SI4 Wrist Bone

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

SI4 (Wàngǔ, “Wrist Bone”) is the Yuan-source point of the Small Intestine Channel Meridian. It is located on the ulnar side of the palm, in the depression between the base of the fifth metacarpal bone and the triquetrum bone. It clears heat and reduces swelling.

Location

On the ulnar side of the palm, in the depression between the base of the fifth metacarpal bone and the triquetrum bone.

Needling

Perpendicular insertion 0.5-0.8 cun.

TCM functions

Clears heat and reduces swelling.

Indications

Headache, neck stiffness, wrist pain, jaundice.

Yuan-source

Clinical notes

As the Yuan-source point of the Small Intestine meridian, SI4 is crucial for regulating the qi and blood of its associated organ and meridian. It is primarily used for local pain and swelling of the wrist and hand, such as tenosynovitis or arthritis. It also clears heat from the Small Intestine, addressing conditions like jaundice, abdominal distention, and diarrhea, and is often paired with SI3 for wrist pain.

On the Small Intestine Channel channel

SI4 is one of 19 points on the Small Intestine Channel Meridian. Nearby points:

Frequently asked questions

Where is SI4 located?

SI4 (Wàngǔ) is located on the ulnar side of the palm, in the depression between the base of the fifth metacarpal bone and the triquetrum bone.

What is SI4 used for?

SI4 clears heat and reduces swelling. Common clinical indications include headache, neck stiffness, wrist pain, jaundice.

How is SI4 needled?

Perpendicular insertion 0.5-0.8 cun.

Which meridian is SI4 on?

SI4 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.