LI-18

LI-18


Special Note The information contained in this document is for informational purposes only and is the result of many decades of extensive research, which was done from both an Eastern as well as Western perspective to provide a fair balance. Numerous texts were analyzed and compared, culminating in this work.

Information is presented for both healing and to defend life. A knowledgeable Martial Arts practioner should be equally skilled in both.

It should be especially noted that much of the Kyusho Jutsu applications are the result of traditions passed down over generations and are improssible to verify with absolute certainty in many cases. However, every attempt has been made to verify the authenticity of the information.

Acupuncture & Traditional Chinese Medicine The information in this section is mainly for healing via Acupuncture and/or Acupressure but is also applicable to Martial Arts application as well if one is well versed in such. In place of a needle or simple pressure, you may apply a Martial Arts strike to great effect.
Point Name & Meaning Abbreviation: LI-18
Chinese: 扶突 (fú tū)
English: Support the Prominence
Korean: 부돌 (bu dol)
Japanese: fu totsu
Quick Notes Meridian: Large Intestine

Element: Metal

Polarity: Yang

Peak Time: 5AM to 7AM
Traditional Chinese Medicine (TCM) Classes
  • Meeting of the Large Intestine with the Lung Divergent Meridian
  • Meeting of the Large Intestine with the Large Intestine Divergent Meridian
  • Trigger Point of the Sternomastoid muscle
  • Window of the Sky Point
Treatment Indications
  • Swelling and pain of the throat, sudden loss of voice, rattling sound in the throat, goitre, scrofula, difficulty in swallowing.
  • Cough, coughing with much spittle, wheezing, asthma, hypotension.
Treatment Action(s)
  • Benefits the nose and throat
  • Alleviates cough and wheezing
Needle Stimulation Perpendicularly 0.3 – 0.5 inch. Straight insertion 0.5 – 1 inch. Angle is 90°.
Divergent Meridians
  • Large Intestine
  • Lung
Warning!!!Deeper needling may puncture the carotid artery or jugular vein

Trigger Point Massage Therapy Understanding how to apply the knowledge of Pressure Points to Trigger Point Therapy is extremely useful to release tense muscles and effect healing in the human body.
Indications for Use
  • Torticollis
  • Myalgia of neck muscles
  • Head and facial pains
Affected Muscle Sternomastoid
Pain Referral Pattern To back of head and from top of cheek to temple, to the forehead above the eyebrow and into the inner canthus of the eye. Some spillover onto cheek, top of head and front of throat
Location Notes The trigger point location should be on the belly of the sternomastoid

Western Medicine This section focuses on the correlation between the location of the Acupuncture Points in relation to the Neurological System of the body.
Anatomy & Physiology Location On the lateral side of the neck, level with the tip of the adam’s apple, between the sternal head and clavicular head of muscle sternocleidomastoideus. 3 cun beside the laryngeal prominence, lateral to (ST-9) Renying and in the posterior margin of the muscle. On the posterior border of the muscle sternocleidomastoideus, at the level of the prominentia laryngea.

Local Anatomy: On the lateral aspect of the neck, level with the tip of the adam’s apple, between the sternal head and clavicular head of the sternocleidomastoid muscle (m. sternocleido-mastoideus).

Vasculature: Deeper, on the medial side, the ascending cervical artery and vein.

Innervation: The great auricular nerve, cutaneous cervical nerve, lesser occipital nerve and accessory nerve.

Superficial Innervation: Greater auricular nerve (C2 – C3)

Dermatome(s) A dermatome is an area of skin that is mainly supplied by afferent nerve fibres from the dorsal root of any given spinal nerve. There are 8 cervical nerves, 12 thoracic nerves, 5 lumbar nerves and 5 sacral nerves. Each of these nerves relays sensation from a particular region of skin to the brain.

Vertebrae:C3
Area Controlled by Nerves:
  • Cheeks
  • Outer Ear
  • Face Bones
  • Teeth
  • Trifacial Nerve
Possible Effects of Malfunction:
  • Neuralgia
  • Neuritis
  • Acne Or Pimples
  • Eczema
Anatomical Landmark:In the supraclavicular fossa, at the midclavicular line.
Myotome Distribution:neck lateral flexion
Muscles Affected:Longus capitis, longus cervicus, trapezius, scalenus medius
Associated Nerve Plexus:
  • Cervical Plexus
  • Brachial Plexus
Myotome(s) A myotome is the group of muscles that a single spinal nerve innervates. Similarly a dermatome is an area of skin that a single nerve innervates. In vertebrate embryonic development, a myotome is the part of a somite that develops into muscle.

