ST-6 Jiache - Mandible Wheel

More Spirit Names: Jaw Chariot, Jawbone, Jaw Vehicle, Ghost Bed, Ghost Forest, Tooth Bend

English:	Jaw Bone
Also Known As:	Jaw Chariot Jaw Vehicle Ghost Bed

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.

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.

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

ST-6 + ST-4 + LI-4: major local combination to expel exterior Wind affecting the face

This is an important local point to treat a wide range of disorders affecting the jaw.

Spirit of the Point	Mandible Wheel draws on the Bright Yang's rich Qi and Blood to help a person be fully present. Since eating is in itself grounding, this point carries a grounding quality, which is why it is one of the Ghost points.
Worsley	Location: 4 fen forward of and above the mandibular angle, in the dip between the two bellies of masseter. Needle depth: 3 fen Moxa: 7 cones
When to Consider	When a person is not fully present and needs grounding
Notes	One of the Ghost points

Jing-well points in sinew treatment: Sinew channels' only points are jing-wells; use the one that responds to palpation, open the well, then treat ashi points (e.g. near ST-6 for jaw tension).
13 Ghost Points as four trinities (at/after death): Four trinities moxa'd or touched after death to free what is bound: Du-20, LU-11, SP-1; PC-7, BL-62, Du-16; ST-6, Ren-24, PC-8; Du-23, Ren-1, LI-11; plus Yintang. (Lewis)