Regional Anatomy:
Skin-subcutaneous tissue-deltoid muscle-subdeltoid bursa-supraspinous muscle tendon.
In the superficial layer, there are the lateral supraclavicular nerve. and the superior lateral cutaneous nerve of the arm. In the deep layer, there are the posterior humeral circumflex artery and vein and the branches of the axillary nerve.
Location:
1. Abduct the arm and keep it staying horizontally; 2 depressions appeared on the shoulder joint, the anterior depression is the locality of JianyuLI15 (Jianyu (LI15)). 2. Droop one's shoulder; about 2 cun vertically below the anterior border of the acromial extremity of clavicle, between the osseous raphae, on the travelling course of the Large Intestine Meridian of Hand-Yangming.
Function:
Clearing and activating the channels and collaterals, regulating the flow of qi, dispersing the accumulation of lumps.
Indications:
Pain in the shoulder and arm, motor impairment of the upper extremities, rubella, scrofula.
Prescription:
Combined use with TianzongSI11 (Tianzong (SI11)) for treatment of scapulohumeral periarthritis; with QuchiLI11 (Quchi (LI11) He-Sea Point) for treatment of brachial palsy.with QuchiLI11 (LI11), TianchiPC1 (Tianchi (PC1)), TianjingTE10 (Tianjing (TE10)), SanjianLI3 (Sanjian (LI3) Shu-Stream Point) for treatment of scrofula; with QuchiLI11 (LI11), HeguLI4 (Hegu (LI4) Yuan-Source Point), HuantiaoGB30 (Huantiao (GB30 )) and ZusanliST36 (Zusanli (ST36) He-Sea Point) for treatment of rheumatoid arthritis; and with ChizeLU5 (Chize (LU5)He-Sea Point) for treatment of hemoptysis.
Methods:
Insert the needle perpendicularly 1-2 cun deep; needling response: local sensation of distension and soreness, irradiating towards the hand; moxibustion: using 3-5 moxa-cones, or mild moxibustion for 15 min.
Comments: