SJ-14 Jianliao - Shoulder Bone

More Spirit Names: Shoulder Crevice, Shoulder Opening

English:	Shoulder Crevice
Also Known As:	Shoulder Opening Shoulder Seam

Location

• On the shoulder, posterior to LI-15 Jianyu, in the depression inferior and posterior to the acromion when the arm is abducted.
• Located on the posterior inferior ridge of the acromion, in the depression about 1 cun posterior to LI-15 Jianyu.
• At the origin of the deltoid muscle, in the depression which lies posterior and inferior to the lateral extremity of the acromion.
  Note: LI-15 Jianyu lies in the depression inferior and anterior to the acromion.

Needling

• Puncture perpendicularly 0.7 to 1 cun.
• Moxibustion is applicable.
• With the arm abducted, insert perpendicularly towards the center of the axilla, 1 to 1,5 cun.
• Transverse, oblique insertion directed distally towards the elbow, 1.5 to 2 cun.
• Straight insertion for arthritis of the shoulder, with the arm abducted and the needle pointed toward HT-1 Jiquan in the armpit between the acromion of the shoulder and the greater tubercle of the humerus, 1.5 to 2 cun, or join to HT-1 Jiquan. Sensation: distention and soreness throughout the shoulder.
• Slanted insertion, for perifocal inflammation of the shoulder joint, pointed downward, 2 to 3 cun. Sensation: distention and soreness throughout the shoulder or a numb, electric sensation extending toward the fingers.

Command Functions

Actions

• Dispels Wind-Damp
• Alleviates pain
• Benefits the shoulder joint
• Removes obstructions from the channel

Indications

Pain, heaviness and motor impairment of the shoulder and upper arm Urticaria Hypertension Upper extremity paralysis Excessive sweating Shoulder Bi Perifocal inflammation of the shoulder joint Hemiplegia Goiter

Numbness, paralysis and pain of the arm Shoulder atrophy Shoulder inflammation Immobility of the shoulder Heavy sensation of the shoulder Neuralgia of the shoulder and scapula Arm lacks strength Arm cannot be raised Stiff neck Headache Arthritis of the shoulder

Combinations

SI-11 Tianzong SI-5 Yanggu	ST-38 (needle first and rotate the shoulder) Tiaokou LI-15 Jianyu LI-14 Binao LI-4 Hegu SJ-5 Waiguan
Pain of the arm	Frozen shoulder

Contraindications

Notes

• This is a major local point for the shoulder joint.
• Check this point for tenderness in shoulder problems.