SI11 (Heavenly Gathering)

天宗tiān zōng

Small Intestine Meridian

Location of acupuncture point SI11 (Heavenly Gathering)
44
Indications
40
Protocols

Location

On the scapula in the depression of the center of the subscapular fossa and at the level of the 4th thoracic vertebra.

Cautions

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

Protocols using SI11

  • Shoulder Pain, Paralysis Hemiplegia, Stroke SequelaLI15, SI11, SI12, TB14, GB21 (doi:10.1155/2013/504686)
  • Shoulder Pain, Neck Pain, Stiffness NeckSI03, SI04, SI09, SI10, SI11, SI12, SI14, BL11, BL12, BL65, TB14, TB15, TB16, TB17, GB21 (doi:10.1136/acupmed-2013-010410)
  • Upper Limb Pain, Complex Regional Pain Syndrome, Hand Swelling, Loss Of Function Upper Limb, Cold Sensation HandLU02, LI05, HT01, SI10, SI11, GB21 (doi:10.1016/j.jams.2014.03.004)
  • Shoulder Pain, Neck Pain, Limitation Of Movement Shoulder, Night Pain, Impingement Syndrome Supraspinatus, Rotator Cuff Tear PartialLU01, LU03, LU04, LU11, LI14, LI15, LI16, ST38, SI09, SI10, SI11, SI12, SI13, SI14, SI15 (doi:10.3831/KPI.2021.24.4.206)
  • Shoulder Pain, Cervical Pain, Adhesive Capsulitis, Limitation Of Movement Shoulder, Night Pain, Radiating To Fingers Pain, Calcified TendinitisLU01, LU03, LU04, LU11, LI14, LI15, LI16, ST38, SI09, SI10, SI11, SI12, SI13, SI14, SI15 (doi:10.3831/KPI.2021.24.4.206)
  • Dizziness, Cervical Spondylosis, Neck Pain, Arm Numbness, Leg Weakness, Stiffness NeckSI11, BL10, GB20, GB21 (doi:10.3233/THC-228048)
  • Dizziness, Cervical Spondylosis, Neck Pain, Arm Numbness, Leg Weakness, Stiffness NeckSI03, SI11, BL10, GB20, GB21 (doi:10.3233/THC-228048)
  • Breast Pain, Mastalgia Cyclic, Breast Pain Premenstrual, Mammary Gland HyperplasiaLI04, ST15, ST18, SP06, SI11, BL17, BL18, LV03, CV17 (doi:10.1186/s12906-022-03779-8)
  • Lymphedema Upper-limb, Edema Arm, Post-mastectomy Swelling, Breast-cancer ComplicationLU05, LI11, LI14, SI09, SI11, BL13, BL20, BL23, PC06, TB05, GB21, CV17, GV14 (doi:10.1177/15347354231172735)
  • Neck Pain, Spondylosis Cervical, Radiculopathy Cervical, Calcification Nuchal LigamentLI04, LI10, LI11, SI11, SI15, BL10, BL11, TB05, GB20, GB21 (doi:10.13702/j.1000-0607.20210531)
  • Neck Pain, Spondylosis Cervical, Radiculopathy Cervical, Calcification Nuchal LigamentLI04, LI10, LI11, SI11, TB05, GB21 (doi:10.13702/j.1000-0607.20210531)
  • Paralysis Upper Limb, Cerebral Palsy, Spasticity, Cerebral Palsy Spastic Hemiplegic, Hand Problems, Arm Problems, Upper Limb Weakness, Spastic HemiplegiaLI03, LI04, LI05, LI10, LI11, LI13, LI14, LI15, SI03, SI05, SI09, SI11, PC06, TB04, TB05, TB14, GB21 (doi:10.1177/2515690X251317438)
  • Shoulder Blade Pain, Headache Occipital, Neck Pain, Arm Numbness, Cervical Pain, Radiculopathy Cervical, Scapular PainSI04, SI11, SI15, GB20, GB21 (doi:10.1097/MD.0000000000039483)
  • Shoulder Pain, Stiffness Shoulder, Adhesive CapsulitisLI15, LI16, SI11, TB14, GB21 (doi:10.1186/s12906-025-04891-1)
  • Shoulder Pain, Stiffness Shoulder, Adhesive CapsulitisLI15, LI16, SI11, GB21 (doi:10.1186/s12906-025-04891-1)
  • Anxiety, Tinnitus, Headache, Dysmenorrhea, Insomnia, Neck Pain, Premenstrual Syndrome, Eye TwitchingSI11, SI12, SI13, BL54, BL60, TB17, TB18, TB19, TB20, GB30, GB34, LV04 (doi:10.12998/wjcc.v13.i21.103200)
  • Shoulder Pain, Shoulder Chronic Pain, Shoulder Rotator Cuff Pain, Shoulder Problems, Rotator Cuff DiseaseLI15, LI16, SI09, SI10, SI11, SI12, SI13, TB14 (doi:10.1097/MD.0000000000046638)
  • Neck Pain, Stiffness Neck, Limited Range Of Motion NeckSI11 (doi:10.1016/j.imr.2018.01.002)
  • Shoulder Pain, Neck Pain, Cervical Pain, Muscle ContractureLI04, SI03, SI06, SI09, SI10, SI11, SI12, SI13, SI14, SI15, BL60, GB19, GB20, GB21, GB34, GV20 (doi:10.1177/0964528420961398)
  • Neck Pain, Cervical Spine Pain, Whiplash InjurySI11, SI13, SI14, SI15, TB14, GB20, GB21, GV16 (doi:10.3831/KPI.2020.23.4.262)
