Acupuncture Points Notebook

Location Guides:

: Qimai : Spasm Vessel

SJ-18 : Hand Shaoyang Triple Burner 18


Location:
Posterior to the ear, in a small depression on the mastoid bone, one third of the distance along a curved line drawn between Yifeng SJ-17 to Jiaosun SJ-20 following the line of the rim of the ear.

Needling:
Subcutaneous insertion along the course of the channel 0.3 - 0.5 cun, or prick to bleed.

TCM Actions:
Benefits the ears
Calms and pacifies wind

TCM Indications:
  • Tinnitus, deafness, pain behind the ear.
  • Headache, head wind, vomiting, diarrhoea, seminal emission, discharge from the eye, dimness of vision.
  • Infantile fright epilepsy, clonic spasm, fright and fear.

    Neuroanatomy:
    Superficial Innervation: Greater auricular nerve, from the cervical nerve plexus (branches from C2 - C3)
    Dermatome Segment: C2

    Notes:
    Galen recommended arteriotomy "behind the ear" and so probably at Yifeng SJ-17, or on the occipital artery at this point 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).


    Reference Notes: (click to display)