Knee Pain

General

Clinical Manifestations	Knee pain
Treatment Principle
Herb Formulas
Points	Step One: For stiffness and tightness of the iliotibial band: Treat the Gall Bladder Tendino-Muscular Channel by bleeding GB-44 Step Two: For pain of the iliotibial band: GB-41 or GB-42 (affected side) + SJ-3 (opposite side) , GB-34, GB-31, GB-41 + SJ-5 Ear: Knee, Hip, Shenmen, Thalamus, Muscle, Relaxation Step Three: Use Zang-Fu diagnosis to determine systemic points. Step Four: Insert needles at the site of the injury. Insert needles under the tendinous band from the anterior and posterior margins. GB-29, GB-31, GB-34, GB-41, GB-42, GB-44, SJ-3, SJ-5 GB-34, SP-9, ST-32, ST-35 (lateral), ST-35 (medial). UB-40, Heding GB-34, GB-31, ST-33 ST-34, ST-35, GB-34 ST-34, ST-35, GB-33, GB-34, SP-9 Bleed UB-40, needle GB-34, SP-9 Heding, Xixia, GB-34, SP-9, ST-34, ST-35, ST-36 GB-34, LIV-7, LIV-8, Neixiyan, SP-6, SP-9, ST-33 LI-11 or PC-6 with movement + local points if necessary Contralateral LIV-3, PC-6 or ST-43, ST-44, LI-11 ST-35 (lateral and medial), UB-40 + Ahshi Yin Excess barrioer point: KI-5 In children: UB-61

Wind-Cold-Damp Bi : Damp Predominant

Clinical Manifestations	Numbness and heaviness of the extremities Soreness and fixed pain of joints Stiffness or numbness of the muscles or skin Pain worse on cloudy or rainy days Maybe peripheral or systemic edema Pain is alleviated by pressure and warmth Pain lingers and is recalcitrant to treatment Worse during cloudy or wet weather Limited movement Edema Maybe stifling sensation in chest Maybe anorexia or indigestion Maybe abdominal distention Maybe loose or semi-liquid stools T: Pink or Pale C: Greasy and white P: Slow, moderate and soft
Treatment Principle	Expel Damp Clear the channels
Herb Formulas	Han Shi Bi Tang Astragalus and Drynaria Combination
Points	SP-6, SP-9 To eliminate Dampness and ease sinews: 1. SJ-6, GB-34, SP-5, SP-6, SP-9, LI-10, ST-36, ST-40 2. UB-20, SP-9 When affected by weather changes: 1. SJ-5, UB-35, ST-36, SP-5 2. SP-5, ST-38, ST-36 3. LI-13, ST-32, UB-38, GB-30, GB-34, SJ-8, DU-1 Lower back pain: moxa DU-2 Legs: GB-29, GB-30, UB-40 + General points

Wind-Cold-Damp Bi With Cold Predominant

Clinical Manifestations	Excruciating sharp, stabbing joint pain Pain alleviated by warmth and aggravated by Cold Pain with fixed location Few joints are involved The joints cannot be flexed or extended No local redness or Heat Painful area often feels cold to the touch Pain worse at night and better during the day Pain mostly affects low back and lower extremities Pain intense but short lived Pain changes over days or weeks Ankylosis (stiffness) of joint Aversion to Cold Maybe chills with a slight fever Anhidrosis Frequent nocturnal urination T: Pink or Pale C: Thin and white (thicker than for Wind-Bi) P: Superficial and tight or Wiry and tight - maybe slow
Treatment Principle	Warm the channels Activate Qi and Blood.
Herb Formulas	Qu Han Bi Tang
Points	LI-11, REN-6, ST-36 With pain in the upper extremities, shoulder and scapula: + SI-5 To regulate the Qi of the low back and legs: + UB-10 To warm and circulate channels and collaterals: LIV-3, moxa LI-4, ST-36, GB-34, GB-31, SJ-5, SJ-4, UB-23, REN-4 Or Moxa UB-23, REN-4, GB-39 Arm pain: moxa needle GB-21, LI-8, LI-9, LI-10, LI-11, LI-13, LU-9 + General points

