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Human Acupoint » Meridian Point » Hand Yangming Large Intestine Meridian's Acupoints » Tianding (LI17)
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Tianding LI17

﹝Alias﹞

Tianding

﹝Explanation of Name﹞

Tian, referring to a high place; Ding, an ancient cooking vessel with a round belly and three legs, used to describe the head and the sternocleidomastoid muscles on both sides of the neck; the point is located on the neck, hence the name. Taiping Shenghui Fangrefers to it as "Tianding," a homophonic borrowing.

﹝Source﹞

Zhenjiu Jiayi Jing.

﹝Location﹞

On the lateral side of the neck, at the posterior border of the sternocleidomastoid muscle, beside the Adam's apple, at the midpoint of the line connecting Futu (LI18) and Quepen (ST12).
  • Zhenjiu Jiayi Jing:"Above Quepen (ST12), directly Futu (LI18), one and a half cun behind Qishe (ST11)";
  • Tongren Shuxue Zhenjiu Tujing:"Directly behind Futu (LI18) by one cun";
  • Zhenjiu Zisheng Jing:"One cun behind Qishe (ST11)."

﹝Regional Anatomy﹞

  • Muscles: Platysma muscle, anteriorly the sternocleidomastoid muscle; deep layer is the origin of the middle scalene muscle.
  • Nerves: Supraclavicular nerve, cervical cutaneous nerve; deep layer is the origin of the phrenic nerve (C3-C5), below is the brachial plexus.
  • Blood vessels: Deep medial side has the ascending cervical artery.

﹝Acupuncture and Moxibustion﹞

Sitting position, head turned to the opposite side, shallow insertion 0.2～0.5 cun, do not insert deeply downward to avoid causing pneumothorax. When pressing Tianding (LI17), the upper trunk of the brachial plexus can be compressed between the anterior border of the transverse processes of the 6th～7th cervical vertebrae, the patient may feel numbness in the shoulder top and the ipsilateral upper limb. Moxa cone moxibustion 3～5 cones, moxibustion with moxa stick 5～10 minutes.

﹝Effects﹞

Benefiting the throat, clearing lung qi.

﹝Indications﹞

  • Classical: Acute hoarseness, pharyngitis, pain preventing rest, difficulty swallowing, gurgling in the throat.
  • Modern: Tonsillitis, laryngitis, hiccup, numbness of the upper limb.

﹝Prescription Examples﹞

  • Aphonia hesitant speech: Tianding (LI17), Jianshi (PC5).
  • Pharyngitis with choking sensation, swollen throat that does not subside, difficulty swallowing: Tianding (LI17), Qishe (ST11), Geshu (BL17).

chevron_leftJugu (LI16)
 
 Futu (LI18)chevron_right

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