LU 1 Zhong Fu Central Treasury

The Front Mu Points and other points of interest on the Chest and Abdomen Dr. Richard Gold July, 2012 Tel Aviv, Israel

LU 1Zhong Fu Central Treasury

6 cun lateral to the anterior midline, level with the 1st ICS.Intersection Point of the LU & SP MeridiansFront Mu Point Intersection Point of the LU & SP Meridians useful for all LU Issues, especially of Excess Type - cough, wheezing, asthma

LU disharmonies involving Phlegm/Heat excess arising from the middle warmer - vomiting, difficult ingestion.

LU 2Yun Men: Cloud Gate

6 cun lateral to the anterior midline, below the clavicle in a depression medial to the coracoid process

Similar to LU 1 but used more often as a local shoulder point Cough, asthma, tension in the chest.SP 15Daheng: Great HorizontalLocation: 4 cun lateral to the center of the umbilicus (CV 8) lateral to rectus abdominus.Intersection point of the SP & Yin Wei MeridiansRegulate the Qi of the Intestinesconstipation, diarrhea, abdominal pain and distention.SP 14Fujie Abdominal BindLocation: 1.3 cun below SP 15 and 4 cun lateral to the anterior midline on the lateral side of rectus abdominus.Warms the middle warmer and dissipates cold for lower abdominal pain, diarrhea (from cold), abdominal pain, constipation. Resolves counterflow qi - can be used to subdue fright (i.e. panic attacks) from counterflow qi disrupting the heart and/or cough from counterflow qi disrupting the lung.SP 12Chongmen: Surging GateLocation: Superior to the lateral end of the inguinal groove lateral to the pulsating external iliac artery (joins femoral artery) level with the symphysis pubis 3.5 cun lateral to CV 2.Used for a variety of urinary disorders (retention, painful) due to it's functions of draining dampness, clearing heat and regulating urination. Abdominal pain, hernia, hemorrhoids by regulating qi and invigorating blood.SP 17Shidou: Food HoleLocation: 6 cun lateral to the anterior midline in the 5th inter-costal space.Promotes smooth spleen qi (digestion), moves water stagnation - fullness of the chest and/or lateral costal region, abdominal distention perhaps with water swelling, belching, vomiting after eating, boborygmus.SP 18Tianxi: Celestial RavineLocation: 6 cun lateral to the anterior midline in the 4th inter-costal space.Descends qi - chest oppression, shortness of breath, cough, hiccup, running piglet disorder. Opens the chest and circulation in the breasts - breast pain, insufficient lactation.

Zhourong: All-Round FlourishingSP 20Location: 6 cun lateral to the anterior midline in the 2nd inter-costal spaceAids the descent of lung qi - cough, shortness of breath, chest oppression. Noted for difficulty in ingesting foods.

Dabao Great EmbracementSP 21Location: On lateral side of the chest and on the mid-axillary line in the 6th inter-costal space. (or) 6 cun below the axilla midway between the axilla and the free end of the 11th rib on mid axillary.

Grand Luo-Connecting Point - connects all Luo channels

Mentioned classically that when this point is deficient, all the joints are flaccid, and when excess, pain all over the body. Pain of the thoracic region. Descends lung qi - cough, chest oppression, shortness of breath.ST 30 - Qi ChongSurging QiSea of Water & Grain Point. Intersection Point of the ST & Chongmai Meridians.

Upper Sea of Water & Grain Point - excess or deficient conditions of the Stomach - hypogastric pain, bloating, abdominal pain. Regulates the Intestines - borborygmus, hernia - rectal, inguinal. Regulates genitalia - swelling and pain, impotence. Regulates menstruation - irregular menstruation, dysmenorrhea, amenorrhea, uterine bleedingST 28 - Shui DaoWaterway2 cun lateral to the AML level with CV 4.Excess Cold/Damp Issues of the Lower Warmer - retention of urine, inflammations. Gynecological issues of an excess nature - dysmenorrhea, fibroids, cysts. Fertility issues in women, cold in the uterus. Expel either the placenta after birth or a still born child.ST 27 - Da Ju Great Gigantic