Vertebrae:C3
Area Controlled by Nerves:
  • Cheeks
  • Outer Ear
  • Face Bones
  • Teeth
  • Trifacial Nerve
Possible Effects of Malfunction:
  • Neuralgia
  • Neuritis
  • Acne Or Pimples
  • Eczema
Anatomical Landmark:In the supraclavicular fossa, at the midclavicular line.
Myotome Distribution:neck lateral flexion
Muscles Affected:Longus capitis, longus cervicus, trapezius, scalenus medius
Associated Nerve Plexus:
  • Cervical Plexus
  • Brachial Plexus
Vertebrae:C2
Area Controlled by Nerves:
  • Eyes
  • Optic Nerves
  • Auditory Nerves
  • Sinus
  • Mastoid Bones
  • Tongue
  • Forehead
Possible Effects of Malfunction:
  • Sinus Trouble
  • Allergies
  • Crossed Eyes
  • Deafness
  • Eye Troubles
  • Earache
  • Fainting Spells
  • Vision Difficulties
Anatomical Landmark:At least one cm lateral to the occipital protuberance at the base of the skull. Alternately, a point at least 3 cm behind the ear.
Myotome Distribution:neck flexion/extension
Muscles Affected:N/A
Associated Nerve Plexus:cervical plexus

Martial Arts Application Through an advanced understanding of the Eastern and Western synergistic paradigm, the weaknesses of the human body can be attacked with great effect causing anything from a momentary incapacitation, knockout, broken bones, and even death. The Martial Arts practitioner assumes all risk in application of this content. Again, it is for informational purposes only.
Example Application Technique


The attacker has thrown a right hand punch at the defender, who has blocked with their left hand. This leaves the defender in a vulnerable position on the inside forcing them to counter quickly. The activation with the left hand stimulates the Acupuncture Points on the inside of the attacker’s wrist creating a “Fire Burns Metal” effect by activating the Lung, Pericardium, and Heart Meridians. This makes the strike to the LI-18 (a Yang Metal meridian) all the more effective. From a western perspective, the strike creates a vasovagal response in the baroreceptors causing blood pressure to drop suddenly. From the Eastern perspective, the strike disrupts energy flowing to/from the head and body resulting in a knockout.
Attack Method: Attack angle is 90°.
Primary Setup Method(s)The meridians identified here are listed which align with Yin & Yang Theory and Five Element Theory.
  • Lung Meridian via Yin & Yang Theory
  • Large Intestine Meridian via Yin & Yang Theory
  • Heart Meridian via the Destructive Cycle of the Five Element Theory
  • Pericardium Meridian via the Destructive Cycle of the Five Element Theory
  • Small Intestine Meridian via the Destructive Cycle of the Five Element Theory
  • Triple Burner Meridian via the Destructive Cycle of the Five Element Theory
Restorative Treatment After Attack
  • Needle this point at 90 degrees to a depth of 4 fen.
Special Classifications & Notes
  • 108 Vital Point
  • Attack Nervous System
  • Bone Breaking
  • Dangerous
  • Disrupt Energy
  • Fight Ender
  • Joint Manipulation
  • Knockouts
  • Sealing the Blood
Joint(s) Released
  • Neck
Description This is a Window of the Sky Point and is responsible for controlling the energy flowing to the head.

A strike is capable of disconnecting the upper and lower bodies from each other and impairing their communication. Strikes are likely to drive energy up into the brain and can easily induce knock out. More powerful strikes can be fatal.

This point is also dangerous due to its location on the cervical artery. If plaque has built up in the individual and the point is struck hard, then there is a possibility of a piece of plaque breaking loose and getting lodged in the small vessels and capillaries in the brain and inducing an aneurism.

Its connection with the occipital nerve easily causes black out when struck.

This point is often used in knock outs, but remember that this is a very dangerous point!

Information Source Most of the information herein is sourced from the following text book available from Dragon Society International. It should be noted that some information (for example, the Trigger Point Massage and dermatome/myotome information) is taken from additional Dragon Society resources which may or may not have been published already.
  • Professor Michael Patrick of Dragon Society International
  • Professor Rick Moneymaker, Founder of Dragon Society International
  • Paperback: 630 pages. 8.5″ x 11″ 1.4″ (3.9 lbs)
  • Over 1,670 medical illustrations
  • Over 80 detailed tables
  • Over 100 photos demonstrating Kyusho Jutsu applications
  • Over 30 special Pressure Point categories
  • Western and Eastern anatomical illustrations
  • Traditional Chinese Medicine principles and sciences
  • Cross-reference of nerves, muscles, blood vessels, and arteries
  • Main Meridians, Divergent Meridians, Connecting Vessels, Extraordinary Vessels, Sinew Channels
  • Pressure Points for Healing, Knockouts, Joint Release, Attacking the Spirit, and more…
Learn More

Copyright This content is copyright © 2021 Michael Patrick. All rights reserved. No portion of this work may be reproduced in any form without permission from the publisher, except as permitted by U.S. copyright law. For permissions contact: mike@dragonsociety.com

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