Regional Anatomy:
Skin-subcutaneous tissue-greater pectoral muscle-smaller pectoral muscle-axillary cavity. In the superficial layer, there are the intermediate supraclavicular nerve, the lateral cutaneous branches of the first intercostal nerve and the cephalic vein and so on. In the deep layer, there are the thoracoacromial artery and the vein, medial and lateral pectoral nerves
Location:
1.Upright sitting position with arms akimbo; 1 cun directly below YunmenLU2(Yunmen (LU2)) in the depression below the acromial extremity of the clavicle, on the level of the 1st intercostal space. 2. Supine position; 2 cun lateral to and 3 ribs directly above the nipple (in man), in the 1st intercostal space.
Function:
Purging away the chest-heat, cleaning away the lung-heat, invigorating the spleen.
Indications:
Cough, asthma, difficult to lie down due to shortness of breath, fullness sensation in the chest, pain in the chest, cough and spitting pus and blood, exogenous febrile disease, feverish sensation in the chest, inflammation of the throat, stuffy nose, sweating; abdominal swelling, swelling in limbs, facial edema and skin pain, vomiting, anorexia; goiter, sensation of gas rushing, dragging pain of abdomen and lower back, pain in shoulder and back, etc.
Prescription:
Combined with FeishuBL13 (Feishu (BL13)), ChizeLU5 (Chize (LU5)He-Sea Point) and TaiyuanLU9 (Taiyuan (LU9)Shu-Stream Point, Yuan-Source Point) for treatment of bronchitis; with DazhuiGV14 (Juque (CV14) Front-Mu Point of the Heart), FeishuBL13 (BL13)and ChizeLU5 (LU5) for treatment of pulmonary tuberculosis; with ShaochongHT9 (Shaochong (HT9) Jing-Well Point) for treatment of check pain; with JianshiPC5 (Jianshi (PC5) Jing-River Point) and HeguLI4 (Hegu (LI4) Yuan-Source Point) for treatment of hydrops; with YangjiaoGB35 (Yangjiao (GB35) Xi-Cleft Point of the Yangwei Meridian) for treatment of inflammation of the throat; with YisheBL49 (Yishe (BL49)) for treatment of fullness sensation in chest and dysphagia.
Methods:
Direction: Puncture horizontally toward the lateral and superior side; depth: 0.5-1 cun; needling response: local sensation of distention, irradiating toward the upper arm; moxibustion: 3-5 moxa-cones, mild moxibustion for 15 min.
Note:
Don't puncture deeply toward the medial aspect, or else the needle would penetrate the serratus anterior muscle-the external intercostal muscle-the internal intercostal muscles-the parietal pleura-the pleural cavity-the visceral pleura and the lung by its tip and cause pneumatothorax.
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