Points Database

Location Guides:

: Tianyou : Window of Heaven

SJ-16 : Hand Shaoyang Triple Burner 16

Classifications:
Point of the Window of Heaven
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)
Confluent point of the San Jiao and Pericardium Divergent channels (Cecil-Sterman, 2012, Advanced Acupuncture)

Meetings:
Meeting of Triple Burner with San Jiao Divergent and Pericardium Divergent

Location:
On the posterior border of the sternocleidomastoid muscle, approximately 1 cun inferior to Wangu GB-12, on a line drawn between Tianzhu BL-10 and Tianrong SI-17.

Needling:
Perpendicular insertion 0.5 - 1 cun

TCM Actions:
Regulates the head and sense organs
Regualtes and descends qi

TCM Indications:
  • Sudden deafness, impaired hearing, dimness of vision, pain of the eyes with inability to see, inability to open the eyes, lacrimation, rhinitis with nosebleed, loss of sense of smell, stuffy nose.
  • Wind dizziness, headache, head wind, swollen face, swelling of the submandibular region, throat painful obstruction, scrofula, swelling of the breast, malaria, confused dreaming.
  • Stiffness and pain of the neck with inability to turn the head, swelling of the supraclavicular fossa.

    Neuroanatomy:
    Superficial Innervation: Lesser occipital nerve (C2) at skin and dorsal rami of C3 - C4 at musclular level
    Dermatome Segment: C3

    Trigger Point Associations:
    Muscle: Splenius capitis or cleidomastoid
    Myotome Innervation: Splenius capitis: dorsal rami of C3 - C4; Cleidomastoid: Motor - Aceessory nerve (CN XI), Sensory - dorsal rami of C2 - C3
    Location Notes: Cleidomastoid trigger point location would be on the belly of the muscle
    Pain Referral Pattern: Spenius capitis: Around point and vertex of head
    \nCleidomastoid: To the ear and behind the ear and to the forehead above the eye.
    Indications: Splenius captis: Cervical disc disease; degenerative arthritis of cervical spine; headaches ; Cleidomastoid: Frontal headaches and dizziness

    Notes:
    Ling Shu Ch. 21, On Cold and Heat Diseases, advises this point in instances of sudden deafness and dimmed or unclear vision.

    In the Jade Purity tradition this point woiuld make a suitable addition to Yinbai Sp-1 in instances of possession causing restless dreaming leading to tiredness all the time (Yuen, 2005, 3 Spirits & 7 Souls).

    Medieval phlebotomy point (Hans von Gersdorff, 1517: Feldtbüch der Wundartzney, www.nlm.nih.gov)

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


    Reference Notes: (click to display)