Points Database

: Jianyu : Shoulder Bone

LI-15 : Hand Yangming Large Intestine 15

Classifications:
Opening point of the Large Intestine Divergent channel (Cecil-Sterman, 2012, Advanced Acupuncture)
One of the "59 piercings" for clearing Heat in Su Wen Ch. 61

Meetings:
Meeting of Large Intestine with Yang Qiao Mai and Large Intestine Divergent

Location:
In the depression which lies anterior and inferior to the acromion, at the origin of the deltoid muscle

Needling:
With the arm abducted, perpendicular insertion directed towards the centre of the axilla, 1 - 1.5 cun, or transverse-oblique insertion directed distally towards the elbow, 1.5 - 2 cun

TCM Actions:
Dispels wind-damp, alleviates pain and benefits the shoulder joint
Eleimates wind and regulates qi and blood
Regulates qi and dissipates phlegm nodules

TCM Indications:
  • Shoulder pain, weakness of the shoulder, wind-damp of the shoulder, heat sensation in the shoulder, redness and swelling in the shoulder, inability to raise the arm to the head, contraction and numbness of the arm, hemiplegia, wind paralysis, windstroke, wind atrophy disorder, wind disease, heat in the four limbs, inability to turn the head, painful obstruction of the fingers.
  • Wind-heat urticaria, injury by cold with heat that does not dissipate.
  • Scrofula, goitre, seminal emission due to taxation, hypertension.

    Neuroanatomy:
    Superficial Innervation: Supraclavicular from C3 - C4
    Dermatome Segment: C3

    Notes:
    One of the classical "59 piercings" for clearing Heat

    The "59 piercings" are named in the Su Wen Ch. 61 and mentioned in Su Wen Ch. 32 and Ling Shu Ch. 23 for treating Heat diseases. This point along with Yunmen Lu-2, Weizhong Bl-40 and Yaoshu Du-2 clear Heat from the four limbs.

    In Tung acupuncture the Jian Zhong, Shoulder Centre, point is located 2.5 cun distal to this point at the centre of the deltoid muscle below the upper epicondyle of the humerus. It is indicated for a number of disorders that appear to be Blood stagnation generating Heat and Wind (pain in various locations, paralysis, bleeding, skin disorders) (Chu, 2015).

    Yun Bai, Cloud White, is another Tung point located 2 cun distal and inferior to this point and is indicated for various gynaecological, hip, groin and urinary disorders (Chu, 2015). It is often combined with Li Bai, Plum White another 2 cun below this point, for leukorrhoea.

    Lad and Durve (2008) in Marma Points of Ayurveda locate a point just behind this called Amsa and associate it with Prana Vayu, Vyana Vayu, Udana Vayu, Avalambaka Kapha, Kledaka Kapha and Shleshaka Kapha.

    They give the following functions:
    - Gives freedom of movement to the shoulder
    - Relieves pain and stiffness locally
    - Enhances flow of prana
    - Benefits the ears
    - Stimulates pancreatic function
    - Relieves stress

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


    Reference Notes: (click to display)