Jump to Main Content
 

POINT: SJ-15 (SAN JIAO-15)

NAME: TIANLIAO

English: Heavenly Crevice
Also Known As: Heaven's Seam
Heavenly Foramen
Heavenly Bone

LOCATION:

  • Midway between GB-21 Jianjing and SI-13 Quyuan above the shoulder blade.
  • In the supraclavicular fossa, in the depression midway between GB-21 Jianjing and SI-13 Quyuan at the medial end of the suprascapular fossa.
  • Midway between the lateral extremity of the acromion and DU-14 Dazhui, and 1 cun posterior to GB-21 Jianjing (the highest point on the trapezius muscle).
  • Midway between GB-21 Jianjing and SI-13 Quyuan on the superior angle of the scapula.

NEEDLING:

  • Straight insertion towards the spine of the scapula 0.5 to 1 cun.
  • Oblique insertion directed according to the clinical manifestations, 0.5 to 1 cun.
  • Caution: perpendicular insertion, especially in thin patients, carries a substantial risk of inducing a pneumothorax.
  • Puncture perpendicularly 0.5 to 1 cun,
  • Moxibustion is applicable.

COMMAND FUNCTIONS:

  • Meeting point of the Yang Wei and Gall Bladder channels

ACTIONS:

  • Dispels Wind-Damp
  • Activates the channel
  • Alleviates pain
  • Unbinds the chest
  • Regulates Qi

INDICATIONS:

  • Inflammation of the supraspinatus tendon
  • Pain or soreness in the region of the scapula and back of the neck
  • Fever
  • Heat and fullness of the chest
  • Heat in the body with absence of sweating
  • Chills and fever
  • Pain and weakness of the arm
  • Absence of perspiration
  • Pain of the shoulder and arm
  • Stiffness and pain of the neck
  • Tension of the nape of the neck
  • Pain in the supraclavicular fossa
  • Agitation and oppression of the chest
  • Oppression of the Heart with absence of sweating
  • Febrile disease
  • Pain in the lower subclavicular area
  • pain in the shoulder and elbow

COMBINATIONS:

LI-11
Quchi

Pain and heaviness of the shoulder with inability to raise the arm

   

CONTRAINDICATIONS:

NOTES:

  • This is an important point for shoulder pain.