SI10 Upper Arm Shu

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

SI10 (Naoshu, “Upper Arm Shu”) is the Meeting point of SI, UB, Yang Qiao Mai point of the Small Intestine Channel Meridian. It is located on the posterior aspect of the shoulder, in a depression directly inferior to the spine of the scapula and posterior to the acromion. The point is found by abducting the arm, where a clear depression appears. It activates the channel, alleviates pain, benefits the shoulder and arm.

Location

On the posterior aspect of the shoulder, in a depression directly inferior to the spine of the scapula and posterior to the acromion. The point is found by abducting the arm, where a clear depression appears.

Needling

Perpendicular or oblique insertion 1.0 to 1.5 cun. Oblique insertion can be directed medially towards the spine of the scapula or inferiorly along the posterior border of the deltoid muscle.

TCM functions

Activates the channel, alleviates pain, benefits the shoulder and arm.

Indications

Arm soreness and weakness, shoulder pain that radiates to the scapula, chills and fever, swelling due to qi, leg pain.

Meeting point of SI, UB, Yang Qiao Mai

Clinical notes

SI10 is a primary local point for treating a wide range of shoulder disorders, especially those involving pain, soreness, and weakness in the posterior aspect of the joint. Its connection to the Yang Wei and Yang Qiao vessels gives it a broader capacity to treat systemic conditions involving chills and fever. Clinically, it is most often used for rotator cuff injuries, frozen shoulder, and general shoulder pain that makes it difficult to lift the arm.

In the classical sources

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

《針方六集》 Zhēnfāng Liùjí — Six Collections on Needling, Wu Kun, 1618 · 卷之五·紛署集 · 肩凡二十八穴第十三 · Source: jicheng.tw ↗

臑俞二穴,治肩腫寒熱,臂酸引痛

The text records that SI10 was used for swelling of the shoulder with cold and heat, and aching of the arm with pulling pain.

《醫學綱目·刺灸》 Yīxué Gāngmù · Cìjiǔ — Outline of Medicine: Needling and Moxibustion, Lou Ying, 1565 · 卷之八·陰陽臟腑部 · 穴法下 · Source: jicheng.tw ↗

臑俞二穴,在肩髎後大骨下髀上廉陷中,手足太陽陽維陽蹺之會,舉臂取之。 針入八分,可灸三壯

According to this text, SI10 lies behind Jianliao (TE14), below the large bone, in the depression on the upper border of the scapula; it is a meeting point of the hand and foot Taiyang, Yangwei and Yangqiao vessels and is located with the arm raised. Needle 0.8 cun; moxibustion 3 cones is permitted.

《普濟方·針灸門》 Pǔjì Fāng · Zhēnjiǔ Mén — Formulas for Universal Relief: Acupuncture & Moxibustion Section, Zhu Su, 1406 · 卷四百十四 · 針灸門 · 肩膊部左右二十六穴 · Source: jicheng.tw ↗

臑俞二穴 在肩髎後大骨下。 胛上廉陷中。 針八分。 灸三壯

According to this text, SI10 lies behind Jianliao (TE14), below the large bone, in the depression on the upper border of the scapula; needle 0.8 cun, moxibustion 3 cones.

On the Small Intestine Channel channel

SI10 is one of 19 points on the Small Intestine Channel Meridian. Nearby points:

Frequently asked questions

Where is SI10 located?

SI10 (Naoshu) is located on the posterior aspect of the shoulder, in a depression directly inferior to the spine of the scapula and posterior to the acromion. The point is found by abducting the arm, where a clear depression appears.

What is SI10 used for?

SI10 activates the channel, alleviates pain, benefits the shoulder and arm. Common clinical indications include arm soreness and weakness, shoulder pain that radiates to the scapula, chills and fever, swelling due to qi, leg pain.

How is SI10 needled?

Perpendicular or oblique insertion 1.0 to 1.5 cun. Oblique insertion can be directed medially towards the spine of the scapula or inferiorly along the posterior border of the deltoid muscle.

Which meridian is SI10 on?

SI10 is a point on the Small Intestine Channel Meridian (Shǒu Tài Yáng Xiǎo Cháng 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.