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Song of Acupoints on the Foot-Taiyin Spleen Meridian

The Foot-Taiyin Spleen meridian originates from the great toe, with Yinbai (SP1) starting first from the medial side. Dadu (SP2), Taibai (SP3), and Gongsun (SP4) follow; Shangqiu (SP5) leads up to Sanyinjiao (SP6). Lougu (SP7), Dijii (SP8), and Yinlingquan (SP9) are next; Xuehai (SP10), Jimen (SP11), and Chongmen (SP12) follow in sequence. Fushé (SP13), Fujie (SP14), and Daheng (SP15) ascend; Fu'ai (SP16), Shidou (SP17), and Tianxi (SP18) connect. Xiongxiang (SP19), Zhourong (SP20), and Dabao (SP21) conclude, completing the twenty-one acupoints of the Taiyin Spleen meridian.

Yinbai (SP1)
Located at the medial end of the great toe, approximately the width of a leek leaf from the corner of the nail. It is the Jing-Well point where the Foot-Taiyin Spleen meridian emerges. Needle 1 fen, retain for three breaths, moxa 3 zhuang.
Indications: Abdominal distension, wheezing, fullness, inability to lie flat, vomiting, poor appetite, chest pain, sudden diarrhea with irritability and heat, epistaxis, corpse-jue (sudden fainting with loss of consciousness), cold feet that cannot be warmed, prolonged menstrual bleeding in women (needling brings immediate relief), and infantile fright wind.
*Baizheng Fu* states: Combined with Lidui (ST45), it treats restless nightmares.

Dadu (SP2)
Located in the interosseous space on the medial side behind the metatarsophalangeal joint of the great toe, in the depression at the junction of red and white skin. It is the Ying-Spring point where the Qi flows rapidly along the Foot-Taiyin Spleen meridian. Needle 3 fen, retain for seven breaths, moxa 3 zhuang.
Indications: Heat diseases with no sweat, inability to sleep, heavy body and bone pain, cold extremities in cold damage, abdominal fullness, vomiting, and mental restlessness, low back pain preventing flexion and extension, swelling and pain in the four limbs. For pregnant women regardless of gestational age, and for women within one hundred days postpartum, moxibustion is contraindicated.
*Qianjin Fang* states: Treats difficult defecation; apply moxibustion according to the patient's age in zhuang. Also treats cholera-like syndrome with incessant diarrhea; moxa 7 zhuang.
*Xihong Fu* states: Combined with Henggu (KI13), it treats lumbar pain due to qi stagnation preventing standing.
*Baizheng Fu* states: Combined with Jingqu (LU8), it treats heat diseases with no sweat.

Taibai (SP3)
Located posterior to the great toe, below the medial cuneiform bone, in the depression at the junction of red and white skin. It is the Shu-Stream point where the Qi pours into the Foot-Taiyin Spleen meridian, which is also the Yuan-Source point. Needle 3 fen, retain for seven breaths, moxa 3 zhuang.
Indications: Fever and irritability, abdominal distension and indigestion, vomiting and dysentery with pus and blood, low back pain, difficult defecation, rebellious qi with cholera-like syndrome, severe abdominal pain, borborygmus, soreness of the knee and thigh, muscle spasms, heavy body, and bone pain.
*Yulong Fu* states: Treats hemorrhoids and fistulas.
*Tongxuan Zhiyao Fu* states: Can guide qi in the Qichong region.

