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The Spleen Meridian:  Pressure Points Sp_2 & Sp_3 Are In The Exact Location Where Bunions Appear... Is This Just An Accident??

The Relationship between Bunions, Sugar and the Spleen By Skya Abbate, DOM

A bunion, according to Western pathology, is an abnormal prominence in the inner aspect of the first metatarsal head, with bursal formation and fluid accumulation. Etiologies may be due to postural problems such as variation in the position of the first metatarsal because of excessive rolling of the ankles (or pronation of the foot). Trauma to the local area; shoes that are too small; osteoarthritis or rheumatic arthritis of the big toe; and other mechanical problems may also affect hallucis longus. The treatment of bunions, as well as osteoarthritis of the first metatasophalangeal joint, with Oriental medical modalities is a curious clinical adaptation to an age-old problem. This pathology of the toe can be exceedingly painful to patients who suffer from them, and many do, although perhaps not as a major complaint reported to acupuncturists in contrast to podiatrists.

In Japanese acupuncture, both of these conditions are referred to as "sugar toes." The theory behind their appearance is that excess sugar consumption, caused by the failure of the spleen to transform and transport the sugar, results in damp. The damp leads to the formation of phlegm, which congeals such that an actual bony

Deformation appears. Note that the bunion is bordered on either side of the first metatarsal bone by acupuncture points. Distally, SP 2 (da du) is involved; proximally, SP 3 (tai bai) is the involved. Spleen 2 is  the fire point and the tonification point of the spleen, and as such is used to treat spleen deficiency. As its earth point and horary point, Spleen 3 balances and strengthens the spleen; stabilizes insulin production; and benefits diabetic disharmonies.

Sugar can be viewed energetically as both hot and damp; hence, we are not surprised to see the occurrence of corresponding hot and damp pathology at these points, such as the congealed phlegm. Typically, patients report discomforting tenderness of the toes. There may be slight swelling of the joint, and shoes may aggravate the condition. As the problem becomes more chronic, pain tends to worsen, and limited joint motion may ensue.

The typical Western treatment usually begins with physical therapy and local injections. Surgical removal of the bunion may then be recommended. This treatment is not only expensive and painful, but also most times ineffective. The bunion may reoccur because its underlying cause has not been addressed, or the area may become even more painful because of the local surgery. Additionally, the creation of a scar along the spleen meridian may further inhibit its functional role. Remember that the Oriental view of a scar is that it is a "potential" organ/meridian disturbance. This means that any scar may lead to the development of pathology on the associated meridian, and even more distally to the organ, because its presence may interfere with the flow of qi and blood. Whether the scar is actually clinically significant is ultimately determined by palpation of its discrete borders. Objective factors related to appearance, such as discoloration, swelling within or beyond its borders, and oozing, may be an indication that the scar is problematic. Subjective criteria such as pain; pulling; itching; numbness; heat; cold; distention; referred sensation; emptiness; or weird feelings, may be experience by the patient. Both are usually correlated with some disturbance of qi and blood in the area. However, palpation is a reliable methodology to determine if the scar is clinically significant. If clinically significant, the scar should be treated. Invariably, every patient I have seen with bunion problems has had one of the following illnesses pertaining to sugar history: diabetes; hypoglycemia; sensitivity to sugar; sugar cravings; sugar allergies; pancreatic cancer; or leaky gut syndrome.

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