ST6

Stomach Channel

Jaw Bone

颊车Jiá Chē

Anatomical location

One finger-width (thumb width) anterior and superior to the angle of the mandible, at the prominence of the masseter muscle when the teeth are clenched.

Main function

Disperses Wind-Heat, benefits the jaw, relieves pain, reduces swelling.

Therapeutic indications

  • Toothache
  • trismus
  • jaw pain
  • facial paralysis
  • swelling of the cheek
  • mumps
  • mandibular pain
  • neck stiffness
  • loss of voice
  • schizophrenia (Dian Kuang)
  • trigeminal neuralgia
  • bruxism

Name and classical tradition

Jiache, 颊车, is the “cheek carriage.” 颊 (頰) is the cheek, and 车 (車) is the carriage or the wheel. The point lies at the angle of the mandible, over the masseter, and the traditional reading compares the jaw joint to a wheel that turns as we chew. It is an old interpretation, consistent with the use of 車 and 樞, wheel and pivot, to name mobile joints in the classical texts.

The Zhenjiu Jiayi Jing (Systematic Classic of Acupuncture and Moxibustion) gives a very precise location: “在耳下曲頰端陷者中,開口有孔,” below the ear, in the depression at the curved end of the jaw; a hollow forms when the mouth is opened. Secondary sources also mention the point in the Lingshu (Spiritual Pivot), in the chapters Jing Mai (經脈) and Xie Qi Zang Fu Bing Xing (邪氣臟腑病形).

Its alternative names are of historical interest. 曲牙, “curved tooth,” is attributed to the Suwen (Basic Questions), in the chapter Qi Xue Lun, which lists several points by their ancient names. 機關, “mechanism,” and 鬼床, “bed of the spirits,” are attributed to Sun Simiao's Qianjin Yifang from the Tang period; the second corresponds to the seventh of the thirteen ghost points of the Qianjin Yaofang (Essential Formulas Worth a Thousand Gold), “耳前髮際宛宛中,耳垂下五分,名鬼床,” in front of the ear, below the lobe, called the “bed of the spirits.” 齒牙, 鬼林, and 臼關 are also listed.

Location of point ST6, Jaw Bone
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View point on the 3D modelST6 on the anatomy
Needling techniquePerpendicular insertion 0.3-0.5 cun or oblique insertion 0.5-1 cun toward ST4.
Depth0.3-1 cun
MoxibustionApplicable (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 ST6 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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