SJ-9 Sidu - Fourth Gutter

More Spirit Names: Four Ditches, Four Rivers, Four Ditch

English:	Four Rivers
Also Known As:	Four Ditch Fourth Gutter Four Canals

Location

With the hand in the supine position, the point can be found 5 cun below the elbow between the ulna and the radius.
In the depression between the ulna and the radius, on a line drawn between SJ-4 Yangchi and the lateral epicondyle of the humerus, 7 cun proximal to SJ-4 Yangchi.
Note: divide the distance between lateral epicondyle of the humerus, 7 cun proximal to SJ-4 Yangchi in half. This point is 1 cun proximal to the midpoint in the depression between the muscle bellies of the extensor digitorum communis and extensor carpi ulnaris.
On the lateral side of the forearm. 5 cun below the olecranon, between the radius and ulna.

Needling

Straight insertion, 1-2 cun. Sensation: distention and soreness possibly extending to the elbow and hand.
Perpendicular or oblique proximal or distal insertion toward the elbow or wrist respectively 1 to 2 cun.
Puncture perpendicularly 0.5 to 1 cun.
Moxibustion is applicable.

Command Functions

Actions

Benefits the throat and ears

Indications

Headache
Deafness
Toothache
Forearm pain
Paralysis of the upper limb
Neurasthenia
Vertigo
Nephritis
Tennis elbow
Pain in the gums of the lower jaw

Sudden deafness
Toothache in the lower jaw
Loss of voice
Obstructed pharynx
Sore throat
Sudden tinnitus
Shortness of breath
Migraine
Sudden hoarseness
Brachial neuralgia

Combinations

Left GB-20 joined to Right GB-20 Fengchi M-HN-9 joined to GB-8 Taiyang joined to Shuaigu	SJ-16 Tianyou	SI-5 Yanggu SJ-2 Yemen LI-2 Erjian LI-1 Shangyang
Headache	Sudden deafness	Toothache in the lower jaw

Contraindications

Notes

This point is specifically for ear disorders.
Good to acupressure for headaches.
It is a major point for forearm pain.

Five Elements Spirit Perspective

Spirit of the Point	A gutter is drainage: it carries away excess fluid and junk. The gutters that sluice away the rubbish matter just as much as the irrigation ditches; they also lead fluid away from places that do not need it to places that do. This often overlooked point flushes out the Three Heater so it can relate to others free of cynicism and know a clear, even joy.
Worsley	Classical Chinese connects Fourth Gutter to China's four great rivers, which flow in all four directions. This point lets Fire blaze and flow in every direction, and when love flows in this unfettered, appropriate way, our life comes into harmony. Location: On the back of the forearm, 7 ACI above the wrist crease, between radius and ulna. Needle depth: 6 fen Moxa: 3-7 cones
When to Consider	When people get stuck in old things and old junk in their life When a Three Heater Causative Factor (CF) is out of balance and holding on to food or things they do not need When there is cynicism, a lack of warmth or erratic behavior When the person lurches between highs and lows, or sinks into inertia When the person needs to clear debris from their past in order to mature into who they may become When balance cannot be reached on the Three Heater; the gutter may be blocked, so clear it out and revitalize body, mind and spirit When a person needs to feel free to speak; it opens the throat and voice To give hope that a relationship may return When someone seems to be sinking inwardly into the mire; like a rain gutter, it carries the water away before it gets into the building
Notes	Supports the Three Heater in its protective role If SJ-4 does little, add this point to raise the volume of flow

SJ-9 Sidu - Fourth Gutter

Location

Needling

Command Functions

Actions

Indications

Combinations

Contraindications

Notes

Five Elements Spirit Perspective

Mentioned in 16 other entries

Conditions (10)

Points (6)