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TB-13 Upper Arm Convergence

臑会 〔臑會〕 nào huì

Alternate names: 臑交 nào jiāo, Upper Arm Intersection; 臑髎 nào liáo, Upper Arm Bone-Hole; 臑俞 nào shù, Upper Arm Transport

Channel: TB, hand lesser yáng (shào yáng) triple burner channel

Modern location: An acupoint located on the posterior aspect of the upper arm, on the line connecting the olecranon and the acromial angle, about 4 cùn inferior to the acromial angle at the posterior border of the deltoid muscle.

Classical location: On the front [i.e., outer] face of the arm, three cùn from the tip of the shoulder. From The Systematic Classic of Acupuncture and Moxibustion (针灸甲乙经 zhēn jiǔ jiǎ yǐ jīng)

Local anatomy: The medial collateral artery and vein. The posterior brachial cutaneous nerve, the muscular branch of the radial nerve; deeper, the radial nerve.

Action: Clears and discharges evil heat; frees the channels and network vessels; disinhibits the joints.

Modern indications: Goiter; scrofula; impediment pain (bì tòng) in the upper limbs.

Classical indications: Heat effusion and aversion to cold; swelling of the shoulder causing pain in the shoulder blade.

Needle stimulus: Needling: 0.5‒0.8 cùn perpendicular insertion. Moxa: 3‒7 cones; pole 5‒15 min.

Point name meaning:

The character (nào) refers to the location of the point on the upper arm, while (huì) denotes the convergence at this point of the triple burner channel and the yáng linking vessel. Sù Wèn states that the hand yáng ming network vessel meets the triple burner channel at this point. This may further explain why the point is called Upper Arm Convergence. See acupoint names: origins, meanings, and translations.

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