ACUPUNCTURE
Jian Yu: TCM Acupoint Guide
Name
Jian Yu (Jianyu)
Location
Anteroinferior to the acromion, on the upper portion of the deltoid muscle, in the depression appearing at the anterior border of the acromioclavicular joint when the arm is in full abduction. Note: SJ-14 Jianliao lies in the depression posterior and inferior to the acromion; when the arm is abducted, the two hollows are more easily palpable and often visible.
Needling
- Slanted insertion, for perifocal inflammation of the shoulder joint, join to M-UE-48 Jianneiling, then to SJ-14 Jianliao and finally along the deltoid muscle, 2 to 3 cun. Sensation: distention and soreness spreading through the shoulder, or an electric sensation extending toward the forearm.
- Straight insertion, with the arm raised, needle pointed toward HT-1 Jiquan in the armpit, 2 to 3 cun.
- For supraspinatus tendinitis: with the arm hanging freely at the side, insert the needle between the acromion of the shoulder and the greater tubercle of the humerus, 0.7 to 1 cun. Sensation: local distention and soreness, sometimes extending to the forearm.
- Transverse insertion, for limited abduction of the shoulder, needle pointed downward along the deltoid muscle, 2 to 3 cun. Sensation: distention and soreness in the upper arm.
- With the arm abducted, perpendicular insertion directed towards the center of the axilla, 1 to 1.5 cun.
- Transverse-oblique insertion directed distally towards the elbow, 1.5 to 2 cun.
- Puncture perpendicularly or obliquely, 0.8 to 1.5 cun.
- Moxibustion is applicable.
Command Functions
- Point of the Yang Qiao channel
Actions
- Eliminates Wind
- Brings down Heat
- Benefits the sinews
- Promotes the circulation of qi in the channels
- Stops pain
- Dispels Wind-Damp
- Alleviates pain
- Benefits the shoulder joint
- Regulates qi and Blood
- Regulates qi and dissipates phlegm nodules
Indications
- Paralysis of the limbs due to Wind
- Hemiplegia
- Muscular atrophy
- Impossible to turn the head
- Urticaria due to Wind-Heat
- Alternating chills and fever
- Heat in the four limbs
- Hypertension
- Perifocal inflammation of the shoulder joint
- Wind-Dampness in the shoulder
- Wind rash, urticaria
- The arms lack strength
- Redness and swelling
- Inability to raise the arm to the head
- Contraction and numbness of the arm
- Windstroke
- Wind atrophy disorder
- Wind disease
- Painful obstruction of the fingers
- Inability to move the hand
- Spasms of the hand and arm
- Ganglia in the neck
- Eczema
- Toothache
- Torticollis
- Prolonged fever after catching cold
- Pain in the shoulder and arm
- Motor impairment of the upper extremity
- Rubella
- Scrofula
- Goiter
- Atrophy, Wei, syndrome of the upper body
- Shoulder bursitis
- Shoulder stiffness and inflammation
- Shoulder, arm or hand paralysis
- Muscular spasms
- Weakness of the shoulder
- Excessive sweating
- Heat sensation in the shoulder
- Heat sensations in the shoulders and arms
- Wind-Heat urticaria
- Injury by Cold with Heat that does not dissipate
- Sexual emission due to taxation
- Rheumatism in the shoulders with pain, redness and swelling
- Shoulder joint rheumatic pains
- Measles
- Dermatoses in general
- Arthritis
- Apoplexy
- Spermatorrhea
- Dull complexion
Combinations
| Points | Indications |
|---|---|
| LI-5 Yangxi | Wind rash, urticaria from extreme Heat |
| SJ-14 Jianliao | Shoulder problems |
| LI-14 Binao | Wasting and weakness of the arm with inability to raise the arm to the head |
| LI-12 Zhouliao, SI-4 Wangu | Redness and swelling of the upper arm with pain of the joint |
| SI-9 Jianzhen, SJ-1 Guanchong | Heat sensation of the shoulder with inability to turn the head |
| LU-5 Chize, SI-8 Xiaohai, PC-5 Jianshi, PC-7 Daling, SI-3 Houxi, LU-10 Yuji | Contraction of the elbow |
| GB-39 Xuanzhong, KI-3 Taixi, LI-11 Quchi, ST-36 Zusanli, UB-60 Kunlun | Windstroke with one-sided withering and incessant pain |
Notes
Have the patient extend the arms out to the side and move them in small circles to stimulate this area and bring down high blood pressure. A major point for the treatment of Bi syndrome of the shoulder, atrophy syndrome and paralysis of the arm. It is also reached by the Lung and Bladder sinew channels, the Large Intestine divergent channel and the Small Intestine Luo-Connecting channel. It is considered the pre-eminent point for treating the shoulder.
Sources and further reading
We cite classical materia medica and modern reference works. This article is health education, not medical advice.
- Shennong Bencao Jing (The Divine Farmer's Materia Medica), Han dynasty.
- Bencao Gangmu (Compendium of Materia Medica), Li Shizhen, 1578.
- Chinese Pharmacopoeia, current edition — identity, quality and safety monographs.
- NCCIH and WHO reference material on traditional medicine safety.
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