11 GB21 Jianjing/ Shoulder Well 肩井
GB21 Jianjing
Shoulder Well

肩井穴

LOCATION

Midpoint linking the line between Dazhui(GV14) and the shoulder acromion.

Features

Crossing point of GB, TE, ST Meridians and Yangwei Vessel.

Body Inches (cun)

Each person has his/her own personal body inches.
One cun is equal to the width of the Knuckle of the thumb.

Nerves, vascular

Posterior branch of supraclavicular nerve, accessory nerve, and cervical transverse artery and vein.

Indication

Hypertension,stroke;neurasthenia,nerve palsy;mastitis,dysfunctional uterine bleeding;stiff neck (caused by cold or an awkward sleeping posture),neck muscle spasm,shoulder pain,stroke sequelae,pediatric paralysis sequelae. Local point for occipital headache, tight trapezius muscles and/or neck/shoulder pain. Phlegm related issues of the head and neck – embolic stroke, neck lumps, swollen lymph nodes, tumors. Phlegm related issues of the breast and chest – mastitis, breast abscess, asthma, dyspnea. Stongly influence Qi downward – useful for rebellious Qi, cough. Contraindicated in Pregnancy, useful for difficult labor, retained placenta. Gao Wu felt that balancing GB 21’s strong descending action with ST 36’s strong centering action is important.
Connecting CV Healing System: Release the neck and shoulders and descend energy.

Combinations

Lymphoid tuberculosis:GB 21 & LI 11 & ST 05.
Shoulder and back arthralgia :GB 21 & LI 15 & SI 11.
Skin ulcer on the back:GB 21 & HT 04 & BL 40.
Ulcer:GB 21 & LI 11 & BL 40 & 4.GV 12.
Chills and fever:GB 21 & TE 01.
Difficult labour:GB 21 & LI 04 & SP 06.
Hypogalactia,mastitis:GB 21 & ST 18 & SI 01.
Placental retention:GB 21 & ST 36 & CV 03 & SP 06.
Mastitis:GB 21 & SI 11 & SI 01.
Mammary gland hyperplasia:GB 21 & SI 11 &BL 23.

穴位

在肩上,前直乳中,當大椎與肩峰端連線的中點上。或以手拼攏,食指靠頸,中指尖到達處是穴。

特點

交會穴,手足少陽、足陽明、陽維之會。

同身寸

針灸取穴比量法。出自《千金要方》。

是指以患者本人體表的某些部位折定分寸,

作为量取穴位的長度單位。

穴區神經血管

鎖骨上神經後支,副神經,及頸橫動、靜脈。

適應症

高血壓,腦卒中;神經衰弱,副神經麻痺;乳腺炎,功能性子宮出血;落枕,頸項肌痙攣,肩背痛,中風後遺症,小兒麻痺後遺症。

穴位配伍療法

瘰癧:1.肩井 2.曲池 3.大迎
肩背痺痛:1.肩井 2.肩髃 3.天宗
背部療瘡:1.肩井 2.靈道 3.委中 4.騎竹馬
癰疽:1.肩井 2.曲池 3.委中 4.身柱
寒熱淒索氣上不得臥:1.肩井 2.關衝
難產:1.肩井 2.合谷 3.三陰交
乳汁不足,乳癰:1.肩井 2.乳根 3.少澤
胎衣不下:1.肩井 2.足三里 3.中極 4.三陰交
乳腺炎:1.肩井 2.天宗 3.少澤
乳腺增生:1.肩井 2.天宗3.腎俞