Location: 2 cun lateral to the AML level with CV 5

Beneficial for multiple genito-urinary issues in men - impotence (erectile dysfunction), seminal emission, premature ejaculation, difficult urinationIrregular menstruation Abdominal pain, bloating, hernia Fear/fright with palpitations, anxiety, panic attacks, insomnia, etc.ST 25 - Tian Shu Celestial PivotFront Mu Point of the LI.All intestinal issues - constipation, diarrhea, dysentary, distention, pain, masses/accumulations of any type Irregular menstruation, painful menstruation, fibroids/cysts, fertility issues and leukorrhea Connects the Upper and Lower Warmers (pre & post natal Qi).

ST 24 - Hua RouSlippery Flesh Gate2 cun lateral to the AML level with CV 9.Epigastric pain, vomiting (rebellious qi) Similar effects as ST 23 on phlegm related shen issues - manic depression, anxiety, mania Used with ST 23 for manic depression with stiff/thrusting tongue.ST 23 - Tai Yi Supreme Unity2 cun lateral to the AML level with CV 10Abdominal pain, epigastric pain, bloating, poor appetite, diarrhea Shen/Spirit related imbalances related to phlegm - manic depression, irritability, anxiety Used with ST 24 for manic depression with stiff/thrusting tongueR)St 23, proximity to chyle cisternaST 22 - Guan Men Pass Gate 2 cun lateral to the AML level with CV 11Abdominal pain, bloating, gurgling in the stomach/intestines (boborygmus) Diarrhea, constipation, poor appetite Edema Useful for bedwetting with HT 7 and UB 40 or LU 1 and HT 7 ST 21 - Liang MenBeam Gate2 cun lateral to the AML level with CV 12

Tonifies Middle Warmer, assists CV 12

Epigastric pain, accumulations of food in the abdomen and/or palpable masses, vomiting Diarrhea, poor appetite, anorexiaST 20 - Cheng ManAssuming Fullness2 cun lateral to the AML level with CV 13

Abdominal pain, bloating, hiccups, gastric pain, vomitingAnorexia, poor appetite, diarrheaShortness of breath, wheezing

ST 19 - Bu RongNot Contained2 cun lateral to the AML level with CV 14

Abdominal pain, bloating, vomiting (rebellious stomach qi) Gastric pain, gall bladder issues Anorexia, poor appetite.ST 15 - Wu YiRoof 4 cun lateral to the AML in the 2nd ICS

Asthma, chest oppression, fullness a/or pain in the chest Breast pain, distention, mastitis, abscess General pain, heaviness and/or itching of the whole body.ST 13 - Qi Hu Qi Door4 cun lateral to the AML at the lower border of the clavicle. Asthma, cough, wheezing, chest distention hiccups Local point - rib pain, inability to turn head, neck pain.ST 12 - Que PenEmpty Basin

Location: In the midpoint of the supraclavicular fossa, 4 cun lateral to the anterior midline

Shoulder pain (esp. that radiates to neck) Neck/throat issues - tightness/pain Cough, counterflow qi, sore, swollen throat (rebellious lung qi) Internal branch of the ST meridian connects here directly from the Stomach, Spleen & Diaphragm Tonify middle warmerST 11 - Qi SheQi Abode

Location: At the superior border of the clavicle between the sternal and clavicular heads of the sternocleidomastoideus muscleLocal point - sore/swollen throat - counterflow qi, cough, hiccups, reflux Neck pain - pain, inability to turn neckMain point to open the circulation of the common carotid arteryUseful for conditions such as acid reflux, arteriosclerosis, hypertension, kidney cancer, bladder cancerGB 24 - Ri YueSun and Moon

Location: Directly below the nipple in the 7th ICS, 4 cun lateral to the AML GB Front Mu Intersection Point of the GB, SP & Yang Wei MeridiansLV & GB issues, especially involving heat and stagnation - gallstones, hepatitis, jaundice LV/GB attacking the SP - nausea, vomiting, sour belching, bitter taste, acid reflu GB related emotional imbalances - fearfullness, shyness, indecisiveness, timidity, sighing The Ling Shu indicates GB 24 & UB 19 (GB Back Shu) for frequent indecisiveness.GB 25 - Jing MenCapital GateOn the lateral side of the abdomen on the lower border of the free end of the 12th ribKD Front Mu

