OMT 520 - Small Intestine Meridian

On the dorsal aspect of the little finger, at the junction of lines drawn along the ulnar border of the nail and the base of the nail, approximately 0.1 cun from the corner of the nail.

SI-1

On the ulnar border of the little finger, in a depression just distal to the metacarpo-phalangeal joint.

SI-2

On the ulnar border of the hand, in the substantial depression proximal to the head of the fifth metacarpal bone.

SI-3

On the ulnar border of the hand, in the depression between the base of the fifth metacarpal bone and the triquetral bone.

SI-4

At the ulnar border of the wrist, in the depression between the head of the ulna and the triquetral bone.

SI-5

When the palm of the hand is placed on the chest, this point is located on the dorsal aspect of the head of the ulna, in a cleft level with and to the radial side of the high point of the styloid process of the ulna.

SI-6

On a line connecting SI-5 and SI-8, 5 cun proximal to SI-5, in the groove between the anterior border of the ulna and the muscle belly of flexor carpi ulnaris.

SI-7

In the depression between the tip of the olecranon process of the ulna and the tip of the medial epicondyle of the humerus

SI-8

On the posterior aspect of the shoulder, 1 cun superior to the posterior axillary crease when the arm hangs in the adducted position.

SI-9

On the posterior aspect of the shoulder, in the depression inferior to the scapular spine, directly superior to the posterior axillary crease when the arm hangs in the adducted position.

SI-10

On the scapula, in a tender depression one third of the distance from the midpoint of the inferior border of the scapular spine to the inferior angle of the scapula.

Note: In practice it may be difficult to palpate the inferior angle of the scapula. An alternative method of location is to draw an equilateral triangle with SI-9 and SI-10, after first ensuring that the patient's shoulder is relaxed.

SI-11

In the centre of the suprascapular fossa, directly above SI-11, in a depression formed when the arm is raised.

Si-12

In the tender depression superior to the medial end of the scapular spine, midway between SI-10 and the spinous process of T2.

SI-13

3 cun lateral to the lower border of the spinous process of T1.

SI-14

2 cun lateral to the lower border of the spinous process of C7.

SI-15

On the posterior border of the sternocleidomastoid muscle, level with the laryngeal prominence.

SI-16

In the depression between the angle of the mandible and the anterior border of the sternocleidomastoid muscle.

SI-17

Directly below the outer canthus, in the depression at the lower border of the zygomatic bone.

Si-18

With the mouth open, this point is located in the depression between the middle of the tragus and the condyloid process of the mandible.

SI-19