TE6

Zhigou

Star

支溝 (Zhīgōu) — Branch Ditch

Triple Energiser channel · point 6

Not yet clinically reviewed

Jing-River pointFire pointFire point of the Triple Energiser channelHorary point

Traditionally used for

  • Ears & hearing
  • Digestion
  • Bowel health
  • Menstrual & women's health
  • Pain & joints

Location

On the dorsal aspect of the forearm, 3 cun proximal to the wrist crease, between the radius and the ulna.

Focks' Atlas of Acupuncture places it in a depression on the radial side of the extensor digitorum muscle, close to the border of the radius, rather than midway between the two bones.

How to locate: With the forearm pronated, measure 3 cun above the dorsal wrist crease (1 cun above TE5); the point is in the depression midway between the radius and the ulna, level with TE7 and opposite PC5.

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

Body map, front: TE6 · Forearm
Fig. — TE6 · Forearm After Albinus, 1747
Body map, front: TE6 · Forearm

TE6 · Forearm · Albinus, Tabulae sceleti et musculorum, 1747

Bones of the forearm — Gray's Anatomy plate
Bones of the forearm Gray's Anatomy, 1918
Bones of the forearm — Gray's Anatomy plate

Bones of the forearm · Gray's Anatomy, 1918

3D view

3D view not available for this point: its position can't be carried onto the 3D model reliably (it failed a placement check). The 2D maps above show it.

Needling

Cited needling

Techniques — the source gives these as alternatives:

  1. Slightly oblique insertion — towards the ulnar side
    Depth 0.5–1.5 cun
    skindeeper
  2. Oblique insertion — proximal or distal, towards the elbow or wrist respectively
    Depth 0.5–1.5 cun
    skindeeper
  3. Through-needling — to Jianshi PC5

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. 398 Supports: techniques (names this point)

Site notes · not cited

Depth: 0.5–1.0 cun
Angle: Perpendicular

Functions

  • Regulates qi in the Triple Energiser and moves the bowels
  • Clears heat from the three burners
  • Benefits the lateral costal region and relieves hypochondriac pain
  • Benefits the voice and the ears
  • Activates the channel

Indications

Constipation, particularly from qi stagnationhypochondriac and intercostal pain, including shinglestinnitus and deafnesssudden loss of voicevomitingshoulder and arm painpostpartum fainting

Balance Method partners

Under Dr. Tan's six systems, TE6 at the forearm balances these channels at the regions its segment images.

  • 1. Same Chinese name
    Gallbladder channel
    Lower leg, Calf · Mirror (arm ↔ leg)
    Thigh · Reversed mirror
    Chest, Upper back · Image, head at the hand/foot
    Upper abdomen, Lower back · Image, head toward the elbow/knee
    Solve for the Gallbladder channel →
  • 2. Branching (Bie Jing / Zang Fu Bie Tong)
    Kidney channel
    Lower leg, Calf · Mirror (arm ↔ leg)
    Thigh · Reversed mirror
    Chest, Upper back · Image, head at the hand/foot
    Upper abdomen, Lower back · Image, head toward the elbow/knee
    Solve for the Kidney channel →
  • 3. Interior–exterior pair
    Pericardium channel
    Forearm · Same segment, opposite side
    Chest, Upper back · Image, head at the hand/foot
    Upper abdomen, Lower back · Image, head toward the elbow/knee
    Solve for the Pericardium channel →
  • 4. Chinese clock opposite
    Spleen channel
    Lower leg, Calf · Mirror (arm ↔ leg)
    Thigh · Reversed mirror
    Chest, Upper back · Image, head at the hand/foot
    Upper abdomen, Lower back · Image, head toward the elbow/knee
    Solve for the Spleen channel →
  • 5. Chinese clock neighbour
    Gallbladder channel
    Lower leg, Calf · Mirror (arm ↔ leg)
    Thigh · Reversed mirror
    Chest, Upper back · Image, head at the hand/foot
    Upper abdomen, Lower back · Image, head toward the elbow/knee
    Solve for the Gallbladder channel →
  • 6. Same channel
    Triple Energiser channel
    Forearm · Same segment, opposite side
    Chest, Upper back · Image, head at the hand/foot
    Upper abdomen, Lower back · Image, head toward the elbow/knee
    Solve for the Triple Energiser channel →

Classical calendar method · 子午流注

When the tables open TE6

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

  • 戊辰 07:00–09:00 Na Jia Fa, 戊-day sequence · Na (納) point

    「戊辰氣納三焦脈,經穴支溝刺必痊」

    Next: Thu 22 Oct, 07:00

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 →

Clinical Notes

The classical distal point for constipation — 'for constipation, needle Zhigou' — and a principal point for intercostal neuralgia and shingles pain.

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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