Regional Anatomy:
Skin-subcutaneous tissue-trapezius muscle-rhomboid muscle-erector spinal muscle.
In the superficial layer, there are the cutaneous branches of the posterior branches of the 4th and 5th thoracic nerves and the accompanying arteries and veins, In the deep layer, there are the dorsal scapular nerve, the dorsal scapular artery and vein, the muscular branches of the posterior branches of the 4th and 5th thoracic nerves and the branches or tributaries of the dorsal branches of the related posterior intercostal arteries and veins.
Location:
Lie pronely; at the level of the lower border of spinous process of the 4th thoracic vertebra, 3 cun apart from the posterior median line laterally.
Function:
Restoring and regulating qi of the lungs.
Indications:
Pulmonary tuberculosis, bronchitis, asthma, pleuritis, mastitis, neurasthenia, gastric hemorrhage, nocturnal emission, amnesia, debility due to chronic disease, used often for treatment of the various chronic diseases of the deficiency type. Moxibustion on this point on exerts an health-giving effect.
Prescription:
Combined use with ChizeLU5 (Chize (LU5)He-Sea Point) for treatment of bronchitis; with ZhongwanCV12 (Zhongwan (CV12) Front-Mu Point of the Stomach) for treatment of anemia; with FeishuBL13 (Feishu (BL13)) for the treatment of chronic cough; with JianjingGB21 (Jianjing (GB21)) for treatment of pain in the shoulder and back.
Methods:
Insert the needle perpendicularly, 0.5-0.8 cun deep; needling response: local numbness and distension; moxibustion: using 7-15 moxa-cones, or mild moxibustion for 15-30 min.
Note:
Don`t puncture deeply, or else the needle would penetrate the levator muscles of ribs-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 tissue and leading to pneumatothorax.
Comments: