Tianliao

1. 01Above the scapula, halfway between GB-21 Jianjing and SI-13 Quyuan.
2. 02In the supraclavicular fossa, at the depression midway between GB-21 Jianjing and SI-13 Quyuan, at the medial end of the suprascapular fossa.
3. 03Halfway between the lateral tip of the acromion and DU-14 Dazhui, 1 cun posterior to GB-21 Jianjing (the trapezius muscle's highest point).
4. 04On the superior angle of the scapula, midway between GB-21 Jianjing and SI-13 Quyuan.

1. 01Insert straight, directed toward the scapular spine, 0.5 to 1 cun.
2. 02Insert obliquely, with direction chosen according to the presenting symptoms, 0.5 to 1 cun.
3. 03Caution: a perpendicular insertion carries a substantial risk of pneumothorax, especially in thin patients.
4. 04Needle straight in, 0.5 to 1 cun.
5. 05Moxibustion may be used.

Meeting point of the Yang Wei and Gall Bladder channels

• ·Dispels Wind-Damp
• ·Frees the channel
• ·Relieves pain
• ·Opens the chest
• ·Regulates Qi

• ·Supraspinatus tendon inflammation
• ·Pain or soreness in the scapular region and back of the neck
• ·Fever
• ·Heat and fullness in the chest
• ·Body heat with absence of sweating
• ·Chills and fever
• ·Pain and weakness in the arm
• ·Absence of perspiration
• ·Pain of the shoulder and arm
• ·Stiffness and pain of the neck
• ·Tension in the nape of the neck
• ·Pain in the supraclavicular fossa
• ·Chest agitation and oppression
• ·Oppression of the Heart with no sweating
• ·Febrile disease
• ·Pain in the lower subclavicular region
• ·Pain in the shoulder and elbow

This is a significant point for treating shoulder pain.