Acupuncture Points Notebook

Location Guides:

: Shufu : Shu Mansion

Kid-27 : Foot Shaoyin Kidney 27

Classifications:
Spirit point
Front Shu point governing all the front Shu points on the upper Chong mai trajectory (Yuen, 2005, The Extraordinary Vessels)
Trigger point (Travell & Simons, 1998, Trigger Point Manual)

Meetings:
Meeting of Kidney with Kidney Divergent (at 5 fen from the midline)

Location:
In the depression on the lower border of the clavicle, 2 cun lateral to the midline.

Needling:
Transverse-oblique insertion, directed laterally along the lower border of the clavicle 0.5 - 1 cun

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


TCM Actions:
Unbinds the chest
Transforms phlegm and alleviates cough and wheezing
Harmonises the stomach and lowers rebellious qi

TCM Indications:
  • Cough, chronic cough with vomiting of phlegm, wheezing, dyspnoea, chest pain, oppression of the chest with chronic dyspnoea.
  • Abdominal distension, nausea, vomiting, inability to eat and drink.
  • Reckless movement of hot blood in women, steaming bone disorder.

    Neuroanatomy:
    Superficial Innervation: Anterior cutaneous thoracic nerve from T2
    Dermatome Segment: T2

    Trigger Point Associations:
    Muscle: Subclavius
    Myotome Innervation: Nerve to subclavius (C5 - C6)
    Pain Referral Pattern: Across top of chest and down bicep, radial aspect of forearm and hand to thumb and first two fingers
    Indications: Vascular thoracic outlet syndrome (pain in hands, arms, across shoulder and neck)

    Notes:
    One of the twelve shu points of the chest along with Bulang Kid-22, Shenfeng Kid-23, Linxu Kid-24, Shencang Kid-25 and Yuzhong Kid-26 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).

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    Yuen (2005, The Extraordinary Vessels) believes these points, when related to the front Shu points of the Chong mai are located at 5 fen (0.5 cun) from the midline.

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    In five element acupuncture indicated for depleted spirit, helps to tonify the spirit of a person.

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    The inner line of Tung's 12 Monkeys (Shi Er Hou) would be located slightly lateral (5 fen) to this point.

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    In Mayan medicine:
    Combined with Tiantu Ren-22 and Xuanji Ren-21 for treatment of asthma (Garcia, Sierra, Balam, 1999: Wind in the Blood)


    Reference Notes: (click to display)