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BL-20 Spleen Transport
脾俞 〔脾俞〕 pí shù
Alternate names: 十一焦之间 shí yī jiāo zhī jiān, Within the Eleventh Burner
Channel: BL, foot greater yáng (tài yáng) bladder channel
Modern location: An acupoint located on the back, level with the inferior border of the spinous process of the eleventh thoracic vertebra, 1.5 cùn lateral to the midline.
Classical location: One cùn and five fēn either side of the spine, below the eleventh vertebra. This point is found in straight sitting posture. From
Local anatomy: Medial branches of the posterior branches of the intercostal artery and vein. Medial cutaneous branches of the posterior rami of the 11th and 12th thoracic nerves; deeper, their lateral branches.
Action: Supplements earth to dispel water-dampness; rectifies the spleen to improve movement and transformation.
Modern indications: Abdominal distension; jaundice; retching and vomiting; diarrhea; bloody stool; dysentery; water swelling; back pain; insomnia.
Classical indications: Jaundice; distending pain in the rib-side and abdomen; fulminant pain in the chest and rib-side; cough and retching and vomiting; accumulations, gatherings and glomus lump; lassitude of spirit and lack of strength; emaciation despite large food intake, or no pleasure in eating; drum distension; chronic child fright wind; tugging and slackening; phlegm patterns; heat effusion with aversion to cold.
Needle stimulus: Needling: 0.5 cùn downward oblique insertion. Moxa: 3‒7 cones; pole 20‒30 min.
Needle sensation: Distension and numbness spreading downward or forward along the ribs.
Point groups: Transport point (shù xué) of the spleen.
Point name meaning:
The association with the spleen accounts for the name. See