mu Points
Back-Shu Points
Xi-Cleft Points
Heavenly Star Points
Command Points (Stomach 36 is one)
Point of Sea of Water and Grain (Stomach 36)
Point of Sea of Blood (Stomach 37, Stomach 39)
Confluent Points (N/A for Stomach channel, as listed)
Influential Points (if applicable)
All Channel Points Breakdown
Specific points of each channel: Understanding their unique classifications and functions.
For instance, Five Shu points are found on every channel.
Summary of Specific Points Table
Each channel includes specific points such as Xi-Cleft points.
It is crucial to have specific information for each point, including its classification (e.g., how many cross points, divergent channels are associated with it).
Review and practice filling in these tables to consolidate knowledge for exams.
Practice the Primary 14 chart create a table you can just go over
Review of the Spleen Channel of Foot Taiyin
Spleen primary channel.
Lower connecting channel.
Lower channel muscle channel channel.
The greater connecting channel of the spleen or major collateral of the spleen. So, review the picture and what it entails.
Review Points (Picture Book - 35-39)
Review point locations and pathways, particularly for the Spleen channel.
The Spleen channel starts at the medial side of the big toe, rises along the medial aspect of the foot (e.g., Spleen 5), crossing various anatomical landmarks.
Understand its full path, including connections to other channels and organs (e.g., Stomach), and its distribution from point 4 to 24 of 25, and its descent.
Review 2: Spleen Points
Thoroughly review all Spleen points, including their individual functions and how they relate to the Heart.
Understand how the Spleen channel spreads and connects throughout the body.
Major Clinical Pathologies & Review of Primary Functions
Dominates Transformation and Transportation:
Oversees the transformation of food and water into essential substances (Qi, Blood, Body Fluids).
Controls the transportation of these substances throughout the body.
Dysfunction can lead to dampness, phlegm, edema, poor digestion, and absorption issues.
Controls the Blood:
Keeps Blood within the blood vessels, preventing hemorrhage.
Involved in the production of Blood (through its role in transforming food essence).
Deficiency can lead to bleeding disorders (e.g., menorrhagia, purpura) and anemia.
Dominates the Muscles and Four Limbs:
Provides Qi and nourishment to the muscles, ensuring strength and tone.
Weakness, atrophy, flaccidity, or fatigue of the limbs often indicate Spleen Qi deficiency.
Opens into the Mouth and Manifests in the Lips:
The Spleen's health is reflected in the condition of the lips (color, moisture).
Taste perception is governed by the Spleen (poor appetite, altered taste can indicate Spleen imbalance).
Controls the Upright Qi / Raising Qi:
Responsible for raising Qi upwards to prevent prolapse of organs (e.g., uterine prolapse, stomach prolapse).
Deficiency can lead to a feeling of heaviness or sinking, and organ prolapse.
Spleen Actions and Indications
Harmonizes the Spleen and Stomach: Treats digestive disorders such as abdominal distension, poor appetite, nausea, vomiting, diarrhea, and constipation caused by Spleen and Stomach disharmony.
Resolves Dampness and Reduces Edema: Effective for conditions like edema, borborygmus, and loose stools due to the Spleen's inability to transform water and fluids.
Tonifies Qi and Nourishes Blood: Used for deficiency syndromes characterized by fatigue, weakness, shortness of breath, pale complexion, and dizziness, all stemming from insufficient Qi and Blood production.
Regulates and Controls Blood: Addresses bleeding disorders, such as chronic menorrhagia, purpura, or internal bleeding, by strengthening the Spleen's function of keeping blood within vessels.
Lifts Yang and Prevents Prolapse: Applied for conditions of Spleen Qi sinking, including organ prolapse (e.g., uterine, rectal, stomach prolapse), and chronic debilitating illnesses with a feeling of heaviness.
Activates Channel and Alleviates Pain: Treats local pain and obstruction syndromes along the Spleen channel, especially in the medial aspect of the leg and knee.
