SP21

Spleen Channel

Great Envelope

大包Dà Bāo

Anatomical location

On the midaxillary line, in the sixth intercostal space.

Main function

Regulates Qi and Blood, strengthens the limbs, benefits the Dai Mai.

  • Great Luo of the Spleen
  • Crossing point with the Dai Mai

Therapeutic indications

  • Chest pain
  • asthma
  • general weakness
  • fatigue
  • generalized body pain
  • weakness of all four limbs
  • chest and costal pain
  • joint laxity

Name and classical tradition

Dabao, 大包, is the “Great Embracement,” and it is the best-supported point of the whole channel. The Lingshu (Spiritual Pivot), in the chapter Jing Mai (經脈, Channels), presents it this way: “脾之大络,名曰大包,出渊腋下三寸,布胸胁”. The great collateral of the Spleen is called Dabao; it emerges three cun below Yuanye, GB22, and spreads over the chest and the flanks. It is not just any Luo point, but the great Luo (大絡) of the Spleen, which adds to the collaterals of the channels.

The name has been glossed by two commentators. Yang Shangshan, in the seventh century, according to a secondary source: “脾為中土,四臟之主包裹處也,故大包也”. The Spleen is the central Earth, the place that wraps around and governs the other four organs; hence, great embracement. And Zhang Jiebin, in the Leijing Tuyi (Illustrated Supplement to the Classified Classic), in the Ming period: “總統陰陽諸絡,由脾灌溉五臟,臟腑百骸皆受其益,因名大包”. It governs all the collaterals, Yin and Yang; from the Spleen it irrigates the five Zang organs, and the Fu organs and all the bones receive its benefit; hence the name.

The two glosses agree on the essentials: the Spleen, at the center, embraces and nourishes the rest. Both attributions are specific, although the texts should be checked against their editions before being quoted literally.

Location of point SP21, Great Envelope
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View point on the 3D modelSP21 on the anatomy
Needling techniqueOblique insertion 0.5-0.8 cun, directed laterally.
Depth0.5-0.8 cun
MoxibustionApplicable (3-5 minutes, indirect moxa)
PrecautionsAvoid deep needling so as not to injure the lung.
Cover of the guide “Protocols for the 20 most common patterns”

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Protocols for the 20 patterns you see most in practice

Each pattern with its tongue, its pulse, the treatment principle and the points to tonify and disperse. Made for the treatment table, not the bookshelf.

Do you use SP21 with your patients?

In the Clinic you record it in the patient's file, next to the tongue, the pulse and the measurements, so at the next session you know exactly what you used. The Atlas is built in.

See the Clinic