The acupoint is located on the shoulder and back, positioned more laterally compared to Jianzhongshu (SI15), hence its name.

bubble_chart Location

Jianwaishu (SI14) acupoint
(adapted from "Meridians and Acupoints")

It is situated below the spinous process of first thoracic vertebra (Taodao (GV13)), 3 cun lateral to spine, at the inner superior aspect of scapula.

• Zhenjiu Jiayi Jing: "On the upper edge of scapula, 3 cun from the spine, in the depression";
• Leijing Tuyi: "Level with Dazhu (BL11)".

bubble_chart Anatomy

• Muscles: trapezius, rhomboids minor. (The deep part is lung).
• Nerves: accessory nerve, posteromedial cutaneous branch of first thoracic nerve, dorsal scapular nerve.
• Vessels: transverse cervical arteries and veins in deep layer.

bubble_chart Manipulation

Perpendicular or oblique insertion is 0.5 to 0.8 cun. Exercise caution to avoid deep insertion, as it may injure the lung and cause pneumothorax. Moxibustion with moxa cone 3 to 5 times, moxibustion with moxa stick for 10 to 15 minutes.

bubble_chart Efficacy

dispel wind.

• Classical: pain in scapula, alternating heat and cold extending to elbow, stiffness of the neck and nape.
• Modern: cervical spondylosis, stiff neck.

bubble_chart Combinations

• Shoulder and back pain: Jianwaishu (SI14), Wailaogong (EX-UE8).