Points Database

Location Guides:

: Yixi : Yixi

Bl-45 : Foot Taiyang Bladder 45

Classifications:
Spirit point
Master Tung's Five Mountain Ranges
Master Tung's Capital points
Master Tung's Behind the Heart points
Trigger point (Travell & Simons, 1998, Trigger Point Manual; Melzack, Stillwell & Fox, 1977, Trigger Points and Acupuncture Points for Pain: Correlations and Implications, Pain 3, p3-23)

Location:
3 cun lateral to the midline, level with the lower border of the spinous process of the sixth thoracic vertebra (T6) and level with Dushu Bl-16.

Needling:
Oblique insertion 0.3 - 0.5 cun

Warning:
Deep perpendicular or deep oblique needling in a medial direction carries a substantial risk of causing a pneumothorax.


TCM Actions:
Expels wind, clears heat and descends lung qi
Invigorates qi and blood and alleviates pain

TCM Indications:
  • Cough, dyspnoea, febrile disorder with absence of sweating, visual dizziness, eye pain, nosebleed, malaria, headache in children whilst eating, five palms agitated and hot.
  • Pain of the shoulder, scapula and back, chest pain that radiates to the lumbar region, pain of the lateral costal region accompanied by distension and pain of the hypogastrium, pain of the lateral costal region radiating to the Heart and Lung, abdominal distension, contraction of the axilla.

    Neuroanatomy:
    Superficial Innervation: Posterior cutaneous thoracic nerves from T6
    Dermatome Segment: T6

    Trigger Point Associations:
    Muscle: Lower trapezius (superficial), rhomboid major (middle) or iliocostalis thoracis (deep)
    Myotome Innervation: Trapezius: Motor - accessory nerve (CN XI), Sensation - dorsal rami of C2 - C3; Rhomboid major: Dorsal scapular nerve (C4 - C5); Iliocostalis: Dorsal rami of T6
    Pain Referral Pattern:
    \nLower trapezius: Local to point and along muscle, to shoulder and occiput if trapezius
    \nRhomboid major: Local to point and around medial border of scapula
    \nIliocostalis thoracis: To inferior angle of scapula and medial border of scapula
    Indications: Shoulder pain ; Back pain

    Notes:
    In five element acupuncture indicated for strong experiences of grief, cannot let go of past events a/or losses.

    In Master Tung's system this point is one of the five mountain ranges (Wu Ling). They consist of five sets of points in three lines representing the phases of the Wu Xing in a series of lines:

    The first set is along the midline, below each vertebrae from T2 to T11. From T2 to T8 relate to Fire, T9 to T11 relate to Earth.
    The second set is 3 cun from the midline. from T2 to T9. From T2 to T6 relate to Metal, T7 to T9 relate to Wood.
    The third set is 6 cun from the midline from T2 to T8. From T2 to T4 relate to Metal, T5 to T8 relate to Wood.

    They are indicated for fever, common cold, hypertension, headache, lumbar pain, numbness of the hands and feet, hemiplegia, acute stomachache, vomiting or acute enteritis by releasing heat, wind and stagnation from the organs relating to their phase and treated with a pricking method to release a drop of blood (McCann, 2014, Pricking the Vessels).

    Tung's Capital (Ding Zhu) points are located 3 cun lateral to the midline from T4 to T9 and 6 cun lateral to the midline from T4 to T8 indicated for lumbar pain, especially when associated with arteriosclerosis, acute back sprain and chest pain upon breathing (ibid.)

    Tung's Behind the Heart (Hou Xin or Bei Xin) points are located under spinous processes from T4 to T9, 1.5 cun laterally to T4 to T7 and 3 cun laterally from T4 to T6. They are indicated for "wool like furuncles", clove sores, weakness and debility of the Heart zang, Stomach diseases, acute heart disease leading to numbness and paralysis, wind-cold entering the interior, severe wind-cold, stroke, externally contracted diseases that manifest with papules. They clear heat from the Heart and Lung and release the exterior so are useful in dermatological disorders (ibid.).

    This sort of technique may make greater sense than regular needles as shallow depth without retention may be safer over the spine and lungs.

    In Thai massage:
    Acupressure point (Salguero & Roylance, 2011, Encyclopedia of Thai Massage)


    Reference Notes: (click to display)