Sundance Acupuncture

Herb & Acupuncture Database

(This is my own personal database of teachers, teachings and notes that I use in my practice. I’ve decided to share it freely with anyone who would like to reference it.)

LI-19 Kouheliao (Nose -Heliao) - Grain Bone

More Spirit Names: Grain Bone Hole, Grain Seam, Long Cheek, Long Bone Hole

English: Mouth Grain Crevice
Also Known As: Grain Seam
Heliao
Grain Bone

Location

  • Directly below the lateral margin of the nostril, level with DU-26 Renzhong.
    Note: DU-26 Renzhong is located above the upper lip on the midline, at the junction of the upper and lower two thirds of the philtrum.

Needling

  • Transverse insertion, directed medially, 0.3 to 0.5 cun. Sensation: local pain.
  • Oblique insertion 0.3 to 0.5 cun.
    Note: according to some classical texts, this point is contraindicated to moxibustion.
  • Puncture obliquely 0.2 to 0.3 cun.

Command Functions

Actions

  • Eliminates Wind
  • Opens the nasal passages

Indications

  • Rhinitis
  • Epistaxis
  • Facial paralysis
  • Ulceration of the nose
  • Extra tissue in the nose
  • Trismus (lock jaw)
  • Deviation of the mouth
  • Disorders of the teeth
  • Gingivitis
  • Nasal obstruction
  • Patient cannot open the mouth
  • Cadaveric syncope
  • Nasal congestion
  • Nasal discharge
  • Loss of the sense of smell
  • Nasal sores
  • Nasal polyps
  • Rhinitis with nosebleed
  • Loss of consciousness
  • Disorders of the gums
  • Mouth ulcers
  • Incessant epistaxis
  • Abscess of the nose

Combinations

N-HN-20
Qianzheng
ST-4
Dicang
ST-2
Sibai
GB-14
Yangbai

M-HN-3
Yintang
LU-7
Lieque

Or

DU-23
Shangxing

DU-27
Duiduan
PC-8
Laogong

Facial paralysis

Epistaxis

Incessant nosebleed

LI-20
Yingxiang
DU-23
Shangxing
UB-5
Wuchu

Nasal congestion with inability to distinguish the fragrant from the foul

Contraindications

  • Older books prohibit moxibustion.

Notes

  • This is a local point for the nose and upper lip.

Five Elements Spirit Perspective

Spirit of the Point

Grain Bone opens the nose, the opening of the Lung. Breathing in deeply lets a person take part in life without holding back, and losing the sense of smell, even for a while, can make someone feel left out of life, since Metal is so sensitive to atmospheres and surroundings. Each breath is a complete cycle, and the last two points of the meridian bring us back to the breath.

Worsley

Location: Halfway between the nose's lower border and the upper lip's edge; it lies ½ ACI in from (medial to) the nasolabial fold.
Needle depth: 1-3 fen
Moxa: No moxa

When to Consider
  • When a person holds back and cannot breathe life in deeply
  • When a loss of smell leaves someone feeling shut out of life
Notes
  • Can be used with LI-20 Welcome Fragrance to strongly activate the nose

From Class

  • Pre-Ge Hong revival points: Du-20, Du-15, Ren-12, Ren-3, LI-19: For death-like inversion: Du-20 and Du-15 (scalp yang), Ren-12 and Ren-3 (yin), plus LI-19 to start breathing again. (Yuen)

For educational reference only; not a substitute for care from a qualified practitioner.