Gongsun (SP4)
Located on the medial side of the great toe, one cun posterior to the metatarsophalangeal joint, in the depression anterior to the medial malleolus. Take the point while sitting upright with the soles of both feet facing each other. It is the Luo-Connecting point of the Spleen, diverging to the Stomach meridian. Needle 4 fen, retain for seven breaths, moxa 3 zhuang. *Jia Yi Jing* states: Retain for twenty breaths.
Indications: Cold malaria with anorexia, epilepsy with frequent sighing, alternating chills and fever, sweating with a tendency to vomit, sudden facial edema, irritability with excessive thirst, deficiency of the Gallbladder and Spleen/Stomach, edema and abdominal distension like a drum, cold spleen with stomachache.
*Shennong Bencao Jing* states: Treats abdominal distension and heart pain; moxa 7 zhuang.
*Xihong Fu* states: To treat abdominal pain, it must be combined with Neiguan (PC6) correspondingly.
*Biaoyou Fu* states: For cold spleen and stomachache, reducing Gongsun brings immediate relief.
*Lanjing Fu* states: Combined with Zhaohai (KI6), it treats Taiyin meridian involvement on the fourth day of cold damage, further applying the interception method by linking with Neiguan (PC6).
*Jiefang Fa* states: Treats nine types of heart pain; all forms of cold qi; phlegm-fluid obstruction causing chest tightness, hidden pain in the chest, umbilical and abdominal distension, undigested qi; pain under the hypochondrium making sitting and rising difficult; incessant diarrhea with tenesmus; stabbing pain in the chest; distension and pain attacking the two hypochondria; general fullness and discomfort, regurgitation and vomiting; qi obstruction and five types of gluttony/dysphagia, inability to eat; phlegm retention in the epigastrium with spitting clear water; food retention in Zhongwan causing unceasing stabbing pain; vomiting of phlegm-fluid with incessant vertigo; Heart Malaria causing palpitations; Liver Malaria causing pale complexion, aversion to cold and fever; Spleen Malaria causing fear of cold and abdominal pain; Lung Malaria causing cold heart and fright; Kidney Malaria causing shivering chills and fever, stiffness and pain of the waist and spine; Malaria with persistent high fever, or chills preceding fever, or fever preceding chills; Malaria with chest and heart pain; Malaria with headache, vertigo, and incessant expectoration; Malaria with soreness and pain in bone joints; Malaria with incessant thirst; Stomach Malaria causing hunger but inability to eat; Gallbladder Malaria causing aversion to cold and fright, restless sleep; Yellow Sweat Jaundice with swelling of all four limbs and sweat staining clothes; Jaundice with yellow skin, face, eyes, and urine; Grain Jaundice causing dizziness after eating and internal oppression; Wine Jaundice with yellow skin and eyes, chest pain, red spots on the face, and dark yellow urine; Female Labor Jaundice with yellow skin and eyes, fever, aversion to cold, and difficult urination. These thirty conditions are primarily treated with Gongsun, followed by selecting additional points based on specific symptoms.

Shangqiu (SP5)
Located in the slight depression anterior and inferior to the medial malleolus. Zhongfeng (LR4) is anterior, Zhaohai (KI6) is posterior, and this point is centered. There is a transverse wrinkle resembling a supine mouth shape below the medial malleolus. It is the Jing-River point where the Qi flows along the Foot-Taiyin Spleen meridian. Needle 3 fen, retain for seven breaths, moxa 3 zhuang.
Indications: Epigastric pain, abdominal distension and borborygmus, constipation, spleen deficiency causing unhappiness, body coldness with frequent sighing, sadness with rebellious qi, wheezing, vomiting, stiff tongue, spleen accumulation and mass, jaundice and cold malaria, heavy body and joint pain, lethargy and desire to lie down, bone abscess and hemorrhoids, pain inside the thigh and groin, hernia huo moving pain pulling to the lower abdomen preventing flexion and extension.
*Shennong Bencao Jing* states: Treats spleen deficiency with abdominal distension and epigastric pain; moxa 7 zhuang.
*Yulong Fu* states: Combined with Jiexi (ST41) and Qiuxu (GB40), it can chase away foot pain.
*Baizheng Fu* states: Specifically treats hemorrhoids and fistulas best.

