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Doorway to the Earth Point
Trigger point (Travell & Simons, 1998, Trigger Point Manual)
0.5 cun lateral to the Du Mai, level with the tip of the coccyx.
Perpendicular insertion 1 - 1.5 cun.
"The Taiyang usually has much Blood and little Qi" (Su Wen 素問 ch. 24) implying this channel should normally be bled.
"The foot Taiyang is to be pierced 5 fen deep and remain inserted for seven exhalations" (Ling Shu 靈樞 ch. 12).
"It is needled to a depth of eight fen and moxaed with five cones" (Huangfu Mi 皇甫謐, 3rd Century, Zhenjiu Jiayi Jing 針灸甲乙經).
Clears Damp-heat and regulates the Lower Jiao
Benefits the coccyx and treats haemorrhoids
Superficial Innervation: Dorsal rami of S1 - S3
Dermatome Segment: S4
Deeper Structures: Dorsal rami of the coccygeal nerve
Muscle:
Gluteus maximus
Location Notes:
There is another gluteus maximus trigger point located slightly lateral, between this point and huantiao GB-30
Pain Referral Pattern:
Local to buttock or to sacrum and lateral hip below iliac spine if located slightly lateral
Indications:
Pain in buttocks or leg, aggravated by walking uphill
See Montaigue, Dim Mak Locations, Taijiworld.com for explanation of effects.
This point is indicated in problems with the Fourth Level of Manifestation of the Soul, or the Anahata chakra, concerned with the evolution of the soul, creation, "mind becoming matter" and the ability to turn ideas into actions that have consequences. This manifests in hopelessness, cynicism and inability to see reality as illusion. The other points in this set are Baihui Du-20 and Huiyin Ren-1 or Yinjiao Ren-7 (Yuen, 2005, 3 Spirits & 7 Souls).
In Sufism this level would relate to the Valley of Independence or Detachment described by Attar in the Conference of the Birds as:
"Seven oceans here in one breath turn into a pool
Seven burning globes turn here to a fire ball, the whole;
If a part or the whole system perish here
It seems that a straw is lost in the sphere ..."
Here the mystic feels free of worldly concerns as they are all simply a drop in the ocean that God.
Like the other even (Yin) sets there is one point representing Yang (Baihui Du-1), one representing Yin (Huiyin Ren-1) and one that unifies them in the lower Dan Tian (Huiyang Bl-35). This time the polarity is even more extreme but are also all Hui meeting points, suggesting their distance seeming even more extreme as their impending unification approaches.
In ayurvedic medicine:
Kakundaraya marma point
Size: 1/2 angula (cun)
Structure: Joint
Effect of Injury: Disability (vaikalaykar marma)
(Harish Johari, 1996, Ayurvedic Massage, Sanatan Society; Anupama Bhattacharya, n.d. Marma Shastra)
Basic information on location, needle depth, TCM actions, indications and combinations is taken from Deadman et al (2001): A Manual of Acupuncture with additional anatomical information researched by reference to Gray's Anatomy (38th Ed., 1995) unless otherwise referenced. Images were found on acupunctureschoolonline.com and can be traced back to Claudia Focks (2008) Atlas of Acupuncture originally. I cannot claim any credit or rights over them. Other sources should be quoted in the text.
For some of the more unusual terms I have created a glossary here