Local point for pain in the lumbar a/or lateral costal region especially when presenting with a KD deficiency KD/SP Issues involving dampness - diarrhea (esp. watery/cold), bloating, abdominal distention Diuretic point - urinary retention, difficult urination, edema Kidney stones - assists passageMoxa to nourish Jing

GB 26 - Dai Mai Girdling VesselDirectly below LV 13 at the crossing point of a vertical line through the free end of the 11th rib and a horizontal line through the umbilicus (level with CV 8) on the high point of the iliac crest

Intersection Point of the GB & Dai Mai Meridians

Actions & Effects: GB 26, GB 27 & GB 28 are all useful points on the Dai Mai meridian which influences the GB, KD, Chong Mai, CV & GV Meridians GB 26 is most useful for women's issues - leukorrhea from any etiology, gynecological disorders, prolapses, infertility Menstrual related pains, cramping, bloating a/or migraines Local point for the lower back and waist.

GB 27 - Wu ShuFifth PivotOn the lateral side of the abdomen, anterior to the ASIS, 3 cun below the level of the umbilicus (lateral to CV 4)

Point Associations: Intersection Point of the GB & Dai Mai Meridians

useful for male issues - testicular pain a/or retraction, lower abdominal pain, shan disorder.LV 13 - Zhang MenCamphorwood GateSpleen Front Mu Point Hui Meeting of the Zang - tonify all Zang (yin) organs. Intersection point of the LV and GB meridiansAssist with SP Deficient signs esp. from the LV invading the SP pain and distention of the abdomen, vomiting, constipation, diarrhea (or alternating), bloating, undigested food in the bowelsLV 14 - Qi Men Cycle GateLV Front Mu Point Intersection point of the LV, SP & Yin Wei Meridians.Strong effect on the middle and upper warmers - subcostal tension, chest/rib pain, LV overacting on the LU (cough, SOB)Effects LV organ, Qi/Blood stagnation - hepatitis, gallstones Emotional imbalances - anger, irritability.KD 11 - Heng GuPubic Bone

Location: 5 cun below CV 8, .5 cun lateral to CV 2.

Intersection Point of the KD & Chong Mai Meridians

Actions & Effects: KD 11, KD 12, KD 13, KD 14 & KD 15 all intersect the Chong Mai and are useful as local points for abdominal a/or gynecological issues.KD 16 - Huang ShuHuang Shu .5 cun lateral to CV 8. Intersection Point of the KD & Chong Mai MeridiansCold a/or Dry effecting the lower abdomen a/or intestines - constipation, abdominal pain, 5 Types of Lin Disorders:General term for urinary disorders involving frequency, dribbling, urgency a/or painful issues. Western conditions such as kidney stones are related to this patternShan Disorder:TCM term which generally designates hernia disorders, but mentioned in cases of hernia, issues w/external genitalia (swelling, pain), and abdominal pain that presents with stagnation issues (constipation, incomplete a/or difficulty urinating)

Right Gb27, effective for ileo-cecal valve issues

KD 19 - Yin DuYin Metropolis4 cun above CV 8, .5 cun lateral to CV 12.

Intersection Point of the KD & Chong Mai MeridiansKD 21 - You Men Dark Gate6 cun above CV 8, .5 cun lateral to CV 14

Intersection Point of the KD & Chong Mai Meridians

Local pain and stagnationKD 23 - Shen Feng Spirit SealIn the 4th ICS, 2 cun lateral to CV 17

generally useful for cough, chest tension, constricted breathingKD 25 - Shen CangSpirit StorehouseIn the 2nd ICS, 2 cun lateral to CV 19

useful for cough, chest tension, constricted breathingKD 27 - Shu FuShu MansionIn a depression on the lower border of the clavicle, 2 cun lateral to the CV lineFront Mu of the back ShuOpens & relaxes the chest - asthma, constricted breathing, cough, chest tightness Tonify KD Deficiency leading to adrenal exhaustion - fatique, lowered immunity Local point for neck a/or jaw issues - pain, tension.PC 1 - Tian Chi - Celestial Pool1 cun lateral to the nipple in the 4th ICS.