Sanyinjiao (SP6)
Located three cun above the tip of the medial malleolus, in the depression below the bone. It is the intersection of the three yin meridians of the foot. Needle 3 fen, retain for seven breaths, moxa 3 zhuang. Contraindicated during pregnancy.
Indications: Spleen and stomach weakness, chest and abdominal fullness, lack of appetite, spleen disease with heavy body and immobile limbs, undigested diarrhea and bloody dysentery, painful masses below the umbilicus, stroke with sudden coma, pain on the medial aspect of the knee, flaccidity of the foot preventing walking. For women with difficult labor, uncontrollable menstruation, red and white leukorrhea, tonify first then reduce; for small intestine hernia, pendulous testicle swelling and pain, difficulty urinating, generalized edema, tonify first then reduce.
*Qianjin Fang* states: Three cun above the medial malleolus, in the hollow near Jiegu. Moxa 50 zhuang. Mainly treats coughing upward, consumptive fatigue, cold injury, sorrow and anger, tendon and bone spasms, also mainly treats heart-related coughing upward, diarrhea, abdominal fullness, throat obstruction, neck and jaw fullness, intestinal hemorrhoids, rebellious qi, hemorrhoidal blood, genital urgency, epistaxis, bone sores, difficult urination and defecation, nasal dryness, irritability and fullness, mania, wandering qi. All twenty-two conditions should be treated with moxibustion. It also states: For men and women dreaming of sexual intercourse with seminal emission, moxa Sanyinjiao 5 zhuang. For frequent dream emissions, it is highly effective. Also treats cholera-like syndrome with cold extremities; moxa 7 zhuang, if not cured, moxa another 7 zhuang. Also treats chronic strangury from exhaustion; moxa 100 zhuang, administered in three sessions. Also needling hemorrhoids 3 fen deep also treats difficult defecation. Also treats qi fluid retention and enlarged testicle ascending into the abdomen; moxa according to age in zhuang.
*Yulong Fu* states: Combined with Zusanli (ST36) and Yangjiao (GB39), it treats persistent jiaogong (foot qi disease).
*Baizheng Fu* states: Combined with needling Qihai (CV6), it specifically controls long-term turbid urine and spermatorrhea.
*Xihong Fu* states: For cold cough, tonify Hegu (LI4), but must reduce this point (Sanyinjiao). Also states: For foot pain and knee swelling, needle Zusanli (ST36), and must combine with Xuanzhong (GB39), Er Ling (Yanglingquan GB34 and Yinlingquan SP9), Sanyinjiao (SP6), and Taichong (LR3) to guide qi, and also treats numbness of the fingertips.
*Tianxing Mijue* states: Combined with Hegu (LI4), it treats spleen disease affecting blood and qi. Also states: Combined with Chengshan (BL57), it treats chest and diaphragm fullness and improves appetite.
*Qiankun Shengyi* states: Combined with Dadun (LR1), it treats small intestine hernia.
In ancient times, Crown Prince Song was skilled in medicine. Once he met a pregnant woman on his way out. The Prince diagnosed: "It is a girl." Xu Wenbo also diagnosed: "It is a boy and a girl." The Prince was impatient and wanted to剖视 (cut open to inspect). Wenbo said: "Your subject can use acupuncture to induce abortion." By reducing Sanyinjiao and tonifying Hegu (LI4), the fetus fell immediately upon needling, exactly as Wenbo predicted. Therefore, this point is contraindicated during pregnancy, as it can cause the expulsion of a dead fetus.

Lougu (SP7) (Also known as Taiyin Luo)
Located six cun above the medial malleolus, in the depression below the bone. Needle 3 fen, retain for seven breaths, moxa 3 zhuang.
Indications: Knee bi syndrome with cold and numbness of the feet, borborygmus and abdominal distension, cold qi in masses, lower abdominal pain, emaciation despite adequate diet, difficult urination and seminal emission.

Diji (SP8) (Also known as Pi She)
Located five cun below the knee, in the depression below the medial bone, taking the point with the leg extended. One source says it is one cun above the divergence point, located five cun below the knee. It is the He-Sea point of the Foot-Taiyin Spleen meridian. Needle 3 fen, moxa 5 zhuang.
Indications: Low back pain preventing flexion and extension, loose stools and abdominal distension, edema and anorexia, insufficiency of essence, difficult urination, foot bi pain, and female zheng jia (masses).
*Baizheng Fu* states: Combined with Xuehai (SP10), it treats irregular menstruation in women.

