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Location Guides: |
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He-Sea and Water point
Binding point of the foot Taiyin Sinews
Homeostatic point 4 (Ma, Ma & Cho, 2005, Biomedical Acupuncture for Pain Management)
On the medial side of the lower leg, in a depression in the angle formed by the medial condyle of the tibia and the posterior boder of the tibia.
Perpendicular insertion 1 - 1.5 cun
"The Taiyin usually has much Qi and little Blood" (Su Wen 素問 ch. 24) implying this channel should normally be needled.
"The foot Taiyin is to be pierced 3 fen deep and remain inserted for four exhalations" (Ling Shu 靈樞 ch. 12).
"It is needled to a depth of five fen (the needle) is retained for a duration of seven exhalations, and it is moxaed with three cones" (Huangfu Mi 皇甫謐, 3rd Century, Zhenjiu Jiayi Jing 針灸甲乙經).
Regulates the Spleen and resolves Dampness
Opens and moves the water passages
Benefits the Lower Jiao
Shared with Neiting St-44. Balanced by ䷰ (Yangxi LI-5 or Yuji Lu-10).
Hexagram attributions are my own with an explanation given in the glossary.
Superficial Innervation: Saphenous nerve, from femoral nerve (L2 - L4), emerging from deep fascia
Dermatome Segment: L4
Listed in the Wu Bei Zhi 武備志 (Treatise on Armament Technology) by Mao Yuanyi 茅元儀 (1621), Article 21: Delayed Death Touches with Twelve-Hour (Shichen 時辰) Diagrams. This point along with Yifeng SJ-17 and Renzhong Du-26 are associated with Chen 辰 Dragon (7-9 am) and if struck during this time is said to cause death before a person can take 7 steps from trauma to the articular artery (McCarthy, 2016, Bubishi: The Classic Manual of Combat).
As a He-Sea and Water point, in addition to great local
pain it will cause the body to fill up with water when struck right on target and if not corrected using acupuncture or other Chinese medicine, will eventually lead to early death (Montaigue, Dim Mak Locations, Taijiworld.com).
This is the main distal point for resolving dampness.
Ling Shu Ch. 1, On the Nine Needles and the Twelve Origins, suggests using this point to remove illness that is above and in the interior (i.e. affecting the upper body but in the Zang).
Ling Shu Ch. 19, on the Four Seasonal Qi, advises supplementing this point, described as above the three yin, for undigested food in the stool, with the needle retained until the heat moves (Unschuld, 2016). Conversely Wu & Wu (2010) interpret this line as pricking Sanyinjiao Sp-6 and this point with invigorating technique, stopping when heat appears under the needle.
Ling Shu Ch. 44, On the Qi Moving in Accordance with the Norms, indicates that the He-Sea points should be pierced in autumn or when the disease is a result of immoderate diet. The seasonal aspect should not be interpreted literally as it describes the flavours as "controlled by autumn", probably referring to the mouth, nose and throat where the metal channels run. It also describes the morning, afternoon, evening and night cycle of the day to be like the four seasons of the year with evening corresponding to autumn. Perhaps the most likely interpretation is during middle age, the autumn period of life, when the effects immoderate diet are likely to start to show.
Wang Yu-Ji often starts with this point and Chize Lu-5 as a means of harmonising the Taiyin Qi dynamic and function of fluid transformation. This is due to the Spleen governing the rising of clear Yang and the Lung governing the descent of True Qi creating a cyclical motion (Wang & Robertson, 2008, Applied Channel Theory).
In Tung acupuncture this point is known as Tian Huang, Heavenly Emperor (77.17) and is often combined with Ren Huang, Human Emperor (77.21), 3 cun above the medial malleolus at Sanyinjiao Sp-6, and Di Huang, Earth Emperor (77.19), 7 cun above the medial malleolus, 1 cun superior to Lougu Sp-7 to make Xia San Huang, the Lower Three Emperors. They all treat many disorders of the Spleen, Liver and Kidney, this one especially focuses on the Spleen (Chu, 2015).
Another point Shen Guan, Kidney Gate, or Tian Huang Fu, Heavenly Emperor Appendage (77.18) is located 1.5 cun below this point, midway between here and Diji Sp-8. It can be used singly for shoulder pain or in combination with Di Huang (1 cun above Lougu Sp-7) and Ren Huang (at Sanyinjiao Sp-6) for a variety of symptoms relating to Kidney Qi deficiency (ibid.)
According to Ma, Ma & Cho (2005) this point is similar to H1 (Quchi L.I.-11) in diagnosing a patients homeostatic imbalance and ability to self-heal. The more imbalanced they become the more tender points appear distal to this point along the course of the saphenous nerve (spleen channel) meaning a lower likelihood of responding to treatment.
According to the Taiwanese TCM Doctor I-Chun Peng threading a single needle from Yanglingquan GB-34 to Yinlingquan Sp-9 and combining with Zulinqi GB-41 can be used to treat cholecystitis, gallstones or gall bladder pain. Within 10 minutes the spasm will start to release and in an hour, there should be no more pain. https://youtu.be/XMYSYp0q5H8.
In Tibetan medicine:
Moxa point (AMNH, Tibetan Medical Paintings).
In Thai massage:
Point along the Kalatharee sen line and the Sahatsarangsi (left) and Tawaree (right) sen lines (Salguero & Roylance, 2011, Encyclopedia of Thai Massage).
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
Steve Woodley Acupuncture & Traditional Medicine
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