Precautions: No Deep Needle.

Window of the Sky Point Intersection Point of the PC & GB Channels

Window of the Sky Point, fullness of the chest, counterflow qi, headache, axillary sweating, blurred vision Breast disorders, insufficient lactation.

CV 2 - Qu Gu Curved BoneIntersection Point of the CV & LV Meridians

Generally useful for Deficiency and Cold-Type Genito-urinary issues - retention of urine, dribbling urine, frequent urination Main point for feminine discharges, "red and white" discharges (leukorrhea) along with other sexual/menstrual issues - dysmenorrhea, irregular cycles Male sexual issues such as impotence a/or seminal emission as well as any problems with the genitals (dryness, itching, dampness, pain).CV 3 - Zhong Ji Central PoleFront Mu Point of the Urinary Bladder Intersection Point of the CV, SP, LV and KD MeridiansGenerally useful for Excess-Type Genito-urinary disorders Urinary disorders from excess heat, stagnation a/or dampness - cystitis, dark/burning/urgent/frequent urination, retention of urine Main point for damp-heat in the genital area - genital itching w/sensation of heat, rashes, genital herpes, impotence, seminal emission Yin excess accumulations - masses below the umbilicus, cold lower abdomen Moving and cooling point for Gynecological disorders - dysmenorrhea, amenorrhea, fibroids, leukorrhea, uterine bleeding, uterine prolapse.CV 4 - Guan YuanOrigin PassFront Mu Point of the Small Intestine Intersection Point of the CV, SP, LV & KD Meridians. Generally, useful for deficiencies of Yin, Yang, Qi & Blood Main point for tonifying Prenatal Qi - exhaustion, weakness, chronic fatigue/diseases Main point for Kidney deficiencies of Qi, Jing a/or Yang - low back pain, bone disorders, early morning (5 a.m., "cock-crow") diarrhea. rectal prolapse Genito-urinary issues with Deficient a/or Cold Patterns - incontinence, clear copious urine, nocturia Main point for all menstrual disorders with Deficient, Cold a/or Stagnation Patterns - scanty menstruation, pale blood Sexual / Fertility Issues - infertility, impotence, seminal emission, amenorrhea, bleeding during pregnancy Yang collapse - chills, profuse sweating, SOB, unconsciousnessAn important point for the storage and development of Qi (energy), useful for deficiency conditions - weakness, shortness of breath, sexual issues.CV 5 - Shi MenStone GateLocation: 3 cun above CV 2 (pubic symphysis)

Front Mu Point of the Triple Heater Meridian

For patterns of excess involving the lower abdomen a/or urinary tractsMentioned classically to both cause and treat infertilityLower abdominal pain of an excess nature, genital pain/itching, hernia Diarrhea, undigested food in stools, poor appetite, abdominal pain, edema.CV 6 - Qi Hai Sea of QiQi tonification Women's health - hernia, uterine bleeding, irregular menstruation, dysmenorrhea (painful menstruation / cramps), amenorrhea, leukorrhea Men's health - impotence, seminal emission, nighttime urination, hernia Deficiencies of the lower and middle warmers - abdominal distention, bloating, edema, poor digestion, loose stools, diarrhea, fatigueTonify ST/SP Qi Deficiencies Main point for prolapse of any type - rectum, uterus, etc. Lower abdominal and/or genital pain / swelling Stroke, loss of consciousness, weakness of the muscles and body generally. Main point for building and storing Qi (energy), useful for deficiency conditions - asthma, shortness of breath, general fatigueCV 7 - Yin Jiao Yin IntersectionIntersection Point of the CV, KD and Chong MeridiansThis point is not used very often clinically, although its connections with the Chong, CV & KD meridians make it useful for Uterine and menstrual issuesRunning piglet disorder (similar to panic attacks) Abdominal pain, bloating, edema, hernia, genital pain Irregular menstruation, uterine bleeding, leukorrheaCV 8 - Shen QueSpirit GateMain point for extreme collapse of Yang especially leading to cold in the intestines - warms the stomach and helps digestive disorders Diarrhea, particularly from internal deficiency Tonify body weakened from chronic illness/exhaustion Revival point from shock (esp. involving cold - hypothermia, frostbite), stroke, epilepsy Deep finger pressure to relieve abdominal pain from gas. Angle toward painful area

