Other Neck Acu Reflex Points

Several ARPs on the neck are formed by three other nerves derived from the cervical plexus: (1) the lesser occipital nerve, for which an ARP is located on the insertions between the sternocleidomastoid and the trapezius muscles on the occipital bone; (2) the transverse cervical nerve, which curves around the middle of the posterior border of the sternocleido-mastoid and then passes transversely to the anterior border of the same muscle (several ARPs are formed over the anterior triangle of the neck); and (3) the

Platysma Facial vein

Facial nerve [VII], cervical branch Retromandibular vein Ramus communicans

External jugular vein Transverse cervical nerve Anterior jugular vein

Sternocleidomastoid Jugular venous arch Medial supraclavicular nerves

Figure 8-14 Acu-reflex points formed by the cervical plexus (C1 to C4). Practitioners should pay particular attention to the great auricular nerve, accessory nerve, and transverse cervical nerve.

Posterior auricular vein

Lesser occipital nerve Occipital artery Occipital vein Greater occipital nerve Greater auricular nerve Splenius capitis Levator scapulae Trapezius

Accessory nerve [XI] Lateral cervical lymph nodes, superficial nodes

Lateral supraclavicular nerves Omohyoid Brachial plexus Transverse cervical vein

Intermediate supraclavicular nerves

Figure 8-14 Acu-reflex points formed by the cervical plexus (C1 to C4). Practitioners should pay particular attention to the great auricular nerve, accessory nerve, and transverse cervical nerve.

supraclavicular nerve, which divides into medial, intermedial, and lateral branches. These nerves send small branches to the skin of the neck and then emerge from deep fascia just superior to the clavicle to supply the skin over the anterior aspect of the chest and shoulder. When needling sensitive ARPs in this area, a practitioner should always pay attention to the direction and depth of the needling so as not to puncture the lung.

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