Yinlingquan (SP9)
Located in the depression below the medial condyle of the tibia. Take the point with the leg extended or bent. It is opposite to Yanglingquan (GB34) of the Shaoyang meridian internally and externally. One source says it is slightly higher by one cun. It is the He-Sea point where the Qi enters the Foot-Taiyin Spleen meridian. Needle 5 fen, retain for seven breaths, moxa 3 zhuang.
Indications: Cold pain in the abdomen, distension, wheezing, and inability to lie down, difficult urination, qi strangury with irregular chills and fever, low back pain preventing flexion and extension, cholera-like syndrome and hernia/jia, enuresis and diarrhea, genital pain, and redness and swelling of the feet and knees.
*Shennong Bencao Jing* states: Treats difficult urination and hernia/jia; moxa 7 zhuang.
*Qianjin Fang* states: For involuntary urination without awareness, needle 5 fen, moxa according to age in zhuang. Also for edema preventing lying down, moxa 100 zhuang.
*Yulong Fu* states: Combined with Yanglingquan (GB34), it treats stubborn knee swelling.
*Taiyi Ge* states: For severe cutting pain in the intestines, regulate with Yinlingquan.
*Lingguang Fu* states: Treats jiaogong (foot qi disease).
*Xihong Fu* states: Treats chest and heart fullness; combine with Chengshan (BL57) to improve appetite. Also states: For foot pain and knee swelling, needle Zusanli (ST36), and must combine with Xuanzhong (GB39), Er Ling (Yanglingquan GB34 and Yinlingquan SP9), Sanyinjiao (SP6), and Taichong (LR3) to move qi, and also treats numbness of the fingertips.
*Baizheng Fu* states: Combined with Shuifen (CV9), it can remove edema and umbilical distension.
*Tongxuan Zhiyao Fu* states: Can open the water pathways.
*Tianxing Mijue* states: If there is pain connecting the small intestine to the umbilicus, first needle Yinlingquan (SP9) then Yongquan (KI1).

Xuehai (SP10) (Also known as Baichongke)
Located one cun above the patella on the medial aspect, in the depression at the junction of white skin. One source says it is on the medial condyle of the tibia, entering horizontally 5 fen. Needle 5 fen, moxa 5 zhuang.
Indications: Metrorrhagia and metrorrhagia leakage in women, irregular menstruation, leukorrhea, rebellious qi and abdominal distension (tonify first then reduce). Also treats kidney wind, itching and dampness of the legs that are unbearable.
*Baizheng Fu* states: Combined with Diji (SP8), it treats irregular menstruation in women. Also states: Combined with Chongmen (SP12), it effectively treats masses.
*Lingguang Fu* states: Combined with Qihai (CV6), it treats five stranguries.

Jimen (SP11)
Located on the fish belly, between the two tendons on the medial aspect of the inner thigh, where the pulse is felt. One source says it is among the raised muscles of the thigh. *Jia Yi Jing* calls it: Neishi of Taiyin. Needle 3 fen, retain for six breaths, moxa 3 zhuang. One source says needling is prohibited.
Indications: Difficulty urinating, urinary incontinence, and swelling and pain in the inguinal region.

Chongmen (SP12) (Also known as Cigong)
Five cun superior to Daheng (SP15), below Fushé (SP13), at the arterial pulse between the two ends of the pubic bone, 3.5 cun lateral to the midline of the abdomen. It is the intersection of the Foot-Taiyin and Foot-Jueyin meridians. Needle 7 fen, moxa 5 zhuang.
Indications: Cold accumulation in the middle, yin hernia with limpness, pregnancy pressing on the heart, and difficulty nursing.
*Baizheng Fu* states: Combined with Qichong (ST30), it treats leukorrhea and postpartum hemorrhage. Also states: Combined with Xuehai (SP10), it treats masses.

