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Location Guides:
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Location:
In the hollow between the intratragic notch posteriorly and the condyloid process of the mandible anteriorly, immediately below Tinggong SI-19. Locate this point with the mouth wide open.
Needling:
Slightly posterior insertion 0.5 - 1 cun. The patient should be needled with the mouth wide open. They may close their mouth after insertion.
Classical Needling:
"The Shaoyang usually has little Blood and much Qi" (Su Wen 素問 ch. 24) implying this channel should normally be needled.
"The foot Shaoyang is to be pierced 4 fen deep and remain inserted for five exhalations" (Ling Shu 靈樞 ch. 12).
"It is needled to a depth of four fen and moxaed with three cones" (Huangfu Mi 皇甫謐, 3rd Century, Zhenjiu Jiayi Jing 針灸甲乙經).
TCM Actions:
Benefits the ears, eliminates Wind and clears Heat
Activates the channel and alleviates pain
TCM Indications:
- Tinnitus, deafness, redness, swelling, pain and purulent discharge from the ear, itching of the ear.
- Mumps, toothache, Windstroke (中風, Zhong Feng), deviation of the mouth and eye, pain of the mandibular joint, dislocation of the jaw, difficulty in masticating, disorientation.
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
Martial Applications & Effects of Injury:
See Montaigue, Dim Mak Locations, Taijiworld.com for explanation of effects.
Major Combinations:
- Swelling, pain and redness of the ear:
Tinghui GB-2 with Hegu LI-4 and Jiache St-6
(Yang Jizhou, 杨继洲, 1601: Zhen Jiu Da Cheng, 針灸大成, Great Compendium of Acupuncture and Moxibustion).
- Deafness due to Qi obstruction:
Needle Tinghui GB-2 with Tinggong SI-19 and Yifeng SJ-17, then needle Zusanli St-36 and Hegu LI-4
(Yang Jizhou, 杨继洲, 1601: Zhen Jiu Da Cheng, 針灸大成, Great Compendium of Acupuncture and Moxibustion).
- Deafness and tinnitus:
Tinghui GB-2 with Tianrong SI-17, Tinggong SI-19 and Zhongzhu SJ-3
(Sun Simiao, 孫思邈, 625: Bei Ji Qian Jin Yao Fang, 備急千金要方, Essential Prescriptions Worth A Thousand Gold).
- Deafness:
Tinghui GB-2 with Tinggong SI-19, Erheliao SJ-22, Zhongzhu SJ-3, Waiguan SJ-5, Shangyang LI-1, Hegu LI-4 and ZHongchong Pc-1
(Xu Jun, 許浚, 1611: Dong Yi Bao Jian, 東醫寶鑑, Precious Mirror of Oriental Medicine).
- Impaired hearing and deafness:
Tinghui GB-2 with Ermen SJ-21, Fengchi GB-20, Xiaxi GB-43 and Tinggong SI-19
(Yang Jizhou, 杨继洲, 1601: Zhen Jiu Da Cheng, 針灸大成, Great Compendium of Acupuncture and Moxibustion).
- Impaired hearing and deafness:
Tinghui GB-2 with Waiguan SJ-5
(Wang Zhizhong, 王執中, 1220: Zhen Jiu Zi Sheng Jing, 針灸資生經, Classic of Supporting Life with Acupuncture and Moxibustion).
- Bilateral deafness due to Cold Damage:
Tinghui GB-2 with Jinmen Bl-63
(Xi-Hong Fu, 席弘賦, Ode of Xi-Hong. First recorded in: Xu Feng, 徐鳳, 1439: Zhen Jiu Da Quan, 針灸大全, Complete Collection of Acupuncture and Moxibustion).
- Tinnitus:
Tinghui GB-2 with Tinggong SI-19, Ermen SJ-21, Baihui Du-20, Luoque Bl-8, Yangxi LI-5, Qiangu SI-2, Houxi SI-3, Wangu SI-4, Zhongzhu SJ-3, Yemen SJ-2, Shangyang LI-1 and Shenshu Bl-23
(Yang Jizhou, 杨继洲, 1601: Zhen Jiu Da Cheng, 針灸大成, Great Compendium of Acupuncture and Moxibustion).
- Toothache with aversion to cold:
Tinghui GB-2 with Daying St-5, Quanliao SI-18 and Quchi LI-11
(Sun Simiao, 孫思邈, 625: Bei Ji Qian Jin Yao Fang, 備急千金要方, Essential Prescriptions Worth A Thousand Gold).
- Deviation of the mouth and eye:
Tinghui GB-2 with Jiache St-6, Dicang St-4, Renzhong Du-26, Chengjiang Ren-24 and LI-4
(Zhang Jiebin, 張景岳, 1624: Lei Jing Tu Yi, 類經圖翼, Illustrated Supplement to the Classic of Categories).
Reference Notes:
Basic information on location, needle depth, TCM actions, indications and combinations is taken from Deadman et al (2001): A Manual of Acupuncture with additional anatomical information researched by reference to Gray's Anatomy (38th Ed., 1995) unless otherwise referenced. Images were found on acupunctureschoolonline.com and can be traced back to Claudia Focks (2008) Atlas of Acupuncture originally. I cannot claim any credit or rights over them. Other sources should be quoted in the text.
For some of the more unusual terms I have created a glossary here