Regional Anatomy:
Skin-subcutaneous tissue-abductor muscle of great toe-short flexor muscle of great toe.
In the superficial layer, there are the saphenous nerve and the superficial venous network. In the deep layer, there are the branches or tributaries of the medialplantar artery and vein and the branches of the medial plantar nerve.
Location:
Upright sitting with drooping feet; on the medial side of the great toe, in the depression behind the posterior border of the 1st metatarsophalangeal joint.
Function:
Strengthening the spleen and stomach, and activating collaterals to relieve pain.
Indications:
Gastric pain, abdominal distension, constipation, dysentery, vomiting, Diarrhea, borborygmus, and beriberi.
Prescription:
Combined use with ZusanliST36 (Zusanli (ST36) He-Sea Point) for treatment of acute gastroenteritis; with TianshuST25 (Tianshu (ST25) Front-Mu Point of the Large Intestine) for treatment of constipation; with HuantiaoGB30 (Huantiao (GB30 )) for treatment of sciatica; with XianguST43 (Xiangu (ST43) Shu-Stream Point) and DachangshuBL25 (Dachangshu (BL25)) for treatment of acute appendicitis and periappendicular abscess.
Methods:
Insert the needle perpendicularly 0.3-0.5 cun deep; needling response: local
sensation of distension and soreness; moxibustion: using 3-5 moxa-cones, or mild moxibustion for 10 min.
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