Points Database

Location Guides:

: Naoshu : Upper Arm Shu

SI-10 : Hand Taiyang Small Intestine 10

Classifications:
Opening point of the Small Intestine Divergent channel (Cecil-Sterman, 2012, Advanced Acupuncture).

Trigger Point (Travell & Simons, 1998, Trigger Point Manual; Melzack, Stillwell & Fox, 1977, Trigger Points and Acupuncture Points for Pain: Correlations and Implications, Pain 3, p3-23)

Meetings:
Meeting of Small Intestine with Bladder, Yang Wei Mai, Yang Qiao Mai and Small Intestine Divergent

Location:
On the posterior aspect of the shoulder, in the depression inferior to the scapular spine, directly superior to the posterior axillary crease when the arm hangs in the adducted position.

Needling:
Perpendicular insertion 1 - 1.5 cun

TCM Actions:
Benefits the shoulder
Activates the channel and alleviates pain

TCM Indications:
  • Pain and swelling of the shoulder that radiates to the scapula, weakness and pain of the arm and shoulder, inability to raise the shoulder.
  • Chills and fever, scrofula.

    Neuroanatomy:
    Superficial Innervation: Suprascapular nerve, from posterior division of the superior trunk of the brachial plexus (C5 - C6)
    Dermatome Segment: C4

    Trigger Point Associations:
    Muscle: Teres minor or supraspinatus (attachment to glenohumeral joint)
    Myotome Innervation: Teres minor: Axillary nerve (C5 - C6); supraspinatus: suprascapular nerve (C5 - C6)
    Location Notes: Teres minor trigger point may be slightly medial and inferior to classical location
    Pain Referral Pattern: Local to point around shoulder
    Indications: Shoulder pain, if supraspinatus especially when abducting the arm ; Cardiac syndromes

    Notes:
    Jeffrey Yuen (2005, The Eight Extraordinary Vessels) suggests using this point and Juliao GB-29 to ground a person in the present as they are the meeting of Yang wei mai and Yang qiao mai.

    He also recommends cupping on these two points combined with needling Ah shi points as part of a Qiao mai treatment for unilateral chronic Bi as Qiao deals with suffering and Wei deal with issues over time.

    In Tung Lineage Acupuncture two points, known as the Essence Branch (Jing Zhi) located slightly medial to point, 6 cun from the midline level with T2 and T3. They are indicated for pain and ongoing soreness in the lower legs (McCann, 2014, Pricking the Vessels).

    The outer line of Tung's Five Mountain Ranges (Wu Ling) would also be approximately this area, slightly medial. They are also 6 cun from the midline level with T2 to T8.

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


    Reference Notes: (click to display)