Wind-Cold-Damp Bi With Liver And Kidney Yin Deficiency

Clinical Manifestations	Painful joints Heavy and painful sensations at fixed locations in lower back and extremities with weakness and stiffness or hypertonicity and immobility Aversion to Cold Attraction to warmth Palpitations Pain in the midline and back during pregnancy Pain worse at night General coldness Sallow complexion Wandering pain Pale complexion Shortness of breath May be paresthesia and numbness Cold pain in the low back and knees Limited movement Soreness, weakness and numbness of the joints Tinnitus Muscle spasms Dizziness T: Pale C: Thin and white or White and moist P: Thin, weak and slow or Deep, thready and weak or slippery
Treatment Principle	Disperse Wind-Dampness Stop Bi pain Tonify the Kidneys and Liver Tonify Qi Nourish the Blood
Herb Formulas	Du Huo Ji Sheng Tang Da Fang Feng Tang
Points

Lung And Kidney Yin Deficiency

Clinical Manifestations	Unproductive cough or Scanty, sticky phlegm or Sometimes blood-streaked sputum Dry mouth Dry throat Low back and knees sore and weak "Steaming Bone" tidal fever Night sweats Malar flush Maybe hoarse voice Maybe pain in shin, foot, and heel Spermatorrhea Irregular menses T: Red C: Little or None P: Thready and rapid
Treatment Principle	Nourish and Reinforce the Lungs and Kidneys
Herb Formulas	Yang Yin Qing Fei Tang + Da Bu Yin Wan Ba Xian Chang Shou Wan Du Qi Wan Mai Wei Di Huang Wan
Points	HT-6, KI-3, KI-6, LU-6, LU-9, UB-13, UB-23 + general points

Spleen Qi Deficiency With Dampness

Clinical Manifestations	Aching and heaviness in the lower back Poor muscle tone with flabby muscles A tendency to be overweight Poor posture Sallow complexion Fatigue Anorexia Four limbs feel tired and heavy Abdominal and epigastric distention after eating Maybe acid regurgitation or vomiting Loose stools Shortness of breath T: Pale and flabby - may have teethmarks C: White and greasy P: Slippery or soft
Treatment Principle	Strengthen the Spleen Benefit Qi
Herb Formulas	Fang Ji Huang Qi Tang With mild Dampness: Fang Ji Huang Qi Tang
Points	KI-17, SP-3, SP-9, ST-36, UB-20 LIV-13, REN-12, SP-3, SP-5, SP-6, ST-36, UB-20

Spleen And Kidney Yang Deficiency

Clinical Manifestations	Body cold Limbs icy Complexion white and shiny Low back, knees and abdomen feel cold and painful Lower abdomen feels cold and painful Loose stools containing undigested food “Cock-crow” diarrhea (occurs at about 5 am) Edema of face and limbs Dysuria T: Pale, moist and swollen C: Thin and white or White and greasy P: Deep, thready, weak and maybe slow
Treatment Principle	Warm and Reinforce the Spleen and Kidneys
Herb Formulas	Li Zhong Wan + Jin Gui Shen Qi Wan Yi Qi Jian Pi Fu Zheng Tang
Points	Moxa or moxa needle REN-4, REN-12, SP-6, SP-9, ST-36, UB-20, UB-23

Liver Qi Stagnation

Clinical Manifestations	Ligament pain Hypermobility of the knee with a sensation of instability Fragile sinews Distention and pain in the sides or flanks Maybe low back pain Difficulty standing up Abdominal distention Suffocating sensation in the chest Tendency to sigh Melancholy Depression Tension Irritability Inappropriate anger Irregular menses Dysmenorrhea Breast distention and pain before and during menses T: Pink C: Thin and white P: Wiry
Treatment Principle	Soothe the Liver Clear Stagnation
Herb Formulas
Points	GB-34, LIV-6, UB-18 GB-40, GB-41, LIV-2, LIV-3, LIV-4, LIV-5, LIV-13, LIV-14, PC-6, SJ-6, SP-6, UB-18

Liver Wind Due To Kidney And Liver Yin Deficiency

Clinical Manifestations	Fatigue Muscle spasms with alternating flexion and extension of the extremities Prostration Clonic convulsions Dizziness - worse with stress or anger Insomnia Dream-disturbed sleep Sore low back and knees Nocturnal emissions Often the patient is on the verge of shock Low-grade fever T: Deep red C: Thin or Peeled P: Weak and faint
Treatment Principle	Nourish Yin Extinguish Endogenous Wind
Herb Formulas	Da Ding Feng Zhu
Points

