LI-16 Jugu - Great Bone

More Spirit Names: Giant Bone

English:	Great Bone
Also Known As:	Giant Bone

Location

On the upper aspect of the shoulder, in the depression medial to the acromion process and between the lateral extremity of the clavicle and the scapular spine.
In the hollow between the acromial end of the clavicle and shoulder blade, slightly posterior to the top of the shoulder.
Located in the depression about 1 cun medial to the acromioclavicular joint.
In the upper aspect of the shoulder in the depression between the acromial extremity of the clavicle and the scapular spine.

Perpendicular or oblique insertion 0.5 to 1 cun.
Caution: Deep medial insertion carries a substantial risk of causing a pneumothorax, particularly in thin patients.
Straight insertion, slanted slightly toward the outside, 1 to 1.5 cun. Sensation: distention and soreness around the shoulder joint.
Puncture perpendicularly 0.5 to 0.7 cun.
Moxibustion is applicable.

Fright epilepsy
Vomiting of copious quantities of Blood
Blood Stasis in the chest
Goiter
Shortness of breath
Cough
Bi Syndrome of the shoulder
Pain in the shoulder, back, elbow and arm with inability to flex or extend the arm

SI-2 Qiangu	SJ-16 Tianyou ST-12 Quepen DU-11 Shendao UB-11 Dazhu REN-22 Tiantu ST-28 Shuidao	SJ-14 joined to HT-1 Jianliao joined to Jiquan GB-34 Yanglingquan
Inability to raise the arm	Pain of the shoulder and back	Perifocal inflammation of the shoulder joint
LU-6 Kongzui LU-5 Chize LU-10 Yuji	LI-15 Jianyu
Hemoptysis	Shoulder joint problems

This point is particularly emphasized when the shoulder disorder is chronic and recalcitrant.

Spirit of the Point	Great Bone moves the blood and clears obstructions. It is said to help children who are fearful; when poor nourishment in childhood has weakened the Bright Yang, the spirit can be disturbed, and this point can bring back calm and good regulation.
Worsley	Location: In the dip between the scapular spine and the clavicle's acromial end, 1 ACI medial to LI-15. Needle depth: 6 fen Moxa: 3-7 cones
When to Consider	When a child is fearful When poor nourishment in childhood has left the spirit disturbed When there is muzziness and restricted Qi and Blood flow to the head For agitation, impatience and despair, with the emphasis on the mental level When stuckness has been created in the mind and needs loosening When the person is overburdened by life; like LI-15, it gives strength to carry the load or lightens it
Combinations	LI-15 Shoulder Joint with LI-16: good together for headaches, muzziness and restricted Qi and Blood flow
Notes	Point of the Yang Qiao Mai

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)