Acupuncture Point Shangwan (CV13)
Location:
Lie supinely; draw a line connecting xiphoid process and umbilicus, a spot on this line, 3/8 apart from xiphoid process, or 5/8 apart from umbilicus. Or, 1 cun vertically above ZhongwanCV12(Zhongwan (CV12) Front-Mu Point of the Stomach).
Function:
Strengthening the spleen and stomach, clearing heat and resolving phlegm.
Regional Anatomy:
Skin subcutaneous tissue-linea alba-transverse fascia-extraperitoneal fat tissue-parietal peritoneum.
In the superficial layer, there are the anterior cutaneous branches of the anterior branch of the 7th thoracic nerve and the tributaries of the superficial epigasteic vein.In the deep layer, there are the branches of the anterior branch of the 7th thoracic nerve.
Indications:
Stomachache, abdominal distention, nausea, vomiting, Epilepsy, and Insomnia.
Prescription:
Combined use with Gongsun (SP4) Luo-Connecting Point, The Eight Confluent Point) for treatment of gastrospasm; with Riyue (GB 24) Front-Mu Point of the Gallbladder) for treatment of cholecystitis; with BurongST19 (Burong (ST19)) and Daling (PC7) Shu-Stream, Yuan-Source Point) for treatment of hematemesis; and with Shenmen (HT 7) Shu-Stream, Yuan-Primary Point) for treatment of mania.
Methods:
Insert the needle subcutaneously to 0.8-1.5 cun depth; needling response: local distention and heaviness; moxibustion: using 3-5 moxa-cones, or mild moxibustion for 10 min.
Note:
Don`t puncture deeply or perform lifting, thrusting and ywirling repeatedly, or else the needle would penetrate the posterior the parietal peritoneum-the peritoneal cavity-the visceral peritoneum and the gastric wall by its tip and injure the gastric wall.