Liver Yin Deficiency With Yang Rising

Clinical Manifestations	Ligament pain Hypermobility of the knee with a sensation of instability Fragile sinews Weakness in the legs and knees with lower back stiffness Cramps Brittle nails Dizziness Blurred vision Impaired vision Dry eyes Night blindness Tinnitus Headache Nervousness Insomnia with much dreaming Excessive irritabiloity Vertigo Palpitations Dry throat Thirst Five Sole Heat Night sweats Light menses or Late menses or Amenorrhea T: Red C: Little P: Thready, wiry and rapid
Treatment Principle	Nourish Yin Nourish the Liver
Herb Formulas
Points	GB-34, LIV-2, LIV-3, SP-10, UB-18 KI-3, LIV-3, UB-18, UB-23

Liver And Kidney Yin Deficiency

Clinical Manifestations	Facial complexion pale and sallow Both cheeks slightly red Dizziness Dry eyes Blurred vision Spots before the eyes Numbness of limbs Flaccid paralysis (Wei syndrome), weakness Tinnitus, deafness Forgetfulness Low back and knees sore and painful Throat dry and painful Five sole heat Low-grade fever Night sweats Irritability Insomnia Stools difficult to pass Constipation Spermatorrhea Irregular menses or Scanty menses or Amenorrhea Vaginal discharge T: Red C: None P: Thready and rapid
Treatment Principle	Nourish and Reinforce the Liver and Kidneys
Herb Formulas	Qi Ju Di Huang Wan Yi Guan Jian Da Bu Yin Wan Liu Wei Di Huang Wan Ba Xian Chang Shou Wan Mai Wei Di Huang Wan Zuo Gui Wan  modified With Blood Deficiency: Gui Shao Di Huang Tang With Damp-Heat and Blood Stagnation: Zi Shen Tang With severe Deficiency Heat: Hu Qian Wan
Points	KI-3, LIV-3, SP-6, UB-18, UB-23

Kidney Yang Deficiency

Clinical Manifestations	Lumbago: low back feels cold, weak and aching Feeling chilled Aversion to cold Cold limbs General debility Pale face Urinary frequency with abundant, clear urine or Oliguria with edema Maybe nocturia Lassitude Withdrawn, subdued behavior Knees feel cold and aching Dizziness Tinnitus Impotence, spermatorrhea, premature ejaculation Low libido Female infertility ("uterus cold and infertile") Maybe anorexia Maybe loose stools Maybe chronic diarrhea or "cock crow" diarrhea T: Pale and swollen C: Thin and white P: Deep and thready - maybe slow
Treatment Principle	Warm and Reinforce Kidney Yang.
Herb Formulas	Jin Gui Shen Qi Wan You Gui Wan modified Bu Gu Zhi Wan Gui Lu Bu Shen Tang He Che Wan Jie Rong San She Chi Tang Xin Yang San Yang Chuan Yao Chinese Patent Medicines: Shen Rong Hu Gu Wan Jia Kui Shen Qi Wan Ren Shen Lu Rong Wan Ge Jie Bu Shen Wan
Points	Moxa or moxa needle DU-4, Huatuojiaji when tender, KI-3, REN-4, REN-6, UB-23, UB-25, UB-52, UB-60 Moxa or moxa needle DU-4, DU-20, KI-3, REN-4, REN-8, UB-23 + general points Moxa or moxa needle DU-4, GB-39, REN-6, ST-36, UB-23

Kidney Yang Deficiency: Kidney Qi Not Consolidated

Clinical Manifestations	Lumbago: low back feels cold, weak and aching Feeling chilled Aversion to cold Cold limbs General debility Pale face Urinary frequency with abundant, clear urine or Oliguria with edema or Incontinence of urine Maybe nocturia Dribbling after urination Lassitude Withdrawn, subdued behavior Knees feel cold and aching Dizziness Tinnitus Hearing deficit Impotence, spermatorrhea, premature ejaculation Low libido Female infertility ("uterus cold and infertile") Vaginal discharge Spermatorrhea Premature ejaculation Maybe anorexia Maybe loose stools Maybe chronic diarrhea or "cock crow" diarrhea T: Pale and swollen with teethmarks C: Thin and white P: Deep and thready - maybe slow
Treatment Principle	Warm and Reinforce Kidney Yang. Consolidate the Kidneys Conserve Qi
Herb Formulas	Jin Gui Shen Qi Wan Suo Quan Wan
Points	Moxa or moxa needle DU-4, DU-20, KI-3, REN-4, REN-8, UB-23 + general points Jinggong, KI-3, KI-12, REN-4, REN-6, SP-6, UB-23, UB-52

