SI14

Small Intestine Channel

Outer Shoulder Shu

肩外俞Jiān Wài Shū

Anatomical location

3 cun lateral to the midline, at the level of the inferior border of T1.

Main function

Relieves scapular and shoulder pain, dispels Wind-Dampness.

Therapeutic indications

  • Shoulder pain
  • scapular pain
  • neck stiffness
  • Shoulder and back pain
  • Cervical stiffness
  • Contracture between the shoulder blades
  • Sensation of cold in the back

Name and classical tradition

Jianwaishu, 肩外俞, is the “outer transport point of the shoulder.” 肩 is the shoulder, the scapula; 外, the outer, the farthest from the spine; 俞, the transport point. The name is not understood on its own but by contrast with that of its neighbor, SI15, Jianzhongshu, the “central” point: the two form a pair ordered by distance from the vertebral column. Naming by opposition is a very common device in nomenclature and requires no strained interpretation.

The first work to record it is the Zhenjiu Jiayi Jing (Systematic Classic of Acupuncture and Moxibustion). It has no known alternative names and no classical commentaries.

Location of point SI14, Outer Shoulder Shu
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View point on the 3D modelSI14 on the anatomy
Needling techniqueOblique insertion 0.5-0.8 cun toward the scapula.
Depth0.5-0.8 cun
MoxibustionApplicable (5-10 minutes, indirect moxa)
Cover of the guide “Protocols for the 20 most common patterns”

Free guide · PDF

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 SI14 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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