Acupuncture Points Notebook

Location Guides:

谿 : Tianxi : Heavenly Stream

Sp-18 : Foot Taiyin Spleen 18

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

Location:
On the lateral side of the chest, in the forth intercostal space, 6 cun lateral to the midline.

Needling:
Transverse-oblique insertion along the intercostal space 0.5 - 1 cun

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


TCM Actions:
Regulates and descends qi
Benefits the breasts and promotes lactation

TCM Indications:
  • Fullness and pain of the chest and lateral costal region, shortness of breath, cough, rattling of phlegm in the throat, running piglet qi, hiccup.
  • Breast abscess, failure of breast milk to flow, insufficient lactation.

    Neuroanatomy:
    Superficial Innervation: Lateral cutaneous thoracic nerve from T5
    Dermatome Segment: T5

    Trigger Point Associations:
    Muscle: Intercostals
    Myotome Innervation: Intercostal nerve from T4
    Location Notes: Intercostals can produce trigger points anywhere in the intercostal space
    Pain Referral Pattern: Locally and towards the sternum. The more posterior the point the stronger its tendency to radiate pain to the front
    \n
    Indications: Aching pain exacerbated by deep inhalation and activities such as sneezing and coughing


    Reference Notes: (click to display)