Calms the Shen (Mind): Indirectly supports mental clarity and focus by ensuring adequate nourishment of the Heart and Brain through efficient Qi and Blood production; can be used for overthinking and worry related to Spleen imbalance.
For a comprehensive review, refer to detailed Spleen channel charts and specific point locations and their full functions.
Understanding the interconnectedness of Spleen functions directly informs clinical point selection and treatment strategies.
Clinical Practice & Channel Pathways
Clinical practice considerations for channel pathways.
Review of channel pathways using picture pages.
Picture Page (Page 22)
Focus on the primary channel pathway.
Study by asking: What channel precedes the stomach channel?
Understand the channel's path: body surface distribution (with points) and internal branches (without points).
Determine what channel follows the stomach channel.
Visualize the channel if possible; otherwise, use the picture.
Stomach Channel of Foot Yang Ming
Keywords: starts beside the nose at LI20.
Path: Inner canthus
infraorbital ridge
face (below pupil).
Passes through points: Stomach 1, Stomach 2, Stomach 3, Stomach 4 (corner of the mouth).
Curves to the angle of the mandible, in front of the ear, and to the anterior hairline.
Connects to DU24, rocking the head.
Stomach 1-8: treat local problems (eye, face, gum, teeth, mandibular, ear, head).
Neck and Throat Region
Channel passes through the neck (Stomach 5 onward).
Stomach 9, 10, 11, 12: treat neck and throat problems.
Stomach 12: Important point for multiple Yang channels passing through.
Internal trunk connection to internal organs.
Chest Points
Two branches: body surface distribution passing through the nipple.
Stomach 12 to Stomach 19: chest points that treat chest, heart, and lung problems.
Passes through the breast and treats breast problems.
Abdominal Area
Channel distribution narrows down to 2 cun lateral to the Ren channel.
Regions: upper, middle (around umbilicus), and lower abdomen.
Points: Stomach 19 to Stomach 30.
Upper abdomen: treat stomach problems.
Near umbilicus: treat intestinal problems.
Lower abdomen: treat lower abdominal problems (bowel movement, urination, gynecological issues).
Internal Branch
Travels from the chest, through the diaphragm.
Enters the stomach and connects with the spleen (internally/externally related organs).
Another branch separates from the lower part of the stomach.
Goes to Stomach 30 to join the body surface branch.
Trunk Area
Stomach 12 to Stomach 18: on the chest.
Stomach 19 to Stomach 30: on the abdomen.
Leg Points
Primarily treat local problems.
Stomach 31, 32, 33, 34.
Stomach 31: hip joint; treats hip and thigh problems.
Stomach 32 & 33: also treat hip and thigh problems.
Stomach 34 (Liang Qiu): C-cleft point for acute and painful conditions.
Treats acute pain along the channel (head to toes).
Acute stomach pain, cramping, nausea, vomiting.
Acute breast problems.
Lower Leg & Foot
Stomach channel travels on the anterior lateral aspect of the leg.
Stomach 35 to the ankle and second toe (primary channel).
Branches:
Tibial branch: Stomach 36 to the middle toe.
From the back of the foot: Stomach 42 to the middle to the big toe (medial side, connecting with the spleen channel).
Lower Connecting Channel
Lower connecting point: Stomach 40.
Remember the path from Stomach 40 to the throat, ear, and nape.
Branch to the back of the neck.
Divergent Channel
Starts on the lateral side of the thigh.
Passes through the stomach, connects to the spleen, and passes through the heart (important).
Goes to the eye.
Muscle Region
Starts from the three middle toes.
Passes through the ankle and knee.
Two branches:
Hip branch: goes to the back.
Medial branch: goes to the genital area.
Entire branch goes from the genital to the supraclavicular fossa, through the neck.
Two branches from the neck: one to the ear, the other below the eyes.
Power of the Mind
We are who we are.
We are who we believe we are.
"I can do this."
We are perfect, but we cannot always do everything.
Accept challenges and try your best.
