SI4

Small Intestine Channel

Wrist Bone

腕骨Wàn Gǔ

Anatomical location

On the ulnar border of the hand, between the base of the fifth metacarpal and the pisiform bone.

Main function

Clears Heat, benefits the eyes and ears, relieves wrist pain.

  • Yuan (Source) point

Therapeutic indications

  • Headache
  • tinnitus
  • jaundice
  • wrist pain
  • Wrist pain
  • Headache
  • Stiff neck
  • Contracture of the fingers
  • Intense thirst
  • Fever without sweating

Name and classical tradition

Wangu, 腕骨, is the “wrist bone.” The name is purely anatomical: 腕 is the wrist; 骨, the bone. The point is on the ulnar border of the hand, between the carpal bones, and the term 腕骨 also designates the carpal bones in general. The Lingshu (Spiritual Pivot) records it in the Ben Shu chapter (本輸) as the Yuan-Source point (原穴) of the Small Intestine, which on the Yang channels has its own place in the transport sequence.

A secondary source notes that the Huangdi Neijing Taisu by Yang Shangshan, in the 7th century, records the variant 完骨 for this point. If confirmed, this is a curious fact, because 完骨 is also the name of GB12, Wangu, the point at the mastoid process on the Gallbladder channel: two Wangus pronounced identically at opposite ends of the body. The reference has not been verified in the text of the Taisu, so it should be taken with caution.

Location of point SI4, Wrist Bone
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View point on the 3D modelSI4 on the anatomy
Needling techniquePerpendicular insertion 0.3-0.5 cun.
Depth0.3-0.5 cun
MoxibustionApplicable (5-10 minutes, indirect moxa)
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 SI4 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