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2. 1.7 Spleen meridian of foot-taiyin

2.1.7.1 Cyclical flowing and distribution
The spleen meridian starts from the tip of the great toe. From there it runs along the medial aspect of the foot at the junction of the red and white skin. Then it ascends in front of the medial malleolus up to the medial aspect of the leg (an area 8 cun above the medial malleolus). Fol-lowing the posterior aspect of the tibia, it crosses and goes in front of the liver meridian. Passing through the anterior medial aspect of the knee and thigh, it enters the abdomen and then the spleen to which it pertains and connect with the stomach. From there it ascends, passing through the diaphragm and running alongside the esopha-gus. When it reaches the root of the tongue it spreads over its lower surface.
The branch from the stomach goes upward through the diaphragm and flows into the heart to connect with the heart meridian. (see Fig. 37)

Fig .37 Flowing route of the spleen meridian of foot-taiyang

Associated viscera: Spleen, stomach and heart.
Associated organs: Throat and tongue.

2.1.7.2 Indications

Disorders of the spleen and stomach, gynecological diseases, genital problems and diseases involving the areas through which the meridian flows.

2.1.7.3 Commonly used acupoints

2.1.7.3.1 Yinbai (SP1)
Location: The acupoint is located on the medial side of the great toe, 0.1 cun latero-posterior to the corner of the nail (see Fig. 38).

Fig.38 Foot acupoints on the spleen meridian of foot-taiyang

Indications: Unconsciousness, apoplexy, convulsion, abdominal distension, sudden diarrhea, metrorrhagia and metrostaxis, epistaxis and hematochezia.
Note: Jing-Well acupoint of the spleen meridian of foot-taiyin.
2.1.7.3.2 Dadu (SP 2)
Location: The acupoint is located on the medial side of the great toe, in the depression distal and inferior to the first metatarsodigital joint and the junction of the red and white skin (see Fig. 38).
Indications. Abdominal pain, abdominal distension, diarrhea, vomiting, no sweating in febrile disease and dysphoria.
Note: Ying-Spring acupoint of the spleen meridian of foot-taiyin.
2.1.7.3.3 Taibai (SP3)
Location: The acupoint is located on the medial side of the great toe, in the depression proximal and inferior to the first metatarsodigital joint and the junction of the red and white skin (see Fig. 38).
Indications: Stomachache, abdominal distension, vomiting, diarrhea, dysentery, constipation, edema, heavi-ness of the body, pain of joints and flaccidity syndrome.
Note: Shu-Stream and Yuan-Source acupoints of the spleen meridian of foot-taiyin.
2.1.7.3.4 Gongsun (SP4)
Location: The acupoint is located on the medial bor-der of the foot, anterior and inferior to the first metatar-sal base, and in the depression distal and inferior to the base of the first metatarsal bone, at the junction of the red and white skin and about 1 cun posterior to Taibai (SP 3). (see Fig. 38)
Indications: Abdominal distension, diarrhea, dysen-tery, edema, acute and chronic stomachache, vomiting, dysphoria and insomnia.
Note: Luo-Connecting acupoint of the spleen meridi-an of foot-taiyin and one of the eight convergent acupoint associating with the thoroughfare vessel.
2.1.7.3.5 Shangqiu (SP 5)
Location. The acupoint is located in the depression distal and inferior to the medial malleolus, midway be-tween the tuberosity of the navicular bone and the tip of the medial malleolus (see Fig. 38 and 39).

Fig.39 Lower limb acupoints on the spleen merdian of foot-taiyin

Indications: Abdominal distension, borborygmus, diarrhea, constipation, jaundice, somnolence, stiffness and pain of the tongue as well as tumescent pain of the ankle joint.
Note: Jing-River acupoint of the spleen meridian of foot-taiyin.
2.1.7.3.6 Sanyinjiao (SP6)
Location: The acupoint is located on the medial side of the shank, 3 cun directly above the tip of the medial malleolus, on the posterior border of the medial aspect of the tibia (see Fig. 39).
Indications: Abdominal pain and distension, edema, seminal emission, impotence, retention of urine, irregu-lar menstruation, metrorrhagia and metrostaxis, multi-colored leukorrhea, dystocia, amenorrhea, insomnia and hypertension.
Note: ¢Ù Crossing acupoint of the foot-taiyin, foot-shaoyin and foot-jueyin meridians. ¢Ú To be forbid-den to needle for the gravida.
2.1.7.3.7 Lougu (SP7)
Location. The acupoint is located on the medial side of the shank, 6 cun above the tip of medial malleolus and on the line joining the medial malleolus and Yinlingquan (SP 9) (see Fig. 39).
Indications: Abdominal pain, abdominal distension, borborygmus and flaccidity and obstruction syndromes of the lower limbs.
2.1.7.3.8 Diji(SP8)
Location: The acupeint is located on the medial side of the shank, on the line joining the tip of the medial mal-leolus and Yinlingquan (SP 9) and 3 cun below Yinlingquan (see Fig. 39).
Indications: Abdominal pain, diarrhea, edema, dysu-ria, dysmenorrhea, irregular menstruation and flaccidity and obstruction syndromes of the lower limbs.
Note: Xi-Cleft acupoint of the spleen meridian of foot-taiyin.
2.1.7.3.9 Yinlingquan (SP9)
Location- The acupoint is located on the medial side of the shank, on the lower border of the medial condyle of the tibia and in the depression on the medial border of the tibia (see Fig. 39).
Indications: Abdominal pain, abdominal distension, diarrhea, dysentery, constipation, edema, jaundice, dys-uria, and tumescent pain of the knee joint.
Note: He-Sea acupoint of the spleen meridian of foot-taiyin.
2.1.7.3.10 Xuehai (SP 10)
Location- When the knee is flexed, the acupoint is located 2 cun above the mediosuperior border of the patella, on the bulge of the medial portion of m. quadri-ceps femoris. Or when the patient's knee is flexed, the doctor cups the right palm to the left knee of the patient with the thumb on the medial side and with the other four fingers directed proximally. The thumb forms an angle of 45¡ã with the index finger. The acupoint is where the tip of the doctor's thumb rests (see Fig. 40).

Fig. 40 Lower limb acupoints on the spleen meridian of foot-taiyin

Indications: Dysmenorrhea, metrorrhagia and metrostaxis, irregular menstruation, urticaria, eczema and tumescent pain of the knee joint.
2.1.7.3.11 Chongmen (SP 12)
Location: The acupoint is located superior to the la-teral end of the inguinal groove, on the lateral side of the femoral artery pulsation and 3.5 cun to the upper border of symphysis pubis (see Fig. 41).



Fig.41 Abdomen acupoints on the spleen meridian of foot-taiyin






Fig.42.Chest acpoints on the spleen meridian of foot-taiyin

Indications: Lower abdominal pain, hernia, dysuria, leukorrhagia and irregular menstruaton.
2.1.7.3.12 Daheng (SP 15)
Location: The acupoint is located on the center of the abdomen and 4 cun lateral to the umbilicus (see Fig. 41).
Indications. Abdominal distension, abdominal pain, diarrhea, dysentery and constipation.
2.1.7.3.13 Dabao (SP21)
Location: The acupoint is located on the lateral side of the chest, on the mid-axillary line and at the sixth costal interstice (see Fig. 42).
Indications: Chest and hypochondriac pain, cough, asthma, general pain and flaccidity of the four limbs.

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