Stomach 35 (Du Bi)
Descriptive name: cough's nose (patella as cough's nose).
Location: On the knee in the hollow formed when the knee is flexed, immediately below the patella, lateral to the patellar ligament.
Medial and lateral C Yan (knee eye), extra points.
Stomach 35, also known as lateral C Yan.
Needling: Perpendicularly or obliquely insertion, cun deep.
Needling Techniques
Perpendicular insertion directed towards Wei Zhong (Bladder 40), cun deep.
Oblique insertion in the medial and superior direction behind the patella, cun deep.
Needle behind the patellar ligament to join with the medial C Yan.
Knee flexion is required and supported by a rolled pillow or cushion.
Anatomy
Femur, tibia, fibula, and patella.
Patellar ligament (strongest tendon).
Actions and Indications
Expel wind damp and reduce swelling.
Activate the channel and alleviate pain.
Swelling and pain of the knee joint.
Difficulty in flexing and extending the knee.
Weakness and numbness of the knee joint.
Atrophy disorder of the lower limb.
Leg Qi.
Beriberi (Leg Qi)
Deficiency in thiamine (Vitamin B1).
Wet Beriberi: Affects the cardiovascular system (heart problems, increased heart rate, shortness of breath, swelling of the lower leg).
Dry Beriberi: Affects the nervous system (difficulty walking, loss of feeling, paralysis, speech difficulty, mental confusion, etc.).
Jiao Qi (Athlete's Foot)
Tinea Pedis: Fungal skin infection, usually between the toes.
Common in sweaty feet confined to tight shoes.
Contagious: spread via contaminated floors, towels, clothing, etc.
Signs/Symptoms: Itchy, scaly rash.
Stomach 36 (Zu San Li)
Five-star point: very important.
English name: Leg Three Miles.
Nature: Earth point, He-Sea point, Lower He-Sea point of the stomach, one of Gao's command points, Madan-Yang's heavenly star point, point of Sea of Water and Grain.
Location: Below the knee, 3 cun inferior to Stomach 35, one-finger breadth lateral to the anterior crest of the tibia.
Proportional measurement: Distance between the popliteal crease and the tip of the lateral malleolus is 16 cun.
Need to mark proportional measurements.
Meaning of "Three Miles"
Indicates location: 3 cun below Stomach 35.
Indicates power: Able to run for three miles after needling.
Helps three things: Qi, blood, and yang.
Regulates upper, middle, and lower jiao (triple burner).
Regulates three organs: spleen, stomach, and heart.
Anatomical Reference
Anterior crest of the tibia.
Tibialis Anterior muscle.
Accurate Location
Below the knee and three "swing" inferior to Stomach 35.
One-finger breath lateral to the anterior crest of the tibia.
Suggestion: first locate GB 34 and then stomach 36 is one cun inferior to Yang Mingqian GB 34 and one-finger breadth lateral to the anterior crest of the tibia.
Measure Four fingers from Stomach 35 then do proportional measurement.
Needling
Perpendicularly, 1-1.5 cun deep depending on the patient's build.
Functions and Indications
Harmonize the stomach (for disharmony of the stomach: rebellious stomach qi, nausea, vomiting, hiccup, belching, epigastric pain/distension/indigestion, acid reflux).
Tonify the spleen, resolve dampness, and edema (for spleen deficiency, damp accumulation, fluid retention).
Tonify qi, nourish blood, and yin, strengthen the body (for qi deficiency, blood deficiency, yin deficiency, immune deficiency).
Brighten the eyes (for eye problems, blurred vision).
Regulate the nutritive and defensive qi (prevent attack of exterior pathogens during colds/flus).
Regulate the intestines (for intestinal/bowel movement/digestive system problems).
Raise yang (treat prolapse of the organs: spleen qi collapse).
Activate the channel and alleviate pain (for B syndrome: painful obstruction syndrome).
Specific Indications
Deficiency of spleen and stomach (gastric pain, vomiting, hiccup, abdominal distension, borborygmus, diarrhea, dysentery, constipation).
