Points Database

: Qihu : Qi Door

St-13 : Foot Yangming Stomach 13

Classifications:
Master Tung's Twelve Monkeys
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:
At the top of the chest, directly below Quepen ST-12, on the inferior border of the clavicle, 4 cun lateral to the midline, on the mamillary line.

Needling:
Transverse-oblique insertion laterally of medially, 0.5 - 0.8 cun, or transverse insertion inferiorly along the channel

Warning:
Deep or perpendicular needling insertion carries a substantial rist of puncturing the lung or injuring the subclavian vessels


TCM Actions:
Descends rebellious qi and unbinds the chest

TCM Indications:
  • Fullness and distension of the chest and lateral costal region, pain of the chest and upper back, cough, dyspnoea, asthma, wheezing, vomiting blood, hiccup, inability to taste food, stiffness of the neck with inability to turn the head.

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

    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

    Notes:
    Tung's 12 Monkeys (Shi Er Hou) are a group of six points in two lines on each side just below the clavicle. The centre point is at the midline of the clavicle, approximately at the location of this point with two more located 1.5 cun to the left and right. The second line is located 1.3 cun below the first. They are indicated for scarlet fever, asthma, severe common cold, sudden turmoil and incessant diarrhoea (McCann, 2014, Pricking the Vessels).

    Tung's prick to bleed method may be a safer method to employ over the lungs as it uses shallow insertion with no retention making the risk of pneumothorax smaller. It may also provide stronger stimulation to this relatively insensitive region.


    Reference Notes: (click to display)