Acupuncture Points Notebook

Location Guides:

: Xiabai : Clasping the White

Lu-4 : Hand Taiyin Lung 4

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

Location:
On the antero-lateral aspect of the upper arm, 4 cun inferior to the axillary fold and 5 cun superior to Chize LU-5, in the depression between the lateral border of the biceps brachii muscle and the shaft of the humerus

Needling:
Perpendicular insertion 0.5 1 cun

TCM Actions:
Descends lung qi. Regulates qi and blood in the chest

TCM Indications:
  • Cough, dyspnoea, asthma, shortness of breath.
  • Heart pain, palpitations, agitation and fullness, retching.
  • Pain in the medial aspect of the arm, purple-white wind blotches (pityriasis versicolor).

    Neuroanatomy:
    Superficial Innervation: Upper lateral cutaneous nerve of the arm from C5 - C6
    Dermatome Segment: C6

    Trigger Point Associations:
    Muscle: Brachialis
    Myotome Innervation: Musculocutaneous nerve from C5 - C7
    Pain Referral Pattern: To dorsum of base of thumb with some spillover along anterior shoulder and cubital fossa
    Indications: Pain, numbness or tingling at base of thumb, often due to radial nerve entrapment

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


    Reference Notes: (click to display)