Acupuncture Points Notebook

Location Guides:

: Jugu : Great Bone

LI-16 : Hand Yangming Large Intestine 16

Trigger point (Travell & Simons, 1998, Trigger Point Manual)

Meeting of Large Intestine with Yang Qiao Mai

On the upper aspect of the shoulder, in the depression medial to the acromion process and between the lateral extremity of the clavicle and the scapular spine

Perpendicular or oblique insertion 0.5 to 1 cun

Deep medial insertion carries a risk of causing a pneumothorax, particularly in thin patients

TCM Actions:
Activates the channel, alleviates pain and benefits the shoulder joint
Regulates qi and blood and dissipates phlegm nodules

TCM Indications:
  • Pain of the shoulder and back, blood stasis in the shoulder, difficulty in moving or raising the arm, pain of the upper arm.
  • Fright, epilepsy, vomiting of copious quantities of blood, blood stasis in the chest, scrofula, goitre.

    Superficial Innervation: Supraclavicular from C3 - C4
    Dermatome Segment: C3

    Trigger Point Associations:
    Muscle: Middle trapezius or supraspinatus
    Myotome Innervation: Trapezius: Accessory nerve (CN XI); Supraspinatus: suprascapular nerve (C5 - C6)
    Pain Referral Pattern:
    \nMiddle trapezius: Around joint
    \nSupraspinatus: To lateral aspects of shoulder and elbow, with spillover across top of shoulder and all down lateral and radial aspects of the arm
    Indications: Shoulder pain, especially on abducting the arm

    Reference Notes: (click to display)