SI16

Small Intestine Channel

Celestial Window

天窗Tiān Chuāng

Anatomical location

On the neck, at the posterior border of the sternocleidomastoid muscle, at the level of the laryngeal prominence (level of ST9).

Main function

Benefits the ears, clears Heat, relieves neck pain.

  • Crossing Point with the Gallbladder

Therapeutic indications

  • Tinnitus
  • deafness
  • sore throat
  • neck pain
  • Sudden deafness
  • Nape stiffness
  • Aphonia
  • Scrofula

Name and classical tradition

Tianchuang, 天窗, is the “window of Heaven.” 天 indicates the upper part of the body, here the neck; 窗, the window. The point treats ear disorders, and the usual reading describes it as a window that opens toward the auditory orifice. Its name is one of the many on the neck and head that combine 天 with an architectural or natural element, like SI17, Tianrong, or ST16, Yingchuang, the window of the chest.

The textual origin is the Suwen (Basic Questions), in the chapter Qi Xue Lun (氣穴論). The first of its alternative names is already in the Zhenjiu Jiayi Jing (Systematic Classic of Acupuncture and Moxibustion), “天窗,一名窗籠,” and the others reinforce the image of the window: 窗簧 and 天籠. 籠 and 簧 designate mechanisms that open and close, like a blind or a spring. There is also the written form 窗聾, with 聾, “deafness,” a homophone of 籠. Whether the coincidence was deliberate, a play between the window and the deafness the point treats, is a suggestive observation, but no ancient source confirms it.

Other names

  • 窗籠Jiayi Jing
Location of point SI16, Celestial Window
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View point on the 3D modelSI16 on the anatomy
Needling techniquePerpendicular insertion 0.3-0.5 cun, avoiding the carotid artery.
Depth0.3-0.5 cun
MoxibustionCan be used with caution (3-5 minutes, indirect moxa)
PrecautionsAvoid deep needling near the carotid artery.
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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 SI16 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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