# SI04 Wangu (Wrist Bone) – Small Intestine Meridian

腕骨 · wàn gǔ

Location: On the ulnar side of the palm in the depression the between base of the 5th metacarpal bone and hamate bone.

Cautions: No specific contraindications.

Canonical page: https://acuiq.com/points/si04

## Indications

An indication list is a reference index, not a prescription – see the protocols below for sourced treatments.

Agitation, Muscle Wasting, Chills, Cold Shoulder, Cold Shoulder, Contraction Arm, Contraction Arm, Contraction Elbow, Contraction Elbow, Spleen Deficiency, Spleen Deficiency, Disease Febrile, Disease Febrile, Breathing Shortness Of Breath Problems, Breathing Shortness Of Breath Problems, Eyesight / Vision Superficial Obstruction, Superficial Obstruction Vision, Fever, Fullness, Heat, Hemiplegia, Elbow Stiffness, Finger Stiffness, Finger Contraction Stiffness, Immobility Elbow, Immobility Finger, Immobility Finger Contraction, Jaundice, Watery Eyes, Malaria, Pain, Back Pain, Back Pain, Lower Back Pain, Lower Back Pain, Rib Pain, Rib Pain, Headache, Headache, Leg Pain, Leg Pain, Shoulder Pain, Shoulder Pain, Wrist Pain, Wrist Pain, Pharyngitis, Muscle Spasms, Muscle Spasms, Channel Stagnation, Channel Stagnation, Spontaneous Sweating, Spontaneous Sweating, Swelling, Cheek Swelling, Cheek Swelling, Ear Swelling, Ear Swelling, Jaw Swelling, Jaw Swelling, Neck Swelling, Neck Swelling, Submandibular Swelling, Submandibular Swelling, Damp Heat Syndrome, Damp-heat Syndrome, Taste Loss, Taste Loss, Thirsting Excessive, Thirsting Excessive, Tinnitus, Wrist Weakness, Wrist Weakness

## Most often selected alongside SI04

Sourced protocols in the index pairing each point with this one. Corpus frequency, not a combination to use.

- LI04 (Junction Valley) – 7 protocols
- SI03 (Back Stream) – 7 protocols
- TB05 (Outer Gate) – 6 protocols
- LI11 (Pond At The Bend) – 5 protocols
- TB04 (Yang Pool) – 5 protocols
- GB21 (Shoulder Well) – 4 protocols
- LI05 (Yang Stream) – 4 protocols
- LI15 (Shoulder And Clavicle) – 4 protocols

