# SI11 Tianzong (Heavenly Gathering) – Small Intestine Meridian

天宗 · tiān zōng

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.

Canonical page: https://acuiq.com/points/si11

## Indications

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

Breast Abscess, Breast Abscess, Angina Microvascular Cardiac Syndrome, Angina Microvascular Cardiac Syndrome, Benefit Breasts, Benefit Breasts, Cough, Chest Fullness, Chest Fullness, Costal Lateral Fullness, Costal Lateral Fullness, Unable to Raise Arm, Arm Reach Behind Stiffness, Elbow Raising Stiffness, Immobility Arm Raising, Immobility Arm Reach Behind, Immobility Elbow Raising, Lactation Deficiency, Lactation Deficiency, Pain, Arm Pain, Arm Pain, Elbow Pain, Elbow Pain, Shoulder Blade Pain, Shoulder Blade Pain, Shoulder Pain, Shoulder Pain, Heaviness Shoulder Sensation, Heaviness Shoulder Sensation, Channel Stagnation, Channel Stagnation, Qi Stagnation, Qi Stagnation, Breast Swelling, Breast Swelling, Cheek Swelling, Cheek Swelling, Submandibular Swelling, Submandibular Swelling, Unbind Chest, Unbind Chest, Unbind Costal Lateral, Unbind Costal Lateral

## Most often selected alongside SI11

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

- GB21 (Shoulder Well) – 30 protocols
- LI15 (Shoulder And Clavicle) – 20 protocols
- SI09 (True Shoulder) – 19 protocols
- TB05 (Outer Gate) – 15 protocols
- GB20 (Wind Pool) – 14 protocols
- LI04 (Junction Valley) – 14 protocols
- TB14 (Shoulder Bone Hole) – 14 protocols
- LI11 (Pond At The Bend) – 13 protocols

