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SI-14 Outer Shoulder Transport
肩外俞 〔肩外俞〕 jiān wài shù
Channel: SI, hand greater yáng (tài yáng) small intestine channel
Modern location: An acupoint located on the upper back, 3 cùn lateral to the lower border of the spinous process of the first thoracic vertebra, on the vertical line defined by the medial border of the scapula.
Classical location: Above Crooked Wall (SI-13) on the upper face of the shoulder, in the depression three cùn from the spinal column. From
Local anatomy: At the deep level, the transverse cervical artery and vein. Superficially, the medial cutaneous branches of the posterior rami of the 1st and 2nd thoracic nerves, the accessory nerve; deeper, the dorsal scapular nerve.
Action: Courses wind and quickens the network vessels; warms the channels and disperses cold.
Modern indications: Shoulder and back pain;
Classical indications: Generalized impediment (zhōu bì); cold in the elbow.
Needle stimulus: Needling: 0.3‒0.6 cùn perpendicular insertion. Moxa: 3‒7 cones; pole 5‒15 min.
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