SI9 True Shoulder

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

SI9 (Jiānzhēn, “True Shoulder”) is an acupuncture point on the Small Intestine Channel Meridian. It is located on the posterior aspect of the shoulder, 1 cun superior to the posterior axillary fold, inferior to the posterior border of the deltoid muscle. It activates the meridian and alleviates pain.

Location

On the posterior aspect of the shoulder, 1 cun superior to the posterior axillary fold, inferior to the posterior border of the deltoid muscle.

Needling

Perpendicular insertion 1-2 cun. Caution for pneumothorax.

⚠ Pneumothorax risk: oblique/shallow only, never deep perpendicular over the chest wall.

TCM functions

Activates the meridian and alleviates pain.

Indications

Shoulder and arm pain, limited shoulder movement.

Clinical notes

SI9 is a key local point for shoulder pain, particularly limited abduction and posterior shoulder pain. It is highly effective for conditions like frozen shoulder, rotator cuff injuries, and general stiffness in the shoulder joint. Its name, "True Shoulder," emphasizes its direct action on the shoulder. It is often combined with SI10 and LI15 for comprehensive shoulder pain relief.

On the Small Intestine Channel channel

SI9 is one of 19 points on the Small Intestine Channel Meridian. Nearby points:

Frequently asked questions

Where is SI9 located?

SI9 (Jiānzhēn) is located on the posterior aspect of the shoulder, 1 cun superior to the posterior axillary fold, inferior to the posterior border of the deltoid muscle.

What is SI9 used for?

SI9 activates the meridian and alleviates pain. Common clinical indications include shoulder and arm pain, limited shoulder movement.

How is SI9 needled?

Perpendicular insertion 1-2 cun. Caution for pneumothorax. Caution: ⚠ Pneumothorax risk: oblique/shallow only, never deep perpendicular over the chest wall.

Which meridian is SI9 on?

SI9 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.