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THE LIVER CHANNEL OF FOOT-JUEYIN

    1. The Liver Channel of Foot-Jueyin starts
      1. from the dorsal hairy region the great toe(Dadun, Liv. 1.)
      2. Running upward along the dorsum of the foot,
      3. passing through Zhongfeng (Liv. 4), 1 cun in front of the medial malleolus,
      4. it ascends to an area 8 cun above the medial malleolus, where it runs across and behind the Spleen Channel of Foot-Taiyin.
      5. Then it runs further upward to the medial side of the knee
      6. along the medial aspect of the thigh
      7. to the pubic hairy region,
      8. where it curves around the external genitalia
      9. and goes up to the lower abdomen.
      10. It then runs upward and curves around the stomach to enter the liver, its pertaining organ, and connect with the gall bladder.
      11. From there it continues to ascend, passing through the diaphragm,
      12. and branching out in the costal and hypochondriac region.
      13. Then it ascends along the posterior aspect of the throat
      14. to the nasopharynx
      15. and connects with the "eye system."
      16. Running further upward, it emerges from the forehead
      17. and meets the Du Channel at the vertex.
      18. The branch which arises from the "eye system" runs downward into the cheek
      19. and curves around the inner surface of the lips.
      20. The branch arising from the liver
      21. passes through the diaphragm,
      22. flows into the lung and links with the Lung Channel of Hand-Taiyin. (see Diagram)
    2. The following are the 14 points of this channel:
      1. Dadun (Jing-Well Point, Liv. 1)
        1. Location: On the lateral side of the dorsum of the terminal phalanx of the great toe, between the lateral corner of the nail and interphalangeal joint (see Diagram)
        2. Indications: Prolapse of uterus, hernia, uterine bleeding and enuresis.
        3. Method: Puncture obliquely 0.1-0.2 inch. Moxibustion is applicable.
        4. Regional anatomy
          1. Vasculature: The dorsal digital artery and vein.
          2. Innervation: The dorsal digital nerve derived from the deep peroneal nerve.
      2. Xingjian (Ying-Spring Point, Liv. 2)
        1. Location: Between the 1st and 2nd toe, proximal to the margin of the web (see Diagram)
        2. Indications: Menorrhagia, urethralgia, enuresis, retention of urine, hernia, deviation of mouth, redness, swelling and pain of the eye, pain in the hypochondriac region, headache, blurring of vision, epilepsy, convulsion and insomnia.
        3. Method: Puncture obliquely 0.5 inch. Moxibustion is applicable.
        4. Regional anatomy
          1. Vasculature: The dorsal venous network of the foot and 1st dorsal digital artery and vein.
          2. Innervation: The site where the dorsal digital nerves split from the deep peroneal nerve.
      3. Taichong (Shu-Stream and Yuan-Source Point, Liv. 3)
        1. Location: In the depression distal to the junction of the 1st and 2nd metatarsal bones (see Diagram)
        2. Indications: Uterine bleeding, hernia, enuresis, retention of urine, pain in the anterior aspect of the medial malleolus, fullness in the hypochondriac region, deviation of mouth, infantile convulsion, epilepsy, headache, vertigo and insomnia.
        3. Method: Puncture perpendicularly 0.5 inch. Moxibustion is applicable.
        4. Regional anatomy
          1. Vasculature: The dorsal venous network of the foot, the 1st dorsal metatarsal artery.
          2. Innervation: The branch of the deep peroneal nerve.
      4. Zhongfeng (Jing-River Point, Liv. 4)
        1. Location: 1 cun anterior to the medial malleolus, midway between Shangqiu (Sp. 5) and Jiexi (St. 41), in the depression on the medial side of the tendon of m. tibialis anterior (see Diagram)
        2. Indications: Pain in the external genitalia, seminal emission, retention of urine and hernia.
        3. Method: Puncture perpendicularly 0-3-0.5 inch. Moxibustion is applicable.
        4. Regional anatomy
          1. Vasculature: The dorsal venous network of foot and the anterior medial malleolar artery.
          2. Innervation: The branch of the medial dorsal cutaneous nerve of the foot and the saphenous nerve.
      5. Ligou (Luo Connecting Point, Liv. 5)
        1. Location: 5 cun above the tip of the medial malleolus, on the medial aspect and near the medial border of the tibia (see Diagram)
        2. Indications: Irregular menstruation, dysuria, hernia and leg pain.
        3. Method: Puncture 0.300.5 inch posteriorly horizontally along the skin. Moxibustion is applicable.
        4. Regional anatomy
          1. Vasculature: Posteriorly, the great saphenous vein.
          2. Innervation: The branch of the saphenous nerve.
        5. Note: In the medial aspect of the leg, the distance from the tip of the medial malleolus to Yinlingquan (Sp. 9) is measured as 13 cun.
