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.)

ST-29 Guilai - The Return

More Spirit Names: Returning, Ravine Valley

English: Return
Also Known As: Returning

Location

  • 4 cun below the umbilicus, 2 cun lateral the REN-3 Zhongji.
  • On the lower abdomen, 2 cun lateral to the midline and 4 cun inferior to the umbilicus, level with REN-3 Zhongji.
  • Note: the 2 cun line runs halfway between the midline and the palpable lateral border of the rectus abdominus muscle.

Needling

  • Puncture perpendicularly 0.7 to 1.2 cun.
  • Moxibustion ia applicable.
  • Perpendicular insertion 1 to 1.5 cun.
  • Caution: deep insertion may penetrate the peritoneal cavity in thin patients or may penetrate a full Bladder; the patient should therefore be asked to empty the Bladder before treatment.
  • Straight insertion or transverse insertion towards the symphysis pubis, 1.5 to 2 cun. Sensation: distention and soreness in the lower abdomen, sometimes extending into the genital region.

Command Functions

Actions

  • Relieves Blood Stagnation
  • Warms the Lower Jiao
  • Regulates menstruation
  • Benefits the genital region
  • Removes Blood Stagnation from the uterus

Indications

  • Dysmenorrhea with dark, clotted Blood
  • Amenorrhea due to Blood Stasis
  • Irregular menstruation
  • Uterine masses
  • Swelling, pain and Cold of the vagina
  • Pain of the penis
  • Impotence
  • The seven kinds of shan disorder
  • Running piglet Qi
  • Inflammation of the adnexa uteri
  • Orchitis
  • Scrotal and urethral pain
  • Lower abdominal pain and Cold
  • Shan Qi
  • Inflammation or retraction of the scrotum
  • Vaginal discharge
  • Abdominal pain
  • Hernia
  • Leukorrhea
  • Uterine prolapse
  • Infertility
  • Retraction of the testicles
  • Seminal emission
  • Nocturia
  • Hypogastric pain
  • Endometritis
  • Colic
  • Vaginitis
  • Prostatitis
  • Endometriosis
  • Inflammation of the ovaries
  • Sterility

Combinations

LI-4
Hegu
ST-36
Zusanli
DU-20 (moxa)
Baihui

LIV-1
Dadun
SP-6
Sanyinjiao

GB-27
Wushu

Uterine prolapse

Sagging and swollen testicles without pain

Retracted testicle

REN-3
Zhongji
REN-2
Qugu
M-CA-18
Zigong
SP-6
Sanyinjiao

KI-3
Taixi
REN-6
Qihai
KI-7
Fuliu

Irregular menstruation

Trichomonas vaginitis

  • ST-29 + SP-6: eliminates Blood Stasis in the uterus
  • ST-29 + REN-6 + DU-20

Contraindications

Notes

  • This is one of the most important points to eliminate Blood Stagnation in the uterus and regulate the menses.
  • The main function of this point is to warm the Lower Jiao.
  • The name indicates a return of menstruation.
  • It is particularly suited to treatment by moxibustion.
  • ST-29 Guilai ("Return") is likened to the herb Dang Gui.

Five Elements Spirit Perspective

Spirit of the Point

The Return is for someone growing barren through being unable to harvest life's fruits, and for a patient who lacks nourishment. It can help mind and spirit break out of old, stagnant patterns so new projects can be born and their harvest reaped. It concerns the ability to produce and reproduce life, the renewal of one's own origin.

Worsley

Location: On the abdomen, 3 ACI from the midline and 4 ACI below the umbilicus level, beside REN-3.
Needle depth: 5 fen
Moxa: 5-10 cones

When to Consider
  • When a person is becoming barren because they cannot harvest the fruits of life
  • When a patient has a lack of nourishment
  • When old patterns of stagnation keep new projects from being born

From Class

  • Invigorating fallopian tubes (scarring/ectopic history): E-stim Zigong, ST-28, ST-29, KI-14; open the Dai with GB-41, GB-26–28; deep abdominal massage with castor oil and blood-moving oils (e.g., Chuan Xiong). (Lewis)

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