Prevention of attack by exterior pathogens.
General deficiency of qi and blood (fatigue, shortness of breath, dyspnea).
Blurred vision and declining eyesight.
Edema.
Prolapse of internal organs.
Constipation of deficiency nature.
Painful obstruction syndrome (wind/cold/dampness such as knee/wrist pain).
Dizziness, insomnia, palpitations, postpartum dizziness (qi and blood deficiency).
Four Command Points
Stomach 36 is one of the four command points and a very general point.
Points for specific areas and treat disorders in related areas from any etiology (acute/chronic, excess/deficiency, exterior/interior, cold/heat).
Havenly Star Points
Twelve very important points, including the command points.
Named the Heavenly Star Points.
Stomach 37 (Shang Ju Xu)
Lower He-Sea point of the Large Intestine.
Point of the Sea of Blood.
Location: Lower leg, 3 cun inferior to Stomach 36, one-finger breadth lateral to the anterior crest of the tibia.
Needling: Perpendicular/oblique insertion, cun deep.
Actions
Regulate the intestine and transform stagnation.
Clear damp heat and alleviate diarrhea and dysentery.
Regulate the spleen and stomach.
Activate the channel and alleviate pain.
Indications
Regulate the stomach and intestine, eliminate damp heat, dispel retention of fluid.
Chronic diarrhea, damp heat pattern of the large intestine with loose/offensive stools with mucus/blood, abdominal pain/distension, borborygmus.
Dysentery, Constipation.
Enteritis (IBS - irritable bowel syndrome).
Paralysis due to stroke.
Asthma and breathlessness (large intestine/lung relationship).
Stomach 38 (Tiao Kou)
Loosen Chest.
Location: Lower leg, midway between the tibiofemoral joint line (level with popliteal crease) and the prominence of the lateral malleolus, one-finger breadth lateral to the anterior crest of the tibia.
Needling: Perpendicular/oblique insertion, cun deep.
Action
Expel wind damp and alleviate pain; benefit the shoulder.
Indication
Shoulder problem, atrophy disorders, and so on.
Atrophy, pain, numbness, coldness, swelling of the shin.
Knee and lower leg problems.
Heat in the soles of the foot.
Pain and stiffness of the shoulder, abdominal pain.
Needle on the same side as shoulder problem.
Stomach 39 (Xia Ju Xu)
Lower He-Sea point of the Small Intestine.
Sea of Blood.
Location: Lower leg, cun inferior to Stomach 37, one-finger breadth lateral to the anterior crest of the tibia.
Divide the distance between the tibiofemoral joint line and the prominence of the lateral malleolus into two equal parts; Stomach 38 is at the midpoint, and Stomach 39 is located one cun below Stomach 38.
Needling: Perpendicular, cun deep.
Actions
Move and transform stagnation of the Small Intestine.
Regulate and harmonize the intestines; clear damp heat.
Activate the channel and leave the pain.
Indication
Lower abdominal pain, lumbar pain radiating to testicles (small intestine hernia).
Diarrhea, undigested food, dysentery, pus/blood in the stool.
Painful Obstruction.
Numbness of the lower leg.
Extreme sensation to cold/heat in the shoulder.
Heat sensation between ring/little fingers.
Burning sensation in front of the ear.
Stomach 40 (Feng Long)
Four-star point: Very important.
English name: Abundant bulge.
Lower-Connecting point.
Location: Lower leg, between the middle of the tibiofemoral joint line and the lateral malleolus, two-finger breadth lateral to the anterior crest of the tibia.
Needling: Perpendicular/oblique insertion, cun deep.
Actions and Indications
Transform phlegm and dampness, open the chest.
Clear phlegm in the lung.
Alleviate cough and asthma.
Clear phlegm from the heart and calm the spirit.
Activate the channel and alleviate pain.
We use it for channel obstruction, painful obstruction, atrophy disorder, stiffness, and pain of the knees, and so on.