  • Shoulder Pain, Neck Pain, Radiculopathy Cervical, Upper Limb Numbness, Cervical Spondylotic RadiculopathyLU07, 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)
  • Shoulder Pain, Restricted Range Of Motion Shoulder, Limited Range Of Motion Shoulder, Periarthritis ShoulderLI11, LI14, LI15, SI03, SI09, SI11, TB05, TB14, GB34 (doi:10.27258/d.cnki.gnxyc.2025.000483)
  • Frozen Shoulder, Shoulder Pain, Limited Range Of Motion ShoulderLI14, LI15, SI09, SI11, TB14, GB21, GV14 (doi:10.13729/j.issn.1671-7813.z20170533)
  • Breast HyperplasiaLI04, ST15, ST18, ST36, SI11, GB21, LV03, CV17 (doi:10.16040/j.cnki.cn15-1101.2017.10.121)
  • Paralysis Upper Limb, Post-stroke, Subluxation ShoulderHT01, SI11, TB15 (doi:10.13729/j.issn.1671-7813.2016.11.38)
  • Chemotherapy Side Effects, Breast Cancer, Cancer-related FatigueLI04, LI11, ST15, ST36, SP06, SI11, BL02, BL13, BL17, BL18, BL23, PC06, TB17, GB21, GB34, LV03, CV04, CV12, CV17, GV01, GV14, GV20 (doi:10.16368/j.issn.1674-8999.2016.01.005)
  • Shoulder Pain, Injury Rotator CuffLI14, LI15, SI09, SI11, TB14, XU12 (doi:10.13703/j.0255-2930.2018.01.004)
  • Shoulder PainLI15, SI09, SI11, SI14, TB14, GB21 (doi:10.3390/healthcare13131482)
  • Liver Qi Stagnation, Liver Qi StagnationLI17, LI18, ST09, ST15, ST16, ST18, ST25, ST26, ST27, SP13, SP18, HT03, HT04, SI11, BL14, BL16, BL18, BL31, KD21, XB02T9 (Yang Yong-Xuan, clinical point-selection notes)
  • Lung Qi Deficiency, Lung Qi DeficiencyLU01, LU02, LU09, LI20, ST14, ST15, ST36, SI11, BL13, BL42, XB02T6 (Yang Yong-Xuan, clinical point-selection notes)
  • Shoulder Pain, Neck Pain, Limited MovementSI11, TB02, TB03, GB34 (Zhang Hong-liang. Blood-Letting Puncture and Cupping Therapies Combined with Acupuncture for Treatment of 140 Cases of Fibrositis. Journal of Traditional Chinese Medicine, 2009, 29(4): 277-278)
  • Headache, Back Pain, Shoulder Pain, Neck Pain, Neck StiffnessLI11, LI15, ST36, ST40, SI11, BL18, BL20, BL23, KD03, PC06, TB05, GB20, GB34, LV03, CV12, GV14, GV20 (LUO Ben-hua & HAN Jing-xian. Cervical Spondylosis Treated by Acupuncture at Ligou (LR 5) Combined with Movement Therapy. Journal of Traditional Chinese Medicine, 2010, 30(2): 113-116)
  • Dizziness, Tinnitus, Headache, Vomiting, NauseaLI18, SI11, SI14, GB20, GB21, GV16, GV20 (Huang ZJ, Chen JX, Qi WW. Clinical Research on Treatment of Vertebroarterial Type of Cervical Spondylosis with 5-step Manipulation and Traction. Journal of Traditional Chinese Medicine, 2009, 29(4): 268-270)
  • Hemiplegia, Finger Pain, Shoulder Pain, Wrist Pain, Shoulder-hand SyndromeLI03, 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)
  • Neck Pain, Radiculopathy Cervical, Upper Extremity NumbnessLI04, 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])
  • Neck Pain, Upper Extremity Numbness, Cervical RadiculopathyLU07, LI04, LI10, LI11, LI15, SI03, SI09, SI11, SI14, SI15, BL10, BL11, TB05, GB20, GB21, GV14, GV16, GV20 (李具宝高焕焕池细绿何瑞建韦佳佳李骥征杨晨旭周柏健马献伟王鼎彭文潘侯刚蒯永丽韦佳佳高焕焕张伟强. 近10年文献中针灸治疗神经根型颈椎病的选穴规律探讨. , [CNKI])
  • Breast Hyperplasia, Breast Nodule, Breast NodulesST15, SI11, BL18, GB21, CV17 (李秋妹郭帅良廖鹏腾戚芷琪颜智权霍志豪张保球龙翔宇. 基于中医传承辅助平台的针灸治疗乳腺增生症选穴组方规律. 世界中医药 ., 2020 [CNKI])
  • Shoulder Pain, Hand Swelling, Shoulder-hand Syndrome Post-strokeLU05, LI04, LI10, LI11, LI14, LI15, SI09, SI11, TB05, TB14 (刘会敏冷军 魏方月郭文田梦. 针灸治疗脑卒中后肩手综合征的临床取穴规律. 中国老年学杂志 ., 2021 [CNKI])
  • Breast Pain, Hyperplasia Mammary Glands, Distending Pain Breast, Breast MassesLI04, ST15, ST18, ST36, SP06, SI11, BL18, BL20, BL23, KD03, TB05, GB21, LV03 (Yu Guo-hua, Zou Lai-yong, Liu Jian-guo. Combination of Acupuncture with Medication for Treatment of Hyperplasia of Mammary Glands in 46 Cases. Journal of Traditional Chinese Medicine, September 2010, Vol. 30, No. 3: 232-234)
  • Bi Syndrome, Fever Rheumatic, Arthritis Rheumatoid, Fibrositis, Neuralgia, Gout, Shoulder Blade Pain, Bi Syndrome, Fever Rheumatic, Arthritis Rheumatoid, Shoulder Blade PainSI11, SI12, SI14, BL43 (sacredlotus.com)