Acupuncture Points Notebook

Location Guides:

: Yifeng : Wind Screen

SJ-17 : Hand Shaoyang Triple Burner 17

Classifications:
One of the "59 piercings" for clearing Heat in Ling Shu Ch. 23

Homeostatic point 2 (Ma, Ma & Cho, 2005, Biomedical Acupuncture for Pain Management)

Meetings:
Meeting of Triple Burner with Gall Bladder

Location:
Behind the earlobe, between the ramus of the mandible and the mastoid process, in the depression just superior to the palpable transverse process of the first cervical vertebra (C1).

Needling:
Perpendicular insertion directed towards the opposite ear 0.5 - 1 cun

Warning:
If the needle is directed too anteriorly or posteriorly, pain will ensue and may cause discomfort on opening and closing the mouth for some while after treatment. The external jugular lies close to this point. If it is observed to be prominent this may be a sign of raised venous pressure resulting from heart problems.


TCM Actions:
Benefits the ears
Eliminates wind
Clears heat
Activates the channel and alleviates pain

TCM Indications:
  • Deviation of the mouth and eye, loss of speech, tetany with inability to speak, lockjaw, pain and swelling of the cheek, toothache of the lower jaw, pain of the teeth and gums, mumps, scofula, superficial visual obstruction with dimness of vision.
  • Mania disorder, clonic spasm.

    Neuroanatomy:
    Superficial Innervation: Greater auricular nerve, from the cervical nerve plexus (branches from C2 - C4)
    Dermatome Segment: C2

    Notes:
    Ling Shu Ch. 23, On Heat Diseases, gives a different list of points for the "59 Piercings" to Su Wen Ch. 61 which includes a point behind the ear that most likely means this point.

    In Mayan medicine:
    Punctured for hearing problems, ringing and pain in the ears. Care is taken to avoid the vein and warm deer fat is rubbed on after until it hardens and is then covered to retain the heat (Garcia, Sierra, Balam, 1999: Wind in the Blood)

    Medieval phlebotomy point (Hans von Gersdorff, 1517: Feldtbüch der Wundartzney, www.nlm.nih.gov). There also appears to be one in or on the ear itself.

    Galen recommended arteriotomy "behind the ear" and so probably at this point, or on the occipital artery at Qimai SJ-18 or Luxi SJ-19 for scotomatics (blind spots) and people with "chronic hot and spiritous pains in the head" (Brain, 1986, Galen on Bloodletting, p.97).

    Aretaeus performed arteriotomy in front (probably Taiyang) and behind the ears for epilepsy (ibid.: p.97, footnote).

    In ayurvedic medicine:
    Vidhuram marma point
    Size: 1/2 angula (cun)
    Structure: Tendon
    Effect of Injury: Disability (vaikalyakar marma); Loss of hearing
    (Harish Johari, 1996, Ayurvedic Massage, Sanatan Society; Anupama Bhattacharya, Marma Shastra)

    Lad and Durve (2008) in Marma Points of Ayurveda locate the Karnamula point here or at GB-12 and associate it with Prana Vayu, Apana Vayu, Sadhaka Pitta and Tarpaka Kapha.

    They give the following functions:
    - Benefits facial nerves, especially in cases of Bell's palsy
    - Relieves pain and headaches
    - Enhances kidney function

    In Tibetan medicine:
    Moxa point (AMNH, Tibetan Medical Paintings)


    Reference Notes: (click to display)