SI5

Yanggu

Star

陽谷 (Yánggǔ) — Yang Valley

Small Intestine channel · point 5

Not yet clinically reviewed

Jing-River pointFire pointFire point of the Small Intestine channelHorary point

Traditionally used for

  • Dizziness
  • Ears & hearing
  • Teeth & mouth
  • Colds & fever
  • Mood & calm

Location

On the ulnar side of the wrist, in the depression between the styloid process of the ulna and the triquetral bone.

How to locate: With the palm facing down, slide a finger proximally from SI4 along the ulnar border of the hand over the triquetrum; the point is in the hollow just before the ulnar styloid process, at the level of the wrist crease.

Regional anatomy: The needle passes through the skin and subcutaneous tissue into the depression between the ulnar styloid process and the triquetrum, toward the ulnar side of the wrist joint capsule; the dorsal branch of the ulnar nerve runs nearby.

Distances are in cun, a proportional unit — how to measure.

Body map, front: SI5 · Wrist
Fig. — SI5 · Wrist After Albinus, 1747
Body map, front: SI5 · Wrist

SI5 · Wrist · Albinus, Tabulae sceleti et musculorum, 1747

Bones of the hand, dorsal — Gray's Anatomy plate
Bones of the hand, dorsal Gray's Anatomy, 1918
Bones of the hand, dorsal — Gray's Anatomy plate

Bones of the hand, dorsal · Gray's Anatomy, 1918

3D view

3D view not available for this point: its position on the 3D model couldn't be checked against its location text, so it is not shown. The 2D maps above show it.

Needling

Cited needling

  1. Perpendicular insertion
    Depth 0.3–0.5 cun
    skindeeper

Depths describe average adult habitus in the cited population, never a single safe number for the patient in front of you. Palpate and adjust.

Sources (1)
  1. Deadman P, Al-Khafaji M, Baker K. A Manual of Acupuncture. Hove: Journal of Chinese Medicine Publications; 1998 — p. 236 Supports: techniques (names this point)

Site notes · not cited

Depth: 0.3–0.5 cun
Angle: Perpendicular

Functions

  • Clears heat, reduces swelling and calms the spirit
  • Benefits the wrist and the ear

Indications

Wrist paintinnitus and deafnessswelling of the neck and cheekmania and febrile diseasedizzinesstoothache

Balance Method partners

Under Dr. Tan's six systems, SI5 at the wrist balances these channels at the regions its segment images.

  • 1. Same Chinese name
    Bladder channel
    Ankle, Heel · Mirror (arm ↔ leg)
    Hip & groin, Buttock · Reversed mirror
    Front of neck, Nape of neck · Image, head at the hand/foot
    Lower abdomen, Sacrum · Image, head toward the elbow/knee
    Solve for the Bladder channel →
  • 2. Branching (Bie Jing / Zang Fu Bie Tong)
    Spleen channel
    Ankle, Heel · Mirror (arm ↔ leg)
    Hip & groin, Buttock · Reversed mirror
    Front of neck, Nape of neck · Image, head at the hand/foot
    Lower abdomen, Sacrum · Image, head toward the elbow/knee
    Solve for the Spleen channel →
  • 3. Interior–exterior pair
    Heart channel
    Wrist · Same segment, opposite side
    Front of neck, Nape of neck · Image, head at the hand/foot
    Lower abdomen, Sacrum · Image, head toward the elbow/knee
    Solve for the Heart channel →
  • 4. Chinese clock opposite
    Liver channel
    Ankle, Heel · Mirror (arm ↔ leg)
    Hip & groin, Buttock · Reversed mirror
    Front of neck, Nape of neck · Image, head at the hand/foot
    Lower abdomen, Sacrum · Image, head toward the elbow/knee
    Solve for the Liver channel →
  • 5. Chinese clock neighbour
    Bladder channel
    Ankle, Heel · Mirror (arm ↔ leg)
    Hip & groin, Buttock · Reversed mirror
    Front of neck, Nape of neck · Image, head at the hand/foot
    Lower abdomen, Sacrum · Image, head toward the elbow/knee
    Solve for the Bladder channel →
  • 6. Same channel
    Small Intestine channel
    Wrist · Same segment, opposite side
    Front of neck, Nape of neck · Image, head at the hand/foot
    Lower abdomen, Sacrum · Image, head toward the elbow/knee
    Solve for the Small Intestine channel →

Classical calendar method · 子午流注

When the tables open SI5

The hours Zi Wu Liu Zhu names this point at, by method. Times are the double-hour's start in UTC.

  • 丙戌 19:00–21:00 Na Jia Fa, 庚-day sequence · Jing-River (經)

    「丙戌小腸陽谷火」

    Next: Fri 23 Oct, 19:00

A classical reference, not a recommendation: the tables say when the method opens this point, not that it is the point to needle. Open points by the hour →

Combinations Using This Point

Similar Points

Ranked by shared patterns and conditions

Sources

  • World Health Organization. WHO Standard Acupuncture Point Locations in the Western Pacific Region. Manila: WHO Regional Office for the Western Pacific, 2008. (Location.)
  • Focks C, ed. Atlas of Acupuncture. Edinburgh: Churchill Livingstone Elsevier, 2008. (Locating method and actions.)

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