TB10 Tianjing (Heavenly Well)
天井tiān jǐngTianjing
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56
Indications
19
Protocols
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Location
When elbow is flexed point is in the depression the about 1 thumb width superior to the olecranon.
Categories
- He-Sea point of the Triple Burner meridian
The classical groups this point belongs to, from Deadman, Al-Khafaji & Baker, A Manual of Acupuncture.
No specific contraindications.
Indications
Conditions for which TB10 is listed as indicated. An indication list is a reference index, not a prescription – see the protocols below for sourced treatments.
Loss of AppetiteAtrophy ArmChills AlternatingCoughCough PhlegmDeafnessSadness & DepressionPsychological Insanity DisorderAbdomen Inferior BloatingEpilepsyFeverFrightAbdominal FullnessHemorrhoidsHeat SanjiaoTendon Ligament Contraction StiffnessImmobility Tendon / Ligament ContractionMalariaNodulesArm NumbnessShoulder NumbnessPainLower Abdominal PainArm PainBack Lumbar Trauma PainBone PainCheek PainRib PainElbow PainEye PainMigraineHeadache One-sided PainHeart PainShoulder Blade PainShoulder PainSore ThroatPalpitationsPharyngitisPhlegmQi Leg Attacking UpwardsScrofulaExcessive SleepinessMuscle SpasmsChannel StagnationSweating SwellingBi Arthralgia Arm SyndromeBi / Arthralgia Arm SyndromeBi Arthralgia Chest SyndromeBi / Arthralgia Chest SyndromeBi Arthralgia Wind SyndromeBi / Arthralgia Wind SyndromeTongue ThrustingHivesVomiting BloodVomiting Pus
TCM actions
What classical sources say TB10 does in the terms of Chinese medicine theory. These describe the point, not a condition.
Protocols using TB10
- Neck Pain, Radiating Arm Pain, Disc Herniation Cervical, Radiculopathy Cervical – LI04, SI03, BL10, BL11, BL12, TB03, TB10, GB20, GB21, GV16 (doi:10.3831/KPI.2012.15.2.036 ↗)
- Fatigue, Dizziness, Tinnitus, Headache, Constipation, Depression, Insomnia, Itchiness, Edema, Palpitation, Knee Pain, Back Pain, Vision Blurred, Cervical Pain, Stiffness Shoulder, Cramp Leg, Lower-limb Pain, Upper-limb Numbness, Lower-limb Numbness, Hemodialysis Complication – LU05, LU09, LI02, LI11, ST41, ST45, SP02, SP05, HT07, HT09, SI03, SI08, BL65, BL67, KD01, KD07, PC07, PC09, TB03, TB10, GB38, GB43, LV02, LV08 (doi:10.1155/2015/802846 ↗)
- Ischemic Stroke, Motor Dysfunction Hemiplegia, Paralysis Spastic – LI04, ST40, BL40, BL57, TB05, TB10, TB13, GV20, GV24 (doi:10.1155/2020/1520851 ↗)
- Performance Athletic, Strength Forearm, Fatigue Muscle – LI04, LI10, LI11, SI08, TB05, TB10 (doi:10.1155/2021/1992753 ↗)
- Knee Pain, Osteoarthritis Knee, Stiffness Morning – LI11, HT03, TB10 (doi:10.1155/2021/4827123 ↗)
- Muscle Endurance Forearm, Muscle Fatigue Upper Limb, Athletic Performance Upper Limb – LI04, LI10, LI11, SI08, TB05, TB10 (doi:10.1155/2022/8052256 ↗)
- Rheumatoid Arthritis, Joint Pain, Inflammation Joint – LI05, LI11, LI15, ST36, SP05, SP09, HT03, SI05, SI08, BL40, BL62, KD06, PC07, TB04, TB10, TB14, GB34, GB40 (doi:10.1186/s12906-025-04891-1 ↗)
- Neck Pain, Stiffness Neck, Limited Range Of Motion Neck – LI04, LI05, LI17, LI18, SI03, SI14, SI15, SI16, BL10, BL11, BL60, TB03, TB10, TB16, GB20, GB21, GB39, GV14, GV16 (doi:10.1016/j.imr.2018.01.002 ↗)
- Arthralgia, Joint Pain, Painful Obstruction Syndrome – LU05, LI04, LI11, BL17, BL40, TB10, GB30, GB31, GB34, GB38 (doi:10.16808/j.cnki.issn1003-7705.2025.05.008 ↗)
- Paralysis Spastic Post-stroke Hemiplegia – LI04, LI10, SI03, KD06, TB05, TB10, TB14, GB29, GB31, GB34, GB39, GB40, GV01, GV03, GV05, GV08, GV09, GV14, GV17, GV20 (doi:10.1016/s0254-6272(15)30071-6 ↗)
- 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 ↗)
- Muscle Hypertonia Post-stroke – LI05, LI06, LI14, LI15, TB05, TB09, TB10, TB13, GB34, GB39, GB40, GB41, LV08, LV09 (doi:10.1016/s0254-6272(15)30071-6 ↗)
- Paralysis Spastic Post-stroke – LU05, LI15, ST31, SP10, HT01, BL36, BL62, KD06, PC07, TB04, TB10, LV08 (doi:10.1016/s0254-6272(15)30071-6 ↗)
- Low Back Pain – LI04, LI11, ST20, ST24, ST27, ST28, SP06, SI03, KD03, KD06, TB10, GB41, LV08, CV12 (doi:10.1002/jgf2.719 ↗)
- Stroke Ischemic Acute, Spasticity Post-stroke – LI04, ST40, BL40, BL57, TB05, TB10, TB13, GV20, GV24, MS06 (doi:10.1155/2020/1520851 ↗)
- Shoulder Hemiplegic Pain – LI04, LI10, LI11, SI14, BL18, TB05, TB10, GB21 (doi:10.1177/0964528420920292 ↗)
- Osteoarthritis Knee – LI11, HT03, TB10 (doi:10.1155/2021/4827123 ↗)
- Spasticity Post-stroke, Hemiplegia Post-stroke – SI03, BL57, BL62, TB04, TB05, TB10, TB14, GB30, GB34, GB39, GB40 (doi:10.13703/j.0255-2930.2018.10.002 ↗)
- Bi Syndrome, Fever Rheumatic, Arthritis Rheumatoid, Fibrositis, Neuralgia, Gout, Elbow Pain, Bi Syndrome, Fever Rheumatic, Arthritis Rheumatoid, Elbow Pain – LU05, LI04, LI11, TB05, TB10 (sacredlotus.com ↗)
Most often selected alongside TB10
How many sourced protocols in the index pair each point with TB10. Corpus frequency, not a combination to use.
- LI04Junction Valley11 protocols
- LI11Pond At The Bend10 protocols
- TB05Outer Gate10 protocols
- SI03Back Stream7 protocols
- GB34Yang Mound Spring5 protocols
- BL40Middle Of The Crease4 protocols
- GB39Suspended Bell4 protocols
- GB40Mound4 protocols
- KD06Shining Sea4 protocols
- LI05Yang Stream4 protocols
- LI10Arm Three Miles4 protocols
- LI15Shoulder And Clavicle4 protocols