SI-10 Naoshu - Shoulder Blade

More Spirit Names: Upper Arm Shu, Humerus Transporting Point, Scapula's Hollow

English:	Upper Arm Shu
Also Known As:	Humerus Transporting Point Scapula Shu Scapula's Hollow Medial Upper Arm Transport Shoulder Blade

Location

On the posterior aspect of the shoulder, in the depression inferior to the scapular spine, directly superior to the posterior axillary crease when the arm hangs in the adducted position.
Directly above SI-9 Jianzhen at the inferior margin of the scapular spine.
When the arm is adducted, the point is directly above the posterior end of the axillary fold, in the depression inferior to the scapular spine.
When the arm is adducted, the point is directly above SI-9 Jianzhen in the depression inferior and lateral to the scapular spine.

Perpendicular insertion 1 to 1.5 cun.
Straight insertion pointed slightly downward1 to 2 cun. Sensation: local distention and soreness sometimes extending throughout the shoulder.
Puncture perpendicularly, 0.5 to 1 cun.
Moxibustion is applicable.

SI-6 Yanglao	ST-38 (needle first) Tiaokou SJ-14 Jianliao LI-15 Jianyu LI-16 Jugu LI-11 Quchi SI-6 Yanglao	LI-15 Jianyu SI-9 Jianzhen M-HN-41 Jingbi
Acute pain of the posterior shoulder.	Immobility and pain of the shoulder joint.	Paralysis of the upper limb.

This is an important point for Bi syndrome of the shoulder. It allows deep penetration to the shoulder joint.
This point is tender when there is hypertension and there are toxic accumulations in the bowel.
This is known as the master reunion point for shoulder problems.

Spirit of the Point	Shoulder Blade brings stability of mind and spirit, purity, separation and tranquility. Like Nourishing the Old, it is connected with the Elders and Betters. By way of one of the eight extra meridians it links to points on other meridians, and it acts as a reservoir point for moving Qi. It is a supporting point, along with Heavenly Ancestor.
Worsley	Not to be needled from the 6th month of pregnancy onward Location: On the back of the shoulder, directly above SI-9, in the dip beneath the acromion; roughly 1 ACI medial to SJ-14, which marks the acromial angle. Needle depth: 5-7 fen Moxa: 3-7 cones
When to Consider	When the person needs mental and spiritual stability and tranquility When purity and separation are lacking When the person needs cleansing of body, mind and spirit When the support of the Elders and Betters is needed When the person is carrying too heavy a burden
Notes	Meeting point with the Yang Qiao Mai and Yang Wei Mai A reservoir point for moving Qi

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)
SI-9 / SI-10 / SI-12 area gua sha: Gua sha the shoulder (large intestine, some stomach and small intestine areas) to release the pure yang of the stomach. (Yuen)
Li Shizhen's Yang Wei trajectory as five-element genetic modulation: Li Shizhen built Yang Wei from BL-63, GB-35, GB-39, SJ-13, SJ-15, SI-10, LI-14 and GB-21, looping to GB-13 Benshen to change the marrow/brain. (Yuen)
Yang Wei Mai trajectory: Yang Wei begins at BL-63 Jinmen, travels to GB-35 Yangjiao, up to SI-10; Li Shizhen added GB-29 Juliao, where the Dai ends, to link it. (Yuen)