不容 : Burong : Not Contained

Location Guides:

Location:

On the abdomen, 2 cun lateral to the midline and 6 cun superior to the umbilicus, level with Juque Ren-14.

Needling:

Perpendicular insertion 0.5 - 0.8 cun

Warnings:

Deep insertion may injure the heart on the left or the liver on the right if either of these organs are enlarged

Classical Needling:

"The Yangming usually has much Qi and much Blood" (Su Wen 素問 ch. 24) implying this channel can normally be needled or bled.
"The foot Yangming is to be pierced 6 fen deep and remain inserted for ten exhalations" (Ling Shu 靈樞 ch. 12).
"It is needled to a depth of five fen and moxaed with five cones" (Huangfu Mi 皇甫謐, 3rd Century, Zhenjiu Jiayi Jing 針灸甲乙經).

TCM Actions:

Harmonises the Middle Jiao and lowers rebellion
Descends Qi and alleviates cough and wheezing

TCM Indications:

• Abdominal distension, epigastic pain, vomiting, vomiting blood, poor appetite, abdominal deficiency borborygmus.
  
• Cough, dyspnoea, difficult breathing with raised shoulders, pain of the chest, back, shoulder and costal region, pain of the Heart, dry mouth.

Neuroanatomy:

Superficial Innervation: Cutaneous branches of thoracic nerves from T7

Dermatome Segment: T7

Martial Applications & Effects of Injury:

A strike here attacks the seat of power and damages the muscles that work the diaphragm causing the recipient to feel like they have no power at all and fall down. A hard enough strike will cause death from suffocation (Montaigue, Dim Mak Locations, Taijiworld.com).

Major Combinations:

• Vomiting:
    Burong St-19 with Shangwan Ren-13 and Daling Pc-7
    (Wang Zhizhong, 王執中, 1220: Zhen Jiu Zi Sheng Jing, 針灸資生經, Classic of Supporting Life with Acupuncture and Moxibustion).
  
  
• Stabbing pain of the Heart:
    Burong St-19 with Qimen Liv-14
    (Sun Simiao, 孫思邈, 625: Bei Ji Qian Jin Yao Fang, 備急千金要方, Essential Prescriptions Worth A Thousand Gold).
  
  
• Fullness of the chest and lateral costal region:
    Burong St-19 with Zhangmen Liv-13
    (Gao Wu, 高武, 1529: Bai Zheng Fu, 百症賦, Ode of a Hundred Symptoms).
  
  
• Acute pain of cholelithiasis:
    Right Burong St-19 and Qimen Liv-14 with Dannnagxue Ex-Le-23, left Yanglingquan GB-34, Zhongwan Ren-12 and bilateral Hegu LI-4 and Taichong Liv-3 (Deadman, Al-Khafaji and Baker, 2001, A Manual of Acupuncture).
  
  
• Nine Flowers:
    Burong St-19 with Youmen Kid-21, Yindu Kid-19, Shenfeng Kid-23 and Juque Ren-14
    (Jeffrey Yuen protocol, learned via discussion group. See note below.)

Notes:

Its location on the Stomach channel midway between Ren-14 and Liv-14, front Mu of the Heart and Liver, combined with its name, "Not Contained" gives the suggestion of this point being used primarily when emotional issues cause Heat from the Heart or Liver to overflow into the Stomach and intestines causing symptoms like epigastric pain, reflux, dry mouth and distention.

The "Nine Flowers" is a combination of points that aims to open the Diaphragm and allow new life to enter (Jeffrey Yuen protocol, learned via discussion group).

The Stomach Shu are a proposed set of points that complement the Breast Shu. They are level with the Chest Shu and Front Mu points on the abdomen and receive the Blood and Ying Qi created through the action of the Spleen and Lung, via the Breast Shu, to distribute among the Zangfu. Whereas the Back Shu and Chest Shu deliver Yang and Yin Yuan Qi through the Bladder and Kidney Channels to the Zangfu, these points are focused specifically on postnatal Qi.

This point would be associated with the Pericardium, surrounding the Heart Mu and being indicated for pain of the heart and vomiting, similar to its channel.

Lad and Durve (2008) in Marma Points of Ayurveda call this point Vankri and associate it with the doshas: Samana Vayu, Udana Vayu, Vyana Vayu, Ranjaka Pitta, Pachaka Pitta and Kledaka Kapha.

They give the following functions:
- Benefits the liver, gallbladder, spleen and pancreas
- Relieves pain locally
- Regulates digestion and acid secretion
- Maintains tone of diaphragm muscle
- Regulates lactation

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

Reference Notes:

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