LI13 Shouwuli (Arm Five Li)

手五里shǒu wǔ lǐShouwuli

Large Intestine Meridian

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Location of acupuncture point LI13 Shouwuli (Arm Five Li)
30
Indications
15
Protocols
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Location

On the lateral side of the upper arm on the line connecting LI11 and LI15, 3 thumb widths above the LI11.

Cautions

Caution with depth and angle.

Indications

Conditions for which LI13 is listed as indicated. An indication list is a reference index, not a prescription – see the protocols below for sourced treatments.

AnxietyContraction ElbowContraction ShoulderCoughDampQi DeficiencyDesire SleepBelow Heart BloatingBreathing ProblemsEyesight / Vision BlurredBlurred VisionFever IntermittentFrightBelow Heart FullnessUnable to Raise ArmLimbs StiffnessImmobility Arm RaisingImmobility LimbsJaundiceMalariaElbow NumbnessShoulder NumbnessPainShoulder PainPhlegmScrofulaChannel StagnationWind Taxation SyndromeWind-taxation SyndromeVomiting Blood

TCM actions

What classical sources say LI13 does in the terms of Chinese medicine theory. These describe the point, not a condition.

Protocols using LI13

  • Fatigue, Arm Swelling, Edema Upper Limb, Lymphedema Breast Cancer Related – LI13, LI14, SI09, BL23, TB05 (doi:10.1177/1534735419866919 ↗)
  • Arm Weakness, Paralysis Upper Extremity, Motor Impairment Post-stroke – LI04, LI10, LI11, LI13 (doi:10.1097/MD.0000000000034886 ↗)
  • Paralysis Upper Limb, Motor Impairment Upper Extremity, Stroke Subacute – LI04, LI10, LI11, LI13 (doi:10.1097/MD.0000000000037686 ↗)
  • Paralysis Upper Limb, Stroke Sequelae, Motor Dysfunction Upper Limb, Spasticity Upper Limb – LI04, LI10, LI11, LI13, LI14, LI15, ST34, ST40, SP09, SP10, KD03, TB05, GB34, GB40, GB41, LV03 (doi:10.1136/spcare-2024-005174 ↗)
  • 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 ↗)
  • Paralysis, Drop Wrist, Arm Weakness, Thumb Numbness – LI10, LI11, LI13, LI15, TB05 (doi:10.3389/fresc.2026.1747273 ↗)
  • Stroke, Hemiplegia, Motor Dysfunction Upper Limb, Stroke Ischemic Subacute, Motor Upper Limb Problems – LI04, LI10, LI11, LI13, LI14, LI15, TB05 (doi:10.3389/fneur.2026.1780918 ↗)
  • Paralysis Spastic, Stroke Post-stroke, Spasticity Upper Limb, Muscle Hypertonia – LI04, LI10, LI11, LI13, LI14, LI15, ST34, ST40, SP09, SP10, KD03, TB05, GB34, GB40, GB41, LV03, XU09A, XU09B, XU09C, XU09D, XU09E, XU09F, XU09G, XU09H, XU12 (doi:10.1136/spcare-2024-005174 ↗)
  • Hemiplegia Upper-limb, Hemiplegia Post-stroke – LI04, LI10, LI11, LI13, LI15 (doi:10.13703/j.0255-2930.20200718-k0001 ↗)
  • Spasticity Post-stroke, Spasticity Upper Limb – LI04, LI10, LI11, LI13, LI14, LI15, ST34, ST40, SP09, SP10, KD03, TB05, GB34, GB40, GB41, LV03, XU09A, XU09B, XU09C, XU09D, XU09E, XU09F, XU09G, XU09H, XU12 (doi:10.1136/spcare-2024-005174 ↗)
  • 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 ↗)
  • Motor Dysfunction Upper Limb, Upper Limb Weakness, Peripheral Nerve Injury Upper Limb – LI04, LI10, LI11, LI13, LI15, TB05 (doi:10.3389/fresc.2026.1747273 ↗)
  • Lymphedema Upper Limb – LI13, LI14, SI09, BL23, TB05 (doi:10.1177/1534735419866919 ↗)
  • Post-stroke Depression – LU04, LI04, LI06, LI07, LI10, LI11, LI12, LI13, LI15, ST02, ST32, ST33, ST34, ST36, ST37, ST39, ST40, ST44, SP06, SP10, SP11, HT05, BL15, BL20, BL23, BL61, BL64, KD02, KD03, PC02, PC03, PC06, TB03, TB06, TB07, TB09, TB12, TB14, GB20, GB31, GB33, GB43, LV02, LV03, LV05, LV14, GV20, GV23, GV26 (Acupuncture for Ischemic Post-stroke Depression. ClinicalTrials.gov NCT02472613)
  • Neck Pain, Radiculopathy Cervical, Upper Extremity Numbness – LI04, LI10, LI13, SI03, SI08, SI11, TB05, TB09, TB13, GB20, GB21, GV14 (陈建辉周友龙王东阳张琼刘华. 陈氏颈三穴针刺为主联合颈部推拿正脊、艾灸治疗神经根型颈椎病的研究. 中医研究 ., 2025 [CNKI])

Most often selected alongside LI13

How many sourced protocols in the index pair each point with LI13. Corpus frequency, not a combination to use.

  • LI10Arm Three Miles13 protocols
  • LI04Junction Valley12 protocols
  • LI11Pond At The Bend12 protocols
  • TB05Outer Gate11 protocols
  • LI15Shoulder And Clavicle10 protocols
  • LI14Upper Arm Prominence8 protocols
  • KD03Great Stream4 protocols
  • LV03Great Surge4 protocols
  • SI09True Shoulder4 protocols
  • SP10Sea Of Blood4 protocols
  • ST34Ridge Mound4 protocols
  • ST40Abundant Bulge4 protocols