11 Stomach.pdf

8/10/2019 11 Stomach.pdf

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Functions of the Stomach

The Stomach has 4 principal functions:

1.

To control the rotting and ripening of food

2. To control the transportation of food essences

3. To control the descending of qi

4.

It is the origin of fluids

Summary of ST points actions and indications

Treats all disorders of the yangming channel in the head including the eyes, face and

cheeks, forehead, nose, lips, gums and teeth.

Treats disorders of the ear.

Treats disorders of the throat. Regulates the functions of the intestines.

Treats disorders of the upper, middle and lower jiao, especially the LU, HT, chest,

epigastrium, ST, SP, uterus and BL.

Tonifies qi, blood, yang and yang.

Treats both acute and chronic disorders of the breast.

Treats disturbance of the spirit, especially mania-depression.


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The Stomach Channel

The Main Pathway

1.

The Stomach meridianbegins on the face at LI

20, ascends the side of

the nose to the anterior

median line at the bridge

of the nose and goes to

BL 1.

2. It then turns downwards

to ST 1-3. At ST 3 the

pathway goes to GV 26

(D says also GV 28,back to ST 4 and down

to CV 24, encircling the

mouth.)

3. The meridian continues to

ST 5 and around to ST 8

at the temporal hairline via

the cheek, the angle of the

mandible and the

zygomatic arch. It crosses

GB 3 in front of the ear

and GB 6/5/4, and

finally reaches the forehead

at GV 24. Some texts

mention another deep

pathway passing through

the eyes and into the

brain.

4. A branch emerges at ST 5

and continues down the

throat to ST 12 (D says a

deep pathway travels from ST 12 to the upper back to GV 14, CTA does not).

5. At ST 12 a deep pathway travels alongside the superficial meridian through the chest and

diaphragm to CV 13, where it enters the stomach and connects to the spleen. It continues to CV

12 and down to ST 30, where it rejoins the superficial meridian.

6. From ST 12 the main meridian travels straight down the chest, passing through the nipple. It

descends the abdomen to ST 30.


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ST 1 Receive TearsEntry, Reunion point,Yang Qiao Mo, Ren Mo 1-3 X

Location On the cheek

Immediately superior to the infra-orbital foramen

On the inferior border of the orbit

In line with the center of the pupil with the eye looking straight ahead JRW

Between the eyeball and the infraorbital margin

Inferior to the center of the pupil w/the eyes looking straight ahead.

Traditionally .7 cun below the pupil. CTA

Function Entry point

Reunion: ST, LI, CV, Yang Qiao Mo

Benefits the eyes and stops lacrimation D,M

Eliminates Wind D,B,Mand clears Heat from the eye D

Dissipates Fire from the eye B

Courses pathogens B

Brightens the eye B,M

Name Tear Container

Cheng: to contain, to hold, to carry; to receive

Qi:tears

Alternate Names:Face Bone-Hole, Brimming

Tears,

Mouse Hole, Ravine Hole

This point helps the body contain tears, hence the name.

LJ The role of the stomach is to digest and integrate lifes contribution to physiological

function. When emotional material has not been digested and integrated, it is

emotionally burdening in the same way undigested food makes one feel heavy. When

the stomach function is compromised, the large intestine may be unable to let go of

undigested emotional material, and one may never reach the stage of grieving, for

instance, over a traumatic loss. Hence, ST 1 may empower the receiving of tears,

indicating that the stuck energy has moved on and that one is now integrating the

experience. This point opens up the flow of qi at the source of the stomach meridian

and, therefore, may help to flush out undigested materials, both physiologically and

emotionally.

Other

The emphasis of this point is on the mental and spirit levels. It helps processing

and digesting which enriches and enhances the spirit.

It improves secretions to aid the digestive process

JG: This point allows a person to take in and receive nourishment. Use if a

person is unable to cry in a painful situation. It brings forth tears of compassion.


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ST 2 Four WhitesYang Qiao Mo 1-3 3

Location On the cheek

In the depression of the infra-orbital foramen

3 fen inferior to the inferior edge of the orbit JRW

Inferior to ST 1

In the infraorbital foramen

Traditionally 1 cun below the pupil CTA

Needling (1) 90 insertion .2-.4 cun

(2) 45 insertion superio-laterally, along infraorbital foramen .3-.5 cun

This point is contraindicated for moxa by several classical texts

Function Eliminates Wind D,M

Courses Wind and quickens the connecting vessels B

Clears Heat and benefits the eyes D

Brightens the eyes M

Soothes the sinews B

Relieves pain B

Name Four Whites

Si:four

Bai:white

Alternate Name:Grain Gate

The four white areas of the eye, located above, below and to either side of the iris

are called the four whites. ST 2 is used to treat such ailments in these areas such as

painful redness, nearsightedness and eye screen.

The alternate name Grain Gate is a reference to the mouth, which is the gate to the

stomach. The 4 areas around the mouth are also considered diagnostic of the bodys

earth qi.

Other

This point brightens the eyes in seeing the 4 directions.

Its good for smoke in the eyes


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ST 3 Great CheekboneYang Qiao Mo 1-3 5

Location On the zygomatic bone

Directly inferior to the infra-orbital foramenAt the level of the inferior border of the alum of the nose JRW

Inferior to ST 1

Level with the inferior border of the nostrils CTA

Needling (1) 90 insertion .3-.4 cun

(2) 0 insertion to join with ST 4, SI 18, etc.

Function Eliminates Wind D,B,M

Dissipates swelling and alleviates pain D,B,M

Quickens the connecting vessels B

Removes channel obstructions M

Name Great Bone-Hole

Ju:great, big, giant

Liao:bone-hole

This point is so named because it is found in the largest bone-hole in the cheek.

Other

Good for acne


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ST 4 Earth GranaryReunion point,Yang Qiao Mo 1-3 5

Forbidden Months 5+

Location 4 fen lateral to and level with the angle of the mouthJRW

Inferior to ST 1, level with the corner of the mouth

Traditionally .4 cun lateral to the corner of the mouth,

directly below ST 3 CTA

Needling 0 insertion to join with ST 6, LI 20, CV 24 etc.

