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Fenglong (ST40): Located 8 cun above the lateral malleolus, in the depression lateral to the anterior crest of the tibia. It is the Luo-Connecting point of the Foot-Yangming Stomach Meridian, diverging to connect with the Foot-Taiyin Spleen Meridian. According to the *Tongren Shuxue Zhenjiu Tujing* (Illustrated Manual of Acupoints and Moxibustion for Bronze Figures), needle insertion depth is 3 fen, moxibustion 3 moxa cones.

Indications: Edema of the four limbs, cold feet, body feeling cold and damp; Bi syndrome of the throat leading to aphonia; climbing high and singing, discarding clothes and running, seeing ghosts, laughing inexplicably. If Qi rebels upward, it causes sudden throat Bi and aphonia. Excess patterns manifest as mania or epilepsy, treated by reducing method; deficiency patterns manifest as flaccidity of the feet unable to hold weight and atrophy of the lower leg muscles, treated by tonifying method.

Jiexi (ST41): Located 1.5 cun posterior to Chongyang (ST42), in the depression at the center of the transverse crease of the ankle joint. On the line extending straight up from the big toe and second toe, in the depression where the dorsal foot artery beats. It is a site where the Qi of the Foot-Yangming Stomach Meridian flows.

Indications: Tenesmus (feeling of incomplete defecation); fright; swelling of the knee and thigh; muscle spasms, dizziness; headache, epilepsy; irritability, sadness, weeping; cholera; wind-headache; red face, red eyes; unbearable pain at the inner canthus/eyebrow root.

Chongyang (ST42): Located on the highest point of the dorsum of the foot, 3 cun distal to Xangu (ST43), over the arterial pulse between the bones. It is the Yuan-Source point of the Foot-Yangming Stomach Meridian, where the meridian Qi passes through. Both excess and deficiency of the Stomach can be treated here. According to annotations in the *Suwen*, needling is applicable.

Indications: Dorsal foot edema; dental caries pain; alternating chills and fever; abdominal hardness and distension; anorexia; during Shanghan disease, shivering chills and yawning; chronic mania; climbing high and singing, discarding clothes and running; weakness of the feet making walking difficult; pain in the anterior body.

Xangu (ST43): Located in the depression distal to the first metatarsophalangeal joint, on the lateral side of the second toe, 2 cun distal to Neiting (ST44). It is the Shu-Stream point of the Foot-Yangming Stomach Meridian, where Qi pours in, corresponding to the Wood element. According to *Suwen* annotations. Needle insertion depth 5 fen. Li Dongyuan stated: If Qi stagnates in the arms and legs, this point can be taken. First puncture collateral vessels to release blood stasis, then deeply needle the Ying-Spring points of the Foot-Yangming Stomach Meridian and Foot-Shaoyin Kidney Meridian, specifically Neiting and Xangu.

Neiting (ST44): Located in the depression on the lateral side of the second toe, proximal to the first metatarsophalangeal joint. It is the Ying-Spring point of the Foot-Yangming Stomach Meridian, where Qi flows, corresponding to the Water element. According to the *Tongren Shuxue Zhenjiu Tujing*, moxibustion 3 cones, needle insertion 3 fen, retain needle for 10 breaths.

Indications: Malaria with anorexia; pain in the brain and skin; persistent epistaxis; Shanghan causing cold extremities and absence of sweat; dysentery with red and white discharge. Zhang Zhongjing said: If the Taiyang disease is about to transmit to the next meridian, needling the Foot-Yangming Stomach Meridian can prevent transmission and cure the disease.

Lidui (ST45): Located at the tip of the second toe, approximately the width of a leek leaf from the corner of the nail. It is the Jing-Well point of the Foot-Yangming Stomach Meridian, where Qi emerges, corresponding to the Metal element. Excess patterns of the Stomach are treated by reducing method. According to the *Tongren Shuxue Zhenjiu Tujing*.

Indications: Cold malaria with anorexia; facial edema; cold feet; throat Bi; upper dental caries; aversion to cold, nasal congestion; frequent fright, somnolence; mania desiring to climb high and sing, discard clothes and run; jaundice, epistaxis; sores on lips; neck swelling; swelling and pain of the knee patella; pain along the chest, breast, Qich acupoint area, outer aspect of Futu (ST32) on the thigh, to the dorsum of the foot; rapid digestion with easy hunger; yellow urine.

[Spleen Organ Diagram] \pj-j14.bmp

The Spleen weighs two jin and three liang, is flat and broad three cun, and five cun long. Adjacent to it is half a jin of dispersed paste (pancreas). It is located beside the twelfth thoracic vertebra, covering the Taicang (Stomach). The Spleen governs enclosing blood and warming the five Zang organs.

In the center corresponds to Yellow, entering into communication with the Spleen, opening into the mouth, storing essence in the Spleen. Therefore, diseases manifest at the root of the tongue. Its flavor is Sweet, its category is Earth, its animal is the Ox, its grain is Ji (Millet).

The center generates Dampness; Dampness generates Earth; Earth generates Sweet flavor; Sweet flavor nourishes the Spleen. The Spleen generates flesh/muscle; flesh/muscle generates Lung. The Spleen governs the mouth. In Heaven it is Dampness, in Earth it is Soil.

Its emotion is Pensiveness (Si); excessive pensiveness injures the Spleen; Anger overcomes Pensiveness. Dampness injures flesh; Wind overcomes Dampness. Sweet flavor injures flesh; Sour flavor overcomes Sweet.

The Spleen harmonizes with flesh; its luster manifests in the lips. The Liver controls the Spleen. The Spleen and Stomach are the officials of the granary, from which the five flavors arise.

The Spleen is the root of the granary, the residence of Ying-Qi. Its luster manifests in the white skin around the lips; its substance fills the muscles. This belongs to the category of Supreme Yin, communicating with Earth Qi (Corrected according to Mr. Hua Shi). The Spleen is Earth, a solitary organ that irrigates the four directions (other organs).

The Spleen governs the four limbs and transports fluids for the Stomach. (Zhu Danxi said: The Spleen possesses the quiet virtue of Kun (Earth) but has the vigorous function of Qian (Heaven), like a mare moving across the earth without force.)

The Spleen governs the center and often nourishes the four Zang organs during the last eighteen days of each season, not solely governing one season.

Spleen Qi connects to the mouth; when the mouth is harmonious, one can perceive the flavors of grains.

When Spleen Qi is deficient, one dreams of insufficient food and drink. When receiving its proper season (Late Summer and the last eighteen days of each season), one dreams of building walls and houses.

The color of the Spleen should resemble yellow rosy gauze wrapping realgar (bright and radiant), not like yellow loess (dull and dry). (One version says Atractylodis Rhizoma color).

When Spleen Qi perishes, the pulses fail to nourish the lips and mouth. The lips are the root of the muscles. If pulses do not nourish, muscles become rough and unsmooth. If muscles are unsmooth, they become full/tense. If muscles are full, the lips turn outward/retract. If lips retract, the flesh dies first. Condition worsens on Jia day, death occurs on Yi day.