TB15 Celestial Foramen

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

TB15 (Tiānliáo, “Celestial Foramen”) is an acupuncture point on the Triple Burner Meridian. It is located on the superior aspect of the scapula, in the depression located superior to the scapular spine, approximately midway between the acromion and the spinous process of the first thoracic vertebra (T1). It the classical text is not explicit about TCM functions. Based on the indications, it appears to address pain and stiffness in the shoulder and neck, and potentially clears heat.

Location

On the superior aspect of the scapula, in the depression located superior to the scapular spine, approximately midway between the acromion and the spinous process of the first thoracic vertebra (T1).

Needling

Perpendicular or oblique insertion 0.5 to 1 cun. Oblique insertion is often directed medially towards the spine or laterally along the supraspinous fossa. Deep perpendicular insertion carries a risk of pneumothorax.

TCM functions

The classical text is not explicit about TCM functions. Based on the indications, it appears to address pain and stiffness in the shoulder and neck, and potentially clears heat..

Indications

Pain and heaviness in the shoulder and arm, inability to raise the arm, pain in the nape of the neck..

Clinical notes

Tianliao is a key local point for treating disorders of the shoulder, scapula, and neck. Its location in the supraspinatus fossa makes it effective for rotator cuff issues, particularly those involving pain, stiffness, and restricted movement. Its connection to the Gallbladder channel and Yang Wei Mai broadens its use for pain that radiates along these pathways.

On the Triple Burner channel

TB15 is one of 23 points on the Triple Burner Meridian. Nearby points:

Frequently asked questions

Where is TB15 located?

TB15 (Tiānliáo) is located on the superior aspect of the scapula, in the depression located superior to the scapular spine, approximately midway between the acromion and the spinous process of the first thoracic vertebra (T1).

What is TB15 used for?

TB15 the classical text is not explicit about TCM functions. Based on the indications, it appears to address pain and stiffness in the shoulder and neck, and potentially clears heat. Common clinical indications include pain and heaviness in the shoulder and arm, inability to raise the arm, pain in the nape of the neck.

How is TB15 needled?

Perpendicular or oblique insertion 0.5 to 1 cun. Oblique insertion is often directed medially towards the spine or laterally along the supraspinous fossa. Deep perpendicular insertion carries a risk of pneumothorax.

Which meridian is TB15 on?

TB15 is a point on the Triple Burner Meridian (Sān Jiāo).

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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.