Function Reunion: ST, LI, Yang Qiao Mo, CV acc. to DEliminates Wind from the face D,B,M

Activates the channel and alleviates pain D,M

Benefits tendons and muscles M

Frees qi stagnationB

Name Earth Granary

Di:earth

Cang:granary, storehouse

Alternate Names:Stomach Link, Linking

Confluence, Ghost Bed

The face is divided into three sections: the area above the nose corresponds to

heaven, the nose to man, and the area below the nose to earth. This point is located

next to the mouth and is thus called Earth Granary. ST 4 is called a granary

because the mouth receives the five grains, food, the material manifestations of earthlyqi. The character for granary resembles a mouth esp. in its older form and is formed

from the character for food and the character for mouth.

Other

This is a granary for all levels: mental, physical and spiritual. Food and drink are

stored and called upon to be processed. If the storehouse is empty, in times of

trouble there will be distress. Ensure that it is full in the event of an emergency.

Use when there is excessive chewing over problems spirit level.

Use when leg points are not holding and depletion persists


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ST 6 Mandible WheelReunion point,Ghost point 3 7

Location 4 fen anterior and superior to the angle of the mandible

In the depression between the two bellies of the masseter

JRW

On the highest point of the masseter muscle when the teeth are clenched.

One finger breadth .8 cun superior to the angle of the mandible CTA

Needling (1) 90 insertion .5 cun(2) 0 insertion to join with ST 4, ST 5, ST 7, etc.

(3) 0 insertion towards upper or lower jaw for toothache

Function Reunion: GB, ST not in D

One of the 13 Ghost Points

Eliminates Wind D,B

Benefits the jaw and teeth D

Opens the jaw and frees the connecting vessels B

Activates the channel and alleviates pain D

Name Jawbone

Jia:jaw

Che:vehicle, chariot, car

Alternate Names:Hinge, Tooth Bend, Ghost

Bed,

Ghost Forest

The character combination jia che is an ancient name for the jawbone. The jawbone is

a vehicle that carries teeth, which is also seen in its synonym ya che, which means

literally tooth vehicle.

Other

Use this point for Bells Palsy or any neuralgia of the face.


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ST 7 Lower PassageReunion point 3 X

Location In the depression inferior to the zygomatic arch & anterior to the mandibular condyle

When the mouth is open wide, this depression disappears

JRW

Inferior to the zygomatic arch

Anterior to the condyle of the mandible

Directly superior to ST 6

You may open the mouth to located the condyle, but close it to locate the point CTA

Needling (1) 90 insertion slightly infreriorly.5-.1 cun(2) 0 insertion to join with SI 19, ST 6, SI 18

Use option 2 for diseases of the ear, teeth, face, and jaw

Function Reunion: ST, GB acc. to DBenefits the ears D,Mjaw and teeth D

Opens the portals and sharpens the hearing B



Name Below the Joint

Xia:below, lower

Guan:joint, hinge; barrier; to shut, to close

ST 7 may derive its name from its location below the joint of the mandible. Also, it

is located just below the zygomatic arch, an area that reminded the ancient Chinese

of the door bolt guan. See also GB 3 above the joint.


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ST 8 Head TiedReunion point 3 X

Location On the head

ACI posterior and superior to the natural hair lineAt the superior corner of the forehead JRW

At the corner of the forehead

4.5 cun lateral to the anterior median line

(distance between 2 corners of forehead = 9 cun)

.5 cun posterior to the anterior hairline

At the level of GV 24 CTA

Needling 0 insertion .5-1 cunMoxa contraindicated in classics

Function Reunion: ST, GB, Yang Wei Mo acc. to DEliminates Wind and alleviates pain D,B,M

Clears the head and brightens the eyes B,M

Relieves dizziness M

Benefits the eyes D

Discharges Fire B

Clears Heat M

Stops lacrimation M

Name Head Corner

Tou:head

Wei:to bind, to tie together originally, a net or

catching birds, corner

Alternate Name:Forehead Large

From its original meaning of net, the we character came to mean to bind or tie.

However, the character wei often carries the meaning of corner. The expression si we

refers to the four corners of a net, and b y extension, the four cardinal points and the

four limbs.

LJ This is a key point for obsession. ST 8 is ideal for someone who is bound by their

own thoughts.

Other

Use this point for people tied up in knots and experiencing mental and spirit

level turmoil.

JG: This point gets a persons energy down and out of their head. The patient

may even present as dizzy.


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ST 9 People WelcomeWindow of the Sky,Sea of Energy, Reunion point 1-3 X

Location On the anterior surface of the neck

Upon the carotid artery

At the anterior border of the sternocleidomastoid

At the level of the laryngeal prominence, level with LI 18 and SI 16 JRW

Between the sternocleidomastoid muscle and laryngeal prominence (Adams Apple), on the

anterior border of the muscle,

on a contour between the laryngeal prominence and SI 16

Note:to display the sternocleidomastoid, raise the head halfway off the couch. To expose it

on one side, place the flat of the hand against the cheek on the opposite side and ask the

patient to push towards and against the hand. CTA

Needling 90 insertion .5-1 cun! To avoid puncturing the carotid artery, palpate it and held it laterally during needling !

Function Window of the SkySea of Energy Reunion: ST, GB acc. to D

Regulates qi D,Mand blood D,B Benefits the throat and neck D,M

Lowers rebellion D Alleviates pain D

Removes masses M Relieves swelling M

Clears Heat and calms dyspnea B Frees the channels and connecting vessels B

Name Mans Prognosis

Ren:man, person

ying:to predict, calculate; welcome, to receive; to face

Alternate Names:Fivefold Confluence, Celestial

Fivefold Confluence

There is an expression: ying ri tui ce, which literally translates as to receive the days andpredict events, and is used to describe a type of astrological prediction. The alternate names

stress the points function of receiving the qi of the five viscera.

LJ This is a Window of the Sky point. It addresses deep aspects of spirit as they emerge throughthe Earth element. This is a main point for treating resentment built up by being ingratiating

people-pleasing. It is ideal for the person who takes care of everybody else in attempt to

avoid conflict, who eventually comes to resent others. This resentment is often evidenced as a

constricted feeling in the throat at the level of this point. Patients often instinctively point to

this area when they say theyve had it up to here. This point may also empower a person

who is unable to welcome others into their process.

Other This is a very strong point with both spirit and mental connotations. The patient must

really have lost their resignation before using this. Use when the focus has been turned

inward. There is nothing coming in and the patient has closed down.

Its great when a person has become paranoidabout people not loving them, talking

about them; theyve lost touch with the reality of life.

Welcome is about being there, giving what you have and receiving.

The patient can see that things can be different. This point lets them make a conscious

decision to allow change.


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ST 10 Water Rushing Out1-3 X

Location On the anterior border of the sternocleidomastoid

At the level of the cricoid cartilage

Approximately 1 ACI inferior to ST 9 JRW

Midway between ST 9 and 11

At the level of the cricoid cartilage,

on the anterior border of the sternocleidomastoid

The cricoid cartilage is felt as the first broad band of cartilage on the trachea from the

sternal notch upwards

Note:the exact origin of ST 10 as 1 ACI inferior to ST 9 is nknown.

J.R. Worsleys location may be of Japanese origin.

Note:to display the sternocleidomastoid, raise the head halfway off the couch. To

expose it on one side, place the flat of the hand against the cheek on the opposite

side and ask the patient to push towards and against the hand. CTA

Needling 70 insertion directed medially .5-1 cun! To avoid puncturing the carotid artery, palpate it and held it laterally during needling !

Function Benefits the throat and neck D

Disinhibits the throat B

Descends LU qi D,B

Name Water ProminenceShui:water

Tu:Abruptly, suddenly. To rush out, to run

against; to offend. A chimney; smooth

Alternate Names:Water Gate, Water Heaven


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ST 11 Qi Cottage3 3

Location Superior to the clavicle

Between the two heads of the sternocleidomastoid

2 ACI lateral to the median line JRW

Between the sternal and clavicular heads of the ternocleidomastoid

On the superior border of the sternal end of the clavicle

Where there is a palpable groove.

Note:This will lie more medial than the 2 ACI measurement given in Meridians and

Points. CTA

Needling 90 insertion .3-.5 cun! Deep insertion may puncture the Lung !

Function Benefits the throat and neck D

Descends qi D,Band courses qi B

Name/ER Qi Abode

Qi:qi, breath

She:residence, to reside; to bestow, to give away

something

The functions of the ST channel points 11-16 and 18 are primarily associated with

their location in relation to the chest and lung. The point names reflect these

associations through the metaphor of the chest as a house. The house has a window,

roof, door and storeroom, while ST 11 represents the abode itself.

This is a place for the reception of qi. ER

Other

This point brings a sense of security and comfort to the body, mind and spirit.

Its a place where someone is there waiting for you with food.

Open the Qi Door ST 13 to walk into the Qi cottage to enrich the spirit or

barren earth


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ST 12 Broken BowlReunion point 3 3

Location In the center of the supraclavicular fossa

4 ACI lateral to the median line and on the paramedian nipple line

JRW

Needling 90 insertion .3-.5 cun! Deep or posterior insertion may injure the subclavian vessels or puncture the

Lung ! Note: Some sources contraindicate this point in pregnancy.

Function Reunion: ST, SI, LI, GB, LR (ST, SI, LI, GB, TE acc. to D)

Descends LU qi D,B

Clears heat from the chest D


Subdues rebellious qi M

Frees the channels and quickens the connecting vessels B

Name Empty Basin

Que:empty, vacant; imperfect, defective

Pen:basin, bowl

Alternate Names:Celestial Cover, Cubit Cover

LJ Just as a broken bowl may be unable to contain ones meal, so too may an individual

fail to embody acquired sources of nourishment. His imbalance may evidence as an

emotional spilling in the form of neediness, worry and inappropriate boundaries

regarding the fulfillment of ones own needs and the needs of others.

Other

Use this point when things have been shattered. Use when there is a sense of

loss.

Use when there is a need to let go of what is not needed instead of mourning

it is time to change.

This is a very powerful point. Its a description of anenergetic state where the

patient is not getting nourishment and there is no containment.

You can get big pulse changes with this point.

It has a direct effect on milk production

JG: This point really lifts deficient qi depression sinking. Its for a deep,

shattered depression where the person cant imagine how to put things back

together. The person cant even begin to ask for what I need. Its about taking inand moving down. There may be an absence of mothering. It transforms hurt in

irreparable places.


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ST 13 Qi Door3 5

Location On the inferior edge of the clavicle

4 ACI lateral to the median oline4 and on the paramedian nipple line

JRW

Directly inferior to ST 12 in a palpable notch CTA

Needling (1) 20 insertion laterally or medially, .5-.8 cun(2) 0 insertion inferiorly along the channel

! Deep or 90 insertion = BIG risk of injuring subclavian vessels or the Lung !

Function Unbinds the chest D,B

Descends rebellious qi D

Clears Heat B

Name/ER Qi DoorQi: Breath, vapor, air, steam. Weather;atmosphere. Manner; temper; feelings; influence;

force; life-giving principle; vital fluid.

Hu: Half of a big double gate. The character Men implies main entrance; Hu

implies the door inside the house, e.g. between two rooms. When Men and Hu are

used together, Men means Heaven and Hu means Earth. For example on the outer

Bladder line, Hun which belongs to Heaven is called Hun Men, but Po, which

belongs to Earth, is called Po Hu. A door; an individual; a family.

Because Hu implies that which belongs to the Earth, this refers to the descending

movement of the ST. A door to let the qi move downward. Also, by the use of

Hu, it connotes what is coming from the Earth, i.e. food that the ST works on.

Other

One of the first symptoms telling you this door is closed is digestive disorder

after E/E blocks are clear.

You must make sure the doors and gates are open when a person is stuck e.g.

rejecting sympathy.

JG: This is a point which opens to let qi come down. Use when a person is

unable to give or receive sympathy.


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ST 14 Storehouse3 5

Location In the first intercostal space


JRW

Needling (1) 20 insertion laterally or medially along the intercostal space .5-.8 cun(2) 0 insertion superiorly or inferiorly along the channel

! Deep or 90 insertion = BIG risk of puncturing the Lung !

Function Descends rebellious qi D,B

Unbinds the chest D,B

Name/ER Storeroom

Ku: This character contains ideograms for building

and chariot. Chariots were originally used for war.So, Ku means a sort of armorya house for the

chariots or a place to store useful things. A

treasury; a storehouse; a granary; an armory which is just outside of the central city.

Fang: A lateral room in a house. A room, a building. Similar idea to storeroom or

pantry. Branches of a family. A wife or concubine. Office or bureau in a yamen.

The seed-case of a flower.

Here is where Yang Ming begins to descend into the chest. This is where the

richness of the work of the ST and SP show up. All that is needed for the protection

of the center is here.

Other

This is a reservoir or reserve of energy. Using this point is like taking someone to

the larder and letting them choose what they would like.

Its a storehouse for the spirit.

Its a good point when youre not quite sure the patient is beginning to take in

e.g. reserves of sexual energy on a physical level.

JG: Use this when a patient cant access energy due to long term deprivation.

The person is given out too much and may need to fill up his/her own

storehouse.


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ST 15 Room Screen3 5

Location In the second intercostal space


JRW



Function Descends rebellious qi D

Unbinds the chest D

Benefits the breasts D

Alleviates pain and itching of the skin D,B

Name/ER Room ScreenWu: House, room. Here is the idea of a well-protected place; a room for resting. The room to

put a corpse in while waiting for a ritual. Not a

central room. A room that is quiet and protected.

Yi: Feathersbig feathers to make a fan, to protect or cover. This is the idea of

something covering and protecting. In pathology, this character is used for the white

film that covers the eyes possibly cataracts. The ancient meaning is a structure you

would hide behind during battle, e.g. armor, breast plate.

So, on the Yang Ming, ST 15 is where the breast starts coming down the meridian.

A sense of the breast covering and protecting the chest and Hearta vulnerable

area. This point functions as a breastplate of armor protecting this area. It is a yang

meridian on the yin part of the body, facilitating the downward movement so that the

protection described above does not become excessive, stifling, stuck. This reflects

the ability of the ST to descend well for circulation and to free blockages that create

heat, which affects the ST liquids. The function here is protecting and circulating at

the same time.

Other

Think of the partial privacy a screen affords. We need to have empathy and

make the person feel at ease and secure. Or use it for someone who needs

partial shielding/protection.


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ST 16 Breast Window3 5

Location In the third intercostal space


JRW



Function Alleviates cough and wheezing DBenefits the breasts D

Clears Heat B

Resolves depression B

Relieves pain and disperses swelling B

Name/ER Breast Window

Ying: Lateral; wings of a building. The breast.

Ornaments on the breast of a horse. To bear; to

sustain. To receive. To oppose.

Chuang: Hole, cave, opening, window, shutter. Common name for acupuncture

point.

Here is an opening for the flowing down of milk. Milk is a special transformation of

bodily fluids made by the chest. It is at the level of the Heart, so if the Heart is at

the window, it may see what happens. It can mean cleverness; opening of the mind.

Here there is a circulation of liquids so the Heart is not blocked. The point name is

directed towards liquids. The function of the point is to nourish the presence of the

Spirits by calming the Yang Ming. An opening to maintain circulation.

Other

This point is good for the person who is unsympathetic, judgmental and has a

lack of empathy.

This point helps one to hold people to our hearts when we feel for them. It

brings in compassion.

This point has a direct effect on milk production.


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ST 17 Center of the BreastsX X

Location In the fourth intercostal space

In the center of the nipple JRW

Needling This point is contraindicated for both needling and moxait is used as a reference.

Function This point is used as a reference point.

Name/ER Breast Center

Ru: Breast, milk. Ru is the image of a swallow

covering her chick. The swallow image is used for

any kind of mothering. So Ru implies mothers milk.

Zhong: Anterior middle; center

Forbidden to needle or moxa. Resuscitation point by pinching. A lot is said about

this point in the texts, even though it is forbidden to needle or moxa. An important

point on the body.

Other

This point is at the root of the breasts. Good when the energy is stuck, e.g.

mastitis or when a person isnt able to give milk or nourishment.


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ST 19 Not at Ease5 3-7

Location On the thorax

3 ACI lateral to the median line6 ACI superior to the level of the umbilicus, level with CV 14 JRW

On the lateral border of the rectus abdominis muscle CTA

Needling 90 insertion .5-1 cun! Deep insertion may injure the heart or the liver if either organ is enlarged !

Function Harmonizes the middle jiao D

Lower rebellion D

Descends qi and alleviates cough and wheezing D

Regulates the center and harmonizes the ST B

Name/ER Not Contained

Bu: Not; a negative

Rong: Appearance, manner, bearing, demeanor.

To allow; to bear; to endure; to forgive; to wait

for; to attend upon; to contain; to admit; capacity. Easy. Continence. The ability

to contain; to bear what is received.

The meaning is not to accept to contain too much. A refusal of bearing or enduring

something. To refuse the coming of the food. This point lets us know whether it is

time to eat or time not to eat. Regulates appetite.

Other

Use when a person is not at ease in an Earth way. The basic rhythms of life are

out of balance e.g. eating, sleeping, periods. A persons mind might also be

restless. Its a good point for internal agitation.

Life is never processed/digested. There is discomfort, stuck ideas and the person

cant take anything from it.

Its good for obsessions, ideas which should nourish are stuck or rush through the

mind. An Earth CF might have bad news and go on about it all day as they

cant digest it further and process it.

Then name says it all: insecurity, instability, uneasy because the person isnt

grounded. The person is tied up with worry which becomes endless mental

chewing. This plus ST 24 and SP 16 are a very practical application when the stomach is

blocked.

JG: This is for the child that cant find its mom and feels insecure, unstable and

panicked. It puts Earth at east in a person. Use when theres a need to be

comforted, held and secure.


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ST 20 Receiving Fullness5 3-7

Location On the abdomen



Needling 90 insertion .5-1 cun! In thin subjects, deep needling may penetrate the peritoneal cavity.

! Deep needling, on the right may penetrate an enlarged Liver !

Function Harmonizes the middle jiao Dand stomach B

Descends rebellion of the LU and ST D,B

Name/ER Assuming FullnessCheng: To receive; to inherit; to hold; to contain;to support. To contract for; to undertake. To

continue a given line of thought in composition and

enlarge upon it; to carry on. To confess; to acknowledge. The image is two hands,

both offering and receiving. In worship we offer sacrifice, music, etc. and receive the

blessings of Heaven.

