Sp Meridian

7/29/2019 Sp Meridian

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Spleen Pathways


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SPLEEN PRIMARY CHANNEL

begins at the medial side of the tip of the big toe at

SP-1

runs along the medial aspect of the foot, following

the border where the skin changes color ascends in front of the medial malleolus at SP-5

follows the posterior border of the tibia up the

medial aspect of the leg to a point 8 cun superior tothe medial malleolus where it crosses (and then

travels anterior to) the Liver channel


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ascends along the medial aspect of the knee and the

antero-medial aspect of the thigh to the lower

abdomen where it intersects the Conception vessel

at REN-3, REN-4 and REN-10 before entering theSpleen and connecting with the Stomach

emerges in the region of the Stomach and ascends

first at 4 cun lateral to the midline then at 6 cun

lateral to the midline, passing through GB-24, LIV-14

and LU-1, and descends to terminate in the seventh

intercostal space on the mid-axillary line at SP-21


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A branch

ascends through the diaphragm, runs alongside the

esophagus and spreads over the lower surface of the

tongue A further branch

ascends from the Stomach, passes through the

diaphragm and flows to link with the Heart The Spleen primary channel connects with the

following zangfu: Spleen, Stomach, Heart


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luo-connecting channel of the Spleen

originates at SP-4

connects with the Stomach channel

enters the abdomen and connects with theintestines and Stomach


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divergent channel of the Spleen

branches from the primary channel in the

middle of the anterior thigh

follows the Stomach divergent channel to the

throat where it penetrates the tongue


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great luo-connecting channel of the Spleen

separates from the primary channel at SP-21

on the lateral aspect of the chest

spreads through the chest and lateral costal

region gathering the blood of the luo-

connecting channels of the whole body.


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Spleen Sinew Channel begins at the medial side of the big toe at SP-1 and

ascends the foot to bind at the medial malleolus at SP-5,

ascends the medial aspect of the tibia to bind at the

medial side of the knee at SP-9,

follows the medial face of the thigh to bind in the groinbefore converging at the external genitalia,

ascends the abdomen to bind at the umbilicus,

enters the abdomen, binds at the ribs and spreads in thechest,

from the inside of the chest a branch adheres to the

spine.


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Spleen Meridian

Foot Tai Yin


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Spleen 1 (Yinbai / Hidden White)

On the medial side of the

great toe, 0.1 cunposterior to the corner of

the nail.

0.1 II or //, or prick to

bleed


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Spleen 2 (Dadu /Great Metropolis)

On the medial side of

the great toe, distal andinferior to the 1st

metatarso-digital joint,

in the depression at the

junction of the red andwhite skin.

0.1 0.3 II or 0.3 0.5// inferiorly


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Spleen 3 (Taibai / Supreme White)


the foot, proximal andinferior to the 1st

metatarso-digital joint,

in the depression at the

junction of the red andwhite skin.

0.3 0.5 II


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Spleen 4 (Gongsun / Grandfather Grandson)


the foot, in the

depression distal and

inferior to the base of

the 1st metatarsal bone,

at the junction of the

red and white skin.

0.5 0.8 II


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Spleen 5 (Shangqiu / Shang Mound) In the depression anterior

and inferior to the

prominence of the medialmalleolus, midway betweenthe tuberosity of thenavicular bone andprominence of the malleolus.

0.2 0.3 II or Sub Q belowtendon toward St 41

Deadman: in the

depression that lies at thejunction of straight linesdrawn along anterior andinferior borders of the medialmalleolus.


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Spleen 1 - 5

Sp 1 Sp 2

Sp 5


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Spleen 9 (Yinlingquan / Yin Mound Spring)

On the lower border of

the medial condyle of thetibia, in the depressionposterior and inferior tothe condyle.

0.5 1.0 II

Deadman: medial side

of the lower leg, in thedepression in the angleformed by the medialcondyle and posteriorborder of the tibia.


