Regional Anatomy:
Skin-subcutaneous tissue-anterior serratus muscle-external interoistal muscle.
In the superficial layer, there are the lateral cutaneous branches of the 5th intercostal nerve and the thoracoepigastric vein. In the deep layer, there are the branches of the long thoracic nerve, the 5th intercostal nerve and the 5th posterior intercostal and vein.
Location:
Supine position; firstly, locate RuzhongST17 (Ruzhong (ST17)), 2 cun laterally apart from RuzhongST17 (ST17), descrend for 1 rib, in the 5th intercostal space.
Function:
Treating the chest disease, and invigorating the spleen and stomach.
Indications:
Fullness and pain in the chest and hypochondriac region.
Prescription:
Combined use with JianshiPC5 (Jianshi (PC5) Jing-River Point) for treatment of intercostal neuralgia; with TiantuCV22 (Tiantu (CV22)) and LiequeLU7 (Lieque (LU7)Luo-Connecting Point the Eight Confluent Point) for treatment of bronchial asthma.
Methods:
Insert the needle obliquely 1.0-1.5 cun deep; needling response: local sensation of distension; moxibustion: using 3-5 moxa-cones, mild moxibustion for 15 min.
Note:
Don`t puncture deeply, or else the needle would penetrate the external intercostal muscles-the internal intercostal muscles-the parietal pleura-the pleural cavity-the visceral pleura
and the lung, and cause an injury to lung, leading to pneumatothorax.
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