SI19

Small Intestine Channel

Palace of Hearing

听宫Tīng Gōng

Anatomical location

On the face, between the tragus and the condyle of the mandible, with the mouth open.

Main function

Benefits the ears, clears Heat, relieves ear pain.

  • Crossing point with the Gallbladder and Triple Energizer

Therapeutic indications

  • Tinnitus
  • deafness
  • otitis media
  • ear pain
  • facial paralysis
  • Otitis
  • Toothache
  • Vertigo
  • Mania

Name and classical tradition

Tinggong, 听宫, is the “palace of hearing.” 听 (聽) is to hear; 宫 (宮), the palace, and here, by metonymy, the enclosure of the ear. The point lies in front of the tragus, with the mouth open, and treats hearing. The name is both anatomical and functional. A modern gloss understands that the Qi of the channel enters from the outside to the interior through this palace, a reading less convincing than the simple one.

Its textual origin is well identified: the Lingshu (Spiritual Pivot), in the chapter Ci Jie Zhen Xie (刺節真邪). Its alternative names insist on hearing: 多所聞, “the one who hears much,” and 聽多聞.

It is the last point of the channel and a meeting place: the hand Shaoyang, that of the Triple Energizer, the foot Shaoyang, that of the Gallbladder, and the hand Taiyang, that of the Small Intestine itself, all meet here. In the region in front of the ear lie two other ear points, GB2, Tinghui, the “meeting of the ear,” and TE21, Ermen, the “gate of the ear.”

Location of point SI19, Palace of Hearing
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View point on the 3D modelSI19 on the anatomy
Needling techniquePerpendicular insertion 0.5-1.0 cun with the mouth open.
Depth0.5-1.0 cun
MoxibustionCan be used with caution (3-5 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 SI19 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.

See the Clinic