## Protocols using SI04

| Symptoms | Points | Course | Source | Kind | Caveat |
|---|---|---|---|---|---|
| Shoulder Pain, Neck Pain, Stiffness Neck | SI03, SI04, SI09, SI10, SI11, SI12, SI14, BL11, BL12, BL65, TB14, TB15, TB16, TB17, GB21 | 21 days | doi:10.1136/acupmed-2013-010410 | trial | Point selection reported in a published study. |
| Shoulder Pain, Neck Pain, Spasm Facial Hemifacial, Spasm Eyelid, Blepharospasm | LI04, ST01, ST02, ST04, ST06, ST07, ST40, SI04, SI18, BL02, TB17, TB23, LV02, LV03 | 14 days | doi:10.3831/KPI.2013.16.019 | trial | Point selection reported in a published study. |
| Constipation, Hand Weakness, Myelopathy Cervical, Dysesthesia Hand, Lower-extremity Weakness, Tingling Finger Pain | SI03, SI04, SI14, SI15, GB21 | 80 days | doi:10.1097/MD.0000000000012249 | trial | Point selection reported in a published study. |
| Fatigue, Insomnia, Fibromyalgia, Widespread Pain | SI03, SI04, BL62, BL64, BL65 | 1 days | doi:10.1155/2019/9684649 | trial | Point selection reported in a published study. |
| Anxiety, Depression, Insomnia, Itching, Itchiness Skin, Pruritus, Prurigo Nodularis, Pruritus Chronic | LI04, LI11, ST25, ST36, ST42, SP06, SP10, SI04, BL17, BL64, TB04, TB05, GB20, GB40, CV06, CV12, GV14, GV16, GV20, GV24 | 112 days | doi:10.2147/CCID.S336109 | trial | Point selection reported in a published study. |
| Allodynia, Complex Regional Pain Syndrome, Hand Swelling, Wrist Left Pain, Hand Left Pain | LI05, SI04, TB04, TB05 | 2 days | doi:10.3390/children8121187 | trial | Point selection reported in a published study. |
| Paralysis Incomplete-spinal-cord-injury, Motor-deficit, Sensory-deficit, Activities-of-daily-living Impaired | LI04, LI10, LI11, LI15, HT08, SI03, SI04, BL62, TB02, TB06, GV20 | 28 days | doi:10.1155/2021/5671998 | trial | Point selection reported in a published study. |
| Shoulder Blade Pain, Headache Occipital, Neck Pain, Arm Numbness, Cervical Pain, Radiculopathy Cervical, Scapular Pain | SI04, SI11, SI15, GB20, GB21 | 4 days | doi:10.1097/MD.0000000000039483 | trial | Point selection reported in a published study. |
| Stroke, Shoulder Pain, Shoulder-hand Syndrome, Stroke Sequelae, Shoulder-hand Syndrome Post-stroke, Edema Hand | LI15, SI04, SI09, TB02, TB04, TB14 | – | doi:10.1186/s12906-025-04916-9 | trial | Point selection reported in a published study. |
| Chemotherapy Nausea, Vomiting Chemotherapy-induced, Nausea Anticipatory, Vomiting Acute, Vomiting Delayed | LU09, LI04, ST36, SP06, HT07, SI04, KD03, PC06, GB40, LV14, CV12 | 30 days | doi:10.1590/1980-220X-REEUSP-2023-0191en | trial | Point selection reported in a published study. |
| Fatigue, Anxiety, Weakness, Depression, Pain, Insomnia, Nausea, Drowsiness, Dyspnea, Pruritus, Restless Legs Syndrome, Muscle Cramp | LI04, HT07, SI04, PC06, GB31 | 28 days | doi:10.1177/20543581241267164 | trial | Point selection reported in a published study. |
| Carpal Tunnel Syndrome, Wrist Pain, Hand Weakness, Hand Numbness | LU05, LI05, LI10, HT03, SI04, PC03, PC07, TB05 | 13 days | doi:10.2147/JPR.S551446 | trial | Point selection reported in a published study. |
| Spasticity Upper Limb, Spasticity Lower Limb, Paralysis Spastic Hemiplegia, Spasticity Limb | LU05, LI04, LI11, LI15, SI04, BL60, GB34 | – | doi:10.27879/d.cnki.ggxzy.2025.000667 | trial | Point selection reported in a published study. |
| Carpal Tunnel Syndrome, Wrist Pain, Hand Weakness, Hand Numbness, Tingling Fingers | LI05, SI04, BL13, BL15, TB04, TB05, GV11, GV12, GV13 | 14 days | doi:10.27820/d.cnki.gszxy.2023.000394 | trial | Point selection reported in a published study. |
| Carpal Tunnel Syndrome, Wrist Pain, Hand Weakness, Hand Numbness, Tingling Fingers | LI05, SI04, BL23, TB04, TB05, CV04 | 14 days | doi:10.27820/d.cnki.gszxy.2023.000394 | trial | Point selection reported in a published study. |
| Paralysis Facial | SI04, SI07 | 30 days | doi:10.26988/d.cnki.gcdzu.2023.000139 | trial | Point selection reported in a published study. |
| Spasticity Post-stroke, Spasticity Upper Limb | SI03, SI04, XU11A, XU11B, XU11C, XU11D, XU11E, XU11F, XU11G, XU11H, XU11I, XU11J | 16 days | doi:10.7759/cureus.105930 | trial | Point selection reported in a published study. |
| Neck Pain, Radiculopathy Cervical | SI04, SI11, SI15, GB20, GB21 | – | doi:10.1097/MD.0000000000039483 | trial | Point selection reported in a published study. |
| Damp Liver, Damp Gallbladder, Heat Liver, Heat Gallbladder, Damp Liver, Damp Gallbladder, Heat Liver, Heat Gallbladder | LI11, ST02, ST19, ST20, ST25, SP09, SP16, SI04, BL01, BL02, BL19, XB02T10 | 7 days | Yang Yong-Xuan, clinical point-selection notes | text | Point selection recorded in a clinical text or case report. |
| Jaundice | SI03, SI04, BL19, BL48, KD01, KD07, PC08, CV12, GV09 | – | 杨薇付修文李月玲杨华升. 古代针灸歌赋中治疗黄疸的穴位分析. 继续医学教育 ., 2018 [CNKI] | text | Point selection recorded in a clinical text or case report. |
| Upper Limb Weakness, Upper Limb Numbness, Peripheral Nerve Injury Upper Limb | LI04, LI10, LI11, LI15, SI03, SI04, SI07, SI08, PC03, PC06, TB05 | – | 章明星王蕊刘阳阳刘建卫郭义. 基于现代文献总结针灸治疗周围神经损伤选穴规律. 北京中医药大学学报 ., 2015 [CNKI] | text | Point selection recorded in a clinical text or case report. |

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AcuiQ-authored prose (symptom and meridian descriptions, the wiki, the auricular crosswalk) is licensed CC-BY-4.0: https://creativecommons.org/licenses/by/4.0/. The assembled protocol compilation is not: build on it with attribution, but do not redistribute it whole as a dataset – https://acuiq.com/terms. The underlying findings are the cited sources' claims – each entry carries its citation; verify against the source before relying on it. Not medical advice: https://acuiq.com/terms