Points Database

: Yunmen : Cloud Gate

Lu-2 : Hand Taiyin Lung 2

Classifications:
One of the "59 piercings" for clearing Heat in Su Wen Ch. 61

Trigger point (Melzack, Stillwell & Fox, 1977, Trigger Points and Acupuncture Points for Pain: Correlations and Implications, Pain 3, p3-23)

Location:
On the antero-lateral aspect of the chest, below the lateral extremity of the clavicle, 6 cun lateral to the midline, in the centre of the hollow of the delto-pectoral triangle.

Needling:
Transverse-oblique insertion 0.5 1 cun

Warning:
Deep perpendicular needling or oblique insertion carries a substantial risk of causing a pneumothorax


TCM Actions:
Clears lung heat and disseminates and descends lung qi
Dispels agitation and fullness

TCM Indications:
  • Cough, wheezing, asthma, dyspnoea with inability to lie down, shortness of breath, oppressive and agitated sensation in the chest, heat in the chest, opression and pain in the chest, upsurging of qi to the Heart, sudden pain of the Heart and abdomen.
  • Pain of the lateral costal region and back, pain of the back and shoulders, pain of the shoulder with inability to raise arm, pain of the supraclavicular fossa.
  • Interrupted pulse which cannot be felt at the cun position, throat painful obstruction, goitre, injury by cold giving rise to persistent heat in the limbs.

    Neuroanatomy:
    Superficial Innervation: C5 - C6 via brachial plexus and axillary nerve
    Dermatome Segment: C4

    Trigger Point Associations:
    Muscle: Deltoid
    Myotome Innervation: Axillary nerve (C5 - 6)
    Pain Referral Pattern: To the lateral aspect of the shoulder, over the deltoid muscle
    Indications: Shoulder pain

    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 Jianyu LI-15, Weizhong Bl-40 and Yaoshu Du-2 clear Heat from the four limbs.

    Ling Shu Ch. 20, On the Five Evils, advises piercing this point, Zongfu Lu-1, Feishu Bl-13 and either Qupen St-12 or Tiantu Ren-22 (depending on how the location "in the middle of the Broken Basin" is interpreted) for pathogens in the Lung.

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

    In Thai massage:
    Acupressure point (Salguero & Roylance, 2011, Encyclopedia of Thai Massage)



    Reference Notes: (click to display)