SI15 Jianzhongshu

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

SI15 (Jianzhongshu, “Jianzhongshu”) is an acupuncture point on the Small Intestine Channel Meridian. It is located on the upper back, in a depression on the medial border of the scapula, located 2 cun lateral to the spinous process of the seventh cervical vertebra (C7). It descends rebellious Lung Qi, stops cough, clears heat and stops bleeding, and activates the channel to alleviate pain.

Location

On the upper back, in a depression on the medial border of the scapula, located 2 cun lateral to the spinous process of the seventh cervical vertebra (C7).

Needling

Oblique insertion medially, 0.5 to 1.0 cun. Deep perpendicular insertion carries a risk of causing a pneumothorax.

Overlies the thoracic cavity — risk of PNEUMOTHORAX. Needle obliquely or transversely, never deeply or perpendicularly toward the chest wall.

TCM functions

Descends rebellious Lung Qi, stops cough, clears heat and stops bleeding, and activates the channel to alleviate pain.

Indications

Cough, upward surging Qi, spitting blood, cold and heat sensations, poor vision, shoulder and scapular pain.

Clinical notes

Jianzhongshu is a key local point for pain and stiffness in the shoulder and upper back, particularly along the medial border of the scapula. Its classical indications also highlight a strong connection to the Lungs, making it effective for treating cough, wheezing, and even spitting of blood by descending rebellious Lung Qi. This dual action on both the channel and the organ makes it a valuable point for conditions where respiratory symptoms are accompanied by upper back tension.

In the classical sources

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

《針灸逢源》 Zhēnjiǔ Féngyuán — Sources of Acupuncture & Moxibustion, Li Xuechuan, 1815 · 卷四 · 經穴考正 · 手太陽小腸經穴考 · Source: jicheng.tw ↗

肩中腧 在肩胛內廉大椎旁二寸陷中。 (針三分。 灸七壯)治咳嗽上氣唾血寒熱

According to this text, SI15 lies on the inner border of the scapula, 2 cun beside Dazhui (GV14); needle 0.3 cun, moxibustion 7 cones. It was used for cough with rising qi, spitting blood, and cold and heat.

《針方六集》 Zhēnfāng Liùjí — Six Collections on Needling, Wu Kun, 1618 · 卷之一·神照集 · 手太陽小腸經圖穴十三 · 手太陽小腸經所發一十九穴 · Source: jicheng.tw ↗

肩中俞二穴,在肩胛內廉,去脊二寸陷者中。 《針經》刺入三分,留七呼,灸三壯

According to this text, SI15 lies on the inner border of the scapula, in the depression 2 cun from the spine; the Zhenjing gives needling 0.3 cun, retention for seven breaths, and moxibustion 3 cones.

《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 ↗

肩中俞二穴 在肩胛骨內廉。 去脊二寸陷中。 針三分。 留七呼。 灸十壯

According to this text, SI15 lies on the inner border of the scapular bone, in the depression 2 cun from the spine; needle 0.3 cun, retain for seven breaths, moxibustion 10 cones.

《類經圖翼》 Lèijīng Túyì — Illustrated Wings to the Classified Canon, Zhang Jiebin, 1624 · 卷六 · 經絡(四) · 手太陽小腸經穴 · Source: jicheng.tw ↗

肩中俞 在肩胛內廉,去脊大椎旁二寸陷中。 刺三分,留七呼,灸十壯。 甲乙經作三壯。 主治咳嗽上氣,唾血寒熱,目視不明

According to this text, SI15 lies on the inner border of the scapula, 2 cun beside Dazhui (GV14); needle 0.3 cun, retain seven breaths, moxibustion 10 cones (3 in the Jiayi jing). It was used for cough with rising qi, spitting blood, cold and heat, and unclear vision.

On the Small Intestine Channel channel

SI15 is one of 19 points on the Small Intestine Channel Meridian. Nearby points:

Frequently asked questions

Where is SI15 located?

SI15 (Jianzhongshu) is located on the upper back, in a depression on the medial border of the scapula, located 2 cun lateral to the spinous process of the seventh cervical vertebra (C7).

What is SI15 used for?

SI15 descends rebellious Lung Qi, stops cough, clears heat and stops bleeding, and activates the channel to alleviate pain. Common clinical indications include cough, upward surging Qi, spitting blood, cold and heat sensations, poor vision, shoulder and scapular pain.

How is SI15 needled?

Oblique insertion medially, 0.5 to 1.0 cun. Deep perpendicular insertion carries a risk of causing a pneumothorax. Caution: Overlies the thoracic cavity — risk of PNEUMOTHORAX. Needle obliquely or transversely, never deeply or perpendicularly toward the chest wall.

Which meridian is SI15 on?

SI15 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.