SI-09, Jiān Zhēn, 肩贞, True Shoulder

Disclaimer    For educational purposes only.  Do not use as medical advice

Categories
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Location
On the posterior aspect of the shoulder, 1 cun superior to the posterior axillary crease when the arm hangs in the adducted position. This point lies in the depression just below the posterior border of the deltoid.[36] • Seated, arm adducted, locate point at the posterior, inferior shoulder 1 cun above the posterior end of the axillary fold. [39]
Needling
Type: Perpendicular    Depth:  1 to 1.5 cun
Description: Perpendicular insertion 1 to 1.5 cun.[36] • Anterior inferior oblique insertion (70 degrees to the skin) 2.0-2.5 cun; Anatomy path: Skin(T2)➞tissue➞posterior deltoid muscle(C5, C6)➞Long head of triceps brachii muscle(C7, C8)➞Terres major muscle(C5, C6), latissimus dorsi(C6, C7, C8)➞axilla(into the radial nerve where an electric sensation radiating to the dorsal part of the upper extremities and fingertips is felt); [39] 
Caution: Medial insertion risk pneumothorax[39]
Notes
SI-9 to SI -18; need to know where they are and then you know what they do. They are very specific to where they are, except for SI-13 for breast problems. 9-12: for shoulders and upper back. SI-9 is flappy skin so you need to stretch the skin and that no clothing can push the needle into the thorax.
Energetics 1
Shoulder and upper back disorders • Ear problems • Scrofula
Energetics 2
Shoulder tissue inflammation, hemiplegia, deafness, dizziness, toothache, headache, hand numbness[39]
Energetics 3
Energetics 4
Energetics 5
Energetics 6

[3], [5], [8]

Information in this post came from many sources, including class notes, practitioners, websites, webinars, books, magazines, and editor's personal experience.  While the original source often came from historical Chinese texts,  variations may result from the numerous English translations.   Always consult a doctor prior to using these drugs.  The information here is strictly for educational purposes. 

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