Acupuncture Points Notebook

Location Guides:

: Ermen : Ear Gate

SJ-21 : Hand Shaoyang Triple Burner 21

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

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.

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".

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.

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

    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)