Acupuncture Points Notebook

Location Guides:

: Bingfeng : Grasping the Wind

SI-12 : Hand Taiyang Small Intestine 12

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

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

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

Oblique medial insertion towards the spine 0.5 - 1 cun

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

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

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)