Acupuncture Points Notebook

Location Guides:

: Zhourong : Encircling Glory

Sp-20 : Foot Taiyin Spleen 20

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

Location:
On the lateral side of the chest, in the second 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:
  • Distension and fullness of the chest and lateral costal region, cough, coughing with copious phlegm or pus, shortness of breath, difficult ingestion, desires to drink fluids.

    Neuroanatomy:
    Superficial Innervation: Lateral cutaneous thoracic nerve from T3
    Dermatome Segment: T3

    Trigger Point Associations:
    Muscle: Pectoralis major (clavicular head)
    Myotome Innervation: Lateral pectoral nerve (C5 - C7)
    Pain Referral Pattern: From point across top of chest inferior to clavicle
    Indications: Strain of pectorals ; Cardiac syndromes


    Reference Notes: (click to display)