CV 9 - Shui FenWater DivideMain point to move stagnation of water, especially in the middle warmer - edema, urinary issues, poor digestion, borborygmus, GERD, vomiting after eating Useful for tonifying the SP or KD Weight loss prescriptions: move stagnant water Good point for Moxa.CV 10 - Xia WanLower Epigastriumindicated for issues with the lower stomach (stagnation, bloating, distention, weak digestion, diarrhea, undigested food in the stool, vomiting, borborygmus) CV 12 is indicated for issues with the middle stomach CV 13 is indicated for the upper stomach.CV 11 - Jian LiInterior StrengtheningDigestive issues - bloating, poor appetite, vomiting after eating, borborygmus, anorexia Edema of the whole bodyCV 12 - Zhong Wan Central EpigastriumFront Mu Point of the ST. Hui Meeting Point of the Fu Intersection Point of the CV, TH, SI and ST Meridiansuseful for middle warmer issuesST patterns arising from an excess or a deficiency, tonify deficient SP patterns (moxa useful) nearly all digestive issues - pain, bloating, reflux, vomiting, diarrhea, jaundice Hui Meeting Point - broad effect on the Fu (hollow) organs in the body Stress related digestive disorders (nervous Stomach, heartburn, diarrhea) along with various symptoms such as insomnia, anxiety, etc. particularly from worry and/or overthinking..CV 13 -Shang WanUpper epigastriumIntersection Point of the CV, SI & ST Meridiansuseful for upper warmer issues (vomiting, hiatal hernia, hiccups, epigastric pain), Abdominal pain a/or distention Spleen deficiency related heart and emotional issues - insomnia, anxiety, palpitations, heart pain, sensations of heat in the chest and/or body (possibly without sweating).CV 14 - Ju QueGreat Tower GateFront Mu Point of the HTAny Shen or Heart issue arising from an Excess or a Deficiency angina, pain/tightness in the Heart area Nausea, reflux, acid regurgitation, vomiting, abdominal a/or epigastric pain Shen disturbances arising from Phlegm "misting the mind" - manic depression, muddled thinking, anger outbursts, poor memory, anxiety, palpitations, panic attacks, epilepsy Descends lung qi - cough, asthma.CV 15 - Jiu Wei Turtledove TailLuo Connecting Point of the CV.

upper abdomen issues, chest tightness/oppression, cardiac area pain Heart / Shen related psychological issues - epilepsy, palpitations, mania Digestive issues such as nausea, refluxupper chest issues such as sore throat, wheezing.CV 16 - Zhong TingCenter PalaceLocation: Level with the 5th ICS, where the right and left ribs meet on the lower border of the sternum at the junction of the sternum and xiphoid processLocal point for chest and intercostal distention and pain Hiccups, nausea, anorexia, difficulty ingestingCV 17 - Dan ZhongChest CenterLocation: Level with the 4th ICS, midway between the nipples Front Mu Point for the PC Hui Meeting Point of the Qi Sea of Qi PointMain point for tonification of the upper warmer Tonify and move the Qi of the body Chronic lung issues - cough, asthma, SOB, diaphragmatic pain Breast issues - insufficient lactation, mastitis Chest/Throat issues (rattling in throat w/asthma, difficulty swallowing, palpitations)counterflow Qi problems - guides the Qi downwardsCV 21 - Xuan JiJade PivotLocal point for chest issues - pain, cough, asthma, wheezing Resolve food stagnation in the stomach (often with ST 36), difficulty ingestingCV 22 - Tian TuCelestial ChimneyIntersection Point of the CV & Yinwei MeridiansAll throat/vocal cord disorders - sore/dry throat, hoarseness, swallowing issues, speech issues such as loss of voice, cracked voice Window of the Sky Point - useful for aphasia Upper chest Qi/Stagnation issues - asthma, wheezing, pain in the upper chest, tightness, oppression