Xiyan Knee Eye

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

Xiyan (Xīyǎn, “Knee Eye”) is an extra (non-channel) acupuncture point. A pair of points in the depressions medial and lateral to the patellar ligament, with the knee flexed. The medial point is called Neixiyan (medial knee eye), and the lateral point is called Waixiyan (lateral knee eye). It dispels wind-damp, reduces swelling, alleviates pain.

Location

A pair of points in the depressions medial and lateral to the patellar ligament, with the knee flexed. The medial point is called Neixiyan (medial knee eye), and the lateral point is called Waixiyan (lateral knee eye).

Needling

Perpendicular insertion 0.5-1.0 cun, or transfixion.

TCM functions

Dispels wind-damp, reduces swelling, alleviates pain.

Indications

Knee pain, weakness of the lower extremities.

Clinical notes

Xiyan, often used as a pair (medial and lateral), is a crucial local point for knee pain and swelling, particularly due to wind-damp bi syndrome or trauma. It effectively dispels wind-damp, reduces swelling, and alleviates pain, making it indispensable for osteoarthritis of the knee. It is frequently used with moxibustion or electroacupuncture for chronic knee conditions.

Frequently asked questions

Where is Xiyan located?

A pair of points in the depressions medial and lateral to the patellar ligament, with the knee flexed. The medial point is called Neixiyan (medial knee eye), and the lateral point is called Waixiyan (lateral knee eye).

What is Xiyan used for?

Xiyan dispels wind-damp, reduces swelling, alleviates pain. Common clinical indications include knee pain, weakness of the lower extremities.

How is Xiyan needled?

Perpendicular insertion 0.5-1.0 cun, or transfixion.

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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.