Points Database

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).

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


    Reference Notes: (click to display)