L.

Intestine CONTENTS CONTENTS CONTENTS CONTENTS CONTENTS CONTENTS Stomach Bladder Channel Spleen Heart

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

S. Intestine GUANYUANSHU BL-26

COMMENTARY

Gate Bladder of Origin Shu Kidney LOCATION Pericardium

1.5 cun lateral to the lower border of the Sanjiao spinous process of the fifth lumbar Gall Bladder vertebra (L5). Liver

Conception
Guanyuanshu BL-26 Governing

Extra Points

Shiqizhuixia (M-BW-25)
lower border of L5

Guanyuanshu BL-26, due to its proximity to the fifth lumbar vertebra, is much used in the treatment of lumbar pain. Various classics of Chinese medicine have specified the use of this point in the treatment of wind-taxation lumbar pain i.e. lumbar pain due to attack and injury by exterior pathogenic factors which lodge in the back and over time lead to deficiency. This is a common development of back pain due to painful obstruction and reflects the fact that not only can Kidney deficiency lead to weakness of the back and hence invasion of exterior pathogens, but also that prolonged retention of pathogenic factors, especially when the bones are injured, can weaken the Kidneys. Thus Standards of Patterns and Treatment47 said [In back ache] wind, damp, cold, heat, sprain, blood stasis, stagnation of qi, accumulations are all the manifestation; the root is always Kidney deficiency, whilst the Essential Questions48 stated In chronic bone painful obstruction where the pathogenic factor repeatedly attacks, it will reach and reside in the Kidneys. The action of Guanyuanshu BL-26 on lumbar pain however, is so valuable that in clinical practice it may be used for any pattern, not solely deficiency, and it is one of the points that should be palpated, and needled if tender, in all cases of backache. The tonifying action of Guanyuanshu BL-26 is implied in its name Gate of Origin Shu. It is further indicated for such deficiency disorders as wasting and thirsting disorder, deficiency distention, diarrhoea and various urinary disorders, all characterised by deficiency of the Kidneys.
COMBINATIONS

1.5 cun

Wind-taxation lumbar pain: Guanyuanshu BL-26 and Pangguangshu BL-28 (Supplementing Life).

LOCATION NOTE

Locate at the visible highest point of the paraspinal muscles.

NEEDLING

Perpendicular insertion 1 to 1.5 cun.

ACTIONS

Strengthens the lumbar region Regulates the lower jiao

INDICATIONS

Lumbar pain, wind-taxation lumbar pain. Abdominal distention, deficiency distention, abdominal (jia ju) masses in women, diarrhoea, constipation. Enuresis, frequent urination, difficult urination, wasting and thirsting disorder.