Costal Pain treated with Acupuncture Prescriptions
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Acupuncture Point Jiquan (HT1)
Location:
Flex the elbow, press one's on occiput with the palm; centre of the axillary fossa, where an artery pulsates.

Function:
Soothing the chest oppression and regulating the flow of qi and clearing and activating channels and collaterals.

Regional Anatomy:
Skin-subcutaneous tissue-brachial plexus and axillary artery and vein-tendon of latissimus muscle of back-teres major muscle.
In the superficial layer, there is the intercostobrachial nerve. In the deep layer, there are the radial nerve, the ulnar nerve, the median nerve, medial cutaneous nerve of forearm, the medial cutaneous nerve of the arm and the axillary artery and vein.

Indications:
Pain in the costal and precordcal regions, scofula, cold pain in the elbow and arm, and dryness of the throat.

Prescription:
Combined use with Neiguan (PC6) Luo-Connecting Point the Eight Confluent Point) for treatment of angina pectoris; with Rugen (ST 18) for treatment of galactozemia; and with Taiyuan (LU9)Shu-Stream Point, Yuan-Source Point),Pianli (LI 6) Luo-Connecting Point), Taichong (LR 3) Shu-Stream, Yuan-Source Point) and Acupuncture Single Point Tiantu for treatment of pharyngoxerosis.

Methods:
Avoid puncturing the axillary artery. Insert the needle perpendicularly 0.5-1.0 cun deep; needling response: a sensation of soreness and numbness which may radiate to the forearm and the tips of fingers; moxibustion: using 3-5 moxa-cones, mild moxibustion for 10 min.
Note:
To avoid injuring the axillary artery and the axillary vein, never puncture deeply. The point is posterior to axillary artery. Don`t puncture deeply toward the medial and anterosuperior aspect, or else the needle would injure the axillary artery and the axillary vien.



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