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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.

Classic location: Above Crooked Wall (SI-13) on the upper face of the shoulder, in the depression three cùn from the spinal column. (Yī Zōng Jīn Jiàn)

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; rigidity of the neck and nape.

Classic 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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