Sanjiao Channel

1
TIANLIAO SJ-15
Heavenly Crevice
Meeting point of the Sanjiao and Gall Bladder
channels and the Yang Linking vessel
LOCATION
In the suprascapular fossa, in the depression midway
between Jianjing GB-21 and Quyuan SI-13 (at the medial
end of the suprascapular fossa).
LOCATION NOTE
This point may also be located midway between the
lateral extremity of the acromion and Dazhui DU-14, and
1 cun posterior to Jianjing GB-21 (the highest point of the
trapezius muscle).
NEEDLING
Oblique insertion directed according to the clinical mani-
festations, 0.5 to 1 cun.
Caution: perpendicular insertion, especially in thin pa-
tients, carries a substantial risk of inducing a pneumothorax.
Dazhui DU-14
Jianjing GB-21
Tianliao SJ-15
Quyuan SI-13
tip of acromion
ACTIONS
Dispels wind-damp, activates the channel and alleviates pain
Unbinds the chest and regulates qi
INDICATIONS
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, heat and full-
ness of the chest, oppression of the Heart with
absence of sweating, heat in the body with absence of
sweating, chills and fever, febrile disease.
COMMENTARY
Tianliao SJ-15 and Jianjing GB-21 are neighbouring points
with a similar effect in the treatment of stiffness, pain and
spasm in the area between the shoulder joint and the neck.
In such situations they should both be palpated, and the
more tender should be needled. Like Jianjing GB-21, the
action of Tianliao SJ-15 also extends downwards into the
chest, where it is indicated for agitation, oppression, heat
and fullness.
COMBINATIONS
Pain and heaviness of the shoulder with inability to
raise the arm: Tianliao SJ-15 and Quchi L.I.-11 (Sup-
plementing Life).
Combinations Index
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CONTENTS
Lung
L. Intestine
Stomach
Spleen
Heart
S. Intestine
Bladder
Kidney
Pericardium
Sanjiao
Gall Bladder
Liver
Conception
Governing
Extra Points
See Notes
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CONTENTS
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CONTENTS
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CONTENTS
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CONTENTS
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CONTENTS