Acupuncture Points Notebook

Location Guides:

: Yuanye : Armpit Abyss

GB-22 : Foot Shaoyang Gall Bladder 22

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)

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

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.

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

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.

    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

    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)