Kidney Yin Deficiency

Clinical Manifestations	Low back, knees and legs painful and weak Foot pain Light-headedness Vertigo Tinnitus Diminished hearing Five sole Heat Chronic dry, sore throat Toothache Wasting and thirsting disorder (Xiao Ke) Dizziness Muscular weakness Dry skin Deafness Steaming bones Delayed closing or unclosed fontanel in infants Tidal fevers Loose teeth Dripping urine Thirst Dry tongue Numbness and weakness at the waist and knees Heel pain Dry mouth Dry throat Blurred vision Urinary incontinence Spontaneous and nocturnal emissions Night sweats T: Red C: Little or None P: Thready and rapid
Treatment Principle	Enrich Yin Nourish the Essence of the Liver and Kidneys
Herb Formulas	Liu Wei Di Huang Wan Zuo Gui Wan  modified Ba Xian Chang Shou Wan Mai Wei Di Huang Wan Chinese Patent Medicines: Jian Bu Hu Qian Wan Liu Wei Di Huang Wan Zhi Bai Di Huang Wan Da Bu Yin Wan
Points	DU-4, Huatuojiaji when tender, KI-3, REN-4, REN-6, UB-23, UB-25, UB-52, UB-60 KI-1, KI-3, KI-6, REN-4, SP-6, UB-23 + general points KI-3, REN-4, UB-23, UB-52

Kidney Yin Deficiency With Fire Flaring

Clinical Manifestations	Dizziness Tinnitus or deafness Poor memory Aching, soreness or weakness of the low back Spermatorrhea or Premature ejaculation Aching in the bones Aching in the leg and heel Dry mouth Thirst Night sweats Five Sole Heat Malar flush Low grade fever in the afternoon Dry throat, maybe recurrent sore throat Dry stools and/or Constipation Urine short and red Heightened libido If Heart Fire also Flares: Insomnia Frequent dreams Palpitations If Liver Yang also Rises: Dizziness Blurred vision T: Red C: Little or None P: Thready and rapid
Treatment Principle	Nourish Yin Subdue Fire
Herb Formulas	Zhi Bai Di Huang Wan
Points	KI-1, KI-2, KI-3, KI-6, KI-9, KI-10, REN-4, SP-6, UB-23 If Heart Fire also Flares: HT-7, PC-7, UB-15 If Liver Yang also Rises: LIV-3, UB-18

Kidney Yin And Yang Deficiency With Insufficiency Of Jing And Blood In The Chong, Ren And Du Channels

Clinical Manifestations	Emaciation Weakness Spermatorrhea Blurred vision Aching and weak low back and knees Daybreak diarrhea Weight loss Dizziness Nocturnal emissions T: Pink or Pale C: White or None P: Thready and frail or Deep, slow and weak
Treatment Principle	Nourish and replenish Yin TonifY Jing Augment Qi TonifY and strengthen Yang Nourish the Blood
Herb Formulas	Gui Lu Er Xian Jiao
Points

Kidney Jing Insufficiency

Clinical Manifestations	Dizziness Tinnitus Low back and knees weak and aching In adults: Hair loss Graying or whitening of hair Weak sexual function Atrophy and weakness of feet with difficulty walking Poor memory Senility (premature or mature) Brittle bones Gradual deterioration of hearing In children Retardation in mental and/or physical development Failure to thrive Late or incomplete closing of fontanel Poor bone development, brittle bones:
Treatment Principle	Reinforce the Kidneys Benefit Jing
Herb Formulas	Zuo Gui Wan You Gui Wan With Liver Blood Deficiency: Sheng Fa Yin
Points	DU-4, KI-3, REN-4, UB-23 + general points

Kidney Jing And Liver Blood Deficiency

Clinical Manifestations	Premature graying of the hair Hair loss Loose teeth Spontaneous emissions Nocturnal emissions Weak and sore low back and knees
Treatment Principle	Enrich the Kidney Jing Nourish the Liver Blood
Herb Formulas	Qi Bao Mei Ran Dan
Points

