Acupuncture Points Notebook

: Rangu : Blazing Valley

Kid-2 : Foot Shaoyin Kidney 2

Ying-Spring and Fire point

Trigger point (Travell & Simons, 1998, Trigger Point Manual; Melzack, Stillwell & Fox, 1977, Trigger Points and Acupuncture Points for Pain: Correlations and Implications, Pain 3, p3-23)

Meeting of Kidney with Yin Qiao Mai

On the medial side of the foot, distal and inferior to the medial malleolus, in the depression distal to the navicular tuberosity.

Perpendicular insertion 0.5 - 1 cun

TCM Actions:
Calms deficiency heat
Regulates the kidneys
Regulates the lower jiao

TCM Indications:
  • Throat painful obstruction, insufficient saliva to moisten the throat, inability to speak, spontaneous sweating, night sweating, asthma, dyspnoea, diminished qi, coughing blood, wasting and thirsting disorder, jaundice, protrusion of the tongue, fearful as if about the be apprehended, propensity to fear and fright, stabbing Heart pain.
  • Itching of the genitals, nocturnal emissions, seminal emission, impotence, infertility, uterine prolapse, irregular menstruation, shan disorder, difficult urination, cold or damp (dong) diarrhoea.
  • One foot hot and one foot cold, pain of the lower legs which prevents standing for long, pain and swelling of the instep, restless feet.

    Superficial Innervation: Medial calcaneal branches of tibial nerve (S1 - S2)
    Dermatome Segment: L4

    Trigger Point Associations:
    Muscle: Abductor hallucis
    Myotome Innervation: Medial plantar nerve from tibial nerve from sciatic nerve (L4 - S3)
    Pain Referral Pattern: All around the metatarso-phalangeal joint of the big toe
    Indications: Disease of the metatarso-phalangeal joint of the big toe

    Important point for empty Heat from Yin deficiency.


    Ling Shu Ch. 6 suggests piercing the Ying points (and Shu points according to Unschuld, 2016, but not according to Wu & Wu, 201) of the Yin channels if a disease is in the Yin of the Yin realm (e.g. the Zang organs) suggesting this point (and Taixi Kid-3) in diseases of the Kidney.

    Ling Shu Ch. 9, On Ends and Beginnings, advises that in the case of Heat associated with receding Yin Qi the Yang conduit should be pierced once and the Yin conduits twice. Based on other recommendation to use the He-Sea of the Yang conduits (Ch. 19) and the Yuan-Source with the Ying-Spring points (Chs. 6, 19 and 24) to clear Heat from the Zangfu, that would suggest this point, Taixi Kid-3 and Weizhong Bl-40 as a protocol to clear Heat in the Kidney/Bladder. Next it advises that in Cold associated with receding Yang Qi the Yang should be pierced twice and the Yin> once but no such obvious protocol is evident for this situation. Another interpretation that would match with common practice today, based on the idea of odd numbers being Yang/moving/clearing while even numbers are Yin/tonifying/reinforcing, is that the points on the channel to be cleared are pierced on one side only while those on the channel to be tonified are pierced bilaterally.

    Ling Shu Ch. 19, on the Four Seasonal Qi, advises opening the Jing-Well and Ying-Spring openings in winter, piercing deeply and retaining the needle for a while.

    Ling Shu Ch. 22, On Mania and Madness, advises that when Wind invasion and counterflow causes the limbs to become swollen, profuse sweating, a feeling cold and to be irritated when hungry, then blood is removed from the outer and inner sections of the hand Taiyin and foot Shaoyin and Yangming. If the flesh is cool then it is be done through the Ying-Spring points and if the bones are cold it is to be done through the Jing-Well and Jing-River points.

    Ling Shu Ch. 24, On Counterflow Diseases, employs the point combination mentioned in Ch. 6 for the treatment of Heart pain. It advises piercing this point and Taixi Kid-3 when treating a severe piercing pain in the Heart associated with the Spleen. It also advises this point in cases of a Heart pain that feels like being struck, with a bent and painful back, associated with the Kidneys. In this case it is an addition to Jinggu Bl-64 and Kunlun Bl-60 if the patient either becomes mad or if the first two points do not relieve the pain.

    Ling Shu Ch. 44, On the Qi Moving in Accordance with the Norms, indicates that the Ying-Spring points should be pierced in spring or when the disease is associated with a change in complexion. The seasonal aspect should not be interpreted literally as it describes the colours as "controlled by spring". It also describes the morning, afternoon, evening and night cycle of the day to be like the four seasons of the year with morning corresponding to spring.


    In Tibetan medicine:
    Moxa and bleeding point (AMNH, Tibetan Medical Paintings)

    Reference Notes: (click to display)