Points Database

Location Guides:

: Tianliao : Heavenly Crevice

SJ-15 : Hand Shaoyang Triple Burner 15

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

Meetings:
Meeting of Triple Burner with Gall Bladder and Yang Wei Mai

Location:
In the suprascapular fossa, in the depression midway between Jianjing GB-21 and Quyuan SI-13 (at the medial end of the suprascapular fossa).

Needling:
Oblique insertion directed according to the clinical manifestations 0.5 - 1 cun

Warning:
Perpendicular insertion, especially in thin patients, carries a substantial risk of inducing and pneumothorax.


TCM Actions:
Dispels wind-damp, activates the channel and alleviates pain
Unbinds the chest and regulates qi

TCM Indications:
  • Pain of the shoulder and arm, stiffness and pain of the neck, tension of the nape of the neck, pain in the supraclavicular fossa.
  • Agitation and oppression of the chest, heat and fullness of the chest, oppression of the Heart with absence of sweating, heat in the body with absence of sweating, chills and fever, febrile disease.

    Neuroanatomy:
    Superficial Innervation: Supraclavicular nerve from C3 - C4
    Dermatome Segment: C4
    Deeper Structures: Neuromuscular junction of spinal accessory nerve (XI) in trapezius muscle

    Trigger Point Associations:
    Muscle: Upper trapezius
    Myotome Innervation: Motor functions supplied by ipsilateral accessory nerve (CN XI); Sensation provided by dorsal rami of C2 - C3
    Location Notes: Melzack (1977) correlates this point to the suprascapular trigger point but it is far better suited to Bingfeng SI-12
    Pain Referral Pattern: Radiating from the point, along the muscle to the base of the occiput.
    \nMay also be a skin trigger point around here that send a shivery sensation and goosebumps down the lateral side of the arm
    Indications: Musculoskeletal diseases of the shoulder


    Reference Notes: (click to display)