Points Database

Location Guides:

: Tianrong : Heavenly Appearance

SI-17 : Hand Taiyang Small Intestine 17

Classifications:
Point of the Window of Heaven
Trigger point (Travell & Simons, 1998, Trigger Point Manual)

Location:
In the depression between the angle of the mandible and the anterior border of the sternocleidemastoid muscle.

Needling:
Directed towards the root of the tongue, anterior to the carotid vessels, 0.5 - 1 cun

Warning:
When needling manual occlusion to highlight the external jugular is reccomended to avoid penetration


TCM Actions:
Benefits the neck and throat and disperses swelling
Descends rebellious qi
Benefits the ears

TCM Indications:
  • Throat painful obstruction, obstruction of the throat, goitre, scrofula of the neck, swelling and pain of the neck with inability to speak, clenched teeth, swelling of the cheek, chills and fever.
  • Chest fullness with difficulty in breathing, wheezing, asthma, cough, chest pain, vomiting foam.
  • Tinnitus and deafness.
  • Pain of the shoulder with inability to raise the arm.

    Neuroanatomy:
    Superficial Innervation: Transverse cervical nerve (C2 - C3)
    Dermatome Segment: C3

    Trigger Point Associations:
    Muscle: Medial pterygoid and posterior diagastric
    Myotome Innervation: Mandibular branch of trigerminal nerve (CN V3)
    Pain Referral Pattern: Medial pterygoid (pressure upwards to jaw): To condyloid process and posterior of mandible
    \nPosterior diagastric (into muscles of neck): To mastoid process and occipital region
    Indications: Pain in jaw, sore throat and difficulty swallowing, lump in the throat

    Notes:
    Ling Shu Ch. 75, On Piercing to Regulate True and Evil Qi, recommends this point as part of the "Shaking Off Dust" treatment for when Yang Qi rebels upwards to fill the chest making the patient agitated, breathing with his shoulders, averse to dust or smoke, panting noisily and sitting forward. The throat seems closed. The piercing must not exceed 1 Cun in depth.

    In ayurvedic medicine:
    Nila marma point
    Size: 4 angula (cun)
    Structure: Blood vessels
    Effect of Injury: Disability (vaikalyakar marma)
    (Harish Johari, 1996, Ayurvedic Massage, Sanatan Society; Anupama Bhattacharya, Marma Shastra)


    Reference Notes: (click to display)