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Neijing

Knowledge baseAcupuncture points

SJ-9

Sidu

Four Rivers

Also known asFour Ditch · Fourth Gutter · Four Canals

Channel
San Jiao

Location

  1. 01With the hand palm-up, locate the point 5 cun distal to the elbow, between the ulna and the radius.
  2. 02In the hollow between the ulna and radius, on the line joining SJ-4 Yangchi to the lateral epicondyle of the humerus, 7 cun proximal to SJ-4 Yangchi. Note: bisect that same 7-cun span; the point lies 1 cun proximal to its midpoint, in the depression between the muscle bellies of the extensor digitorum communis and extensor carpi ulnaris.
  3. 03On the forearm's lateral aspect, 5 cun distal to the olecranon, between radius and ulna.

Needling

  1. 01Perpendicular insertion, 1–2 cun; distension and soreness may spread to the elbow and hand.
  2. 02Alternatively, insert perpendicularly, or obliquely toward the elbow or wrist, 1–2 cun.
  3. 03Perpendicular needling, 0.5–1 cun.
  4. 04Moxa may be used.

Actions

Benefits the throat and ears

Indications

  • Headache
  • Deafness
  • Toothache
  • Forearm pain
  • Paralysis of the upper limb
  • Neurasthenia
  • Vertigo
  • Nephritis
  • Tennis elbow
  • Gum pain in the lower jaw
  • Sudden deafness
  • Toothache in the lower jaw
  • Loss of voice
  • Obstructed pharynx
  • Sore throat
  • Sudden tinnitus
  • Shortness of breath
  • Migraine
  • Sudden hoarseness
  • Brachial neuralgia

Notes

  • It is indicated specifically for disorders of the ear.
  • Acupressure at this point works well for headaches.
  • It stands as a principal point for forearm pain.