LI-15 Jianyu - Shoulder Joint

More Spirit Names: Shoulder Bone, Shoulder Transporting Point

English:	Shoulder Bone
Also Known As:	Shoulder Joint Shoulder Transporting Point Shoulder's Corner

Location

Anteroinferior to the acromion, on the upper portion of the deltoid muscle. When the arm is in full abduction, the point is in the depression appearing at the anterior border of the acromioclavicular joint.
Located directly inferior to the anterior border of the acromion where a depression is formed when the arm is abducted.
In the middle of the upper part of the deltoid muscle at the shoulder, between the acromion and greater tubercle of the humerus. when the arm is abducted parallel to the ground, this point can be found in the distinct depression just in front of the shoulder.
In the depression which lies anterior and inferior to the acromion, at the origin of the deltoid muscle.
Note: SJ-14 Jianliao is located in the depression which lies posterior and inferior to the acromion. If the arm is abducted, the two hollows will be more easily palpable and are often visible.
When the arm is in full abduction, the point is in the anterior depression of the two depressions appearing at the anterior border of the acromioclavicular joint.

Puncture perpendicularly or obliquely 0.8 to 1.5 cun.
Moxibustion is applicable.
Straight insertion, with the arm raised, needle pointed toward HT-1 Jiquan in the armpit, 2 to 3 cun.
For supraspinatus tendinitis: with arm hanging freely at the side, insert the needle between the acromion of the shoulder and the greater tubercle of the humerus, 0.7 to 1 cun. Sensation: local distention and soreness, sometimes extending to the forearm.
Slanted insertion, for perifocal inflammation of the shoulder joint, join to M-UE-48 Jianneiling, then to SJ-14 Jianliao and finally along the deltoid muscle, 2 to 3 cun. Sensation: distention and soreness spreading through the shoulder, or an electric sensation extending toward the forearm.
Transverse insertion, for limited abduction of the shoulder, needle pointed downward along the deltoid muscle, 2 to 3 cun. Sensation: distention and soreness in the upper arm.
With the arm abducted, perpendicular insertion directed towards the center of the axilla, 1 to 1.5 cun.
Transverse-oblique insertion directed distally towards the elbow 1.5 to 2 cun.

LI-5 Yangxi	SJ-14 Jianliao	LI-14 Binao
Wind rash Urticaria from extreme Heat	Shoulder problems	Wasting and weakness of the arm with inability to raise the arm to the head
LI-12 Zhouliao SI-4 Wangu	SI-9 Jianzhen SJ-1 Guanchong	LU-5 Chize SI-8 Xiaohai PC-5 Jianshi PC-7 Daling SI-3 Houxi LU-10 Yuji
Redness and swelling of the upper arm with pain of the joint	Heat sensation of the shoulder with inability to turn the head	Contraction of the elbow
GB-39 Xuanzhong KI-3 Taixi LI-11 Quchi ST-36 Zusanli UB-60 Kunlun
Windstroke with one-sided withering and incessant pain

Have the patient extend the arms out to the side and move the arms in small circles to stimulate this area and bring down high blood pressure.
This is a major point for the treatment of Bi syndrome of the shoulder, atrophy syndrome and paralysis of the arm.
This point is also reached by the Lung and Bladder sinew channels, the Large Intestine divergent channel and the Small Intestine Luo- Connecting channel.
It is considered the pre-eminent point for treating the shoulder.
It has wide repercussions and remarkable curative effect.

Spirit of the Point	Shoulder Joint provides mental clarity and releases a lot of energy to the brain. It is a place of transition where the meridian rises toward the head, and its link with the Yang Qiao Mai helps keep the body's rhythms regular and the Colon connected with Heavenly Qi. It can refresh a Colon that has become dull, cynical or suspicious through overwork, so it can again tell the gems from the dross. When life overburdens a person and stretches their capacity, this point gives the strength to carry the burden, or lightens it.
Worsley	Worsley's First Aid uses for this point also include head injury, haemorrhage, electric shock, concussion and apoplexy. Location: On the outer shoulder, below the acromioclavicular joint, in the hollow between the humerus's greater tubercle and the acromion that appears when the arm is raised sideways (abducted). Needle depth: 6 fen Moxa: 7 cones
When to Consider	When the patient is tired and has a headache or pressure in the head When there is mental dullness and exhaustion When someone over-processes information and emotions When overwork has left a person cynical, poisoned or suspicious in spirit When shock has interrupted a person's inner timing
Combinations	LI-16 Great Bone with LI-15: good together for headaches, muzziness and restricted Qi and Blood flow
Notes	Point of the Yang Qiao Mai First aid point for exhaustion, hemorrhage, insensibility and shock

LU-1, LU-2, LI-15, SI-9, SI-10: Shoulder restriction points; pluck the pectoralis at LU-1 aggressively for rotator cuff/frozen shoulder. (Alexander)
LI-11, LI-1, LI-15, LI-20 (channel opening): Define the area of contention as root, then open the channel both ways — LI-11 to LI-1 and up to LI-15, exit LI-20 (Tom Bisio's 'lock and key'). (Alexander)
Goiter — neck & shoulder points: LI-17, LI-18, SI-17, SJ-13, LI-15, LI-16, LI-14: LI-17, LI-18 treat goiter and throat obstruction; SI-17, SJ-13 disperse neck swellings/nodules; LI-14, LI-15 dissipate nodules; LI-16 regulates qi and blood. (Rabinowitz)
Upper girdle stasis: LI-15, LI-16 (bleed) + BL-17: Bleed LI-15/16 distally; BL-17 needled obliquely away from GV toward the shoulder. (Gioioso)