Lingshu-Genjie: "Hand taiyang is rooted in Shaoze (SI1)...enters Tianchuang (SI16)...".

bubble_chart Etymology

"Tian" (天) refers to the upper part; "chuang" (窗), means a window or orifice. The point is located near ear orifice in neck, hence the name.

bubble_chart Location

Tianchuang (SI16) acupoint
(adapted from "Meridians and Acupoints")

On the lateral part of neck, at the level of the Adam's apple, on the posterior border of the sternocleidomastoid muscle. Located 0.5 cun superior-posterior to Futu (LI18).

• Zhenjiu Jiayi Jing: "Below the curved cheek, behind Futu (LI18), in the depression where the pulse is palpable";
• Zhenjiu Jicheng: "2 cun directly below ear".

bubble_chart Anatomy

• Muscles: the anterior edge of trapezius muscle, the posterior edge of levator scapulae muscle, and the deep layer is splenius capitis muscle.
• Nerve: lesser occipital nerve.
• Vessels: postauricular artery and vein and branches of occipital artery and vein.

bubble_chart Manipulation

Insert perpendicularly, avoiding blood vessels, to a depth of 0.5 to 1 cun. Moxibustion with moxa cone 3 to 9 rounds, moxibustion with moxa stick for 10 to 15 minutes.

bubble_chart Efficacy

Clear throat, reduce swelling, restore voice.

• Classical: cheek swelling and pain, shoulder pain radiating to neck, tinnitus, deafness, acute hoarseness with inability to speak, cold in throat with hoarseness, flaccid paralysis due to stroke, throat pain, tonsillitis, pharyngitis, goiter, neck pain, headache, urticaria, manic and depressive psychosis, shoulder painradiating to neck, locked jaw, sweating, hemorrhoid and fistula.
• Modern: goiter.

bubble_chart Combinations

• Stroke, sudden loss of voice, inability to speak, and flaccid paralysis: First, apply moxibustion to Tianchuang (SI16) for 50 cones. After finishing, move to Baihui (GV20) and apply moxibustion for 50 cones. Finally, return to Tianchuang (SI16) and apply moxibustion for another 50 cones.
• Locked jaw: Tianchuang (SI16), Yifeng (TE17).
• Tonsillitis: for single tonsil swelling, Insert the needle deeply at Tianchuang (SI16) on the affected side, 1~2 cun toward throat, then withdraw immediately. Have the patient swallow saliva freely. This method is highly effective. For double tonsil swelling: Tianchuang (SI16), Chize (LU5), Shenmen (HT7), Zusanli (ST36), Taixi (KI3), additionally, needle Shaoshang (LU11) and perform a three-needle row puncture at the base of the thumbnail.
• Goiter: Tianchuang (SI16), Naohui (TE13).