L. Intestine CONTENTS CONTENTS CONTENTS CONTENTS CONTENTS CONTENTS CONTENTS Stomach Bladder Channel Spleen Heart S.

Intestine Bladder Abode of Thought Kidney

Index Indications Index Point Names Index Glossary Points Index General General General Index Index Index Indications Indications Indications Index Index Index Point Point Point Names Names Names Index Index Index Glossary Glossary Glossary Points Points Points Index Index IndexGeneral General Index Indications Index Point Names Index Glossary General Index Indications Index Point Names Index Glossary Points Index Points Index General Index Indications Index Point Names Index Glossary Points Index Previous Point Next Point Combinations Index Previous Previous Previous Point Point Point Next Next Next Point Point Point Combinations Combinations Combinations Index Index Index See Notes Previous Point Next Point Previous Point Next Point Combinations Index Combinations Index Previous Point Next Point Combinations Index 1

YISHE BL-49
Pericardium LOCATION

Back pain, wasting and thirsting disorder, aversion to wind and cold.
COMMENTARY

3 cunSanjiao lateral to the midline, level with the lower border of Bladder the spinous process of the eleventh Gall thoracic vertebra (T11) and level with Pishu BL-20. Liver

Conception Governing Jizhong DU-6 lower border of T11 Extra Points

Pishu BL-20

Yishe BL-49

Yishe BL-49 is level with Pishu BL-20, the back-shu point of the Spleen. Despite its name (Abode of Thought), psychological and emotional indications are notable by their absence in major classical texts. Yishe BL-49 is able to clear damp-heat (reddish-yellow urine, heat in the body with yellow face and eyes) and regulate disharmony of the Stomach (vomiting, difficult ingestion) and Spleen (abdominal distention and fullness, slippery diarrhoea). In the light of its proximity to the pancreas, it is interesting to note the inclusion of this point in a number of classical combinations for wasting and thirsting disorder. According to the Essential Questions65 the five outer Bladder points level with the five zang back-shu points (i.e. Pohu BL-42, Shentang BL-44, Hunmen BL-47, Yishe BL-49 and Zhishi BL-52) drain heat from the five zang, an action shared by the back-shu points of the five zang.
COMBINATIONS

3 cun

LOCATION NOTE

When the shoulder is relaxed, the three cun line corresponds to the medial border of the scapula.
NEEDLING

Wasting and thirsting disorder with great desire to drink: Yishe BL-49, Guanchong SJ-1 and Rangu KID-2 (Supplementing Life). Wasting and thirsting disorder with great desire to drink: Yishe BL-49, Chengjiang REN-24, Rangu KID-2 and Guanchong SJ-1 (Thousand Ducat Formulas). Kidney deficiency wasting and thirsting disorder, absence of sweating, difficulty in moving the lumbar spine, distension of the abdomen and pain of the lateral costal region: Yishe BL-49 and Zhonglushu BL-29 (Classic of Supplementing Life) Vomiting: Yishe BL-49, Zhongting REN-16 and Shufu KID-27 (Supplementing Life). Yellow eyes: Yishe BL-49, Yanggang BL-48, Naohu DU-17 and Danshu BL-19 (Supplementing Life).

Oblique insertion 0.3 to 0.5 cun. Caution: deep perpendicular or deep oblique needling in a medial direction carries a substantial risk of causing a pneumothorax.
ACTIONS

Clears damp-heat Regulates the Spleen and Stomach

INDICATIONS

Distention and fullness of the abdomen, distention and pain of the chest and lateral costal region, slippery diarrhoea, difficult ingestion, vomiting, reddish-yellow urine, heat in the body with yellow face and eyes.