Man: Full, satisfied, self-sufficient. The whole of. Complete. The fullness of the

five zang when they are full of essences. There is a whole different character that

indicates the fullness of the Fu. This can be a pathological fullnesstoo much

fullness, stagnationor it can be a healthy fullness.

This is the first point in the line of points that are the gates for descending and

circulating. ST 20 receives and creates the essences, then sends them down to the

doors below.

LJ This point may empower someone to experience abundance in life rather than

wallowing in feelings of neediness.

Other

This point helps a person receive appropriate please. Helps a person reap the

harvest, the fullness in oneself.

Its for patients which no joy, a sense of emptiness on a deep level.

It gives the patient the feeling of OK, work has been done now its time to

pause.

Its a good point for anorexics who reject fullness i.e. food and nourishment.

JG: This point is about wanting. I cant get what I need and Im not able to fill

myself. Sometimes theres a not letting in, not receiving fullness. This point opens

the person up and helps to receive the fullness that is there for him/her. This

point also moves bloated, epigastric distention through the middlemoves qi.


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ST 21 Bridge Gate7 5-15




Needling 90 insertion 1-1.5 cun! In thin subjects, deep needling may penetrate the peritoneal cavity.

! Deep needling, on the right may penetrate an enlarged Liver !

Function Harmonizes the middle jiao D

Regulates center qi B

Harmonizes the stomach and intestines B

Transforms stagnation and accumulations D,B

Fortifies the SP, strengthening its function of moving and transforming B

Raises qi and stops diarrhea D

Regulates qi D

Alleviates pain D

Name Beam Gate

Liang:crossbeam, beam

Men:gate, door

ST 21 may have acquired its name from one of the five accumulations wu ji

mentioned in the Classic of Difficult Issues. Known as fu liang, deep-lying beam,

this condition is described as a condition in which a palpable mass the size of an arm

located in the upper abdomen causes irritability and insomnia. Since ST 21 may be

used in the treatment of this condition, it is a gateway to the beam.

Additionally, liang men is a place name.

Other

Use this point when fullness is sticking. This gate may need to be opened.

After moving through the gate you find unity, harmony and peace.

This is a wonderful point for someone who is moving forward with his/her mind

yet his/her body or emotions is stuck. There is a sense of disjointedness orfracture.

Its good with ST 22 and ST 24; its good for people with funny tummys.


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ST 22 Border Gate8 5-15





Function Regulates qi and alleviates pain D

Regulates the intestines and benefits urination D

Regulates the ST and intestines B

Name/ER Pass GateGuan: Gate; custom; frontier pass; juncture. Toconnect; to involve; to inform. To close; to shut;

to fasten.

Men: Door, gateway, opening, entrance, duct. Family; profession; sect; a school or

party.

Here is the idea of conveying essences through passages throughout the body. This

point has to do with passage. There are lots of points with the character for door,

gate, or passage in the name. There is a concentration of these ST 21, 22, 24 in

the middle heater. This point is linked with the good functioning of the KI. Use ST

22 to help the KI in controlling the lower abdomen qi, liquids and with edema even

general edema. The ST and KI help each other, and CV in the middle burner makes

sure all is organized and well-founded.


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ST 23 Great Oneness8 5-10


3 ACI lateral to the median line

2 ACI superior to the level of the umbilicus, level with CV 10 JRW



Function Transforms phlegm D

Harmonizes the middle jiao D

Harmonizes the center B

Fortifies the Spleen B

Clears the Heart and quiets the Spirit B

Calms the Spirit D

Name Supreme Unity

Tai:supreme, most, excessive

Yi:one, the intestines of a fish; second of the ten

heavenly stems

Because, as Lao Tzu says in the Tao Te Ching, the ten thousand things spring from one, the

point name Supreme Unity is a metaphor for the stomach or middle burner, which is the

source of post natal qi. Also, as one thing i.e., the supreme unity splits to become heaven

and earth, so the turbid and the clear are divided at ST 23.

Tai yi is the name of a star that is related to the abdomen in Chinese astrological theory.

LJThe name of this point relates to the function of the stomach in breaking down all things into a

meaningful and integrated whole. For someone whose life appears as a conglomeration of

unrelated and fragmented experiences, the function of this point may help that person integrate

the experiences and move on in life.

Other

This is a beautifully named point because if you look at a child being fed by its mother,

you dont have two separate entities. You have the one where the two are joined

together by the mothers arms holding and loving the child and the child being connected

to her breast.

Many patients do feel very insecure. They feel as though they havent really got their feet

on the ground. They feel unloved; there is no richness or harvest.

This point brings the person back to the breastsits a harvest for the spirit, mind and

body. We come through the gates ST 21 and 22 to achieve unity, harmony and peace.

It restores the Great Oneness.

This point can be used after balance in achieved so that oneness is equally distributed.

The body and mind may be moving at one pace and there spirit will be behind or

aheadthe three are not traveling as one. And you may have a good pulse picture but

the patient is in dire straights. With this point you cement the Body Mind and Spirit

together. You will get a true pulse picture after using it, which may be terrible.


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ST 24 Lubrication Food Gate8 5-15





Function Regulates and harmonizes the Stomach D,Band intestines B

Calms the Spirit D,B

Alleviates vomiting D

Transforms phlegm D

Name Slippery Flesh Gate

Hua:slippery, glossy

Rou:flesh, meat, muscle

Men:gate, door

Alternate Names:Slippery Dark

The point is located near the opening of Gate, Slippery Flesh, Celestial

The Small Intestine the pylorus, which is Manager

A gate of slippery flesh. An alternate name for this point is hua you men, which is

the Chinese name for the pylorus literally, slippery dark gate.

Other

This point is for those who feel bloated and full. Food lies in the stomach like a

brick.

This point helps in processing and digestion. The Lubrication Food Gate can

help to bring greater secretion here.

This point lubricates the nourishment of the Body, Mind and Spirit right in the

center.

Use if someone says they cant stomach something on any level. It generally

brings greater energy throughout the body.

JG: This point is about transformation not getting out of the mind into the

body. Obsession with rehashing. There is eating but not getting the nourishment.

This point moves qi through the middle.


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ST 26 Outside Mound8-10 5


3 ACI lateral to the median line1 ACI inferior to the level of the umbilicus, level with CV 7 JRW



Function Regulates and rectifies qi D,B

Alleviates pain D,B

Dissipates cold B

Name Outer MoundWai:outside, outerLing:tomb, burial mound

Other

This point is good for bringing attention to the lower jiao.


