Points Database

Location Guides:

: Jugu : Great Bone

LI-16 : Hand Yangming Large Intestine 16

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

Meetings:
Meeting of Large Intestine with Yang Qiao Mai

Location:
On the upper aspect of the shoulder, in the depression medial to the acromion process and between the lateral extremity of the clavicle and the scapular spine

Needling:
Perpendicular or oblique insertion 0.5 to 1 cun

Warning:
Deep medial insertion carries a risk of causing a pneumothorax, particularly in thin patients


TCM Actions:
Activates the channel, alleviates pain and benefits the shoulder joint
Regulates qi and blood and dissipates phlegm nodules

TCM Indications:
  • Pain of the shoulder and back, blood stasis in the shoulder, difficulty in moving or raising the arm, pain of the upper arm.
  • Fright, epilepsy, vomiting of copious quantities of blood, blood stasis in the chest, scrofula, goitre.

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

    Trigger Point Associations:
    Muscle: Middle trapezius or supraspinatus
    Myotome Innervation: Trapezius: Accessory nerve (CN XI); Supraspinatus: suprascapular nerve (C5 - C6)
    Pain Referral Pattern:
    \nMiddle trapezius: Around joint
    \nSupraspinatus: To lateral aspects of shoulder and elbow, with spillover across top of shoulder and all down lateral and radial aspects of the arm
    Indications: Shoulder pain, especially on abducting the arm


    Reference Notes: (click to display)