Regional Anatomy:
Skin-subcutaneous tissue-superficial layer of thoracolumbar fascia-aponeurosis of latissimus muscle of back-iliocostal muscle deep layer of thoracolumbar fascia-quadrate muscle of loins.
In the superficial layer, there are the superior chunial nerve and the cutaneous branches of the posterior branch of the 4th lumbar nerve. In the deep layer, there are the muscular branches of the posterior branch of the 4th lumbar nerve and the branches or tributaries of the 4th lumbar artery and vein.
Location:
Lie pronely; firstly, locate YaoyangguanGV3 (Yaoyangguan (GV3)) on the same level of iliac crest ( the lower border of spinous process of the 4th lumbar vertebra ), in the depression of 3.5-4 cun lateral to YaoyangguanGV3 (GV3) on the left and the right side respectively. A simple and easy method for localizing point: raises hand and somewhat turn over body to posterior; in the depression on the same level of YaoyangguanGV3 (GV3) in the lumbar region.
Function:
Strengthening the waist and kidney by nourishing yin.
Indications:
Lumbar pain, frequent urine, enuresis, nephroptosis, orchitis, pulmonary tuberculosis, and irregular menstruation.
Prescription:
Combined use with ShenshuBL23 (Shenshu (BL23)) and WeizhongBL40 (Weizhong (BL40) He-Sea Point, Lower Confluent Point) for treatment of lumbar pain; with PishuBL20 (Pishu (BL20)) and ShenshuBL23 (BL23) for treatment of nephroptosis; and with WeizhongBL40 (BL40), ShenshuBL23 (BL23), and Ashi points for treatment of chronic lumbar pain.
Methods:
Insert the needle perpendicularly to 0.5-1 cun deep; needling response: local soreness and distension, sometimes radiating toward the hip; moxibustion: using 5-7 moxa-cones, or mild moxibustion for 10-15 min .
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