Acupuncture Points Notebook

Location Guides:

: Shenfeng : Spirit Seal

Kid-23 : Foot Shaoyin Kidney 23

Classifications:
Spirit point
Front Shu point for the Spleen on the upper Chong mai trajectory (Yuen, 2005, The Extraordinary Vessels)
Trigger point (Travell & Simons, 1998, Trigger Point Manual; Melzack, Stillwell & Fox, 1977, Trigger Points and Acupuncture Points for Pain: Correlations and Implications, Pain 3, p3-23)

Location:
In the forth intercostal space, 2 cun lateral to the midline.

Needling:
Transverse-oblique insertion, directed laterally along the intercostal space 0.5 - 1 cun

Warning:
Deep perpendicular or oblique needling may puncture the lung.


TCM Actions:
Unbinds the chest
Lowers rebellious lung and stomach qi
Benefits the breasts

TCM Indications:
  • Fullness of the chest and lateral costal region with difficulty breathing, cough, asthma, wheezing, chest painful obstruction, breast abscess.
  • Vomiting, no pleasure in eating.

    Neuroanatomy:
    Superficial Innervation: Anterior cutaneous thoracic nerve from T5
    Dermatome Segment: T5
    Deeper Structures: Neuromuscular junction of medial pectoral nerve with the pectoral muscle ( C8 - T1)

    Trigger Point Associations:
    Muscle: Pectoralis major (sternal head)
    Myotome Innervation: Medial pectoral nerve (C7 - T1)
    Pain Referral Pattern: Local to point and across chest
    Indications: Strain of pectoralis muscle ; Cardiac syndromes

    Notes:
    One of the twelve shu points of the chest along with Bulang Kid-22, Linxu Kid-24, Shencang Kid-25, Yuzhong Kid-26 and Shufu Kid-27 for wheezing, dyspnoea and coughing due to 'fullness above and deficiency below' due to weak kidney qi not grasping lung qi (Deadman et al, 2001).

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    Yuen (2005, The Extraordinary Vessels) believes these points, when related to the front Shu points of the Chong mai are located at 0.5 cun from the midline.

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    In five element acupuncture indicated for a lack of connection with ones own spirit or identity/self, low spirit.

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    In Mayan medicine:
    Combined with Bulang Kid-22, Linxu Kid-24, Shencang Kid-25 and Yuzhong Kid-26 to reinforce Tiantu Ren-22 in treatments of asthma (Garcia, Sierra, Balam, 1999: Wind in the Blood)

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    In ayurvedic medicine:
    Ampastambha marma point
    Size: 1/2 angula (cun)
    Structure: Blood vessels
    Effect of Injury: Premature death (kalantarpranahar marma)
    (Harish Johari, 1996, Ayurvedic Massage, Sanatan Society; Anupama Bhattacharya, Marma Shastra)

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    Lad and Durve (2008) in Marma Points of Ayurveda call the six point from Kid-22 to Kid-23 (three each side) Hrid and associate them with Prana Vayu, Vyana Vayu, Udana Vayu Sadhaka Pitta and Avalambaka Kapha.

    They give the following functions:
    - Regulates cardiac function and heart rate
    - Improves coronary circulation
    - Maintains optimal function of lungs and airways
    - Relieves congestion in breast tissue
    - Enhances lymphatic circulation in chest area
    - Calms mind, balances emotions, relieves stress

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    In Tibetan medicine:
    Moxa point (AMNH, Tibetan Medical Paintings)

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    In Thai massage:
    One of a set of acupressure points circling the perimeter of the breast (Salguero & Roylance, 2011, Encyclopedia of Thai Massage)


    Reference Notes: (click to display)