bubble_chart Category

Front-mu point of spleen. Meeting point of Zang-organ. Intersecting point: foot jueyin, shaoyang.

bubble_chart Etymology

"Zhang" (章), barrier, referring to ribs; "men" (門), door. The point is located in hypochondriac region, arranged on both sides like a gate, hence the name.

bubble_chart Location

Located on the lateral abdomen, below the free end of the 11th rib. When the upper arm is adducted and the elbow is flexed with the middle finger touching the earlobe, the point is at the tip of the elbow. It is on the mid-axillary line, approximately 1.8 cun below Daimai (GB26).

• Zhenjiu Jiayi Jing: "At the end of the floating ribs";
• Zhenjiu Juying: "Also said to be at the tip of elbow when arm is flexed";
• Xunjing Kaoxue Bian: "Lie on your side, flex and extend legs, and use middle finger to touch earlobe; the point is at the tip of elbow";
• Leijing Tuyi: "1.8 cun above navel and 8.5 cun lateral on both sides".

bubble_chart Anatomy

• Muscles: external oblique, internal oblique, transversus abdominis. Deep to right Zhangmen is the anterior edge of the right lobe of liver; deep to left Zhangmen is the lower edge of spleen.
• Nerves: tenth and eleventh intercostal nerves.
• Vessel: terminal branch of intercostal artery.

bubble_chart Manipulation

Insert perpendicularly 0.3~0.5 cun toward the lower end of rib, avoiding deep insertion. Alternatively, insert obliquely 0.5~1.5 cun in an anteroinferior direction. Moxibustion with moxa cone 3 to 5 times, moxibustion with moxa stick for 10 to 15 minutes.

bubble_chart Efficacy

Soothe liver and gallbladder, invigorate spleen and resolve stagnation.

• Classical: abdominal distension, borborygmus, diarrhea, hypochondriac pain, lumps, jaundice, vomiting, emaciation with yellow complexion, Irritability with heat and poor appetite, wheezing, heart pain with vomiting, weakness of limbs, fullness in chest and hypochondrium, indigestion, cold in middle with through-flux diarrhea, cold pain in waist and spine, difficulty in urination due to obesity, pediatric food stagnation unrelieved by moxibustion.
• Modern: pleurisy, cholelithiasis, indigestion, hepatosplenomegaly, hepatitis, enteritis, hiccup.

bubble_chart Combinations

• Qi stagnation in stomach and intestines: Zhongwan (CV12), Zhangmen (LR13), Zusanli (ST36).
• Stone-like edema: Zhangmen (LR13), Rangu (KI2).
• Running-piglet with upward counterflow of qi: Zhangmen (LR13), Yinjiao (CV7), Shimen (CV5).
• Fullness in chest and hypochondrium: Zhangmen (LR13), Burong (ST19) Look carefully.
• Constipation: Zhangmen (LR13), Zhaohai (KI6), Taibai (SP3).
• Stiffness in waist and spine with inability to turn: Zhangmen (LR13), Ciliao (BL32).
• Chronic enteritis: Zhangmen (LR13), Tianshu (ST25), Pishu (BL20), Zusanli (ST36).