Jianwaishu

Located 3 cun to the side of the lower edge of the spinous process of the first thoracic vertebra, the same level as DU-13 Taodao. Note: with the shoulder relaxed, this 3-cun line lines up with the scapula's medial border.

1. 01Needle straight in, 0.3 to 0.5 cun deep.
2. 02Moxibustion may be used.
3. 03Angle the needle medially, 0.5 to 1 cun deep.
4. 04Caution: a perpendicular needle here risks causing a pneumothorax, particularly in thin patients.

• ·Frees the channel
• ·Relieves pain
• ·Dispels Wind-Cold
• ·Benefits the shoulder and scapular region

• ·Shoulder and back ache
• ·Shoulder and scapular pain with a Cold sensation radiating to the elbow
• ·General Bi syndrome
• ·Soreness and pain at the back of the shoulder
• ·Nape stiffness and spasm
• ·Neck muscle spasm
• ·Hemiplegia
• ·Pleurisy
• ·Neck pain accompanied by rigidity
• ·Fever and chills with neck rigidity and an inability to turn the head
• ·Shoulder and scapular neuralgia
• ·Rheumatic neuralgia in the shoulder and scapular area
• ·Stiff, rigid neck
• ·Occipital neuralgia
• ·Cold, painful sensation in the upper limb