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ST 27 Great Might8-10 5-10





Function Benefits the KI and firms jing D

Supplements the KI and boosts qi B

Regulates qi and promotes urination D

Invigorates yang B

Regulates ST qi M

Name Great Gigantic

Da:big, great

Ju:large, big, great

Alternate Names:Humor Gate, Armpit Gate,

At the Spring

Other

The power of this element is to decrease. It has to do with cyclesletting go.

Use when the mind or spirit is not letting go, when it is denying the power of

return and harvest.

Its a good point for revitalizing, similar to KI 12. It lifts depression and

supplements energy.


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ST 28 Water Path8 5-10




Needling 90 insertion 1-1.5 cun! In thin subjects, deep needling may penetrate the peritoneal cavity, or a full bladder.

Ask the patient to empty his/her bladder before needling !

Function Regulates the lower jiao D

Clears damp-heat and disinhibits the lower jiao B

Dispels stagnation D

Benefits the BL and the uterus D

Benefits urination M

Opens the Water passages M

Regulates menstruation M

Stops pain M

Name Waterway

Shui:water

Dao:path

The three organs most intimately connected with water metabolism are the Bladder,

Kidney and Triple Burner. ST 28 clears damp-heat from the lower burner, disinhibits

the lower burner and clear TE heat bind. It may also be employed in treating urinary

inhibition and cold bladder. Because of its ability to affect the bodys water

metabolism freeing the waterways, ST 28 is called Waterway.

Other

If there is drying up in the lower jiao, there will be no movement, activity or

fluidity. The patient will be unable to conceive on a physical or mental level.

This point is good for the processes of elimination and procreation.

This helps move anything thats stuck, like obsessions. It helps the person let go.


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ST 29 The Return5 5-10




Needling 90 insertion 1-1.5 cun! In thin subjects, deep needling may penetrate the peritoneal cavity, or a full bladder.

Ask the patient to empty his/her bladder before needling !

Function Warms and rectifies the lower jiao D,B

Regulates menstruation and benefits the genital region D

Warms the womb B

Relieves blood stagnation M

Name Return

Gui:to return; to restore

Lai:to come, to arrive

Alternate Names:Ravine Hole, Ravine Valley

A branch of the ST channel that diverges from the main channel at ST 12 passes

downward through the stomach and rejoins the main channel at ST 30.

Other

Use this when a person is becoming barren because of not being able to harvest

the fruits of life. Its for the patient who is undernourished, anorexic or barren.


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ST 31 Thigh Border6 3-7

Location On the anterior surface of the thigh

13 ACI proximal to eh flexure of the kneeBetween the vastus lateralis and the rectus femoris JRW

14 cun proximal to the knee flexure

Directly inferior to the anterior superior iliac spine

Level with a line drawn bet. the pubic symphysis lower border & the gluteal groove.

In the seam between the rectus femoris and the vastus lateralis muscles

On the lateral border of the sartorius muscle

To expose this seam, flex and extend the knee CTA

Note:CTA, along with many other sources, uses 14 cun as the accepted

measurement from the popliteal crease to the gluteal groove. JRW uses 13 cun.

Needling 90 or 45 insertion 1-2 cun

Function Activates the channel and alleviates pain D,MDispels wind-damp D

Warms the channels and quickens the connecting vessels B

Courses Wind and dissipates cold B

Name Thigh Joint

Bi:thigh; the lateral aspect of the groin

Guan:gate; joint, hinge; pass


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ST 32 Prostrate HareID point 6 3-7


7 ACI proximal to the flexure of the kneeBetween the vastus lateralis and the rectus femoris JRW

8 cun (7.4 ACI) proximal to the knee flexure

In the belly of the rectus femoris muscle

Note: CTA, along with many other sources, uses 14 cun as the accepted

measurement from the popliteal crease to the gluteal groove. JR uses 13 cun.

Note:Many texts give the cun for ST 32, 33, 34 as 6/3/2 above the

laterosuperior border of the patella. There is no discrepancy with CTAs locations;

the distance from the lateral end of the popliteal crease to the laterosuperior border

of the patella = 2 cun CTA

Needling 90 or 45 insertion 1-2 cun

Function ID point


Warms the channels and dissipates cold B

Dispels Wind-Damp D

Expels Wind-Heat M


Name Crouching Rabbit

Fu:to bend over; lie prostrate; to hide

Tu:rabbit

Alternate Names:Outer Hill, Outer Hook

Other

This point dissipates wind and cold and dampness in the lower back.


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ST 33 Yin Market4 3-5


5 ACI proximal to the flexure of the kneeBetween the vastus lateralis and the rectus femoris JRW

5 cun (4.65 ACI) proximal to the knee flexure

Between the rectus femoris and vastus lateralis muscles

Note: CTA, along with many other sources, uses 14 cun as the accepted

measurement from the popliteal crease to the gluteal groove. JR uses 13 cun.

Note:Many texts give the cun for ST 32, 33, 34 as 6/3/2 above the

laterosuperior border of thepatella. There is no discrepancy with CTAs locations;

the distance from the lateral end of the popliteal crease to the laterosuperior border

of the patella = 2 cun CTA

Needling 90 or 45 insertion 1-1.5 cun

Function Dispels Wind-Damp DCourses Wind and dissipates Cold B

Disinhibits the joints B



Name Yin Market

Yin:yin, the complement of yang

Shi:city, market

Alternate Name:Yin Tripod

Although the stomach channel is a yang channel, it traverses the front of the body,

which is considered yin. ST 33 is a point where qi and blood are gathered and

dispersed, like goods at a marketplace. In addition, the word market may be taken as

a reference to the stomach, which receives and distributes the five grains.


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ST 35 Calfs Nose3 3

Location On the anterior surface of the knee

Between the patella and the tibiaLateral to the patellar tendon.

