LI10 Arm Three Miles

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

LI10 (Shousanli, “Arm Three Miles”) is an acupuncture point on the Large Intestine Meridian. It is located on the postero-lateral aspect of the forearm, on the line connecting LI5 (Yangxi) and LI11 (Quchi), 2 cun distal to the cubital crease at LI11. It activates the channel, alleviates pain, harmonizes the intestines and stomach.

Location

On the postero-lateral aspect of the forearm, on the line connecting LI5 (Yangxi) and LI11 (Quchi), 2 cun distal to the cubital crease at LI11.

Needling

Perpendicular insertion 1.0 to 1.5 cun, or oblique insertion distally or proximally 1.5 to 2.5 cun.

TCM functions

Activates the channel, alleviates pain, harmonizes the intestines and stomach.

Indications

Arm pain, forearm pain, hemiplegia, toothache, cheek swelling, scrofula, abdominal pain, vomiting, diarrhea, paralysis of the upper limb, motor impairment of the arm, numbness of the hand and arm, pain of the shoulder and back.

Clinical notes

Shousanli is a primary distal point for pain and motor impairment of the shoulder, elbow, and wrist. Its name, 'Arm Three Miles,' mirrors the systemic importance of 'Leg Three Miles' (ST36), and it is similarly used for regulating its associated organ, the Large Intestine, treating conditions like abdominal pain and diarrhea. It is also effective for facial issues along the channel pathway, such as toothache and cheek swelling.

In the classical sources

Classical text; the translation was prepared with AI and is not clinical advice.

《黃帝明堂灸經》 Huángdì Míngtáng Jiǔjīng — The Yellow Emperor's Bright Hall Moxibustion Classic, Tang · 卷上 · 正人形第二 · Source: jicheng.tw ↗

二穴,一名手三里,在曲池下二寸,按之肉起,兌肉之端

According to this text, LI10 (called hand Sanli) lies 2 cun below Quchi, where the flesh rises when pressed, at the tip of the pointed muscle.

《扁鵲神應針灸玉龍經》 Biǎn Què Shényìng Zhēnjiǔ Yùlóng Jīng — Bian Que's Jade Dragon Classic of Divinely Responsive Acupuncture & Moxibustion, 1329 · 针灸歌 · Source: Wikisource ↗

肩背患时手三里,两足冷痹肾俞拟

This verse records that LI10 was used for shoulder and back complaints (and Shenshu for cold bi of both feet).

On the Large Intestine channel

LI10 is one of 20 points on the Large Intestine Meridian. Nearby points:

Frequently asked questions

Where is LI10 located?

LI10 (Shousanli) is located on the postero-lateral aspect of the forearm, on the line connecting LI5 (Yangxi) and LI11 (Quchi), 2 cun distal to the cubital crease at LI11.

What is LI10 used for?

LI10 activates the channel, alleviates pain, harmonizes the intestines and stomach. Common clinical indications include arm pain, forearm pain, hemiplegia, toothache, cheek swelling, scrofula, abdominal pain, vomiting, diarrhea, paralysis of the upper limb, motor impairment of the arm, numbness of the hand and arm, pain of the shoulder and back.

How is LI10 needled?

Perpendicular insertion 1.0 to 1.5 cun, or oblique insertion distally or proximally 1.5 to 2.5 cun.

Which meridian is LI10 on?

LI10 is a point on the Large Intestine Meridian (Shǒu Yángmíng Dàcháng Jīng).

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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.