Regional Anatomy:
Skin-subcutaneous tissue-trapezius muscle-rhomboid muscle.
In the superficial layer, there are the cutaneous branches of the posterior branches of the 1st and 2nd thoracic nerves and their accompanying arteries and veins. In the deep layer, there are the branches or tributaries of the transverse cervical artery and vein and muscular branches of the dorsal scapular nerve.
Location:
Upright sitting or pronation; at the meeting point of the vertical line passing through the spinal border of scapula and the horizontal line on the level of TaodaoGV13 (Taodao (GV13)).
Function:
Relaxing muscles and tendons and activating collaterals, and alleviating pain.
Indications:
Aching of the shoulder and back , pain and rigidity of the neck.
Prescription:
Combined use with FengchiGB20 (Fengchi (GB20)) for treatment of occipital neuralgia; with FeishuBL13 (Feishu (BL13)) for treatment of tracheitis.
Methods:
Insert the needle obliquely 0.3-0.5 cun deep; needling response: local sensation of distension and numbness; moxibustion: using 3-7 moxa-cones, or mild moxibustion for 15 min.
Note:
Don`t puncture deeply, or else the needle would penetrate the superior posterior serratus muscle-the erector spinal muscle-the external intercostal muscle-the internal intercostal muscle-the parietal pleura-the pleural cavity-the visceral pleura and the lung by its tip, and cause an injury to lung, leading to pneumatothorax.
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