Acupuncture Points Notebook

Location Guides:

: Ermen : Ear Gate

SJ-21 : Hand Shaoyang Triple Burner 21

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

Location:
In the depression anterior to the supratragic notch and slightly superior to the condyloid process of the mandible, just above Tinggong SI-19. Locate and needle with mouth open to slide the condyloid process forwards and reveal the depression. Once needled the patient can close their mouth.

Needling:
Inferior oblique insertion, slightly posteriorly 0.5 - 1 cun, or transverse inferior insertion to connect with Tinggong SI-19 and Tinghui GB-2 as part of "ear clearing technique".

Warning:
Many classical sources prohibit moxibustion at this point in cases of discharge of pus from the ear.


TCM Actions:
Benefits the ears
Clears heat

TCM Indications:
  • Tinnitus, deafness, impaired hearing, earache, discharge of pus from the ear, swelling of the ear, ear sores.
  • Toothache, tooth decay, swelling and pain of the submandibular region, stiffness of the lips, headache, lockjaw, neck pain.

    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:
    In "ear clearing technique" for clearing heat from the ears, one needle is inserted from Ermen SJ-21 to Tinghui GB-2 while another is inserted from Xiaguan St-7 to Tinggong SI-19 (Liu Yan, 2008, Diagrams of Acupuncture Manipulations, p.114).

    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 in front of the ear that most likely means this point.

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


    Reference Notes: (click to display)