      6. Foot-Zhongdu (Xi-Cleft Point, Liv. 6)
        1. Location: 7 cun above the tip of the medial malleolus, or 2 cun above Ligou (Liv. 5), on the medial aspect and near the medial border of the tibia (see Diagram)
        2. Indications: Uterine bleeding, and hernia.
        3. Method: Puncture 0.3-0.5 inch horizontally along the skin. Moxibustion is applicable.
        4. Regional anatomy
          1. Vasculature: The great saphenous vein.
          2. Innervation: The branch of the saphenous nerve.
      7. Xiguan (Liv. 7)
        1. Location: Posterior and inferior to the medial condyle of the tibia, in the upper portion of the medial head of m. gastrocnemius, 1 cun posterior to Yinlingquan (Sp. 9), (see Diagram)
        2. Indications: Pain in the medial aspect of the knee.
        3. Method: Puncture perpendicularly 0.4-0.5 inch. Moxibustion is applicable.
        4. Regional anatomy
          1. Vasculature: Deeper, the pasterior tibial artery.
          2. Innervation: The branch of the medial sural cutaneous nerve; deeper, the tibial nerve.
      8. Ququan (He-Sea Point, Liv. 8)
        1. Location: On the medial side of the knee joint. When the knee is flexed, the point is above the medial end of the transverse popliteal crease, posterior to the medial condyle of the tibia, on the anterior border of the insertion of m. semimembranosus and m semitendionosus (see Diagram)
        2. Indications: Prolapse of uterus, lower abdominal pain, dysuria, pruritus vulvae, mania, seminal emission, pain in the external genitalia, knee and medial aspect of the thigh.
        3. Method: Puncture perpendicularly 0.5-0.8 inch. Moxibustion is applicable.
        4. Regional anatomy
          1. Vasculature: Anteriorly, the great saphenous vein, on the pathway of the genu suprema artery.
          2. Innervation: The saphenous nerve.
      9. Yinbao (Liv. 9)
        1. Location: 4 cun above the medial epicondyle of the femur, between m. vastus medialis and m. sartorius.
        2. Indications: Irregular menstruation, dysuria, pain in the lumbosacral region referring to the lower abdomen.
        3. Method: Puncture perpendicularly 0.6-0.7 inch. Moxibustion is applicable.
        4. Regional anatomy
          1. Vasculature: Deeper on the lateral side, the femoral artery and vein, the superficial branch of the medial circumflex femoral artery.
          2. Innervation: The anterior femoral cutaneous nerve, on the pathway of the ananterior branch of the obturator nerve.
        5. Note: In the medial aspect of the thigh, the distance from the medial epicondyle of the femur to the level of the upper border of symphysis pubis is measured as 18 cun.
      10. Femur-Wuli (Liv. 10)
        1. Location: 3 cun below Qichong (St. 30), on the lateral border of m. abductor longus.
        2. Indications: Lower abdominal distension, and retention of urine.
        3. Method: Puncture perpendicularly 0.5-1.0 inch. Moxibustion is applicable.
        4. Regional anatomy
          1. Vasculature: The superficial branches of the medial circumflex femoral artery and vein.
          2. Innervation: The gentiofemoral nerve, the anterior femoral cutaneous nerve; deeper, the anterior branch of the obturator nerve.
      11. Yinlian (Liv. 11)
        1. Location: 2 cun below Qichong (St. 30), on the lateral border of m. abductor longus.
        2. Indications: Irregular menstruation, pain in the thigh and leg.
        3. Method: Puncture perpendicularly 0.5-1.0 inch. Moxibustion is applicable.
        4. Regional anatomy
          1. Vasculature: The branches of the medial circumflex femoral artery and vein.
          2. Innervation: The genitofemoral nerve, the branch of the medial femoral cutaneous nerve; deeper, the anterior branch of the obturatior nerve.
      12. Jimai (Liv. 12)
        1. Location: Inferior and lateral to the pubic spine, 2.5 cun lateral to the Ren Channel, at the inguinal groove lateral and inferior to Qichong (St. 30.)
        2. Indications: Pain in the external genitalia, and hernia.
        3. Method: Apply a moxa stick for 3-5 minutes.
        4. Regional anatomy
          1. Vasculature: The branches of the external pudendal artery and vein, the pubic branches of the inferior epigastric artery and vein; laterally, the femoral vein.
          2. Innervation: The ilioinguinal nerve; deeper, in the inferior aspect, the anterior branch of the obturatior nerve.
      13. Zhangmen (Front-Mu Point of the Spleen, Liv. 13)
        1. Location: On the lateral side of the abdomen, below the free end of the 11th floating rib (see Diagram)
        2. Indications: Vomiting, abdominal distension, diarrhea, indigestion, pain in the dorso-lumbar, hypochondriac and costal regions.
        3. Method: Puncture perpendicularly 0.8-1.0 inch. Moxibustion is applicable.
        4. Regional anatomy
          1. Vasculature: The terminal branch of the 10th intercostal artery.
          2. Innervation: Slightly inferiorly, the 10th intercostal nerve.
        5. Note: This is one of the Eight Influential Points dominating the zang organs.
      14. Qimen (Front-Mu Point of the Liver, Live 14)
        1. Location: On the mamillary line, two ribs below the nipple, in the 6th intercostal space (see Diagram)
        2. Indications: Pain in the chest and hypochondriac region, abdominal distension, fullness of the chest, vomiting and hiccup.
        3. Method: Puncture obliquely 0.3 inch. Moxibustion is applicable.
        4. Regional anatomy
          1. Vasculature: The 6th intercostal artery and vein.
          2. Innervation: The 6th intercostal nerve.
    3. Summary of "The Liver Channel of Foot-Jueyin" Points.
 

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