Acupuncture Points Notebook

Location Guides:

: Kufang : Storehouse

St-14 : Foot Yangming Stomach 14

Classifications:
Master Tung's Twelve Monkeys

Location:
On the chest, in the first intercostal space, 4 cun lateral to the midline (Huagai Ren-20), on the mamillary line.

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

Warning:
Deep or perpendicular insertion carries a substantial risk of puncturing the lung


TCM Actions:
Descends rebellious qi aand unbinds the chest

TCM Indications:
  • Distension and fullness of the chest and lateral costal region, cough, coughing of pus and blood, dyspnoea.

    Neuroanatomy:
    Superficial Innervation: Cutaneous branches of thoracic nerves from T2
    Dermatome Segment: T2

    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 with a second 1.3 cun below it, approximately at the location of this point. Four more are located 1.5 cun to the left and right of each of these. 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.

    ----------------------------------------

    Avicenna describes cupping at this point in his treatise On Cupping:

    "If the tissue around the cup swells up and the cup is stuck and difficult to remove, then apply a piece of warm-to-hot wet cloth or sponge around the cup mouth first. This happens often when cupping around the breast to prevent menorrhagia or nosebleed; for this reason the cup should not be placed on the breast itself. Once the location of the cupping has been rubbed with oil, make the slit quickly, and place the cup genthy without excessive pressure so that it can be quickly removed the first time." (Aspects of Treatment According to General Diseases, 22nd section in Abu-Asab, Amri & Micozzi, 2013, Avicenna's Medicine)


    Reference Notes: (click to display)