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**Spleen 6 (Sanyinjiao / Three Yin Intersection) **

Three (3) cun directlyabove the prominence ofthe medial malleolus,posterior to the medialborder of the tibia (indepression next to the

tibia). Meeting point ofSpleen, Liver and Kidneymeridians.

0.5 1.0 II

Contraindicated duringpregnancy!!


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Spleen 7 (Lougu / Dripping Valley)

Six (6) cun above the

prominence of themedial malleolus, on

the line connecting the

prominence on the

malleolus and Spleen 9,posterior to the medial

border of the tibia.

0.5 1.0 II


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Spleen 8 (Diji / Earth Pivot)

Three (3) cun below

Spleen 9, on the lineconnecting Spleen 9

and the prominence of

the medial malleolus.

Locate Spleen 9 first.

0.5 1.0 II or //

anteriorly


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Spleen 1 - 9


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Spleen 10 (Xuehai / Sea of Blood)

When the knee is

flexed, 2 cun above themedio-superior border

of the patella, on the

bulge of the medial

portion of m. vastusmedialis.

0.5 1.2 II


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Spleen 12 (Chongmen / Rushing Gate) Superior to the lateral end

of the inguinal groove,

lateral to the femoral artery,level with the upper borderof the pubic symphysis,3.5 cun lateral to theanterior midline. Palpate forfemoral artery!

0.5 1.0 II

Deadman: 1 handbreadth

lateral to the midline,

Caution! Femoral nerve,artery and vein


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Spleen 11 (Jimen / Winnowing Gate) On the medial aspect of

the thigh, 6 cun above

Spleen 10, on the lineconnecting Spleen 10 andSpleen 12. Locate Spleen12 first.

0.5 1.0 II

Deadman: 2 handbreadths superior to

Spleen 10, half-waybetween the tibio-femoral joint and Spleen12.


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Spleen 15 (Daheng / Great Horizontal)

4 cun lateral to the

center of the umbilicus,on the lateral border of

m. rectus abdominus

(level with St 25).

0.7 1.2 II

Caution! Peritonealcavity


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Spleen 13 (Fushe / Abode of the Fu)

4.3 cun below the

center of the umbilicus,0.7 cun superior to

Spleen 12, 4 cun lateral

to the midline (4.3 cun

below Spleen 15).Locate Spleen 15 first.

0.5 1.0 II

Caution! Peritoneal

cavity

l


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Spleen 14 (Fujie / Abdomen Knot)

1.3 cun below Spleen 15,

4 cun lateral to themidline, on the lateral

border of m. rectus

abdominus. Locate Spleen

15 first. (Approximately the distance from Sp 15

to pubic symphysis)

0.5 1.0 II

Caution! Peritoneal cavity

l


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Spleen 16 (Fuai / Abdomen Sorrow)

3 cun above the centerof the umbilicus/Sp 15,4 cun lateral to themidline (level with St22).

0.5 1.0 II. If point is oncostal margin, needlemedially or sub q alongcostal margin.

Caution! Peritonealcavity.

l


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Spleen 17 (Shidou / Food Cavity)

In the 5th ICS, 6 cun

lateral to the anteriormidline (on line with

Lung 1 & 2).

0.3 0.5 // laterally or =

Caution! Pneumothorax

S l 18


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Spleen 18 (Tianxi / Heavenly Stream)

In the 4th ICS, 6 cun


Lung 1 & 2).



S l 19


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Spleen 19 (Xiongxiang / Chest Village)

In the 3rd ICS, 6 cun


Lung 1 & 2).



S l 20


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Spleen 20 (Zhourong / Encircling Glory)

In the 2nd ICS, 6 cun


Lung 1 & 2).



S l 21


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Spleen 21 (Dabao / Great Wrapping)

On the lateral side of

the chest, on theaxillary midline, in the

6th ICS.

0.3 0.5 // or =

Deadman: 7th ICS.


Spleen 14 21 Stomach 14 25


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Spleen 14 21, Stomach 14 - 25

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