Pathologies and Corresponding Issues of Phlegm
Spleen's failure to transport the damp.
Phlegm obstructing the body and the channel lead to chest depression and tightness.
Lung obstruction by phlegm leads to dyspnea, cough and asthma.
Thrombus.
Plaques.
High level of fat, and cholesterol levels.
Understanding Clear Lung From the Heart and Calm the Spirit
Heart is the house of the mind, which can be disturbed by phlegm.
Fire phlegm can lead to more agitated mental states, while cold phlegm may cause mental fogginess or dullness.
Symptoms and Signs of Phlegm
Copious amounts of phlegm.
Fullness.
Oppression.
Pain in the chest.
Headache, dizziness, and vertigo that's in the brain.
In the heart, the plum stone chi is found.
Damp, slackness, and heaviness of the body.
Cough and shortness of breath, dyspnea, asthma, and cough with copious phlegm.
Mania, depression, restlessness, and night here calm the mind.
Constipation difficulty in passing urine and stool, this is something about phlegm when it's affected too.
The disorder. Painful obstruction disorder, and so on.
Stomach 41 (Jie Xi)
Stream Divide.
Jing-River.
Location: On the ankle, level with the prominence of the lateral malleolus; in a depression between the tendons of extensor hallucis longus and extensor digitorum longus.
Needling: Perpendicular, cun deep. Be careful not to injure anterior tibial vessels and nerve lying deep to this point.
Functions and Applications
Clear heat from the stomach channel: for problems along the channel. Alleviate pain.
Local: Treats foot problems like drop foot.
Clear: Spirit (Shen) for cardiac spasms, epilepsy, spiritual problems.
Treats abdominal distention, constipation, vertigo.
Proportional Measurements of Stomach Lower Leg Points
Stomach 35
Stomach 41: 16 cun.
Lateral Side of the lower leg proportional measurements:
Keep in mind that the measurements should follow the stomach channel.
Stomach 35
Stomach 36:
~ 3 cun
Stomach 36
Stomach 37:
~ 3 cun
Stomach 37
Stomach 39:
~ 3 cun
Two Points that Break The Rule
Stomach 38:
~ Middle point between Stomach 35 and Stomach 41.
Stomach 40: Lies one finger breadth lateral to Stomach 38.
Tibial Landmark
Most of the Stomach lower leg points have anatomical relationship with the anterior crest of the tibia.
Practice on page 72 with picture book to properly see this relationships.
Points On The Thigh
Superior border of the patella, which treated as 18 cun.
Stomach 32: 6 cun above the superior border of the patella.
Stomach 33:
~
~ 3 cun above the the superior border of the patella.
Stomach 34:
~ 2 cun above the superior border of the patella.
Major Points On The Top Of The Foot
Tendons of extensor digitorum longus and extensor hallucis longus.
Key anatomical structures with point locations.
Be familiar with cuneiform, phalanges, and metatarsals bones!
Stomach 42 (Chongyang)
Yuang-Prime point.
Location: On the dorsum of the foot, in a depression formed by the junction of the 2nd and 3rd metatarsal bones, distal to Stomach 41. 1.5 cun distal to Stomach 41, but also on the line between Stomach 41 and 43. Also at the location where you can palpate the dorsalis pedis artery May be palpated.
Needling: Oblique/perpendicular, cun.
Caution: Avoid puncturing artery.
Functions and Indications
Clear heat from the stomach channel, harmonize the stomach.
Calm the spirit, activate the channel and alleviate the pain.
Pain of upper teeth, deviation of mouth and eyes, heat and pain inside of mouth, sweating, pain of the face, abdominal distention with no pleasure to eat and, also gastric pain due to vomiting.
Redness and swelling of dorsum of the foot.
Atrophy and motor impairment of the foot.
Stomach 43 (Xiangu)
Stream-divide, shu-stream and wood point.
Located on dorsum (top) of the foot between 2nd and 3 rd metatarsals.
