LI19

Large Intestine Channel

Grain Bone

禾髎Hé Liáo

Anatomical location

0.5 cun lateral to the midline, directly below the lateral border of the nostril, at the level of the midpoint of the philtrum (upper nasolabial groove), next to GV26.

Main function

Opens the nasal passages, disperses Wind-Heat.

Therapeutic indications

  • Rhinitis
  • nasal congestion
  • epistaxis
  • facial pain
  • Nasal obstruction
  • Trismus
  • Deviation of the mouth
  • Loss of smell
  • Rhinorrhea
  • Facial paralysis

Name and classical tradition

Heliao, 禾髎, is the "grain cleft." 禾 is the cereal on the plant, the grain; 髎 is the hollow beside the bone. The point lies below the nose, on the edge of the maxilla, beside the mouth, and the explanation offered by the reference works is that this is where grain, food, enters. Another, more abstract reading takes 禾 as "something long and thin," from the shape of the character, and applies it to the cleft of the point. Neither has a classical commentator behind it.

In Chinese literature it is often called 口禾髎, "Heliao of the mouth," to distinguish it from TE22, the Heliao of the ear, on the Triple Energizer channel. The reference works also record a list of aliases, some with uncommon characters and probable transcription errors: 和窌, 頄, 長頻, 長髎, 長頰 and 長顪.

The Zhenjiu Jiayi Jing (Systematic Classic of Acupuncture and Moxibustion), the first work to record it, attributes to it nasal obstruction (鼻窒), deviation of the mouth (口僻), uncontrollable rhinorrhea and nosebleed, according to a paraphrase that has not been checked character by character.

Location of point LI19, Grain Bone
CC BY-ND 4.0 (opens in a new tab)
View point on the 3D modelLI19 on the anatomy
Needling techniqueOblique insertion 0.3-0.5 cun toward the root of the nose.
Depth0.3-0.5 cun
MoxibustionContraindicated
PrecautionsAvoid deep needling to prevent damage to facial structures.
Cover of the guide “Protocols for the 20 most common patterns”

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Protocols for the 20 patterns you see most in practice

Each pattern with its tongue, its pulse, the treatment principle and the points to tonify and disperse. Made for the treatment table, not the bookshelf.

Do you use LI19 with your patients?

In the Clinic you record it in the patient's file, next to the tongue, the pulse and the measurements, so at the next session you know exactly what you used. The Atlas is built in.

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