Points Database

Location Guides:

: Xiongxiang : Chest Village

Sp-19 : Foot Taiyin Spleen 19

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)

Location:
On the lateral side of the chest, in the third 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 and unbinds the chest

TCM Indications:
  • Fullness of the chest and lateral costal region extending to the back, inability to turn over when lying down, cough, shortness of breath.

    Neuroanatomy:
    Superficial Innervation: Lateral cutaneous thoracic nerve from T4 at the skin and anterior thoracic nerve (C5 - C6) to the muscle
    Dermatome Segment: T4

    Trigger Point Associations:
    Muscle: Pectoralis major (costal section)
    Myotome Innervation: Medial pectoral nerve (C7 - T1)
    Pain Referral Pattern: To the breast around the nipple
    Indications: Strain of pectoralis major


    Reference Notes: (click to display)