SI-13 Quyuan - Crooked Wall

English:	Crooked Wall
Also Known As:	Bent Wall

Location

• In the tender depression superior to the medial end of the scapular spine, midway between SI-10 Naoshu and the spinous process of T-12.
• In the depression at the extreme medial end of the and above the spine of the scapula, in the supraspinous fossa.
• In the tender depression superior to the medial end of the scapular spine, midway between SI-10 and the spinous process of T2 (Secondary source)

Needling

• Perpendicular insertion 0.3 to 0.5 cun.
• Oblique lateral insertion 0.5 to 1 cun.
• Caution: Too medial or deep medial insertion may puncture the Lung.
• Straight insertion 0.5-0.8 cun. Sensation: local distention and soreness.
• Puncture perpendicularly 0. 3 to 0.5 cun.
• Moxibustion is applicable.

Command Functions

Actions

• Benefits the shoulder and scapula

Indications

Generalized painful obstruction Shoulder and scapula Bi Hot Bi of the shoulder and scapula with contraction Pain and an oppressive sensation of the shoulder Pain and stiffness of the scapular region

Inflammation of the tendon of the supraspinatus muscle Soft tissue diseases of the shoulder joint Pain in the shoulder and scapula Blockage conditions Muscle spasms Inability to raise the arm

Combinations

SI-11 Tianzong SI-9 Jianzhen	LI-14 Binao GB-34 Yuanlingquan
Pain of the shoulder and scapula	Inflammation of the tendon of the supraspinatus muscle on the affected side

Contraindications

Notes

• This point is classically used for shoulder Bi that has persisted for a long time and transformed into Heat with contraction.
• It is best to needle this point with the patient sitting up.
• This is a special point for rheumatism of the arms.
• It is appropriate for those who are unable to embrace, both physically and emotionally.