Proximal to Stomach 44 (if you palp from 44 your finger can fall into depression, remember above 44!)
Needling: perpendicular or oblique insertions, cun depths.
Functions and Indications
Regulates the spleen to dispel edema.
Regulates stomach harmonizes intestine, regulates spleen. Also clear damp heat.
Facial swelling, pain and sweating of the eye.
Swelling, pain of dorsum of the foot, abdominal pain distention and fullness, the borborygmus.
Stomach 44 (Neiting)
Inner courtyard.
Ying-Spring point and waterpoint.
Madan-Yang's Heavenly Star point.
Located on dorsum of foot, between second and third toe.
cun proximal to margin of web.
Distal to metatarsal phalangeal joint.
Needling: perpendicular inserting in the distance.
Point cun for oblique insertion.
Function of the Point
Clears heat and spring point where mother can benefit.
Clears heat for stomach channel also alleviates pain. Is to use them for stomach pain.
Harmonize intestine to clear damp heat too.
Application and Indications
Toothache also an eye/face deviation. Toothache is also related to the Stomach channel. General for disease of the Yang Ming stage.
Heat and problems of stomach channel.
Pain and acid and abdominal problems and is mainly a small intestine issue.
Digestion. Inclined affect the stomach and the chest.
Stomach 45 (Lidui)
Jin-Well point (on dorsal aspect of the second toe).
Metal point and Sun reduction point for Earth channel. Use mainly.
At junction of the dorsal aspect of second toe on a line drawing lateral border on the nail and base of the nail.
At 0.1 cun from corner.
Needling: Insert perpendicularly or obliquely towards proximal for 0.2 cun.
Application & Indication
Clear heat, calm the mind, and restore consciousness; clears heat from the Stomach channel.
Covers problems of the entire face, such as eye and head issues, nose bleeding, and toothache. It also addresses issues related to the Spleen affecting the facial area.
It is a point to consider for abdominal distention, febrile diseases disturbing sleep (insomnia), and loss of consciousness, as seen in cases of trauma.
Also very effective for heat in the head and nose bleeding.
As a Jing-Well point, it is always used for acute conditions, coldness in the leg, or foot issues.
Specific Point Table
Remember the 10 groups and be able to fill them.
Fill in the blank with specific point of all 14 channels.
Specific Points of the Stomach Channel Table
The 19 specific points include classifications such as:
Five Element Points
Five Shu Points
Lower He-Sea Points
Yuan-Primary Points
Luo-Connecting Points
Front-Mu Points
Back-Shu Points
Xi-Cleft Points
Heavenly Star Points
Command Points (Stomach 36 is one)
Point of Sea of Water and Grain (Stomach 36)
Point of Sea of Blood (Stomach 37, Stomach 39)
Confluent Points (N/A for Stomach channel, as listed)
Influential Points (if applicable)
All Channel Points Breakdown
Specific points of each channel: Understanding their unique classifications and functions.
For instance, Five Shu points are found on every channel.
Summary of Specific Points Table
Each channel includes specific points such as Xi-Cleft points.
It is crucial to have specific information for each point, including its classification (e.g., how many cross points, divergent channels are associated with it).
Review and practice filling in these tables to consolidate knowledge for exams.
Practice the Primary 14 chart create a table you can just go over
Review of the Spleen Channel of Foot Taiyin
Spleen primary channel.
Lower connecting channel.
Lower channel muscle channel channel.
The greater connecting channel of the spleen or major collateral of the spleen. So, review the picture and what it entails.
Review Points (Picture Book - 35-39)
Review point locations and pathways, particularly for the Spleen channel.
The Spleen channel starts at the medial side of the big toe, rises along the medial aspect of the foot (e.g., Spleen 5), crossing various anatomical landmarks.
Understand its full path, including connections to other channels and organs (e.g., Stomach), and its distribution from point 4 to 24 of 25, and its descent.
Review 2: Spleen Points
Thoroughly review all Spleen points, including their individual functions and how they relate to the Heart.
