Spleen 21, Da Bao
大包, dà bāo, "Great Embracement"


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Pinyin Pronunciation:
Meridian
Meridian:
Spleen  Browse
Reference Source
Reference Source:
Location
Point Location:
  • CAM
On the lateral side of the chest and on the middle axillary line, in the 6th intercostal space.
  • Deadman
On the mid-axillary line, in the seventh intercostal space.
How To Find It
1. The intercostal spaces are most reliably counted downwards from the second intercostal space which lies immediately below the sternal angle. In males, the nipple almost invariably lies in the fourth intercostal space. 2. The mid axillary line i
Innervation
Innervation:
The seventh intercostal nerve and the terminal branch of the long thoracic nerve.
Vasculature
Vasculature:
The thoracodorsal artery and vein, the seventh intercostal artery and vein.
Cautions
Cautions:
Risk of inducing a pneumothorax with perpendicular insertion, especially in thin patients.
Technique
Technique:
  • CAM
Puncture obliquely 0.3-0.5 inch.
  • Deadman
Transverse oblique insertion along the intercostal space 0.5 to 1 cun.

Special Groups:
  • Exit Point - Spleen

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