SI-14 Jianwaishu - Outer Shoulder Shu

More Spirit Names: Outside the Shoulder Correspondence, Transporting Point for the Outside of the Shoulder

English:	Outer Shoulder Shu
Also Known As:	Shoulder's Outer Hollow Outside the Shoulder Correspondence

Location

• 3 cun lateral to the lower border of the spinous process of the first thoracic vertebra where DU-13 Taodao is located.
  Note: when the shoulder is relaxed, the 3 cun line corresponds to the medial border of the scapula.

Needling

• Puncture perpendicularly 0.3 to 0.5 cun.
• Moxibustion is applicable.
• Oblique-medial insertion 0.5 to 1 cun.
• Caution: perpendicular insertion, especially in thin patients, carries a substantial risk of inducing a pneumothorax.

Command Functions

Actions

• Activates the channel
• Alleviates pain
• Expels Wind and Cold
• Benefits the shoulder and scapula

Indications

Aching of the shoulder and back Pain of the shoulder and scapula with Cold sensations extending to the elbow Generalized Bi syndrome Soreness and pain of the back of the shoulder Stiffness and spasms of the nape Spasm of the neck muscles Hemiplegia Pleurisy

Pain and rigidity of the neck Chills and fever accompanied by neck rigidity and inability to turn the head Neuralgia of the shoulder and scapula Rheumatic neuralgia of the shoulder and scapular region Rigidity of the neck Occipital neuralgia Upper limb Cold and painful

Combinations

UB-60 Kunlun DU-14 Dazhui

Pain of the shoulder and back

Contraindications

Notes

• SI-14 lies 3 cun lateral to T1, whereas UB-41 lies 3 cun lateral to T2.