Points Database

Location Guides:

: Qupen : Empty Basin

St-12 : Foot Yangming Stomach 12

Classifications:
Confluent/Master point of the Lung and Large Intestine Divergent Meridians (Chace, The Merging of Ways; Cecil-Sterman, 2012, Advanced Acupuncture)
One of the "59 piercings" for clearing Heat in Su Wen Ch. 61

Meetings:
Meeting of Stomach with Large Intestine, Small Intestine, San Jiao, Gall Bladder, Yin Qiao Mai, Gall Bladder Divergent, Liver Divergent, Stomach Divergent, Spleen Divergent, Small Intestine Divergent, San Jiao Divergent, Pericardium Divergent, Large Intestine Divergent and Lung Divergent

Location:
In the supraclavicular area, posterior to the superior border of the clavicle and its midpoint, 4 cun lateral to the midline, on the mamillary line.

Needling:
Perpendicular insertion 0.3 - 0.5 cun

Warning:
Deep or posterior insertion may injure the subclavian vessels or puncture the lung. According to the Systematic Classic of Acupuncture and Moxibustion and the Illustrated Supplement to the Classic of Categories this point is contraindicated in pregnancy.


TCM Actions:
Descends lung qi and clears heat from the chest
Activates the channel and alleviates pain

TCM Indications:
  • Cough, coughing blood, dyspnoea, fullness of the chest, heat and fullness in the chest, chills and fever with sweating, absence of sweating, oedema, scrofula, throat painful obstruction.
  • Pain of the supraclavicular fossa, pain of the shoulder that radiates to the neck, numbness and painful obstruction of the upper limb, inability to raise the arm, lumbar pain with inability to turn.

    Neuroanatomy:
    Superficial Innervation: Supraclavicular nerve from C3 - C4
    Dermatome Segment: C3, C4

    Notes:
    An alternate translation of this point name is "Broken Dish" and derives from the semi-circular shape of the whole supraclavicular fossa. It used to refer to the whole area rather than a single point (Buck, C., 2014, Acupuncture and Chinese Medicine: Roots of Modern Practice).

    The "59 piercings" are named in the Su Wen Ch. 61 and mentioned in Su Wen Ch. 32 and Ling Shu Ch. 23 for treating Heat diseases. This point along with Dazhu Bl-11, Zhongfu Lu-1 and Feishu Bl-13 clear Heat from the chest.

    Ling Shu Ch. 20, On the Five Evils, advises piercing either this point or Tiantu Ren-22 (depending on how the location "in the middle of the Broken Basin" is interpreted) along with Zhongfu Lu-1, Yunmen Lu-2 and Feishu Bl-13 for pathogens in the Lung.

    When used as part of a Divergent Meridian treatment is paired with the He Sea point, or less commonly with the Yuan Source or Luo Connecting point of the channels (Chace, The Merging of Ways).

    In Siddha medicine this point is referred to as Vilankuvarmam. Sieler (2015, Lethal Spots, Vital Secrets, p.162) describes a man suffering chest and back pain who is diagnosed with an affliction of one of these points. The remedy is to open the same spot on the opposite side.

    In Tibetan medicine:
    Moxa point (AMNH, Tibetan Medical Paintings)

    In Thai massage:
    Acupressure point (Salguero & Roylance, 2011, Encyclopedia of Thai Massage)



    Reference Notes: (click to display)