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Palpation — Back-Shu Points & Abdomen

Chapter 7.6: It is important to palpate the pain area and the abdomen. Positive reaction points on back-Shu points are a very useful method of diagnosis.

Palpating Pain Areas

If there is extreme pain on palpation, this indicates an excess of either Yin or Yang. If pressure is actually comforting, this shows a deficiency.

Abdominal Palpation

Important if you intend to needle this region. Look for: enlarged Liver and Spleen, cysts, tumours, abdominal rigidity (peritonitis), faecal matter in intestines, superficial and strongly pulsating aortic artery. Extreme care must be taken to avoid these.

Back-Shu Point Palpation

Palpating back-Shu points is a very useful diagnostic method. Positive reaction points (tenderness, cystic nodules, muscle tension) show which organs are chronically diseased. By needling these points, the nodules or tension area becomes smaller and the organ improves.

Back-Shu Points Quick Reference

UB 13 — Lung
UB 14 — Pericardium
UB 15 — Heart
UB 17 — Blood/Diaphragm
UB 18 — Liver
UB 19 — Gall Bladder
UB 20 — Spleen
UB 21 — Stomach
UB 22 — Triple Warmer
UB 23 — Kidney
UB 25 — Large Intestine
UB 27 — Small Intestine
UB 28 — Urinary Bladder
UB 11 — Bone (Influential)

The Mu-Front (Alarm) Points

Mu-front points on the anterior surface also manifest pain when the organ is dysfunctional. When needled, they alleviate the pain and treat the dysfunction. They also tonify the cooling and calming Yin qualities of the organ.

Lu 1 — Lung
Ren 17 — Pericardium
Ren 14 — Heart
Liv 14 — Liver
GB 24 — Gall Bladder
Liv 13 — Spleen
Ren 12 — Stomach
Ren 5 — Triple Warmer
GB 25 — Kidney
St 25 — Large Intestine
Ren 4 — Small Intestine
Ren 3 — Urinary Bladder

Palpation Guide

Guide to palpation findings and their significance.

Palpation regions and what to assess:

Reflect

Which alarm point was tender when you pressed it? What organ did that point to, and what does that mean for your health?