Acupuncture Points Notebook

Location Guides:

: Rugen : Root of the breast

St-18 : Foot Yangming Stomach 18

Classifications:
Xu Li: the Great Luo of the Stomach

Location:
Directly below the nipple, in the fifth intercostal space

Needling:
Transverse-oblique insertion laterally or medially along the intercostal space 0.5 - 1 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:
Benefits the breasts and reduces swelling
Unbinds the chest and alleviates cough and wheezing

TCM Indications:
  • Breast abscess, breast pain, scanty lactation, difficult labour.
  • Cough, dyspnoea, oppression and pain below the chest, oppression of the diaphragm, oesophageal constriction with difficult ingestion, sudden turmoil disorder with cramps, inversion counterflow of the four limbs, swelling and pain of the arm.

    Neuroanatomy:
    Superficial Innervation: Cutaneous branches of thoracic nerves from T6
    Dermatome Segment: T6

    Notes:
    Location of the apical pulse (unilateral and maybe just outside the mid-clavicular line)

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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 ayurvedic medicine:
    Stanmula marma point
    Size: 2 angula (cun)
    Structure: Blood vessels
    Effect of Injury: Premature death (kalantarpranahar marma)
    (Harish Johari, 1996, Ayurvedic Massage, Sanatan Society; Anupama Bhattacharya, n.d. Marma Shastra)

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    In Thai massage:
    One of a set of acupressure points circling the perimeter of the breast (Salguero & Roylance, 2011, Encyclopedia of Thai Massage)



    Reference Notes: (click to display)