Points Database

Location Guides:

: Zhouliao : Elbow Crevice

LI-12 : Hand Yangming Large Intestine 12

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

Location:
When the elbow is flexed, this point is located in the depression 1 cun proximal to and 1 cun lateral to Quchi L.I.-11

Needling:
Perpendicular insertion 0.5 - 1 cun

TCM Actions:
Activates the channel and alleviates pain
Benefits the elbow joint

TCM Indications:
  • Wind-taxation with somnolence, contraction, numbness and immobility of the upper arm, pain and stiffness of the elbow.

    Neuroanatomy:
    Superficial Innervation: Lower lateral cutaneous nerve of the arm (C5 - C6)
    Dermatome Segment: C5

    Trigger Point Associations:
    Muscle: Triceps brachii
    Myotome Innervation: Radial nerve (C5 - T1)
    Pain Referral Pattern: To lateral elbow and along radial side of forearm
    Indications: Posterior shoulder and upper arm pain

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

    In Mayan medicine:
    Used to treat pain in the upper extremities (Garcia, Sierra, Balam, 1999: Wind in the Blood)

    Medieval phlebotomy point (John de Foxton, 1408: Liber Cosmographiae, maa.cam.ac.uk)

    In ayurvedic medicine:
    Ani marma point
    Size: 1/2 angula (cun)
    Structure: Tendon
    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 locate a point near here at the body protuberance of the lateral epicondyle called Bahya Kurpara and associate it with Prana Vayu, Vyana Vayu and Shleshaka Kapha.

    They give the following functions:
    - Harmonises the movement of elbow and arm
    - Relieves pain locally
    - Improves circulation


    Reference Notes: (click to display)