Points Database

Location Guides:

: Bingfeng : Grasping the Wind

SI-12 : Hand Taiyang Small Intestine 12

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

Meetings:
Meeting of Small Intestine with Large Intestine and San Jiao and Gall Bladder

Location:
In the centre of the suprascapular fossa, directly above Tianzhong S.I.-11, in a depression formed when the arm is raised.

Needling:
Oblique medial insertion towards the spine 0.5 - 1 cun

Warning:
Deep perpendicular insertion, especially in this patients, carries a substantial risk of inducing a pneumothorax


TCM Actions:
Expels wind and benefits the shoulder and scapula

Neuroanatomy:
Superficial Innervation: Suprascapular nerve from C5 - C6
Dermatome Segment: C4

Trigger Point Associations:
Muscle: Supraspinatus
Myotome Innervation: Suprascapular nerve (C5 - C6)
Pain Referral Pattern: To lateral aspects of shoulder and elbow, with spillover across top of shoulder and all down lateral and radial aspects of the arm
Indications: Pain of shoulder, especially on abduction of arm

Notes:
One of the 18 tender spots used in the diagnosis of fibromyalgia (Wang, Acupuncture and Traditional Chinese Medical Approaches for Fibromyalgia, Acupuncture Today, vol.6 no.3, 2005).


Reference Notes: (click to display)