SI15

Jianzhongshu

Star

肩中俞 (Jiānzhōngshū) — Middle Shoulder Shu

Small Intestine channel · point 15

Not yet clinically reviewed

Traditionally used for

  • Eye health
  • Cough & breathing
  • Pain & joints

Cautions & contraindications

  • No deep needling

Location

On the upper back, 2 cun lateral to the lower border of the spinous process of C7.

How to locate: Find the C7 spinous process, the most prominent at the base of the neck (GV14 lies below it), and measure 2 cun laterally from its lower border.

Distances are in cun, a proportional unit — how to measure.

Body map, back: SI15 · Upper back
Fig. — SI15 · Upper back After Albinus, 1747
Body map, back: SI15 · Upper back

SI15 · Upper back · Albinus, Tabulae sceleti et musculorum, 1747

The vertebral column — Gray's Anatomy plate Needling hazard — see Needling safety
The vertebral column Gray's Anatomy, 1918
The vertebral column — Gray's Anatomy plate Needling hazard — see Needling safety

The vertebral column · Gray's Anatomy, 1918

3D view

3D view not available for this point: its position can't be carried onto the 3D model reliably (it failed a placement check). The 2D maps above show it.

  • The lung is not drawn: the anatomical model used here does not include it as a surface. This is a limit of the model, not of the anatomy. The pneumothorax risk above still applies.

Needling

Cited needling

  • ⚠ Pneumothorax
  1. Oblique insertion — medial, towards the spine
    Depth 0.5–1 cun
    skindeeper
Reported mean safe needling depth, mm — Taiwanese adults (CT)
UnderweightNormalOverweight
Men 57.7 64.7 74.3
Women 41.5 58.7 66.2

CT-measured mean safe needling depths from Taiwanese adults, by sex and body size (Lin et al. 2013); population-specific and a guide only — adjust to the patient in front of you.

Depths describe average adult habitus in the cited population, never a single safe number for the patient in front of you. Palpate and adjust.

Sources (3)
  1. Lin JG, Chou PC, Chu HY. An exploration of the needling depth in acupuncture: the safe needling depth and the needling depth of clinical efficacy. Evid Based Complement Alternat Med. 2013;2013:740508 — Tables 9 (male) and 10 (female), back acupoints Supports: safe depth (measured)
  2. World Health Organization. Guidelines on basic training and safety in acupuncture. Geneva: WHO; 1999. WHO/EDM/TRM/99.1 — Section II §5.2 (Lung and pleura), p. 25 Supports: pneumothorax (names this region)
  3. Deadman P, Al-Khafaji M, Baker K. A Manual of Acupuncture. Hove: Journal of Chinese Medicine Publications; 1998 — p. 244 Supports: techniques (names this point)

Site notes · not cited

  • No deep needling
Depth: 0.3–0.5 cun
Angle: Oblique, directed medially
⚠ Cautions: Deep perpendicular needling risks pneumothorax.

Functions

  • Descends Lung qi and relieves cough
  • Activates the channel and benefits the shoulder
  • Benefits the eyes

Indications

Cough and asthmashoulder and upper back painblurred visioncoughing of blood

Similar Points

Sources

  • World Health Organization. WHO Standard Acupuncture Point Locations in the Western Pacific Region. Manila: WHO Regional Office for the Western Pacific, 2008. (Location.)
  • Focks C, ed. Atlas of Acupuncture. Edinburgh: Churchill Livingstone Elsevier, 2008. (Locating method and actions.)

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