: Jiachengjiang : Adjacent to Container of Fluids

Ex-HN-18 : Extra Head/Neck 18


Location:

1 cun lateral to Chengqiang Ren-24, over the mental foramen.


Needling:

Perpendicular-oblique insertion medially and inferiorly into the mental foramen 0.3 - 0.5 cun, or transverse insertion 0.5 - 1.5 cun


TCM Actions:

Eliminates Wind, activates the channel and alleviates pain

TCM Indications:


Neuroanatomy:

Superficial Innervation: Mental nerve, branch of mandibular from trigeminal nerve (CN V3)

Dermatome Segment: CN V3 mandibular branch of trigeminal


Martial Applications & Effects of Injury:

See Montaigue, Dim Mak Locations, Taijiworld.com for explanation of effects.





Notes:

Mainly used for facial paralysis and trigeminal neuralgia.



This point would also be on the upper trajectory of the Chong mai in Jeffrey Yuen's descriptions (Yuen, 2005, The Extraordinary Vessels).



In Tung acupuncture two points called Shui Tong, Water Through, and Shui Jin, Water Metal, are located near this point. Shui Tong is located 0.4 cun below the outer corner of the mouth and Shui Jin is located 0.5 cun medial to Shui Tong. They are indicated for Wind-Cold-Damp Bi of the lower back, Kidney deficiency and breathing difficulties, presumably due to a failure of the Kidneys to grasp Lung Qi (Chu, 2015).



Avicenna describes venesection at this point in his treatise On Venesection:

"The labial veins are four, two for each lip. Their venesection is beneficial in cases of mouth sores, stomatitis, and painful, swollen and receding gums, as well as haemorrhoids and their cracks." (Aspects of Treatment According to General Diseases, 21st section in Abu-Asab, Amri & Micozzi, 2013, Avicenna's Medicine)



Reference Notes:

Basic information on location, needle depth, TCM actions, indications and combinations is taken from Deadman et al (2001): A Manual of Acupuncture with additional anatomical information researched by reference to Gray's Anatomy (38th Ed., 1995) unless otherwise referenced. Images were found on acupunctureschoolonline.com and can be traced back to Claudia Focks (2008) Atlas of Acupuncture originally. I cannot claim any credit or rights over them. Other sources should be quoted in the text.

For some of the more unusual terms I have created a glossary here