Damp-Heat In The Urinary Bladder

Clinical Manifestations	Urinary frequency Urinary urgency Painful urination or Continuous dripping of urine or Sudden interruption to the urinary stream Turbid urine or Pus and blood in the urine or Sand and stones in the urine In Damp-Heat Pouring Downward there may also be: Fever Thirst Dry mouth Low back pain In Damp-Heat Crystallizes in Urinary Bladder there may also be: Colicky pain in the low back, possibly radiating to the groin T: Red C: Yellow P: Slippery and rapid
Treatment Principle	Clear Heat Eliminate Dampness by diuresis
Herb Formulas	Si Miao Wan
Points	KI-7, LIV-2, REN-3, SP-6, SP-9, UB-23, UB-28, UB-39 For retention of urine: 1. REN-3, SP-6, SP-9, UB-28 2. REN-3, SP-6, SP-9, UB-39 For Blood Lin: 1. KI-3, LIV-2, REN-3, SP-6, SP-9, SP-10, UB-28 2. KI-1, KI-7, LIV-3, REN-3, SP-10, UB-17, UB-23, UB-27 For Stone Lin: 1. KI-2, KI-3, LIV-2, REN-3, SP-9, UB-28, UB-39 2. KI-1, LIV-1, REN-4, UB-23, UB-28, UB-40 For Milky Lin: 1. KI-3, KI-6, LIV-2, REN-3, SP-9, UB-23, UB-28 2. REN-4, REN-6, SP-6, SP-9, UB-22, UB-27, UB-28

Yin Excess

Clinical Manifestations	Worse with pressure Better with Heat Worse with Cold The pain is deep and dull
Treatment Principle
Herb Formulas
Points	KI-5

Yin Deficiency

Clinical Manifestations	Better with pressure Better with Cold The pain is sharp and superficial
Treatment Principle
Herb Formulas
Points	KI-5

Yang Excess

Clinical Manifestations	Worse with pressure Worse with Heat Better with Cold The pain is sharp and superficial
Treatment Principle
Herb Formulas
Points	GB-36

Yang Deficiency

Clinical Manifestations	Better with pressure Better with Heat The pain is deep and dull
Treatment Principle
Herb Formulas
Points	GB-33

Yang Deficient Bi

Clinical Manifestations	Excruciating stabbing pain in the extremities Painful, numb bones and joints Deformed bones and joints Localized Cold sensation Muscles and sinews atrophied Pale, lusterless face Cold body and limbs Spine bent forward (hunched) Weak, sore low back Weak, sore knees Profuse urination Watery stools Daybreak diarrhea T: Pale C: White P: Deep and Weak
Treatment Principle	Warm the Yang Augment Qi Alleviate pain
Herb Formulas	Fu Zi Ba Wu Tang
Points

Local Qi Stagnation

Clinical Manifestations	Knee pain appears with movement Pain abates after getting started Improved with warmth and massage
Treatment Principle
Herb Formulas
Points	GB-31 With Spleen Sinew channel involvement: Ahshi, SP-1, SP-5 With a localized Cold-Damp invasion: REN-2, SP-2

Qi , Blood And Yin Deficiency With Blood Stagnation And Heat

Clinical Manifestations	Lassitude Fatigue Shortness of breath Dizziness Tinnitus Palpitations Emaciation Lack of strength Dry, rough eyes Possible distended feeling in eyes A pale, lusterless face Possible malar flush Restless Insomnia Poor memory Dry, parched throat Tasteless feeling in the mouth Low back and knee soreness and weakness Low grade fever Five Sole heat Possible sweating Possible tremors of the hands and tongue Scanty intake Abdominal distention after meal Loose stools T: Red C: Thin or Peeled P: Empty and rapid or Thready and rapid
Treatment Principle	Tonify Qi and Blood Promote urination Activate the Blood Dispel Blood Stasis Nourish Yin Generate fluids Clear Heat Drain Kidney Fire Cool the Blood
Herb Formulas	Yi Qi Yang Yin Huo Xue Fang
Points

Qi , Blood And Jing Deficiency With Damp-Heat

Clinical Manifestations	Weakness of the knees Soreness of the lower back Lumbago Atrophy of the leg muscles Lower back weakness Knee pain Difficulty walking Emaciation Impotence Poor memory Dizziness Night sweats Five-sole Heat Aggravation of the pain by Damp weather Pale complexion Profuse urination at night Tinnitus Hair loss Sensation of warmth Thirst Dry skin T: Red or Pale and flabby with teethmarks C: Little or Thin and white P: Thready and weak, especially in the Kidney positions
Treatment Principle	Tonify the Liver and Kidneys Strengthen the tendons and bones Eliminate Damp-Heat Tonify Kidney Jing Relieve rheumatic pain
Herb Formulas	Deficient Bi #3
Points	ST-25, Xiyan, Heding, SP-6, SP-9, GB-34, KI-3

