NAME
JIACHE
LOCATION
Approximately one fingerbreadth anterior and superior to the angle of the jaw at the prominence of the masseter muscle.
Note: ask the patient to clench the jaw before locating.
With the teeth slightly clenched, the point is at the prominence of the masseter muscle at the lateral aspect of the lower mandible, about 1 cun anterosuperior to the mandibular angle.
NEEDLING
Perpendicular insertion 0.5 cun.
Transverse insertion to join with such points as ST-4 Dicang, ST-5 Daying and ST-7 Xiaguan.
Transverse insertion towards the upper or lower jaw for toothache.
Straight insertion, 0.5 cun. Sensation: local distention and soreness.
Transverse insertion for facial paralysis, join to ST-4 Dicang, 2 to 3 cun. Sensation: local distention and soreness extending around the point.
For spasm of the masseter muscle, direct the needle upward.
Puncture perpendicularly 0.3 to 0.5 cun, or subcutaneously with the tip of the needle towards ST-4 Dicang.
Moxibustion is applicable.
COMMAND FUNCTIONS
Sun Si-miao Ghost point
ACTIONS
Eliminates Wind
Benefits the jaw and teeth
Activates the channel
Alleviates pain
Clears Heat from the Yang Ming
INDICATIONS
Deviation of the mouth and eyes
Swelling of the cheek and face
Toothache
Gum disorders
Tension and pain of the jaw
Inability to chew
Inability to open the mouth following Windstroke
Tempomandibular joint arthritis or dysfunction
Generalized toothache with pain and swelling of the lower jaw and cheeks
Hemiplegia
Total paralysis
Stiffness and pain of the neck
Mumps
Loss of voice
Trigeminal neuralgia
Facial paralysis
Trismus
Torticollis
Spasm of the masseter muscle
Sore throat
Lockjaw
Apoplexy with trismus
Spasms and neuralgia of the neck muscles
Aphonia
Laryngitis
COMBINATIONS
SI-18 Quanliao | ST-4 Dicang DU-26 Renzhong REN-24 Chengjiang GB-2 Tinghui LI-4 Hegu | DU-26 Renzhong DU-20 Baihui REN-24 Chengjiang LI-4 Hegu or GB-3 Shangguan Pain Points Ahshi Points |
Pain and deviation of the mouth Aversion to Wind and Cold Inability to chew | Deviation of the mouth and eye | Lockjaw |
SJ-20 Jiaosun | GB-2 Tinghui LI-4 Hegu | LI-4 Hegu |
Inability to chew | Swelling, pain and redness of the ear | Facial paralysis Problems of the lower jaw including toothache |
N-UE-1 Yatong ST-7 Xiaguan LI-4 Hegu ST-44 Neiting | SJ-17 Yifeng LI-4 Hegu | REN-24 Chengjiang LI-4 Hegu |
Toothache | Acute parotitis | Lock jaw |
CONTRAINDICATIONS
NOTES
This is an important local point to treat a wide range of disorders affecting the jaw.