Indications

Obesity (weight loss), stiff painful neck, arm pain, toothache, manic disorders, headache, qi stagnation with chest tightness, and shoulder and back pain.

Precise Location

At the middle of the triceps brachii muscle belly. It is supplied by the middle collateral artery and vein, and innervated by the posterior brachial cutaneous nerve and radial nerve.

Location Method

Stand upright with arms hanging down. Place the left palm on the middle of the right arm, and the right palm on the middle of the left arm – press with the four fingers toward the arm; the point is where the middle finger rests.

Massage Method

Cross both hands, place one palm on the opposite arm, press with the four fingers into Xiaoluo – press and release rhythmically for 3–5 minutes, once each morning and evening. Therapeutic actions: Clears heat and calms the spirit, unblocks the collaterals and relieves pain, soothes the chest and regulates qi, removes dampness and disperses stagnation.

Compatibility

Obesity: Combine with Zhongwan (RN-12), Shenque (RN-8), Xiaoluo (TE-12), Yunmen (LU-2), Shengwei (Extra), Qihai (RN-6), Guanyuan (RN-4), and Pishu (BL-20). Disease overview: Obesity is a state of excessive fat accumulation in the body, characterized by significant overweight and thickened fat layers. Massage sequence: Patient supine – rub and knead the abdomen with both palms, centering on Zhongwan and Shenque, with rapid clockwise circular motion from top to bottom for about 5 minutes daily until borborygmus, flatulence, and distension resolve; then press Xiaoluo, Yunmen, Shengwei, Qihai, and Guanyuan for 1 minute each; finally change to prone position, massage the Bladder Meridian, and press Pishu and Weishu. Once daily, 7 days as one course. Epilepsy: Combine with Zutonggu (BL-66), Taichong (LR-3), Sizhukong (TE-23), and Xiaoluo (TE-12). Stiff painful neck: Combine with Tianzhu (BL-10), Houxi (SI-3), and Dazhui (GV-14). Arm pain: Combine with Quchi (LI-11) and Shousanli (LI-10). Qi stagnation with chest tightness: Combine with Tanzhong (RN-17) and Neiguan (PC-6).

Efficacy & Actions

The Shazhen Jiyao · Yinchong states: "The Western cowpox method is to draw out hidden toxins from the Mingmen via Qinglengyuan and Xiaoluo points... The Qinglengyuan and Xiaoluo points, located on the lateral upper arm, are precisely at the Sanjiao Meridian pathway." Xiaoluo is an important point on the Sanjiao Meridian. Regular massage of this point treats qi stagnation with chest tightness and also aids in weight loss – perfect for those seeking beauty and health. This point belongs to the Hand Shaoyang Sanjiao Meridian. It clears heat and calms the spirit, unblocks the collaterals and relieves pain, soothes the chest and regulates qi, and removes dampness and disperses stagnation. It is a commonly used key point for treating upper limb and mental disorders, with additional benefits for weight loss. First documented in Zhenjiu Jiayijing. "Xiao" means to disperse or eliminate; "Luo" is a water name, meaning marsh or lake. Located on the lateral upper arm, this point is where Sanjiao Meridian qi disperses like flowing water, resolving stagnation – hence the name Xiaoluo (Dispersing Marsh).

Contraindications

Located on the lateral upper arm muscle, needling depth should be carefully controlled – generally 0.5–1 cun vertically. Moxibustion is permissible.