Acupuncture Points Notebook

Location Guides:

: Wuyi : Room Screen

St-15 : Foot Yangming Stomach 15

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)
Homeostatic point 17 (Ma, Ma & Cho, 2005, Biomedical Acupuncture for Pain Management)

Meetings:
Meeting of Stomach with Large Intestine Divergent

Location:
On the chest, in the second intercostal space, 4 cun lateral to the midline (Zigong Ren-19), 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 and unbinds the chest
Benefits the breasts
Alleviates pain and itching of the skin

TCM Indications:
  • Cough, wheezing, dyspnoea, shortness of breath, coughing of pus and blood, distension and pain of the chest and lateral costal region.
  • Breast pain, breast abscess.
  • Pain of the skin making wearing of clothes unbearable, generalised itching, heaviness of the body, swollen body, pain and weakness of the limbs.

    Neuroanatomy:
    Superficial Innervation: Thoracic cutaneous nerves from T3 in the skin and and lateral pectoral nerve from C5 - C7 in the muscle
    Dermatome Segment: T3

    Trigger Point Associations:
    Muscle: Pectoralis major (sternal head) and pectoralis minor
    Myotome Innervation: Medial pectoral nerve (C8 - T1)
    Location Notes: Pectoralis major is directly under the point while pectoralis minor would be located laterally
    Pain Referral Pattern: Across the chest and radiating down the medial aspect of the arm, especially around the elbow
    Indications: Sternoclavicular arthritis

    Notes:
    One of the 18 tender spots used in the diagnosis of fibromyalgia (Wang, Acupuncture and Traditional Chinese Medical Approaches for Fibromyalgia, Acupuncture Today, vol.6 no.3, 2005).

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    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)

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


    Reference Notes: (click to display)