Points Database

Location Guides:

: Qingling : Green Spirit

He-2 : Hand Shaoyin Heart 2

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

Location:
3 cun proximal to the medial end of the transverse cubital crease, on the line connecting He-1 with He-3, in the groove medial to the biceps brachii muscle

Needling:
Oblique distal or proximal insertion, 0.5 - 1 cun, avoiding the brachial artery

Warning:
Many early classics only discuss moxibustion at this point and the Introduction to Medicine specifically contraindicates needling, probably due to potential to damage the brachial artery


TCM Actions:
Activates the channel and alleviates pain

TCM Indications:
  • Inability to raise the shoulder and arm, swelling, pain and redness of the shoulder, pain of the axilla, headache with cold shivering, yellow eyes, pain of the lateral costal region, scrofula.

    Neuroanatomy:
    Superficial Innervation: Medial cutaneous nerve of the arm from T1 - T2
    Dermatome Segment: T1
    Deeper Structures: Brachial plexus (nerves from C5 - T1)

    Trigger Point Associations:
    Muscle: Triceps brachii
    Myotome Innervation: Radial nerve (C5 - T1) with long head innervated by axillary nerve (C5 - C6)
    Pain Referral Pattern: To medial epicondyle and down ulnar side of arm to little and ring fingers
    Indications: Pain of posterior shoulder and upper arm

    Notes:
    Location of the brachial pulse

    At the end of a Heart Luo treatment this point is needled, deqi grasped and removed immediately to normalize the circulation of blood (Cecil-Sterman, 2012, Advanced Acupuncture).

    Medieval phlebotomy point (Hans von Gersdorff, 1517: Feldtbüch der Wundartzney, www.nlm.nih.gov)

    Lad and Durve (2008) in Marma Points of Ayurveda locate a point in the centre of the belly of the biceps brachii, one cun lateral and anterior to Qingling He-2 called Bahu Urvi. They associate it with Udana Vayu, Smana Vayu, Vyana Vayu, Pachaka Pitta and Kledaka Kapha.

    They give the following functions:
    - Promotes normal movement of upper extremities
    - Relieves tremor or abnormal movement of upper extremities
    - Increases energy and vitality
    - Regulates udana vayu
    - Promotes stomach and pancreas secretion
    - Stimulates solar plexus

    In Thai massage:
    Acupressure point along the Kalatharee sen line running from the navel Shenque Ren-8 to the hands.
    Indicated for asthma, breathing difficulties, lung conditions and respiratory ailments.
    (Salguero & Roylance, 2011, Encyclopedia of Thai Massage)


    Reference Notes: (click to display)