Points Database

Location Guides:

: Tianchuang : Heavenly Window

SI-16 : Hand Taiyang Small Intestine 16

Classifications:
Point of the Window of Heaven
Trigger point (Travell & Simons, 1998, Trigger Point Manual)

Location:
On the posterior border of the sternocleidomastoid muscle, level with the layngeal prominence.

Needling:
Perpendicular insertion 0.5 - 0.8 cun

TCM Actions:
Benefits the ears, throat and voice
Regulates qi and calms the spirit
Activates the channel, alleviates pain and clears heat

TCM Indications:
  • Deadness, tinnitus, ear pain.
  • Sudden loss of voice, sudden loss of voice following windstroke, hoarseness due to cold in the throat, lockjaw, clenched teeth from windstroke, headache.
  • Throat pain, goitre, swelling and pain of the cheek, heat sensation of the skin and face, urticaria.
  • Manic ghost talk, mania-depression.
  • Shoulder pain radiating to the neck, shoulder pain leading to stiffness of the neck with inability to turn the head, neck pain.

    Neuroanatomy:
    Superficial Innervation: Transverse cervical nerve (C2 - C3)
    Dermatome Segment: C3

    Trigger Point Associations:
    Muscle: Cleidomastoid
    Myotome Innervation: Motor functions supplied by ipsilateral accessory nerve (CN XI); Sensation provided by dorsal rami of C2 - C3
    Location Notes: Trigger point location would be on the belly of the cleidomastoid
    Pain Referral Pattern: To the ear and behind the ear and to the forehead above the eye.
    Indications: Frontal headaches and dizziness

    Notes:
    In the Jade Purity Tradition this would be a suitable addition to the second trinity of Ghost Points, or as a complement to Shaoshang Lu-11 in the first trinity where the voice is affected (Yuen, 2005, 3 Spirits & 7 Souls).

    In ayurvedic medicine:
    Siramatrika marma point
    Size: 4 angula (cun)
    Structure: Blood vessels.
    Effect of Injury: Fatal (sadhyapranahat marma).
    (Harish Johari, 1996, Ayurvedic Massage, Sanatan Society; Anupama Bhattacharya, Marma Shastra)


    Reference Notes: (click to display)