LI03 Sanjian (Third Space)

三間sān jiānSanjian

Large Intestine Meridian

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Location of acupuncture point LI03 Sanjian (Third Space)
33
Indications
17
Protocols
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Location

When loose fist is made point is on the radial side of the index finger in the depression the proximal to the head of the 2nd metacarpal bone.

Categories

  • Shu-Stream point of the Large Intestine meridian

The classical groups this point belongs to, from Deadman, Al-Khafaji & Baker, A Manual of Acupuncture.

No specific contraindications.

Indications

Conditions for which LI03 is listed as indicated. An indication list is a reference index, not a prescription – see the protocols below for sourced treatments.

Stomach RumblingChillsCommon ColdDampDiarrheaDryness LipsDry MouthFeverFright FullnessChest FullnessHeatFinger StiffnessStiff NeckImmobility FingerImmobility NeckInjury ColdMalariaNosebleedObstruction ThroatEye PainTeeth Decay PainTeeth Toothache Inferior Jaw PainPharyngitisHand Dorsum RednessRhinitisExcessive SleepinessHand Dorsum SwellingTinnitusTongue ThrustingWater Binding ChestWater Binding Costal LateralWind

TCM actions

What classical sources say LI03 does in the terms of Chinese medicine theory. These describe the point, not a condition.

Benefit TeethBenefit Throat

Protocols using LI03

  • Trigeminal Neuralgia – LI03, LI04, ST02, ST03, ST06, ST07, ST44, SI18, BL02, GB14, CV24 (doi:10.1016/s0254-6272(10)60018-0 ↗)
  • Dental Pain, Anesthesia Teeth-extraction – LI03, LI04, LI20, ST02, ST04, ST05, ST06, ST07, SI18, CV24, GV26 (doi:10.1093/ecam/nem056 ↗)
  • Globus Pharyngeus, Throat Sensation Of Lump, Gastrointestinal Functional Disorder – LU11, LI03, ST36, CV22 (doi:10.3389/fmed.2020.00179 ↗)
  • Muscle Strength Shoulder, Athletic Performance Explosive Force – LU01, LU04, LI03, LI14, TB12, TB13, TB14 (doi:10.1155/2021/5585605 ↗)
  • Pruritus, Gastrointestinal Symptoms, Atopic Dermatitis, Eczema Skin – LI03, LI11, ST36, ST43, PC06, GB41 (doi:10.1155/2021/5584247 ↗)
  • Paralysis Upper Limb, Cerebral Palsy, Spasticity, Cerebral Palsy Spastic Hemiplegic, Hand Problems, Arm Problems, Upper Limb Weakness, Spastic Hemiplegia – LI03, LI04, LI05, LI10, LI11, LI13, LI14, LI15, SI03, SI05, SI09, SI11, PC06, TB04, TB05, TB14, GB21 (doi:10.1177/2515690X251317438 ↗)
  • Spasm Facial, Blepharospasm, Twitching Facial, Meige Syndrome, Orofacial Dystonia – LU11, LI03, ST02, TB17, GB20, GB41, LV01, XH04 (doi:10.13703/j.0255-2930.20240918-k0004 ↗)
  • Muscle Hypertonia Post-stroke Upper Limb – LI03, LI05, LI07, LI14, LI15, SI03, TB03, TB05, TB09, TB10, TB13 (doi:10.1016/s0254-6272(15)30071-6 ↗)
  • Fibromyalgia Pain Musculoskeletal Diffuse – LI03, LI04, LI11, ST36, SP06, GB34, GV20 (doi:10.1016/s0254-6272(15)30037-6 ↗)
  • Fibromyalgia Pain Musculoskeletal Diffuse – LU09, LU11, LI01, LI03 (doi:10.1016/s0254-6272(15)30037-6 ↗)
  • Paralysis Upper Limb, Cerebral Palsy Spastic Hemiplegic – LI03, LI04, LI05, LI10, LI11, LI13, LI14, LI15, SI03, SI05, SI09, SI11, PC06, TB04, TB05, TB14, GB21 (doi:10.1177/2515690X251317438 ↗)
  • Vision Loss, Retinitis Pigmentosa – LI03, LI12, ST02, ST25, HT08, BL02, BL67, GB20, CV06, CV12, GV20, GV24, XH03, XH04, XH05, XH07, XH14, CYC08, EL10 (doi:10.1111/cxo.12117 ↗)
  • Dermatitis Atopic – LI03, LI11, ST36, ST43, PC06, GB41 (doi:10.1128/spectrum.03912-25 ↗)
  • Damp Large Intestine, Heat Large Intestine, Damp Large Intestine, Heat Large Intestine – LI01, LI03, LI09, LI11, ST22, ST25, SP04, SP15, SP16, BL25, BL27, BL28, BL37, BL39 (Yang Yong-Xuan, clinical point-selection notes)
  • Hemiplegia, Finger Pain, Shoulder Pain, Wrist Pain, Shoulder-hand Syndrome – LI03, LI10, LI15, SI03, SI11, SI15, TB03, TB05, TB14 (Li N, Tian F, Wang C, Yu P, Zhou X, Wen Q, Qiao X, Huang L. Therapeutic effect of acupuncture and massage for shoulder-hand syndrome in hemiplegia patients: a clinical two-center randomized controlled trial. J Tradit Chin Med 2012; 32(3): 343-346)
  • Crohn's Disease – LI03, ST25, ST36, ST37, SP04, SP06, SP09, LV03, CV12 (Acupuncture Treatment for Active Crohn's Disease. ClinicalTrials.gov NCT02559037)
  • Bi Syndrome, Fever Rheumatic, Arthritis Rheumatoid, Fibrositis, Neuralgia, Gout, Numbness, Finger Pain, Bi Syndrome, Fever Rheumatic, Arthritis Rheumatoid, Finger Pain – LI03, SI03, XU09A, XU09B, XU09C, XU09D, XU09E, XU09F, XU09G, XU09H (sacredlotus.com ↗)

Most often selected alongside LI03

How many sourced protocols in the index pair each point with LI03. Corpus frequency, not a combination to use.

  • LI11Pond At The Bend6 protocols
  • LI04Junction Valley5 protocols
  • SI03Back Stream5 protocols
  • ST36Leg Three Miles5 protocols
  • LI14Upper Arm Prominence4 protocols
  • LI15Shoulder And Clavicle4 protocols
  • PC06Inner Gate4 protocols
  • ST02Four Direction Brightness4 protocols
  • TB05Outer Gate4 protocols
  • TB14Shoulder Bone Hole4 protocols
  • GB41Foot Governor Of Tears3 protocols
  • LI05Yang Stream3 protocols