When the knee is flexed, a depression appears at this point JRW

At the inferolateral corner of the patella

On the lateral border of the patellar ligament CTA

Needling (1) With the knee flexed and supported, 90 insertion towards BL 54 1-2 cun(2) 45 insertion in a medial and superior direction behind the patella 1-2 cun

(3) Behind the patellar ligament to join with medial Xiyan (MN-LE-16)

Function Reduces swelling D,B,MActivates the channel and alleviates pain D,B,M

Dispels Wind-Damp D

Courses Wind and dissipates Cold B


Name Calfs Nose

Du:calf

Bi:nose


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ST 36 Leg Three MilesEarth, Horary,Sea, Sea of Nourishment,First Aid, 5-8 7-20

Blackout,Region,Lower Uniting Forbidden Months 8+

Location On the anterior surface of the leg13 ACI proximal to the prominence of the lateral malleolus

Lateral to the edge of the tibia JRW

Approximately 13 cun proximal to the prominence of the lateral malleolus

Approximately 3 cun below ST 35

On the medial border of the tibialis anterior muscle

To expose the tibialis anterior, flex the foot and rotate it medially

ST 36 is lateral to the anterior crest of the tibia

Just inferior to the inferior border of the tibial tuberosity

1 cun inferior to the level of GB 34

Note:Place your emphasis on the anatomical descriptions CTA

Needling 90 insertion 1-1.5 cun

Function Earth point

Horary point 7-9am, 8-10am DST

Sea point

Sea of Nourishment

First Aid: Fainting, Indigestion

Blackout point for upper body

Region point: Abdomen

Lower Uniting point for the Stomach

One of Ma Dan Yangs 12 Heavenly Star pointsBenefits the ST and SP M,B,D

Expels Damp M,B,Dand Wind M,B

Tonifies qi and blood M,Dand yin D

Frees and regulates the qi and blood of the channels B

Regulates Ying and Wei qi M

Raises yang M,Dand restores consciousness D

Regulates Central qi B

Strengthens the body M; dispels pathogens and prevents disease B

Supports the correct and banks up yuan qi B,D

Dispels Cold M

Breaks thoracic blood stasis B

Regulates the intestines M,Band disperses stagnation B


Resolves edema M

Clears Fire D

Calms the Spirit D


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ST 36 Leg Three Miles

Name Leg Three Li

Zu:foot

San:threeLi: measurement of distance

Alternate Names:Lower Hollow

In ancient times, when the primary mode of Three Li, Ghost Evil, Lower Mound,

Transportation was walking, stimulation of Lower Sea of Qi, Three Li, Lower

ST 36 could relieve fatigue sufficient to Three Li

Allow one to travel another three li.

LJ This is one of the strongest points for stabilizing and grounding someone at the source

of their being. I often combine this with other points, depending on the effect I am

seeking. A particularly good combination for strengthening resolves, structure, and

ones spiritual backbone consists of ST 36, BL 54, GV 3, and BL 10. I have

successfully used this or a similar combination for empowering women to summon the

courage to confront family members who had sexually abused them.

Other

You can gain a lot of ground and cover great distances when this point is used

with LI 13 Arm 5 miles or each is used individually.

This point provides the means for a patient to move on, whether physical, mental

or spiritual. It shakes up and revitalizes the energy.

Use where there is laziness or apathy.

This point brings great strength and richness to the soil. It feeds the Earth in

order that things can grow more richly. It brings stability and security to the

element. One of the points for the Sea of Nourishment, it bestows longevity and

endurance, keeps you free from disease, conserves vitality and revitalizes the

energy, the Official and the entire system.

Used with moxa, this point steps up the white blood cell count.


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ST 37 Upper Great VoidSea of Blood, Lower Uniting point 5 3-7

Location On the anterior surface of the leg

10 ACI proximal to the prominence of the lateral malleolusLateral to the edge of the tibia JRW

Lateral to the anterior crest of the tibia

On the medial border of the tibialis anterior muscle

10 cun proximal tot eh prominence of the LM 3 cun below ST 36 CTA


Function Sea of Blood

Lower Uniting point of the Large Intestine

Regulates the intestines and transforms stagnation D,B,M

Clears damp heat and alleviates diarrhea and dysenteric disorder D,B,M

Regulates the SP D,Band ST D,B,M

Dispels food retention M

Calms asthma M


Courses the channels and regulates qi B

Name Upper Great Hollow

Shang:upper

Ju:great, large

Xu: vacuous, empty; hollow

Anecdotally, there was a type of wild horse in ancient China called ju xu. This type

of horse was particularly quick and could roam far and wide. The point name, if taken

to be derived from the horse name, is a reference to the points effectiveness in

treating leg disorders and to the traveling nature of qi here. As ST 37 is the lower

uniting point of the LI, qi travels form here up to the LI.

Other

This point relates to the upper body. Use on someone stable but not

connected. They are solid on the ground, but there is still some emptiness. Most

of the seas are empty or overflow together.

If you tonify one sea, you should also tonify the related ones i.e. all of the Seas

of Blood in this case, if they need it. You would never replenish the Sea ofNourishment if the Sea of Blood is deficient.

For Earth CFs with shoulder problems, ST 37 and 39 are key points to the

small and large intestines.

Its also good for the mental level.

JG: When used as a Sea of Blood it allows someone to fill a void that has been

empty for a long time. It fills and moves at the same time.


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ST 40 Abundant SplendorLuo point 3 3-5

Location On the antero-lateral surface of the leg

8 ACI proximal to the prominence of the lateral malleolus

On the lateral edge of the tibialis anterior

At the level of ST 38 JRW

8 cun proximal to the prominence of the lateral malleolus

About 1 cun lateral to ST 38

On the lateral border of the tibialis anterior muscle

Traditionally 2 finger widths from the anterior crest of the tibia CTA


Function Luo point

Transforms phlegm and damp D,B,,M

Calms the Spirit

D,B,M

Benefits the chest DOpens the chest M

Clears phlegm from the LU and alleviates cough and wheezing D

Calms asthma M

Clears phlegm from the Heart D

Harmonizes the Stomach B

Clears Heat M


Name Bountiful Bulge

Feng:abundant, great, bountiful

Long:prosperous; swell, bulge

The point name is the name of a cloud spirit and an expression describing the sound of

thunder.