Fushé (SP13)
Three cun below Fujie (SP14), 3.5 cun lateral to the midline of the abdomen. It is the intersection of the Foot-Jueyin, Foot-Taiyin, and Yinwei meridians. *Jia Yi Jing* states: This vessel goes up and down into the abdomen, connects to the chest, knots at the heart and lungs, ascends from the hypochondrium to the shoulder. This is the branch of the Taiyin, and a separate branch of the Sanjiao, Yangming. Needle 7 fen, moxa 5 zhuang.
Indications: Hernia and masses, fullness and pain in the abdomen and hypochondrium, upward and downward seizing pain in the heart, accumulation and bi pain, rebellious qi with cholera-like syndrome.

Fujie (SP14) (Also known as Fuqu)
One cun and 3 fen below Daheng (SP15), 3.5 cun lateral to the midline of the abdomen. Needle 7 fen, moxa 5 zhuang.
Indications: Coughing upward, abdominal pain around the umbilicus, cold damage with diarrhea and dysentery, and heart pain.

Daheng (SP15)
Three cun and 5 fen below Fu'ai (SP16), level with the umbilicus, 3.5 cun lateral to the midline. It is the intersection of the Foot-Taiyin and Yinwei meridians. Needle 7 fen, moxa 5 zhuang.
Indications: Severe wind and rebellious qi, immobility of the four limbs, excessive cold and tendency to sadness.
*Qianjin Fang* states: Mainly treats excessive cold with watery diarrhea and immobility of the four limbs; moxa according to age in zhuang. Also states: Excessive sweating, immobility of the four limbs, and weakness; moxa 50 zhuang at the transverse wrinkle, seven cun lateral to the umbilicus. This also belongs to this acupoint area.
*Baizheng Fu* states: Combined with Tianchong (EX-HN6), it treats opisthotonos and crying/sadness.

Fu'ai (SP16)
One cun and 5 fen below Riyue (LR24), 3.5 cun lateral to the midline of the abdomen. It is the intersection of the Foot-Taiyin and Yinwei meridians. Needle 3 fen, moxa 5 zhuang. *Jia Yi Jing* states: Needle 7 fen.
Indications: Cold in the middle with indigestion, pus and blood in stool with abdominal pain.

Shidou (SP17)
One cun and 6 fen below Tianxi (SP18), in the depression. Take the point with the arm raised. Needle 4 fen, moxa 5 zhuang.
Indications: Distension and fullness in the chest and hypochondrium, coughing and spitting with rebellious qi, inability to drink fluids, sound of water in the diaphragm.

Tianxi (SP18)
One cun and 6 fen below Xiongxiang (SP19), in the depression. Take the point while lying supine. Needle 4 fen, moxa 5 zhuang.
Indications: Chest fullness, wheezing, rebellious upward qi, sounds in the throat, breast swelling and carbuncle in women.

Xiongxiang (SP19)
One cun and 6 fen below Zhourong (SP20), in the depression. Take the point while lying supine. Needle 4 fen, moxa 5 zhuang.
Indications: Distension and fullness in the chest and hypochondrium, radiating back pain, inability to lie down or turn over.

Zhourong (SP20)
One cun and 6 fen below Zhongfu (LU1), in the depression. Take the point while lying supine. Needle 4 fen, moxa 5 zhuang.
Indications: Chest fullness preventing flexion and extension, coughing upward and inability to eat.

Dabao (SP21)
Three cun below the axillary apex. It is the Great Luo of the Spleen, spreading through the chest and hypochondrium, emerging from the ninth intercostal space and the end of the costal margin. It commands all luo vessels of yin and yang, irrigating the five zang organs via the Spleen. Needle 3 fen, moxa 3 zhuang.
Indications: Wheezing and pain in the chest, inability to breathe due to excessive qi in the abdomen, excess syndrome presenting as coldness throughout the body, deficiency syndrome presenting as laxity of all joints.