## Protocols using SI11

| Symptoms | Points | Course | Source | Kind | Caveat |
|---|---|---|---|---|---|
| Shoulder Pain, Paralysis Hemiplegia, Stroke Sequela | LI15, SI11, SI12, TB14, GB21 | 14 days | doi:10.1155/2013/504686 | trial | Point selection reported in a published study. |
| 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. |
| Upper Limb Pain, Complex Regional Pain Syndrome, Hand Swelling, Loss Of Function Upper Limb, Cold Sensation Hand | LU02, LI05, HT01, SI10, SI11, GB21 | – | doi:10.1016/j.jams.2014.03.004 | 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. |
| Dizziness, Cervical Spondylosis, Neck Pain, Arm Numbness, Leg Weakness, Stiffness Neck | SI11, BL10, GB20, GB21 | 35 days | doi:10.3233/THC-228048 | trial | Point selection reported in a published study. |
| Dizziness, Cervical Spondylosis, Neck Pain, Arm Numbness, Leg Weakness, Stiffness Neck | SI03, SI11, BL10, GB20, GB21 | 35 days | doi:10.3233/THC-228048 | trial | Point selection reported in a published study. |
| Breast Pain, Mastalgia Cyclic, Breast Pain Premenstrual, Mammary Gland Hyperplasia | LI04, ST15, ST18, SP06, SI11, BL17, BL18, LV03, CV17 | 90 days | doi:10.1186/s12906-022-03779-8 | 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. |
| Neck Pain, Disability Neck, Spondylosis Cervical, Radiculopathy Cervical, Cervical Spondylotic Radiculopathy, Calcification Nuchal Ligament | LI04, LI10, LI11, SI11, SI15, BL10, BL11, TB05, GB20, GB21 | 28 days | doi:10.13702/j.1000-0607.20210531 | trial | Point selection reported in a published study. |
| Neck Pain, Spondylosis Cervical, Radiculopathy Cervical, Calcification Nuchal Ligament | LI04, LI10, LI11, SI11, TB05, GB21 | 28 days | doi:10.13702/j.1000-0607.20210531 | 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. |
| 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. |
| Shoulder Pain, Stiffness Shoulder, Adhesive Capsulitis | LI15, LI16, SI11, TB14, GB21 | 60 days | doi:10.1186/s12906-025-04891-1 | trial | Point selection reported in a published study. |
| Shoulder Pain, Stiffness Shoulder, Adhesive Capsulitis | LI15, LI16, SI11, GB21 | 60 days | doi:10.1186/s12906-025-04891-1 | trial | Point selection reported in a published study. |
| Anxiety, Tinnitus, Headache, Dysmenorrhea, Insomnia, Neck Pain, Premenstrual Syndrome, Eye Twitching | SI11, SI12, SI13, BL54, BL60, TB17, TB18, TB19, TB20, GB30, GB34, LV04 | 30 days | doi:10.12998/wjcc.v13.i21.103200 | 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. |
| Neck Pain, Stiffness Neck, Limited Range Of Motion Neck | SI11 | 1 days | doi:10.1016/j.imr.2018.01.002 | 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. |
| Neck Pain, Cervical Spine Pain, Whiplash Injury | SI11, SI13, SI14, SI15, TB14, GB20, GB21, GV16 | 28 days | doi:10.3831/KPI.2020.23.4.262 | 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, 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. |
| 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. |
| Breast Hyperplasia | LI04, ST15, ST18, ST36, SI11, GB21, LV03, CV17 | – | doi:10.16040/j.cnki.cn15-1101.2017.10.121 | trial | Point selection reported in a published study. |
| Paralysis Upper Limb, Post-stroke, Subluxation Shoulder | HT01, SI11, TB15 | 42 days | doi:10.13729/j.issn.1671-7813.2016.11.38 | trial | Point selection reported in a published study. |
| Chemotherapy Side Effects, Breast Cancer, Cancer-related Fatigue | LI04, 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 | 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, 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. |
| 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. |
| Disability Neck, Radiculopathy Cervical, Cervical Spondylotic Radiculopathy | LI04, LI10, LI11, SI11, TB05, GB21, XB02C3, XB02C4, XB02C5, XB02C6, XB02C7 | 28 days | doi:10.13702/j.1000-0607.20210531 | trial | Point selection reported in a published study. |
| Neck Chronic Pain, Spondylosis Cervical | SI11, BL10, GB20, GB21 | 35 days | doi:10.3233/THC-228048 | trial | Point selection reported in a published study. |
| Neck Chronic Pain, Spondylosis Cervical | SI03, SI11, BL10, GB20, GB21 | 35 days | doi:10.3233/THC-228048 | 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. |
| 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. |
| Neck Pain, Radiculopathy Cervical | SI04, SI11, SI15, GB20, GB21 | – | doi:10.1097/MD.0000000000039483 | 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. |
| Headache, Tinnitus Chronic, Neck Pain | SI11, SI12, SI13, BL54, BL60, TB17, TB18, TB19, TB20, GB30, GB34, LV04, XB02C3, XB02C4, XB02C5, XB02T3, XB02T4, XB02T5 | 11 days | doi:10.12998/wjcc.v13.i21.103200 | trial | Point selection reported in a published study. |
| Liver Qi Stagnation, Liver Qi Stagnation | LI17, LI18, ST09, ST15, ST16, ST18, ST25, ST26, ST27, SP13, SP18, HT03, HT04, SI11, BL14, BL16, BL18, BL31, KD21, XB02T9 | 7 days | Yang Yong-Xuan, clinical point-selection notes | text | Point selection recorded in a clinical text or case report. |
| Lung Qi Deficiency, Lung Qi Deficiency | LU01, LU02, LU09, LI20, ST14, ST15, ST36, SI11, BL13, BL42, XB02T6 | 7 days | Yang Yong-Xuan, clinical point-selection notes | text | Point selection recorded in a clinical text or case report. |
| Shoulder Pain, Neck Pain, Limited Movement | SI11, TB02, TB03, GB34 | 14 days | 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 | text | Point selection recorded in a clinical text or case report. |
| Headache, Back Pain, Shoulder Pain, Neck Pain, Neck Stiffness | LI11, LI15, ST36, ST40, SI11, BL18, BL20, BL23, KD03, PC06, TB05, GB20, GB34, LV03, CV12, GV14, GV20 | 10 days | 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 | text | Point selection recorded in a clinical text or case report. |
| Dizziness, Tinnitus, Headache, Vomiting, Nausea | LI18, SI11, SI14, GB20, GB21, GV16, GV20 | 7 days | 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 | text | Point selection recorded in a clinical text or case report. |
| Hemiplegia, Finger Pain, Shoulder Pain, Wrist Pain, Shoulder-hand Syndrome | LI03, LI10, LI15, SI03, SI11, SI15, TB03, TB05, TB14 | 30 days | 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 | text | Point selection recorded in a clinical text or case report. |
| Neck Pain, Radiculopathy Cervical, Upper Extremity Numbness | LI04, LI10, LI13, SI03, SI08, SI11, TB05, TB09, TB13, GB20, GB21, GV14 | 10 days | 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] | text | Point selection recorded in a clinical text or case report. |
| Neck Pain, Upper Extremity Numbness, Cervical Radiculopathy | LU07, 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] | text | Point selection recorded in a clinical text or case report. |
| Breast Hyperplasia, Breast Nodule, Breast Nodules | ST15, 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] | text | Point selection recorded in a clinical text or case report. |
| Shoulder Pain, Hand Swelling, Shoulder-hand Syndrome Post-stroke | LU05, 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] | text | Point selection recorded in a clinical text or case report. |
| Breast Pain, Hyperplasia Mammary Glands, Distending Pain Breast, Breast Masses | LI04, ST15, ST18, ST36, SP06, SI11, BL18, BL20, BL23, KD03, TB05, GB21, LV03 | 45 days | 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 | text | Point selection recorded in a clinical text or case report. |
| Bi Syndrome, Fever Rheumatic, Arthritis Rheumatoid, Fibrositis, Neuralgia, Gout, Shoulder Blade Pain, Bi Syndrome, Fever Rheumatic, Arthritis Rheumatoid, Shoulder Blade Pain | SI11, SI12, SI14, BL43 | 7 days | sacredlotus.com | web | Point selection published on a website. Not peer-reviewed – check it before relying on it. |

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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