Points Database

Location Guides:

: Lingxu : Spirit Ruin

Kid-24 : Foot Shaoyin Kidney 24

Classifications:
Spirit point
Front Shu point for the Liver on the upper Chong mai trajectory (Yuen, 2005, The Extraordinary Vessels)
Trigger point (Melzack, Stillwell & Fox, 1977, Trigger Points and Acupuncture Points for Pain: Correlations and Implications, Pain 3, p3-23)

Location:
In the third 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:
  • Cough asthma, wheezing, distension and pain of the chest and lateral costal region with difficulty in breathing, vomiting, inability to eat and drink, no pleasure in eating.
  • Breast abscess, palpitations, agitation and fullness.

    Neuroanatomy:
    Superficial Innervation: Anterior cutaneous thoracic nerve from T4
    Dermatome Segment: T4
    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: Cardiac syndromes

    Notes:
    One of the twelve shu points of the chest along with Bulang Kid-22, Shenfeng Kid-23, 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 depleted spirit, depression, deep loss of sense of self.

    In Mayan medicine:
    Combined with Bulang Kid-22, Shenfeng Kid-23, Shencang Kid-25 and Yuzhong Kid-26 to reinforce Tiantu Ren-22 in treatments of asthma (Garcia, Sierra, Balam, 1999: Wind in the Blood)

    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


    Reference Notes: (click to display)