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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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SPLEEN PRIMARY CHANNEL
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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SPLEEN PRIMARY CHANNEL
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)
On the medial side of
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)
On the medial side of
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
lateral to the anteriormidline (on line with
Lung 1 & 2).
0.3 0.5 // laterally or =
Caution! Pneumothorax
S l 19
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Spleen 19 (Xiongxiang / Chest Village)
In the 3rd ICS, 6 cun
lateral to the anteriormidline (on line with
Lung 1 & 2).
0.3 0.5 // laterally or =
Caution! Pneumothorax
S l 20
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Spleen 20 (Zhourong / Encircling Glory)
In the 2nd ICS, 6 cun
lateral to the anteriormidline (on line with
Lung 1 & 2).
0.3 0.5 // laterally or =
Caution! Pneumothorax
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.
Caution! Pneumothorax
Spleen 14 21 Stomach 14 25
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Spleen 14 21, Stomach 14 - 25