Points Database

Location Guides:

: Shenfeng : Spirit Seal

Kid-23 : Foot Shaoyin Kidney 23

Classifications:
Spirit point
Front Shu point for the Spleen on the upper Chong mai trajectory (Yuen, 2005, The Extraordinary Vessels)
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)

Location:
In the forth intercostal space, 2 cun lateral to the midline.

Needling:
Transverse-oblique insertion, directed laterally along the intercostal space 0.5 - 1 cun

Warning:
Deep perpendicular or oblique needling may puncture the lung.


TCM Actions:
Unbinds the chest
Lowers rebellious lung and stomach qi
Benefits the breasts

TCM Indications:
  • Fullness of the chest and lateral costal region with difficulty breathing, cough, asthma, wheezing, chest painful obstruction, breast abscess.
  • Vomiting, no pleasure in eating.

    Neuroanatomy:
    Superficial Innervation: Anterior cutaneous thoracic nerve from T5
    Dermatome Segment: T5
    Deeper Structures: Neuromuscular junction of medial pectoral nerve with the pectoral muscle ( C8 - T1)

    Trigger Point Associations:
    Muscle: Pectoralis major (sternal head)
    Myotome Innervation: Medial pectoral nerve (C7 - T1)
    Pain Referral Pattern: Local to point and across chest
    Indications: Strain of pectoralis muscle ; Cardiac syndromes

    Notes:
    One of the twelve shu points of the chest along with Bulang Kid-22, Linxu Kid-24, Shencang Kid-25, Yuzhong Kid-26 and Shufu Kid-27 for wheezing, dyspnoea and coughing due to 'fullness above and deficiency below' due to weak kidney qi not grasping lung qi (Deadman et al, 2001).

    Yuen (2005, The Extraordinary Vessels) believes these points, when related to the front Shu points of the Chong mai are located at 0.5 cun from the midline.

    In five element acupuncture indicated for a lack of connection with ones own spirit or identity/self, low spirit.

    In Mayan medicine:
    Combined with Bulang Kid-22, Linxu Kid-24, Shencang Kid-25 and Yuzhong Kid-26 to reinforce Tiantu Ren-22 in treatments of asthma (Garcia, Sierra, Balam, 1999: Wind in the Blood)

    In ayurvedic medicine:
    Ampastambha marma point
    Size: 1/2 angula (cun)
    Structure: Blood vessels
    Effect of Injury: Premature death (kalantarpranahar marma)
    (Harish Johari, 1996, Ayurvedic Massage, Sanatan Society; Anupama Bhattacharya, Marma Shastra)

    Lad and Durve (2008) in Marma Points of Ayurveda call the six point from Kid-22 to Kid-23 (three each side) Hrid and associate them with Prana Vayu, Vyana Vayu, Udana Vayu Sadhaka Pitta and Avalambaka Kapha.

    They give the following functions:
    - Regulates cardiac function and heart rate
    - Improves coronary circulation
    - Maintains optimal function of lungs and airways
    - Relieves congestion in breast tissue
    - Enhances lymphatic circulation in chest area
    - Calms mind, balances emotions, relieves stress

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

    In Thai massage:
    One of a set of acupressure points circling the perimeter of the breast (Salguero & Roylance, 2011, Encyclopedia of Thai Massage)


    Reference Notes: (click to display)