Regional Anatomy:
Skin-subcutaneous tissue-and platysma muscle-between sternal nead and clavicular nead of sternocleidomastoid muscl.
In the superficial layer, there are the branches of the medial supraclavical nerve, the transverse nerve of the neck and the cervical branches of the facial nerve. In the deep layer, there are the arch connecting the bilateral anterior jugular veins and the brachiocephalic vein.
Location:
Proper sitting with one's back propped; vertically below RenyingST9 (Renying (ST9)), on the upper border of the medial extremity of clavicle, about 1.5 cun apart from TiantuRN22 (RN22) laterally .
Function:
Regulating the flow of qi to alleviate pain and, relieving asthma.
Indications:
Sore throat, pain and rigidity of the neck, asthma, hiccup, goiter.
Prescription:
Combined use with NeiguanPC6 (Neiguan (PC6) Luo-Connecting Point the Eight Confluent Point) for treatment of thyroid enlargement; with TiantuRN22 (RN22) for treatment of dysphagia.
Methods:
Insert the needle perpendicularly 0.3-0.5 cun deep; needling response: local sensation of distension and soreness; moxibustion: using 3-5 moxa-conse, or mild moxibustion for 15 min.
Note:
Don't puncture perpendicularly more than 0.5 cun deep, or else the needle would injure the anterior jugular arcus venosus. Don't puncture perpendicularly more than 0.8 cun deep, or else the needle would penetrate the brachiocephalic viens and cause phleborrhagia when employing lifting, thrusting and twirling manipulation. Don't puncture perpendicularly more than 1.2 cun deep, or else the needle would penetrate the cupula of pleura-the pleural cavity-the visceral pleura and the upper lobe of lung by its tip and injure the lung tissue, causing pneumatothorax.
Key Words: Qishe (ST11), Qishe (ST11)
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