Small Intestine Channel Meridian 手太陽小腸經

Reviewed by · Licensed Acupuncturist & TCM Physician · Last reviewed June 2026

Small Intestine Channel Meridian (Shǒu Tài Yáng Xiǎo Cháng Jīng, 手太陽小腸經) is a primary channel in acupuncture and Traditional Chinese Medicine, associated with the Fire phase, Yang in polarity, interiorly-exteriorly paired with the Heart. This channel is responsible for separating clear from turbid substances, both physically in digestion and energetically in thought processes.

Chinese手太陽小腸經
PinyinShǒu Tài Yáng Xiǎo Cháng Jīng
Groupprimary
ElementFire
Yin / YangYang
OrganSmall Intestine
Paired organHeart
Organ clock13:00-15:00
Number of points19

Channel pathway

The Small Intestine channel begins at the ulnar side of the little finger (SI1), ascends along the ulnar aspect of the hand and forearm, passing between the olecranon and medial epicondyle of the humerus. It continues superiorly along the posterior aspect of the upper arm to the shoulder joint, circling the scapula and meeting the Du Mai at GV14. From the shoulder, it ascends across the neck to the cheek, reaching the outer canthus of the eye (SI18) and then entering the ear (SI19). A branch separates on the cheek, descending to the zygomatic arch and entering the inner canthus, connecting with the Bladder channel.

Physiology & functions

This channel is responsible for separating clear from turbid substances, both physically in digestion and energetically in thought processes. It governs the assimilation of nutrients and the clarity of mind, influencing mental discernment and emotional processing. As a Tai Yang channel, it also plays a role in defending the body against external pathogens, particularly affecting the head and neck.

When the channel is disordered

Disorders of the Small Intestine channel often manifest as pain along its pathway, including shoulder, scapular, neck, and ear pain, as well as tinnitus and deafness. Digestive symptoms like abdominal pain, diarrhea, or indigestion can occur. Mental-emotional symptoms such as difficulty concentrating, confusion, or emotional agitation may also be present.

Key & command points

All points on the Small Intestine Channel channel (19)

Frequently asked questions

What is the pathway of the Small Intestine Channel Meridian?

The Small Intestine channel begins at the ulnar side of the little finger (SI1), ascends along the ulnar aspect of the hand and forearm, passing between the olecranon and medial epicondyle of the humerus. It continues superiorly along the posterior aspect of the upper arm to the shoulder joint, circling the scapula and meeting the Du Mai at GV14. From the shoulder, it ascends across the neck to the cheek, reaching the outer canthus of the eye (SI18) and then entering the ear (SI19). A branch separates on the cheek, descending to the zygomatic arch and entering the inner canthus, connecting with the Bladder channel.

What does the Small Intestine Channel Meridian do in TCM?

This channel is responsible for separating clear from turbid substances, both physically in digestion and energetically in thought processes. It governs the assimilation of nutrients and the clarity of mind, influencing mental discernment and emotional processing. As a Tai Yang channel, it also plays a role in defending the body against external pathogens, particularly affecting the head and neck.

How many acupuncture points are on the Small Intestine Channel Meridian?

The Small Intestine Channel Meridian has 19 acupuncture points, from SI1 to SI19.

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⚠️ This page is for general education and is not medical advice. Acupuncture is a traditional practice; evidence varies by condition and study quality, and individual results differ. It does not replace diagnosis or treatment by a licensed professional. Always consult a qualified acupuncturist or physician.