SI8

Small Intestine Channel

Small Sea

小海Xiǎo Hǎi

Anatomical location

In the depression between the olecranon of the ulna and the medial epicondyle of the humerus, with the elbow flexed.

Main function

Clears Heat, relieves elbow and arm pain, calms the Shen.

  • He-Sea point (Earth)
  • Sedation Point

Therapeutic indications

  • Elbow pain
  • shoulder pain
  • tinnitus
  • headache
  • Elbow pain along the ulnar course
  • Numbness of the little finger
  • Epilepsy
  • Swelling of the cheek
  • Neck pain
  • Scrofula

Ryodoraku

  • Sedation of Small Intestine

Name and classical tradition

Xiaohai, 小海, is the “small sea.” 小 is small, and 海, the sea. It is the He-Sea point (合穴) of the Small Intestine, the place where, according to the doctrine of the five transport points, the Qi that has traveled the channel from the tip of the finger enters like a river into the sea. On the Yang channels, the He corresponds to Earth. This is the standard reading, consistent with theory, and the Lingshu (Spiritual Pivot) records it in the Ben Shu chapter (本輸).

The main caution is not to confuse it with HT3, Shaohai, the He-Sea point of the Heart. Both names use 海, both allude to a sea of reduced size, their pinyin is very similar, and both points are at the elbow, relatively close together. But the first character is different, 小, “small,” versus 少, “young” or “scarce,” and so are the channels. Xiaohai is in the hollow between the olecranon and the medial epicondyle of the humerus, with the elbow slightly flexed.

Location of point SI8, Small Sea
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View point on the 3D modelSI8 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 SI8 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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