Acupuncture Points Notebook

Location Guides:

: Tianjing : Heavenly Well

SJ-10 : Hand Shaoyang Triple Burner 10

He-Sea and Earth point

Child point of the Sanjiao channel

With the elbow flexed, this point is located in the depression 1 cun proximal to the olecranon.

Perpendicular insertion 0.5 - 1 cun

TCM Actions:
Transforms phlegm and dissiplates nodules
Regulates qi and descends rebellion
Calms the spirit
Clears heat from the sanjiao channel
Activates the channel and alleviates pain

TCM Indications:
  • Scrofula, coughing phlegm, coughing and vomiting pus and blood, cough with fullness of the abdomen and no pleasure in eating or drinking, chest painful obstruction with Heart pain, pain of the lateral costal region, distension and pain of the lower abdomen.
  • Epilepsy, madness, sadness, propensity of fright, fright palpitations, somnolence, leg qi attacking upwards, clonic spasm.
  • One-sided headache, tongue thrusting, deafness, swelling and pain of the cheek, swelling and pain of the throat, throat painful obstruction with sweating, eye pain, malaria, alternating chills and fever, urticaria, haemorrhoids.
  • Atrophy disorder and numbness of the arm, painful obstruction of the arm, wind painful obstruction with contraction of the sinews and pain of the bones, pain of the scapula, numbness of the shoulder, pain of the shoulder and arm, pain of the elbow radiating to the shoulder, pain of the elbow, pain of the lumbar region due to traumatic injury.

    Superficial Innervation: Medial cutaneous nerve of the arm (C8 - T1)
    Dermatome Segment: C5

    In five element acupuncture this point is reduced to drain excess in the Sanjiao.


    Ling Shu Ch. 6 suggests piercing the He points of the Yang channels if a disease is in the Yang of the Yang realm (e.g. the skin). This would mean using this point, presumably needled at a very superficial level, to treat skin level disorders relating to this channel.

    Combining this with the needling techniques described in Chapter 7 we could suggest using either superficial needling here to influence pathogens in the skin, or leopard spot needling (three needles aimed at letting blood from each side) for pathogens in the Blood.

    Ling Shu Ch. 9, On Ends and Beginnings, advises that in the case of Heat associated with receding Yin Qi the Yang conduit should be pierced once and the Yin conduits twice. Based on other recommendation to use the He-Sea of the Yang conduits (Ch. 19) and the Yuan-Source with the Ying-Spring points (Chs. 6, 19 and 24) to clear Heat from the Zangfu, that would suggest this point, Daling Pc-7 and Laogong Pc-8 as a protocol to clear Heat in the Pericardium/San Jiao. Next it advises that in Cold associated with receding Yang Qi the Yang should be pierced twice and the Yin once but no such obvious protocol is evident for this situation. Another interpretation that would match with common practice today, based on the idea of odd numbers being Yang/moving/clearing while even numbers are Yin/tonifying/reinforcing, is that the points on the channel to be cleared are pierced on one side only while those on the channel to be tonified are pierced bilaterally.

    Ling Shu Ch. 71, On Evil Visitors, says that when a depletion evil is in the Lung and Heart it remains in two elbows. Yuen's theory of the Divergent meridians suggests that they store pathogens at the major joints, depleting our resources while they do, which would make this a potential point for for the Pericardium/San Jiao Divergent.


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

    Reference Notes: (click to display)