Regional Anatomy:
Skin-subcutaneous tissue-trapezius muscle-supraspinous muscle.
In the superficial layer, there are the cutaneous branches of the posterior branches of the 2nd thoracic nerves and their accompanying arteries and veins. In the deep layer, there are the branches of the suprascapular nerve and the branches or tributaries of the suprascapular artery and vein.
Location:
Straight sitting or pronation; in the superior fossa of spina scapulae, 1 cun above the midpoint of the upper border of spina scapulae, an apex of a triangle with NaoshuSI10(Naoshu (SI10)) and TianzongSI11 (Tianzong (SI11)) as a base.
Function:
Expelling wind and activating the collaterals.
Indications:
Pain in the scapular region, numbness and aching of the upper extremities, and motor impairment of the shoulder and arm.
Prescription:
Combined use with WaiguanTE5 (Waiguan (TE5) Luo-Connecting Point the Eight Confluent Point) for treatment of stiff neck due to improper posture in sleeping; with FengchiGB20 (Fengchi (GB20)) and HouxiSI3 (Houxi (SI3) Shu-Stream Point, The Eight Confluent Point) for treatment of cervical spondylosis; and with JuguLI16 (Jugu (LI16)), DazhuBL11 (Dazhu (BL11) Influential point of bone), JianzhongshuSI15 (Jianzhongshu (SI15)), JianwaishuSI14 (Jianwaishu (SI14)) and QuyuanSI13 (Quyuan (SI13)) for treatment of suprascapular neuralgia.
Methods:
Insert the needle perpendicularly 0.5-1.0 cun deep; needling response: local sensation of distension and numbness, radiating to the shoulder.
Comments: