# SI09 Jianzhen (True Shoulder) – Small Intestine Meridian

肩貞 · jiān zhēn

Location: Posterior and inferior to the shoulder joint; when arm is adducted point is 1 thumb width above the posterior end of the axillary fold.

Cautions: Rule out fracture, dislocation and joint instability before needling, and do not needle into an acutely swollen joint or a haemarthrosis.

Canonical page: https://acuiq.com/points/si09

## Indications

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

Benefit Shoulders, Benefit Shoulders, Chills, Deafness, Fever Cold, Fever Cold, Unable to Raise Arm, Foot Stiffness, Hand Raising Stiffness, Immobility Arm Raising, Immobility Foot, Immobility Hand Raising, Numbness, Pain, Shoulder Blade Pain, Shoulder Blade Pain, Shoulder Pain, Shoulder Pain, Supraclavicular Fossa Pain, Supraclavicular Fossa Pain, Heat Supraclavicular Fossa Sensation, Heat Supraclavicular Fossa Sensation, Channel Stagnation, Channel Stagnation, Bi Arthralgia Wind Syndrome, Bi / Arthralgia Wind Syndrome, Tinnitus, Wind

## Most often selected alongside SI09

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

- LI15 (Shoulder And Clavicle) – 44 protocols
- TB14 (Shoulder Bone Hole) – 35 protocols
- LI14 (Upper Arm Prominence) – 22 protocols
- SI11 (Heavenly Gathering) – 19 protocols
- LI11 (Pond At The Bend) – 16 protocols
- TB05 (Outer Gate) – 14 protocols
- GB21 (Shoulder Well) – 13 protocols
- LI04 (Junction Valley) – 12 protocols

## Protocols using SI09 (50 best-sourced of 53)

| 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 Chronic Pain, Restricted Range Of Motion Shoulder | LI14, LI15, ST38, SI09, TB14 | 42 days | doi:10.1186/1745-6215-15-130 | trial | Point selection reported in a published study. |
| Shoulder Pain, Paralysis Hemiplegia, Stroke Sequelae, Limited Range Of Motion Shoulder | LU03, LI10, LI14, LI15, SI09, TB04, TB14, GB21 | 14 days | doi:10.1155/2015/694973 | trial | Point selection reported in a published study. |
| Frozen Shoulder, Shoulder Pain, Mobility Restricted Shoulder, Night Shoulder Pain | LI15, SI09, TB14 | 1 days | doi:10.1155/2015/312309 | trial | Point selection reported in a published study. |
| Fatigue, Arm Swelling, Edema Upper Limb, Lymphedema Breast Cancer Related | LI13, LI14, SI09, BL23, TB05 | 28 days | doi:10.1177/1534735419866919 | trial | Point selection reported in a published study. |
| Shoulder Pain, Shoulder Weakness, Limited Range Of Motion Shoulder, Tear Rotator Cuff | LI15, ST38, SI09 | 42 days | doi:10.12659/MSM.923240 | trial | Point selection reported in a published study. |
| Subluxation Shoulder Poststroke, Shoulder Poststroke Pain | LI14, SI09, SI10, SI12, SI14 | 20 days | doi:10.1155/2020/6415083 | trial | Point selection reported in a published study. |
| Subluxation Shoulder Poststroke, Spasticity Shoulder Poststroke | LI15, SI09, TB14 | 20 days | doi:10.1155/2020/6415083 | trial | Point selection reported in a published study. |
| Stroke Sequela, Shoulder Subluxation, Shoulder Hemiplegic Pain, Hemiplegia Upper-limb | LI14, LI15, SI09, TB14 | 14 days | doi:10.1155/2021/5329881 | trial | Point selection reported in a published study. |
| Shoulder Pain, Neck Pain, Limitation Of Movement Shoulder, Night Pain, Impingement Syndrome Supraspinatus, Rotator Cuff Tear Partial | LU01, LU03, LU04, LU11, LI14, LI15, LI16, ST38, SI09, SI10, SI11, SI12, SI13, SI14, SI15 | 35 days | doi:10.3831/KPI.2021.24.4.206 | trial | Point selection reported in a published study. |
| Shoulder Pain, Cervical Pain, Adhesive Capsulitis, Limitation Of Movement Shoulder, Night Pain, Radiating To Fingers Pain, Calcified Tendinitis | LU01, LU03, LU04, LU11, LI14, LI15, LI16, ST38, SI09, SI10, SI11, SI12, SI13, SI14, SI15 | 79 days | doi:10.3831/KPI.2021.24.4.206 | trial | Point selection reported in a published study. |
| Lymphedema Upper-limb, Edema Arm, Post-mastectomy Swelling, Breast-cancer Complication | LU05, LI11, LI14, SI09, SI11, BL13, BL20, BL23, PC06, TB05, GB21, CV17, GV14 | 28 days | doi:10.1177/15347354231172735 | trial | Point selection reported in a published study. |
| Shoulder Pain, Tendonitis Calcific, Range-of-motion Limited Shoulder | LI04, LI14, LI15, ST37, ST38, SI09, SI12, TB05, TB14, GB21, GB34 | 90 days | doi:10.1016/j.jams.2017.12.004 | trial | Point selection reported in a published study. |
| 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 | 84 days | doi:10.1177/2515690X251317438 | 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. |
| Shoulder Pain, Shoulder Chronic Pain, Shoulder Rotator Cuff Pain, Shoulder Problems, Rotator Cuff Disease | LI15, LI16, SI09, SI10, SI11, SI12, SI13, TB14 | 56 days | doi:10.1097/MD.0000000000046638 | trial | Point selection reported in a published study. |
| Shoulder Pain, Shoulder Joint Problems, Periarthritis Scapulohumeral | LI15, SI09, GB34 | 28 days | doi:10.13702/j.1000-0607.20221004 | trial | Point selection reported in a published study. |
| Anxiety, Depression, Shoulder Pain, Limited Range Of Motion Shoulder, Periarthritis Scapulohumeral, Range Of Motion Shoulder Restricted, Periarthritis Shoulder, Immobility Shoulder | LI15, ST38, SP09, SI09, BL57, TB14, GB34, GV14 | 21 days | doi:10.13702/j.1000-0607.20240047 | trial | Point selection reported in a published study. |
| Contracture Knee, Brachial Plexus Injury, Muscle Atrophy, Paralysis Upper Extremity, Paralysis Lower Extremity, Contracture Ankle, Contracture Shoulder, Contracture Elbow, Scoliosis, Neuromotor Impairment, Steppage Gait | LU01, LI04, LI05, LI11, LI14, ST34, ST36, ST41, SP09, SP10, SI05, SI06, SI07, SI09, BL11, BL12, BL22, BL23, BL24, BL25, BL26, BL36, BL37, BL39, BL55, BL56, BL57, BL58, BL60, BL61, BL62, KD03, KD04, KD05, KD06, TB09, GB20, GB21, GB40 | 10 days | doi:10.3831/KPI.2013.16.009 | trial | Point selection reported in a published study. |
| Shoulder Pain, Neck Pain, Cervical Pain, Muscle Contracture | LI04, SI03, SI06, SI09, SI10, SI11, SI12, SI13, SI14, SI15, BL60, GB19, GB20, GB21, GB34, GV20 | 90 days | doi:10.1177/0964528420961398 | trial | Point selection reported in a published study. |
| Shoulder Pain, Shoulder Unilateral Pain | LI15, SI09, TB14 | – | doi:10.1136/bmjopen-2016-014438 | trial | Point selection reported in a published study. |
| Shoulder Pain, Restricted Range Of Motion Shoulder, Limited Range Of Motion Shoulder, Restricted Movement Shoulder, Tenosynovitis Biceps Long Head Tendon, Tenosynovitis Biceps Long Head | LI04, LI10, LI11, LI15, SI09, TB05, TB14 | 21 days | doi:10.27044/d.cnki.ggzzu.2024.000861 | trial | Point selection reported in a published study. |
| Shoulder Pain, Limited Range Of Motion Shoulder, Restricted Movement Shoulder, Tenosynovitis Biceps Long Head Tendon, Tenosynovitis Biceps Long Head | LI04, LI11, LI15, SI09, TB05, TB14 | 21 days | doi:10.27044/d.cnki.ggzzu.2024.000861 | trial | Point selection reported in a published study. |
| Shoulder Pain, Neck Pain, Radiculopathy Cervical, Upper Limb Numbness, Cervical Spondylotic Radiculopathy | LU07, LI04, LI10, LI11, LI15, SI03, SI09, SI11, SI14, SI15, BL10, BL11, TB05, GB20, GB21, GV14, GV16, GV20 | – | doi:10.19288/j.cnki.issn.1000-2723.2019.05.009 | trial | Point selection reported in a published study. |
| Shoulder Pain, Restricted Range Of Motion Shoulder, Adhesive Capsulitis | LI15, ST38, SI09, BL57, TB14, GB34 | – | doi:10.27180/d.cnki.gjxzc.2023.000109 | trial | Point selection reported in a published study. |
| Shoulder Pain, Restricted Range Of Motion Shoulder, Adhesive Capsulitis | LI15, ST38, HT01, SI09, BL57, TB14, GB34 | – | doi:10.27180/d.cnki.gjxzc.2023.000109 | trial | Point selection reported in a published study. |
| Shoulder Pain, Restricted Range Of Motion Shoulder, Limited Range Of Motion Shoulder, Periarthritis Shoulder | LI11, LI14, LI15, SI03, SI09, SI11, TB05, TB14, GB34 | 14 days | doi:10.27258/d.cnki.gnxyc.2025.000483 | trial | Point selection reported in a published study. |
| Shoulder Pain, Periarthritis Shoulder | LI10, LI15, SI09, TB05, TB14 | 7 days | doi:10.19763/j.cnki.2096-7403.2022.05.09 | trial | Point selection reported in a published study. |
| Frozen Shoulder, Shoulder Pain, Limited Range Of Motion Shoulder | LI14, LI15, SI09, SI11, TB14, GB21, GV14 | 42 days | doi:10.13729/j.issn.1671-7813.z20170533 | trial | Point selection reported in a published study. |
| Shoulder Pain, Bi Syndrome Shoulder | LI15, SI09, TB14 | – | doi:10.27127/d.cnki.ghlzu.2025.000179 | trial | Point selection reported in a published study. |
| Shoulder Pain, Shoulder Periarthritis, Restricted Shoulder Movement | LI15, ST38, ST40, SI03, SI09, BL57, TB14, GB34 | – | doi:10.27368/d.cnki.gtzyy.2020.000102 | trial | Point selection reported in a published study. |
| Paralysis Upper Limb, Post-stroke, Subluxation Shoulder | LI04, LI11, LI15, SI09, TB05, TB13, TB14 | 42 days | doi:10.13729/j.issn.1671-7813.2016.11.38 | trial | Point selection reported in a published study. |
| Shoulder Pain, Injury Rotator Cuff | LI14, LI15, SI09, SI11, TB14, XU12 | 42 days | doi:10.13703/j.0255-2930.2018.01.004 | trial | Point selection reported in a published study. |
| Shoulder Pain | LI15, SI09, SI11, SI14, TB14, GB21 | – | doi:10.3390/healthcare13131482 | trial | Point selection reported in a published study. |
| Shoulder Pain, Periarthritis Scapulohumeral, Periarthritis Shoulder | LI15, LI16, SI09, TB13, TB14 | 10 days | doi:10.13703/j.0255-2930.20190822-k0006 | trial | Point selection reported in a published study. |
| Stroke, Shoulder Pain, Shoulder Post-stroke Pain | LI14, LI15, SI09, TB14 | 28 days | doi:10.13702/j.1000-0607.170743 | trial | Point selection reported in a published study. |
| Shoulder Pain, Injury Rotator Cuff | LI14, LI15, SI09, SI11, TB14 | 42 days | doi:10.13703/j.0255-2930.2018.01.004 | trial | Point selection reported in a published study. |
| Periarthritis Scapulohumeral | LI15, SI09, TB14 | 10 days | doi:10.13703/j.0255-2930.20190822-k0006 | trial | Point selection reported in a published study. |
| Shoulder Pain, Shoulder Rotator Cuff Pain | LU01, LU03, LU04, LU11, LI14, LI15, LI16, ST38, SI09, SI10, SI11, SI12, SI13, SI14, SI15 | 42 days | doi:10.3831/KPI.2021.24.4.206 | trial | Point selection reported in a published study. |
| Shoulder Pain, Subluxation Shoulder Poststroke, Shoulder Hemiplegic Pain | LI14, LI15, SI09, TB14 | 14 days | doi:10.1155/2021/5329881 | trial | Point selection reported in a published study. |
| Shoulder Pain, Tear Rotator Cuff, Shoulder Rotator Cuff Pain | LI15, ST38, SI09, XU12 | – | doi:10.12659/MSM.923240 | trial | Point selection reported in a published study. |
| Lymphedema Upper Limb, Breast Cancer-related Lymphedema | LU05, LI11, LI14, SI09, SI11, BL13, BL20, BL23, PC06, TB05, GB21, GV14 | – | doi:10.1177/15347354231172735 | trial | Point selection reported in a published study. |
| Cervical Spondylosis, Radiculopathy Cervical, Cervical Spondylosis Radiculopathy | LI11, SI09, TB03, GB20, GV14, XB02C5, XB02C7 | 28 days | doi:10.13703/j.0255-2930.20220810-k0003 | trial | Point selection reported in a published study. |
| Shoulder Pain, Shoulder Hemiplegic Pain, Hemiplegia Post-stroke | LI15, SI09, TB14 | 28 days | doi:10.13703/j.0255-2930.20220916-k0003 | trial | Point selection reported in a published study. |
| Shoulder Pain, Shoulder Hemiplegic Pain, Hemiplegia Post-stroke | LI10, LI11, LI15, SI09, TB14 | 28 days | doi:10.13703/j.0255-2930.20220916-k0003 | trial | Point selection reported in a published study. |
| Frozen Shoulder, Shoulder Pain, Periarthritis Scapulohumeral, Periarthritis Shoulder | LI15, SI09, GB34, XU12 | 28 days | doi:10.13702/j.1000-0607.20221004 | trial | Point selection reported in a published study. |
| Paralysis Upper Limb, Cerebral Palsy Spastic Hemiplegic | LI03, LI04, LI05, LI10, LI11, LI13, LI14, LI15, SI03, SI05, SI09, SI11, PC06, TB04, TB05, TB14, GB21 | 84 days | doi:10.1177/2515690X251317438 | trial | Point selection reported in a published study. |
| Spasticity Upper Limb, Paralysis Spastic Post-stroke | LI15, SI09, SI11, SI13, GV14, GV20, XB02T1, XB02T2, XB02T3, XB02T4, XB02T5, XB02T6, XB02T7, XB02T8 | 14 days | doi:10.13703/j.0255-2930.20190505-0006 | trial | Point selection reported in a published study. |
| Heat Lung, Wind Lung, Heat Lung, Wind Lung | LU03, LU06, LU07, LU08, LU10, LU11, LI04, LI19, SI07, SI08, SI09, SI10, SI18, BL02, BL04, BL05, BL06, BL07, BL11 | 7 days | Yang Yong-Xuan, clinical point-selection notes | text | Point selection recorded in a clinical text or case report. |
| Tremor, Parkinson's Disease, Motor Disorder, Bradykinesia, Rigidity Cogwheel, Balance Disturbance | LU05, LI05, LI11, LI15, ST41, SP09, HT03, SI06, SI09, BL36, BL40, KD03, PC02, PC03, PC07, TB02, TB04, TB14, GB30, GB34, LV04 | 20 days | REN Xiao-ming. Fifty Cases of Parkinson's Disease Treated by Acupuncture Combined with Madopar. Journal of Traditional Chinese Medicine, 2008, 28(4): 255-257 | 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