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SI-13 Crooked Wall
曲垣 〔曲垣〕qū yuán
Channel: SI, Hand Greater Yáng (tài yáng) Small Intestine Channel
Modern location: An acupoint located on the upper back, in the depression at the medial end of the supraspinous fossa.
Classic location: In the center of the shoulder, in the depression in the bend of the blade. The point hurts when pressed. (Zhēn Jiǔ Dà Chéng)
Local anatomy: Superficially, the descending branches of the transverse cervical artery and vein; deeper, the muscular branch of the suprascapular artery and vein. Superficially, the lateral branch of the posterior ramus of the 2nd thoracic nerve, the accessory nerve; deeper, the muscular branch of the suprascapular nerve.
Action: Soothes the sinews and quickens the blood.
Modern indications:
Classic indications: Generalized impediment (zhōu bì); impediment (bì) of the shoulder developing into heat pain with hypertonicity and sensation of oppression.
Needle stimulus: Needling: 0.5‒0.7 cùn oblique or perpendicular insertion. Moxa: 3‒10 cones; pole 5‒20 min.
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