提托 : Tituo : Lift and Support

Location Guides:

Location:

On the lower abdomen, 4 cun lateral to the midline, level with Guanyuan Ren-4.

Needling:

Perpendicular insertion 0.8 - 1.2 cun, or for prolapse of the uterus direct the needle through the muscular layer to Qugu Ren-2, then rotate the needle until it wraps around the muscle fibres and firmly pull it upwards and outwards and tape it to the skin in this raised position for 20-30 minutes.

TCM Actions:

Raises and regulates Qi

TCM Indications:

• Prolapse of the uterus, dysmenorrhoea, abdominal distension and pain.

Neuroanatomy:

Superficial Innervation: Femoral branches of genitofemoral nerve from L1

Dermatome Segment: L1

Martial Applications & Effects of Injury:

See Montaigue, Dim Mak Locations, Taijiworld.com for explanation of effects.

Major Combinations:

• Prolapse of the uterus:
    Tituo Ex-CA-4 with Baihui Du-20, Zusanli St-36 and Sanyinjiao Sp-6 (Deadman, Al-Khafaji & Baker, A Manual of Acupuncture).

Notes:

A modern addition to the extra points used mainly for treatment of uterine prolapse.

Reference Notes:

Basic information on location, needle depth, TCM actions, indications and combinations is taken from Deadman et al (2001): A Manual of Acupuncture with additional anatomical information researched by reference to Gray's Anatomy (38th Ed., 1995) unless otherwise referenced. Images were found on acupunctureschoolonline.com and can be traced back to Claudia Focks (2008) Atlas of Acupuncture originally. I cannot claim any credit or rights over them. Other sources should be quoted in the text.

For some of the more unusual terms I have created a glossary here