Points Database

Location Guides:

: Jiquan : Summit Spring

He-1 : Hand Shaoyin Heart 1

Classifications:
Entry point from Dabao Sp-21
Opening point of the Heart Divergent channel (Cecil-Sterman, 2012, Advanced Acupuncture)

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)

Meetings:
Meeting of Heart with Small Intestine Divergent, Heart Divergent and Large Intestine Divergent

Location:
In the depression at the centre of the axilla

Needling:
Perpendicular insertion in the direction of Jianjing GB-21 0.5 - 1 cun, avoiding the axillary artery

Warning:
Medial insertion towards the chest may puncture the lung


TCM Actions:
Unbinds the chest
Activates the channel and benefits the arm

TCM Indications:
  • Heart painful obstruction, Heart pain with retching, chest pain, shortness of breath, distension and fullness of the lateral costal region, sadness and anxiety, palpitations, agitation with the thirst and dry throat.
  • Inability to raise the shoulder, pain of the axilla, scrofula, numbness and painful obstruction of the upper limb, inversion counterflow of the elbow and arm, cold and pain of the elbow and arm, loss of use of the four limbs, yellow eyes.

    Neuroanatomy:
    Superficial Innervation: Medial cutaneous nerve of the arm from T1 - T2
    Dermatome Segment: T1
    Deeper Structures: Insertion point of subscapular nerve (C5 - C6) into subscapularis muscle

    Trigger Point Associations:
    Muscle: Subscapularis
    Myotome Innervation: Upper and lower subscapular nerve (C5 - C6)
    Location Notes: The actual trigger points are located on the anterior surface of the scapula but can only be accessed from this point
    Pain Referral Pattern: Across scapula and concentrating on posterior aspect of the deltoid. Also radiating down across the triceps and the dorsal aspect of the wrist
    Indications: Musculoskeletal diseases of the shoulder

    Notes:
    Location of axillary pulse

    Ling Shu Ch. 71, On Evil Visitors, says that when a depletion evil is in the Liver it flows in the armpits. One theory of the Divergent meridians suggests that they store pathogens at the major joints, depleting our resources to keep them sedated, which would suggest this point is associated with the Liver/Gall Bladder Divergents.

    In ayurvedic medicine:
    Lohitaksha marma point
    Size: 1/2 angula (cun)
    Structure: Blood vessel
    Effect of Injury: Disability (vaikalyakar marma)
    (Harish Johari, 1996, Ayurvedic Massage, Sanatan Society; Anupama Bhattacharya, Marma Shastra)

    Lad and Durve (2008) in Marma Points of Ayurveda call this point Kaksha and associate it with Vyana Vayu, Pachaka Pitta, Shleshaka Kapha and Avalambaka Kapha.

    They give the following functions:
    - Benefits the breasts
    - Improves lymphatic drainage of breast tissue
    - Enhances blood and lymph circulation in upper extremities
    - Regulates sweating
    - Relaxes shoulder and upper extremities

    Sieler (2015, Lethal Spots, Vital Secrets, p.232) describes a varmam spot in siddha medicine near the armpit called kaiviralmatakkivarmam or "finger bending spot" which is activated by pinching the skin between the thumb and index finger.

    In Tibetan medicine:
    Moxa point (AMNH, Tibetan Medical Paintings)

    In Thai massage:
    Point along the Kalatharee sen line running from the navel Shenque Ren-8 to the hands (Salguero & Roylance, 2011, Encyclopedia of Thai Massage)


    Reference Notes: (click to display)