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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 The Golden Mirror of Medicine (医宗金鑑 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.

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.

Point name meaning:

The point is called Outer Shoulder Transport (jiān wài shù) because it is located on the outer shoulder and is used primarily to treat pain in the scapula, shoulder, and back. See acupoint names: origins, meanings, and translations.

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