Points Database

: Naohui : Upper Arm Meeting

SJ-13 : Hand Shaoyang Triple Burner 13

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

Meetings:
Meeting of Triple Burner with Yang Wei Mai

Location:
On the upper arm, where the line drawn between Tianjing SJ-10 and Jianliao SJ-14 meets the posterior border of the deltoid muscle, approximately two thirds of the distance between these two points.

Needling:
Perpendicular or oblique insertion 1 - 2 cun

TCM Actions:
Regulates qiand transforms phlegm
Activates the channel and alleviates pain

TCM Indications:
  • Goitre, scrofula, chills and fever, eye diseases, epilepsy, madness.
  • Weakness and pain of the shoulder and arm, swelling of the shoulder that leads to pain in the scapula, inability to raise the arm.
  • Weakness and pain of the shoulder and arm, swelling of the shoulder that leads to pain in the scapula, inability to raise the arm.

    Neuroanatomy:
    Superficial Innervation: Posterior cutaneous nerve of the arm (C5 - C8)
    Dermatome Segment: C5, T1 on dorsal axial line

    Trigger Point Associations:
    Muscle: Deltoid and triceps brachii
    Myotome Innervation: Deltoid: Axillary nerve (C5 - C6); Triceps: Radial nerve (C5 - T1) with long head innervated by axillary nerve (C5 - C6)
    Location Notes: Deltoid trigger point may be slightly superior on the body of the muscle along with several other trigger points between this point and Jianneiling. Triceps point may be slightly lower
    Pain Referral Pattern:
    \nDeltoid: To local area and around muscle and lateral side of upper arm
    \nTriceps brachii: Local around point and to dorsal aspect of forearm and little and ring fingers
    Indications: If deltoid: shoulder pain with difficulty raising arm in any direction ; If triceps: posterior shoulder and arm pain


    Reference Notes: (click to display)