TB10 (Tiānjǐng, “Heavenly Well”) is the He-Sea Point point of the Triple Burner Meridian. It is located on the posterior aspect of the elbow, in a palpable depression 1 cun superior to the olecranon (the tip of the elbow) when the elbow is flexed. It clears heat from the channel, transforms phlegm and dissipates nodules, soothes the sinews and invigorates the channel, calms the spirit.
On the posterior aspect of the elbow, in a palpable depression 1 cun superior to the olecranon (the tip of the elbow) when the elbow is flexed.
Perpendicular insertion 0.5 to 1.0 cun, with the elbow flexed.
Clears heat from the channel, transforms phlegm and dissipates nodules, soothes the sinews and invigorates the channel, calms the spirit.
Elbow pain radiating to the shoulder, inability to flex and extend the elbow, arm numbness and weakness, neck and shoulder pain, chest pain, cough with phlegm, coughing up pus, poor appetite, shortness of breath, inability to speak, chills and fever, malaria that occurs at mealtime, sadness and lack of pleasure, epilepsy, convulsions, fright, mania, great wind with lack of sensation, goiter, scrofula, deafness, sore throat, swollen cheeks, eye pain, hip pain from injury.
As the He-Sea and Earth point of the San Jiao channel, Tianjing is a major point for transforming phlegm and clearing heat anywhere along the channel's pathway. It is highly effective for local conditions like elbow pain and tennis elbow, but its influence extends to the neck, shoulder, chest, and even mental-emotional states involving phlegm-heat, such as mania or epilepsy. Its ability to treat both scrofula and chest conditions highlights its role in resolving phlegm accumulation in the upper body.
Classical text; the translation was prepared with AI and is not clinical advice.
《十四經發揮》 Shísì Jīng Fāhuī — Exposition of the Fourteen Channels, 1341 · Source: Wikisource ↗
天井：在肘外大骨後上一寸，兩筋間陷中，屈肘得之，甄權雲，曲肘後一寸，叉手按膝頭取之，兩筋骨罅According to this text, TB10 lies 1 cun above and behind the large bone on the outer side of the elbow, in the depression between two sinews, found with the elbow bent; Zhen Quan places it 1 cun behind the bent elbow, found with the hands crossed pressing on the knees, in the cleft between sinew and bone.
《針灸大成》 Zhēnjiǔ Dàchéng — Great Compendium of Acupuncture & Moxibustion, 1601 · 卷十 · Source: Wikisource ↗
天井 在肘後大骨後，肘上一寸，兩筋間陷中，又手按膝頭取之，屈肘拱胸取之， 針一分，灸三壯According to this text, TB10 lies behind the large bone of the elbow, 1 cun above the elbow, in the depression between two sinews, found by pressing the hands on the knees or by bending the elbows across the chest; it is needled 0.1 cun with 3 moxa cones.
《子午流注針經》 Zǐwǔ Liúzhù Zhēnjīng — Needling Classic of the Midday-Midnight Flow, Yan Mingguang, c. 1153 · 卷下 · 針經井滎歌訣 · Source: jicheng.tw ↗
天井為合肘外尋，風痹筋攣及骨疼，
咳嗽不食並驚悸，心胸氣上即時針The verse records that TB10, the he-sea point sought on the outer elbow, was needled for wind-bi, sinew spasms and bone pain, cough with no eating together with palpitations and fright, and qi rising in the heart and chest.
TB10 is one of 23 points on the Triple Burner Meridian. Nearby points:
TB10 (Tiānjǐng) is located on the posterior aspect of the elbow, in a palpable depression 1 cun superior to the olecranon (the tip of the elbow) when the elbow is flexed.
TB10 clears heat from the channel, transforms phlegm and dissipates nodules, soothes the sinews and invigorates the channel, calms the spirit. Common clinical indications include elbow pain radiating to the shoulder, inability to flex and extend the elbow, arm numbness and weakness, neck and shoulder pain, chest pain, cough with phlegm, coughing up pus, poor appetite, shortness of breath, inability to speak, chills and fever, malaria that occurs at mealtime, sadness and lack of pleasure, epilepsy, convulsions, fright, mania, great wind with lack of sensation, goiter, scrofula, deafness, sore throat, swollen cheeks, eye pain, hip pain from injury.
Perpendicular insertion 0.5 to 1.0 cun, with the elbow flexed.
TB10 is a point on the Triple Burner Meridian (Sān Jiāo).