TB 9 — Sì Dú (四渎) — Four Rivers
On this page
1. Overview
TB 9 — Sì Dú (四渎) — is an acupuncture point on the Triple Burner meridian (San Jiao). Its English name, Four Rivers, reflects the point’s classical character and location. It is used in acupuncture practice as part of channel-balancing prescriptions for a range of conditions.
I am Dr (TCM) Attilio D’Alberto, a member of the British Acupuncture Council with over 25 years of clinical experience. I use TB 9 as part of individually tailored acupuncture prescriptions at my clinic in Wokingham, Berkshire.
2. Location
On the lateral side of the forearm. 5 cun below the olecranon, between the radius and ulna.
3. Actions
- Benefits the throat and ears
4. Indications
- Headache
- Deafness
- Toothache
- Forearm pain
- Paralysis of the upper limb
- Neurasthenia
- Vertigo
- Nephritis
- Tennis elbow
5. Needling
Straight insertion, 1-2 cun. Sensation: distention and soreness possibly extending to the elbow and hand.
Important: Acupuncture should only be performed by a fully qualified practitioner. Never attempt self-needling. All needles I use are sterile, single-use and disposed of immediately after treatment in a clinical sharps container.
6. Clinical notes
TB 9 Sì Dú (Four Rivers) is used as part of channel-balancing prescriptions tailored to the patient’s individual TCM diagnosis.
7. Treatment at my clinic
I use TB 9 as part of tailored acupuncture prescriptions for conditions including Headache, Tinnitus, Migraine. Each treatment is individually designed following a full TCM assessment.
I see patients in person at my clinic in Wokingham, Berkshire. Visit the prices page for consultation fees. Return to the acupuncture points directory or the acupuncture main page.
