Sundance Acupuncture

Herb & Acupuncture Database

(This is my own personal database of teachers, teachings and notes that I use in my practice. I’ve decided to share it freely with anyone who would like to reference it.)

DU-3 Yaoyangguan - Loins Yang Border

More Spirit Names: Lumbar Yang Pass, Lumbar Yang Gate

English: Lumbar Yang Gate
Also Known As: Lumbar Yang's Hinge
Gate of Yang
Loins Yang Border

Location

  • On the midline of the lower back, in the depression below the spinous process of the fourth lumbar vertebra.
    Note: this point is located one intervertebral space below the line connecting the highest points of the two iliac crests.

Needling

  • Perpendicular insertion 0.5 to 1 cun.
  • Caution: the spinal cord lies between 1.25 and 1.75 cun deep to the skin surface, varying according to body build.
  • Below the spinous process of the fourth lumbar vertebra, at the level of the crista iliaca.
  • Moxibustion is applicable.
  • Between the spinous processes of the fourth and fifth lumbar vertebrae.

Command Functions

Actions

  • Dispels Wind-Damp
  • Benefits the lumbar region and legs
  • Regulates the lower Jiao
  • Tonifies Yang
  • Regulates Kidney Qi
  • Benefits the lower back and knees
  • Eliminates Cold-Dampness

Indications

  • Inability to flex and extend the knee
  • Pain of the outer aspect of the knee
  • Wind Bi with numbness
  • Contraction of the sinews
  • Inability to walk
  • Pain of the crotch and lumbar region due to taxation injury
  • Muscular atrophy, motor impairment, numbness and pain of the lower extremities
  • Sciatica
  • Metritis
  • Metrorrhagia
  • Nocturnal emission
  • Spermatorrhea
  • Wei and Bi syndromes of the lover limbs
  • Lower limb asthenia
  • Numbness of the lower limbs
  • Numb and stiff legs
  • Chronic enteritis
  • Scrofula
  • Hernia
  • Continuous vomiting
  • Seminal emission
  • Impotence
  • White turbidity
  • Menstrual disorders
  • Leukorrhea
  • Nephritis
  • Colitis
  • Irregular menstruation
  • Impotence
  • Premature ejaculation
  • Lumbar disc problems
  • Lower back pain
  • Lower abdominal distention
  • Knee pain or weakness
  • Leg cramps
  • Leg paralysis
  • Diarrhea due to Cold-Damp
  • Arthritis of the knee
  • Contractures of the lower limbs preventing walking
  • White vaginal discharge
  • Vaginal discharge with Blood
  • Myelitis

Combinations

DU-4
Mingmen
DU-5
Xuanshu

Multiple neuritis

  • DU-3 + UB-40 + UB-23: basic treatment for lower backache

Contraindications

Notes

  • The primary use for this point is in treatment of low back and leg disorders, particularly if they are due to Kidney Yang Deficiency.
  • This point is said to be especially good for vaginal discharge with mucus and Phlegm.
  • The extra point Yaoyan lies 3.5 cun lateral to DU-3.

Five Elements Spirit Perspective

Spirit of the Point

Loins Yang Border is a passageway from the loins to the legs, on the border between the yin of the lower body and the yang of the upper body. It regulates yin and yang and works as a key joint or hinge for the back's mobility, letting the yang Qi climb the spine to the head. It lets the Yang flow downward and gives a person strength in the legs, the strength to stand up into life. It encourages the flow and discharge of toxins, mucus and phlegm; a discharge is a fluid that must flow, and when the condition is righted it stops by itself and no rubbish is left behind. A physical symptom often reflects a mental state.

Worsley
  • Worsley gives it as a First Aid point for sprains, spinal injury, insensibility, fractures and concussion.

Location: On the back midline, in the dip between L4 and L5.
Needle depth: 3-5 fen
Moxa: 5-15 cones

When to Consider
  • When someone is over-controlling
  • When a person lacks backbone, discipline or flexibility in mind and spirit
  • When a woman is frightened of sexual intercourse, with frigidity and difficulty being receptive; unless the mental side is addressed, the area will stay unhealed
Notes
  • Mostly used for low back problems affecting the legs and knees

From Class

  • Du-3 Yaoyangguan / Du-14 Dazhui: Wei Ke: open the spine to support wei qi and expel the pathogen — Du-3 (Du-4 reserved for life-cycle issues) and Du-14 with lift-and-thrust. (Yuen)
  • Du-3, BL-23, BL-40, KI-3 + low back ashi (standardized low back pain protocol): Standardized chronic low back pain protocol: Du-3, bilateral BL-23, a low-back ashi point, bilateral BL-40 and KI-3; 20 min, twirling at 10 min and before removal. (Cherkin)
  • Du Mai and the central nervous system: Du strengthens yuan qi, jing and yang (Du-3, Du-4) and conducts shen via the ye fluid (CSF) up the spine; treat neurological conditions through Du points. (Yuen)
  • Anointing the Seven Stars of the Great Dipper: Anoint seven levels of the central axis from Ren-1/Du-1 up to Du-20 so the spirits ascend through the crown; front Ren points can substitute for back Du points. (Lewis)

For educational reference only; not a substitute for care from a qualified practitioner.