Understand how the Spleen channel spreads and connects throughout the body.
Spleen 3 (Tai Bai)
Nature: Shu-Stream Point, Yuan-Source Point, Earth Point
Location: On the medial side of the foot, posterior and inferior to the head of the 1st metatarsal bone, in the depression of the red and white skin.
Needling: Perpendicular insertion, cun deep.
Actions and Indications:
Strengthens the Spleen and resolves dampness.
Harmonizes the Spleen and Stomach, treats abdominal distention, indigestion, diarrhea, dysentery, constipation.
Treats heaviness of the body and aches in the joints.
Spleen 6 (San Yin Jiao)
Nature: Meeting point of the three Yin channels of the leg (Spleen, Kidney, Liver).
Location: 3 cun directly above the tip of the medial malleolus, on the posterior border of the tibia.
Needling: Perpendicular insertion, cun deep. Caution: Contraindicated in pregnancy.
Actions and Indications:
Strengthens the Spleen and Stomach, resolves dampness.
Harmonizes the Liver and Kidneys.
Regulates menstruation and alleviates pain: Treats irregular menstruation, dysmenorrhea, uterine bleeding, and infertility.
Benefits urination and resolves edema: Treats edema, difficult urination.
Calms the Spirit (Shen): Treats insomnia, dizziness, irritability.
Activates the channel and alleviates pain: Treats pain in the lower leg and ankle.
Spleen 9 (Yin Ling Quan)
Nature: He-Sea point, Water Point.
Location: On the medial aspect of the lower leg, in the depression on the inferior border of the medial condyle of the tibia, at the level of GB34 (Yang Ling Quan).
Needling: Perpendicular insertion, cun deep.
Actions and Indications:
Eliminates dampness and resolves damp-heat.
Regulates the Spleen and Kidney, harmonizes the Lower Jiao.
Treats edema, dysuria, vaginal discharge, abdominal distention, diarrhea.
Treats pain and swelling of the knee and lower leg.
Major Clinical Pathologies & Review of Primary Functions
Dominates Transformation and Transportation:
Oversees the transformation of food and water into essential substances (Qi, Blood, Body Fluids).
Controls the transportation of these substances throughout the body.
Dysfunction can lead to dampness, phlegm, edema, poor digestion, and absorption issues.
Controls the Blood:
Keeps Blood within the blood vessels, preventing hemorrhage.
Involved in the production of Blood (through its role in transforming food essence).
Deficiency can lead to bleeding disorders (e.g., menorrhagia, purpura) and anemia.
Dominates the Muscles and Four Limbs:
Provides Qi and nourishment to the muscles, ensuring strength and tone.
Weakness, atrophy, flaccidity, or fatigue of the limbs often indicate Spleen Qi deficiency.
Opens into the Mouth and Manifests in the Lips:
The Spleen's health is reflected in the condition of the lips (color, moisture).
Taste perception is governed by the Spleen (poor appetite, altered taste can indicate Spleen imbalance).
Controls the Upright Qi / Raising Qi:
Responsible for raising Qi upwards to prevent prolapse of organs (e.g., uterine prolapse, stomach prolapse).
Deficiency can lead to a feeling of heaviness or sinking, and organ prolapse.
Spleen Actions and Indications
Harmonizes the Spleen and Stomach: Treats digestive disorders such as abdominal distension, poor appetite, nausea, vomiting, diarrhea, and constipation caused by Spleen and Stomach disharmony.
Resolves Dampness and Reduces Edema: Effective for conditions like edema, borborygmus, and loose stools due to the Spleen's inability to transform water and fluids.
Tonifies Qi and Nourishes Blood: Used for deficiency syndromes characterized by fatigue, weakness, shortness of breath, pale complexion, and dizziness, all stemming from insufficient Qi and Blood production.
Regulates and Controls Blood: Addresses bleeding disorders, such as chronic menorrhagia, purpura, or internal bleeding, by strengthening the Spleen's function of keeping blood within vessels.
