Points Database

Location Guides:

: Yuanye : Armpit Abyss

GB-22 : Foot Shaoyang Gall Bladder 22

Classifications:
Great Luo of the Spleen
Confluent point of the Small Intestine and Heart Divergent channels (Cecil-Sterman, 2012, Advanced Acupuncture)
Opening point of the Pericardium Divergent channel (ibid.)
Meeting point for all arm Yin Sinew Meridians (Yuen, 2003, The Sinew Meridians: NESA).

Trigger point (Melzack, Stillwell & Fox, 1977, Trigger Points and Acupuncture Points for Pain: Correlations and Implications, Pain 3, p3-23)

Meetings:
Meeting of Gall Bladder with Small Intestine Divergent, Heart Divergent, Pericardium Divergent and Lung Divergent

Location:
On the mid-axillary line, in the fifth intercostal space, approximately 3 cun inferior to the apex of the axilla, at the level of the nipple. Some sources locate this point in the fourth intercostal space.

Needling:
Transverse-oblique insertion along he intercostal space 0.5 - 1 cun

Warning:
Deep or perpendicular needling may induce a pneumothorax According to several classical texts this point is contraindicated to moxibustion


TCM Actions:
Regulates qi and unbinds the chest
Beneifts the axilla

TCM Indications:
  • Cough, fullness of the chest, chills and fever, pain of the lateral costal region, swelling of the axilla, scrofula of the axilla, sabre lumps.
  • Pain of the shoulder and arm, inability to raise the arm.

    Neuroanatomy:
    Superficial Innervation: Lateral cutaneous thoracic nerve from T5 or T6
    Dermatome Segment: T5, T6

    Trigger Point Associations:
    Muscle: Pectoralis major (both heads) and intercostals
    Myotome Innervation: Pectoralis major: Medial and lateral pectoral nerves (C5 - C6, C7 - T1); Intercostals: Intercostal nerve from T5
    Location Notes: Intercostals can produce trigger points anywhere in the intercostal space
    Pain Referral Pattern: Local to point and across chest
    Indications: Pectoral strain ; Cardiac syndromes

    Notes:
    The Ling Shu and the Nan Jing disagree on the location of the Great Luo of the Spleen. The Nan Jing places it here while the Ling Shu places it 3 cun lower at Dabao Sp-21. This location is preferred by Ann Cecil-Sterman (2012, Advanced Acupuncture) for Luo treatments.


    Reference Notes: (click to display)