LJ As the luo point, ST 40 harmonizes the relationship between the spleen and the stomach

officials. Physiologically, this point is said to transform phlegm and dampness, and to calm the

spirit. In this context, phlegm and dampness represent the accumulation of ones unintegrated

experiences in life. Insatiable appetite and feelings of neediness may result if the past prevents

one from becoming nourished in the present. This point is ideal for the person that feels

burdened by typical sources of nourishment such as family, friends, and career. Feng long may

assist in transforming burdensome feeling so that one may, once again, receive abundance.

Other

In order to receive a harvest we need to work and toil. Many people struggle throughlife and they get no harvest at all. This point allows a person to get a glimpse of the

harvest which is available.

Use for the spirit when a person doesnt feel satisfied.

This point is good for the mental side of Earth problems i.e., ghosts, obsessions, lack of

contact with the earth.

This point provides a plentiful supply of energy. Its very rarely empty. It brings up the

general energy of a person. It almost has the same effect as a Source point because of its

reservoir-like qualities.


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ST 41 Released StreamFire, Tonification,River,ID point 5 3-7

Location At the middle of the anterior flexure of the ankle

Between the tendons of the extensor digitorum longus and extensor hallucis longus

JRW

To expose the tendons, actively extend the toes remembering that the

most medial and prominent tendon of the three tendons is the endon

of the tibialis anterior muscle. CTA

Needling (1) 90 insertion .5 cun

(2) 45 insertion beneath the tendons to join with SP 5 medially or GB 40 laterally

! The anterior tibial vessels and nerve lie deep to this point !

Function Fire point

Tonification point

River point

ID point

Clears ST heat B,D,M

Calms the Spirit B,D,M

Transforms damp and stagnation B

Supports SP qi B

Eliminates Wind M



Name Ravine Divide

Jie:separate, divide, untie, undo

Xi:brook, stream, gorge, ravine

Alternate Name:Shoelace

Other

This point breaks a lot of blocks on the ST meridian. It gets qi to flow to the

ends of the meridian feet and mind.

Fire brings warmth to the earth. It releases the streams that come from the sea.

JG: This point brings joy to the harvest. Use when a person is collapsed within

to reengage them with the outer world. Its no good to have a full plate if you

are not getting any spirit out of it. This point relishes in abundance, ignites

appetite, removes self-absorption. Use if a person is sad or lack of joy or moldy,

stagnant and damp.


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ST 42 Rushing YangSource point,Exit point 3 3-5

Location On the dorsal surface of the foot

In the concavity at the meeting of the navicular, lateral cuneiform and intermediatecuneiform bones JRW

Haig: Approximately the distance between ST 43 and ST 41 HI

On the dorsum of the foot, between the extensor digitorum longus & hallucis longus

The point lies on a line drawn between the 2nd and 3rd digits to ST 41,

in a hollow exposed when the foot and digits are dorsiflexed.

This will be in the indentation between the medial and lateral cuneiform bones

Note:Acupuncture texts vary enormously as to where this point is drawn. It is said

that ST 42 is on the dome of the instep of the foot, where the pulsation of the

dorsalis pedis artery is palpable. Also, that it is 3 cun proximal to ST 43; 1.5 distal

ST 41 is also given which would put it approximately at the meeting of the navicular

and cuneiform bones. Other texts refer to it being in a depression between the

bases of the second and third metatarsal bones and the cuneiform bones. This is

further complicated by the fact that there are Extra points on the line between ST 41

and 43. CTA

Needling 45 or 90 insertion .3-.5 cun

! Dont puncture the dorsalis pedis artery which lies beneath this point !

Function Source point

Exit point

Calms the Spirit D,B,M

Harmonizes the Stomach D,B

Clears heat from the ST channel D

Supports Earth B

Tonifies the ST and SP M

Transforms Damp B

Removes channel obstructions M,D

Name Surging Yang

Chong:to flush, rinse, dash; thoroughfare

Yang:yang, the complement of yin

Alternate Names: Meeting Bones, Meeting Bend,

Meeting Gush, Meeting Source, Unrestrained Yang

Other

This point like a powerful shot in the arm. Its especially good for instability on a

mental level.

JG: This is a very grounding point. Its good for someone who is over the top,

spinning out of control; someone who likes to stand up on a table and sing

naked or pins you to the ground. Its good for circular thinking on a mental

level when nothing is getting completed.


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ST 43 Sinking ValleyWood point, Stream point 3 3

Location On the dorsal surface of the foot

In the angle between the 2

nd

and 3

rd

metatarsal bones

JRW

At the junction of the 2nd and 3rd metatarsal bones

Just distal to the flare at the base of the 2nd metatarsal CTA

Needling 90 or 45 insertion .5-1 cun

Function Wood point

Stream point

Disinhibits Damp B,D

Harmonizes the Stomach B,D

Harmonizes the intestines D

Tonifies the SP

B

Regulates the SP D

Downbears counterflow B

Clears Wind and Heat M

Removes channel obstructions M

Name Sunken Valley

Xian:to sink

Gu:a valley

Other

JG: Use when someone needs to set down new roots in the earth. This point is

about movement. It breaks things up and helps a person find new direction. Use

when someone cant get out of a spin. The releases force of the earth when it

has been entrapped in a pit.


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ST 45 Hard BargainMetal, Sedation,Well,First Aid point 1 3

Forbidden Months 6+

Location Lateral nail point of the second toeJRW

About .1 cun proximal to the corner of the nail

Just distal to the flare of the distal phalanx CTA

Needling 90 or 45 insertion directed proximally .1-.2 cun, or prick to bleed

Function Water point

Sedation point

Well point

First Aid: hangover, indigestion, toothache

Calms the Spirit M,B,Dand restores consciousness D,B

Harmonizes the Stomach B

Courses and discharges yang ming pathogenic heat B

Clears Heat from the ST channel D


Clears the Heart M

Relieves food retention M

Frees the channels B

Name Severe Mouth

Li:harsh, severe, fierce; to oppress; quick, rapid

Dui:exchange, convert; mouth, a hole

LJ This point is excellent for the person who feels his needs are never met; consequently

he continually whines, complains, and demands sympathy. If the metal within earth

becomes cold, rigid and inert, then physical and emotional digestion may become

sluggish. Emotionally, this coldness may manifest as a lack of sympathy toward self

and others.

Other

This is good for the person who feels cold mentally. There is no tolerance,

understanding or compassion.

Metal gives richness to the Earth, so this is good for a barren Earth e.g.menstrual difficulties.

Documents

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