Lifts Yang and Prevents Prolapse: Applied for conditions of Spleen Qi sinking, including organ prolapse (e.g., uterine, rectal, stomach prolapse), and chronic debilitating illnesses with a feeling of heaviness.
Activates Channel and Alleviates Pain: Treats local pain and obstruction syndromes along the Spleen channel, especially in the medial aspect of the leg and knee.
Calms the Shen (Mind): Indirectly supports mental clarity and focus by ensuring adequate nourishment of the Heart and Brain through efficient Qi and Blood production; can be used for overthinking and worry related to Spleen imbalance.
For a comprehensive review, refer to detailed Spleen channel charts and specific point locations and their full functions.
Understanding the interconnectedness of Spleen functions directly informs clinical point selection and treatment strategies.
Spleen 1 (Yin Bai)
Nature: Jing-Well Point, Wood Point.
Location: On the medial side of the great toe, about cun posterior to the corner of the nail.
Needling: Perpendicular or oblique insertion, cun deep, or prick to bleed.
Actions and Indications:
Regulates the Spleen and stops bleeding: Treats various types of bleeding disorders, especially uterine bleeding due to Spleen Qi deficiency (e.g., menorrhagia, metrorrhagia).
Calms the Spirit and revives consciousness: Used for mental disorders, insomnia, fright epilepsy, mania, and loss of consciousness.
Harmonizes the Spleen and Stomach: Treats abdominal distension and borborygmus.
Spleen 2 (Da Du)
Nature: Ying-Spring Point, Fire Point.
Location: On the medial side of the great toe, anterior to the metatarsophalangeal joint, in the depression distal to the first metatarsal head, at the junction of the red and white skin.
Needling: Perpendicular insertion, cun deep.
Actions and Indications:
Harmonizes the Spleen and Stomach, resolves dampness: Treats abdominal distension, constipation, diarrhea, borborygmus.
Clears heat from the Spleen channel: Used for febrile diseases with absence of sweating, body ache, acid reflux.
Spleen 4 (Gong Sun)
Nature: Luo-Connecting Point of the Spleen channel, Confluent Point of the Chong Mai (Penetrating Vessel).
Location: On the medial side of the foot, in the depression distal and inferior to the base of the first metatarsal bone, at the junction of the red and white skin.
Needling: Perpendicular insertion, cun deep.
Actions and Indications:
Strengthens the Spleen and Stomach, harmonizes the Middle Jiao: Treats stomach ache, indigestion, abdominal distension, diarrhea, dysentery, vomiting.
Regulates the Chong Mai: Used for rebellious Qi of Chong Mai, regulating menstruation, treating heart pain and chest oppression, infertility.
Calms the Spirit: Treats restlessness and insomnia.
Activates the channel and alleviates pain: Treats pain in the ankle and leg.
Spleen 5 (Shang Qiu)
Nature: Jing-River Point, Metal Point.
Location: In the depression anterior and inferior to the medial malleolus, midway between the prominence of the medial malleolus and the tuberosity of the navicular bone.
Needling: Perpendicular insertion, cun deep.
Actions and Indications:
Strengthens the Spleen and resolves dampness: Treats abdominal distension, diarrhea, constipation, indigestion, jaundice, swelling and pain of joints.
Activates the channel and alleviates pain: Treats pain, stiffness, or motor impairment of the foot and ankle, especially due to sprains.
Spleen 10 (Xue Hai)
Nature: Point of the Sea of Blood.
Location: On the medial aspect of the thigh, 2 cun superior to the superior border of the patella, on the bulge of the vastus medialis muscle.
Needling: Perpendicular insertion, cun deep.
Actions and Indications:
Invigorates blood and dispels stasis: Master point for all blood disorders (e.g., irregular menstruation, amenorrhea, dysmenorrhea, uterine bleeding, purpura).
Cools blood and resolves dampness: Treats various skin diseases due to blood heat or dampness (e.g., urticaria, eczema).