Points Database

Location Guides:

: Jianzhen : True Shoulder

SI-9 : Hand Taiyang Small Intestine 9

Classifications:
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)
Luo Harmonizing point

Location:
On the posterior aspect of the shoulder, 1 cun superior to the posterior axillary crease when the arm hangs in the adducted position.

Needling:
Perpendicular insertion 1 - 1.5 cun

TCM Actions:
Expels wind and benefits the shoulder
Activates the channel and alleviates pain

TCM Indications:
  • Pain of the shoulder and upper arm, inability to raise the arm, pain of the scapula, heat sensation and pain of the surpaclavicular fossa, wind painful obstruction, numbness with inability to raise the hand and foot.
  • Chills and fever due to injury by cold, tinnitus and deafness.

    Neuroanatomy:
    Superficial Innervation: Axillary nerve from C5 - C6
    Dermatome Segment: T2

    Trigger Point Associations:
    Muscle: Teres major
    Myotome Innervation: Lower subscapular nerve (C6 - C7)
    Location Notes: Melzack (1977) correlates this point to the teres minor trigger point but it is far better suited to Naoshu SI-10
    Pain Referral Pattern: To shoulder and down dorsal aspect of forearm
    Indications: Shoulder pain

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

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

    In ayurvedic medicine:
    Kakshadhara marma point
    Size: 1 angula (cun)
    Structure: Tendon
    Effect of Injury: Disability (vaikalyakar marma)
    (Harish Johari, 1996, Ayurvedic Massage, Sanatan Society; Anupama Bhattacharya, Marma Shastra)

    In Thai massage:
    Acupressure point along the outer Kalatharee sen line running from the lateral malleolus, up the sides of the leg, along the outer bladder channel, over the shoulder blade and down to the hands.
    Indicated for shouder pain/injury/arthritis.
    (Salguero & Roylance, 2011, Encyclopedia of Thai Massage)


    Reference Notes: (click to display)