The Heavenly Rejuvenation pressure point (TW 15) is a key acupoint on the San Jiao (Triple Warmer) meridian, traditionally used to relieve musculoskeletal tension in the upper back and shoulder region. It is anatomically positioned between the base of the neck and the shoulder tip and has been used to improve lung vitality and relax the upper thoracic musculature. In clinical applications, it is particularly useful for addressing chronic shoulder tension and facilitating respiratory expansion.
Summary Table
Attribute | Details |
---|---|
Pressure Point Name | TW 15 – Heavenly Rejuvenation |
Body Area | Shoulder |
Exact Location | Midway between neck base and shoulder tip, ½ inch below shoulder top |
Common Uses | Relieves shoulder tension, increases lung resistance |
Stimulation Technique | Hook fingers on shoulders; press firmly for 1 min |
Contraindications | Avoid during acute shoulder injuries or in cases of skin inflammation |
Clinical Significance & Associated Conditions
The Heavenly Rejuvenation pressure point is clinically significant for managing:
- Upper trapezius tension and shoulder stiffness
- Neck and upper thoracic tightness due to postural fatigue
- Shallow breathing linked to muscular restriction
- Upper back discomfort from repetitive strain or emotional tension
- Energetic congestion in the Lung and Triple Warmer meridians
TW 15 is often used in therapies targeting the thoracic inlet and accessory breathing muscles. Its location also corresponds to zones commonly involved in stress-related tension patterns.
Location
TW 15 is located on the posterior shoulder, approximately halfway between the base of the neck and the outer edge of the shoulder, and about half an inch below the superior margin of the trapezius muscle.
To locate:
- Stand or sit upright and place your fingertips at the top of your shoulder
- Slide medially and slightly backward to feel for a muscular depression
- This point typically lies over the supraspinatus region, near the scapular border
It is frequently depicted in upper body meridian charts and muscular trigger point guides.

How to Stimulate It
To stimulate the Heavenly Rejuvenation pressure point:
- Technique: Use the opposite hand to hook fingers over the top of the shoulder, applying firm, downward pressure
- Direction: Press straight down into the muscle belly
- Duration: Hold pressure for 1 minute
- Frequency: Apply once or twice daily during periods of high tension or shallow breathing
- Body Position: Best performed while seated or standing upright with relaxed shoulders
This point is often used alongside bilateral stimulation for symmetrical relief.
Benefits and Common Uses
TW 15 is traditionally and clinically used for:
- Alleviating upper shoulder tension associated with physical or emotional stress
- Improving lung function and increasing resistance to respiratory fatigue
- Releasing fascia in the neck and upper back to improve posture
- Supporting recovery in upper respiratory or immune depletion conditions
In Traditional Chinese Medicine, this point is used to open the chest, promote Qi circulation, and clear obstruction in the Triple Burner pathway, which influences thoracic and diaphragmatic regions.
Physiological Functions & Mechanisms
Anatomically, TW 15 lies over the trapezius and supraspinatus muscles, with close proximity to:
- The suprascapular nerve
- The spinal accessory nerve
- Cervical vascular branches
Stimulation may:
- Relieve muscle tension and spasm in the upper thoracic musculature
- Improve ventilation by relaxing accessory breathing muscles
- Activate autonomic regulation via sensory nerve input from cervical dermatomes
- Enhance blood and lymphatic drainage in the shoulder region
Practitioner Insight
In my experience, this point is especially helpful when tension accumulates at the top of the shoulders from prolonged sitting or mental strain. It often initiates a cascade of muscular relaxation that helps deepen the breath and lift the chest.
Safety & Contraindications
Do not stimulate TW 15 in cases of:
- Recent shoulder injuries, dislocations, or surgery
- Active skin conditions, infection, or bruising over the area
- Hypersensitivity in individuals with nerve impingement or fibromyalgia
Begin with light pressure and monitor for tenderness. For comprehensive safety advice, consult the acupressure safety guide.
As always, listen to your body and stop if discomfort arises.
Related Points & Techniques
TW 15 is frequently used with:
- LU 1 – Central Treasury to open the chest and promote respiratory flow
- GB 21 – Shoulder Well to deepen muscular release in the shoulder girdle
- LI 4 – Joining the Valley for full-body tension relief and Qi circulation
Additional techniques:
- Breathwork during stimulation to enhance parasympathetic effects
- Heat therapy or moxibustion for chronic tightness in the region
- Postural alignment exercises after acupressure to support long-term relief
Scientific Perspective
Studies on upper back acupressure suggest measurable effects on muscle tension, breathing patterns, and stress hormone regulation. TW 15 lies in a region where stimulation has been shown to reduce electromyographic activity in the trapezius, improve thoracic range of motion, and lower self-reported pain in individuals with postural strain (PubMed).