Shixuan Ten Diffusions

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

Shixuan (Shíxuān, “Ten Diffusions”) is an extra (non-channel) acupuncture point. Shixuan consists of ten points located on the tips of the ten fingers, approximately 0.1 cun from the nail bed. It opens the orifices, revives consciousness, clears heat, drains fire.

Location

Shixuan consists of ten points located on the tips of the ten fingers, approximately 0.1 cun from the nail bed.

Needling

Perpendicular or oblique insertion 0.1-0.2 cun, or prick to bleed.

TCM functions

Opens the orifices, revives consciousness, clears heat, drains fire.

Indications

Apoplexy, coma, epilepsy, high fever, sunstroke, sore throat, infantile convulsion, numbness of fingertips.

Clinical notes

Shixuan are a set of ten empirical points primarily used for emergency situations due to their strong action in opening the orifices and reviving consciousness. They are crucial for clearing heat and draining fire, making them effective for high fever, heatstroke, and convulsions. Clinically, they are often bled for acute conditions like coma, stroke, and epilepsy, and can be used with PC9 for severe heat conditions.

Frequently asked questions

Where is Shixuan located?

Shixuan consists of ten points located on the tips of the ten fingers, approximately 0.1 cun from the nail bed.

What is Shixuan used for?

Shixuan opens the orifices, revives consciousness, clears heat, drains fire. Common clinical indications include apoplexy, coma, epilepsy, high fever, sunstroke, sore throat, infantile convulsion, numbness of fingertips.

How is Shixuan needled?

Perpendicular or oblique insertion 0.1-0.2 cun, or prick to bleed.

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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.