Points Database

Location Guides:

: Bailao : Hundred Taxations

Ex-HN-15 : Extra Head/Neck 15

Classifications:
Trigger point (Travell & Simons, 1998, Trigger Point Manual)

Location:
At the back of the neck, 2 cun superior to Dazhui Du-14, 1 cun lateral to the midline.

Needling:
Perpendicular insertion 0.5 - 0.8 cun

TCM Actions:
Transforms phlegm and dissipates nodules
Stops cough and calms dyspnoea

TCM Indications:
  • Scrofula, cough, dyspnoea, Lung consumption, night sweating, spontaneous sweating, steaming bone disorder with tidal fever, stiffness and pain of the neck.

    Neuroanatomy:
    Superficial Innervation: Dorsal rami of C3 - C5
    Dermatome Segment: C3

    Trigger Point Associations:
    Muscle: Upper splenius cervicis, middle semispinalis capitis and multifidi (deep)
    Myotome Innervation: Spenius capitis: dorsal rami of C3 - C4; Semispinalis capitis: Greater occipital nerve (C2); Multifidi: Posterior branches of dorsal rami from C3 - C5
    Pain Referral Pattern:
    \nUpper splenius cervicis: To outer canthus of eye
    \nMiddle semispinalis capitis: To back of head (also see Tianzhu Bl-10 for upper semispanilis capitis)
    \nMultifidi: to base of occiput and medial spine of scapula with spillover all the way between these points and across the trapezius
    Indications: Whiplash injury ; Headache ; Pain in neck, head and eyes


    Reference Notes: (click to display)