Points Database

Location Guides:

: Tinggong : Palace of Hearing

SI-19 : Hand Taiyang Small Intestine 19

Classifications:
Exit point to Jingming Bl-1

Meetings:
Meeting of Small Intestine with San Jiao and Gall Bladder

Location:
With the mouth open, this point is located in the depression between the middle of the tragus and the condyloid process of the mandible. Locate by opening the jaw to reveal the depression.

Needling:
Perpendicular insertion 0.5 - 1 cun. Needle with the mouth open. The patient can close their mouth following insertion.

TCM Actions:
Benefits the ears
Calms the spirit

TCM Indications:
  • Deafness, tinnitus, purulent discharge from the ear.
  • Mania, epilepsy, loss of voice, fullness of the Heart and abdomen, toothache.

    Neuroanatomy:
    Superficial Innervation: Auriculo-temporal nerve from posterior division of mandibular branch of trigeminal nerve (CN V3)
    Dermatome Segment: CN V3 mandibular branch of trigeminal

    Notes:
    Ling Shu Ch. 5 places this point, described as the "centre of the ear", as the end of of Shaoyang with Qiao Yin GB-44 as the root. In cases of where the joints become weak and the patient sways the whole channel is to be examined for surplus and deficiency and the pathology removed. Ting gui GB-2 might seem a more obvious location, being at the other end of the foot Shaoyang meridian but both arm and leg Shaoyang meridians meet at this location.

    Ling Shu Ch. 52, On the Wei Qi, considers this to be the tip of the foot Shaoyang meridian with the root being at Zuqiaoyin GB-44.

    Ling Shu Ch. 75, On Piercing to Regulate True and Evil Qi, recommends this point as part of the "To Redeem Out of Ignorance" treatment. This opening is pierced and an effect is observed in the pupils and a sound is heard in the ears. To hear the sound the patient is then supposed to press the two nostrils and close the mouth (Unschuld, 2016) or lie on his back (Wu & Wu, 2010). It is supposed to "remove what the eyes cannot see" and is compared to an enlightenment of the spirit.


    Reference Notes: (click to display)