Blood Deficiency

Clinical Manifestations	Vaginal tract bleeding after having stopped menstruating The amount of Blood is sometimes excessive and sometimes scanty The Blood is fresh red or pale red Low back soreness or Low back and knee soreness and weakness Dizziness Palpitations Insomnia Dry skin Dry hair Poor memory Paleness Fatigue Scanty periods T: Pale C: Thin, white and dry P: Thready and rapid or Weak
Treatment Principle	Nourish Blood Tonify the Spleen
Herb Formulas	An Tai Yin #3
Points	LIV 3, SP-6, ST-36, UB 11, UB-17

Damp-Heat In The Lower Jiao

Clinical Manifestations	The lower back feels hot either to the patient or practitioner Pain in low back and knees The pain is aggravated by Heat , humid or rainy weather and is not improved by rest Aches and pains in the bones and sinews Weakness or atrophy of lower extremities Scanty yellow urine Red, hot, swollen and painful feet or knees Edema in lower legs Leukorrhea (thick, yellow, foul-smelling) Sores on lower extremities due to Damp Redness, swelling and pain of the knees with burning sensations Oliguria Eczema Irritability Feverishness Thirst T: Normal C: Yellow and greasy P: Soft and and rapid
Treatment Principle	Eliminate Heat and Dampness Ease the tendons Stop pain
Herb Formulas	Er Miao San modified Chinese Patent Medicines: Qian Jin Zhi Dai Wan Yu Dai Wan Shi Lin Tong Pian
Points	General points + GB-34, KI-7, SP-9

Channel Pathology

Clinical Manifestations
Treatment Principle
Herb Formulas
Points	Extraordinary channel involvement: Yinqiao channel involvement: (pain and stiffness in the knee with morning stiffness and sleep disorders) KI-6, KI-8, LU-7 Yangqiao channel involvement: (pain and stiffness in the knee with morning stiffness and sleep disorders) SI-3, UB-59, UB-62 Yinwei channel involvement: (sensitivity to weather changes, maybe a feverish sensation) KI-9, PC-6, SP-4 Yangwei channel involvement: GB-35, GB-41, SJ-5 Dai channel involvement: (pain in the lower limbs which is worse when getting started and with Cold and better with warmth and movement, belt-like pai radiating down to the medial aspect of the inner thigh, laxity and weakness of the ankles, dysmenorrhea and leukorrhea) GB-26, GB-41, SJ-5 Chong channel involvement: (pain predominantly in the medial aspect of the knee, cold feet and legs, Blood Stasis induce lower back pain, gastralgia, dyspepsia and marked genital and gynecological pathology) REN-4, SP-4 or ST-30, ST-36 Bi Syndrome involvement: Moxa needle Heding, ST-35, Xiyan, needle REN-7, REN-12, UB-23 Five Element involvement: Water: bone disorders, hair loss, hearing loss, urinary dysfunction and lower back pain GB-39, or REN-3, UB-11, UB-60, UB-64 Wood: disorders affecting the sinews, cramps, vision disorders, brittle nails, hepatobiliary disorders and difficulty gedtting started GB-34, LIV-1, LIV-3 Earth: Muscle disorders, abdominal distention, diarrhea, dry lips and obssevie tendencies ST-41, ST-45, UB-57 Bone structure involvement: UB-11 Support problems: KI-14, REN-5, UB-23 Gestural dysfunction: ST-35, ST-38 Trigger Points: 1. Adductor Longus Muscle: Pain in the anteromedial aspect of the thigh, leg and knee: The area around LIV-10 and LIV-11 2. Vastus Meidalis Muscle: Pain in the anteror inferomedial aspect of the thigh and medial aspect of the knee: The area around LIV-9 3. Biceps Femoris Muscle: Pain in the popliteal fossa radiating down the posterior aspect of the leg: The lower third od a line joining UB-37 and UB-40 4. Rectus Femoris Muscle: Pain in the anterior aspect of the thigh and knee: The areas of Maibu