# SI18 Quanhe (Cheek Bone Hole) – Small Intestine Meridian

顴髎 · quán hé

Location: Directly below outer canthus in the depression on the lower border of the zygoma.

Cautions: Caution with facial nerve.

Canonical page: https://acuiq.com/points/si18

## Indications

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

Abscess Lip, Abscess Lip, Deviation Eye, Deviation Eye, Facial Droop, Facial Droop, Heat, Jaw Chewing Stiffness, Immobility Jaw Chewing, Infection Urinary Tract, Infection Urinary Tract, Jaundice Eyes, Jaundice Eyes, Nephritis, Pain, Lower Back Pain, Lower Back Pain, Bladder Pain, Bladder Pain, Chest Pain, Chest Pain, Facial Pain, Facial Pain, Kidney Pain, Kidney Pain, Leg Pain, Leg Pain, Toothache, Toothache, Facial Redness, Facial Redness, Renal Calculi Kidney Stones, Renal Calculi Kidney Stones, Sinusitis, Swelling, Cheek Swelling, Cheek Swelling, Twitch Eyelid Persistent, Twitch Eyelid Persistent, Frequent Urination, Frequent Urination, Wind

## Most often selected alongside SI18

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

- ST04 (Earth Granary) – 90 protocols
- LI04 (Junction Valley) – 88 protocols
- GB14 (Yang Bright) – 82 protocols
- ST06 (Jaw Bone) – 74 protocols
- ST02 (Four Direction Brightness) – 64 protocols
- ST07 (Below The Arch) – 63 protocols
- TB17 (Hurricane) – 60 protocols
- BL02 (Gathered Bamboo) – 56 protocols

## Protocols using SI18 (50 best-sourced of 118)

| Symptoms | Points | Course | Source | Kind | Caveat |
|---|---|---|---|---|---|
| Facial Paralysis, Facial Paralysis, Facial Paralysis, Facial Paralysis | LI04, LI20, ST02, ST04, ST06, ST07, SP06, SI18, TB05, TB17, GB14, LV03, XH18, XH29 | 30 days | doi:10.1016/S0254-6272(09)60061-3 | trial | Point selection reported in a published study. |
| Dental Pain, Anesthesia Teeth-extraction | LI03, LI04, LI20, ST02, ST04, ST05, ST06, ST07, SI18, CV24, GV26 | 1 days | doi:10.1093/ecam/nem056 | trial | Point selection reported in a published study. |
| Neuralgia Trigeminal, Facial Trigeminal Pain | LI04, LI20, ST02, ST03, ST07, ST36, ST44, ST45, SI18, TB05, TB17, TB21, GB02, LV03, GV26 | 42 days | doi:10.1590/S1807-59322009001200014 | trial | Point selection reported in a published study. |
| Facial Pain, Neck Pain, Ear Pain, Paralysis Facial, Facial Weakness | LI04, ST04, ST06, ST07, SI18, TB17, GB14 | 28 days | doi:10.1186/1745-6215-12-158 | 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. |
| Paralysis Facial, Bell's Palsy, Paralysis Facial Peripheral, Bell Palsy | LI04, LI20, ST04, SI18, BL02, TB23, GB14, LV03 | 28 days | doi:10.1186/s13063-015-0893-9 | trial | Point selection reported in a published study. |
| Ear Pain, Paralysis Facial, Asymmetry Facial, Facial Numbness, Hyperacusis, Taste Altered | LI20, ST02, ST04, ST06, ST07, SI18, BL02, TB17, GB14, CV24 | 28 days | doi:10.1155/2020/5419407 | trial | Point selection reported in a published study. |
| Face Numbness, Paralysis Facial, Muscle Stiffness Face | LI04, LI20, ST04, SI18, BL02, TB17, GB14, CV24 | 56 days | doi:10.1155/2020/6531743 | trial | Point selection reported in a published study. |
| Dizziness, Tinnitus, Headache, Insomnia, Neck Pain, Spasm Hemifacial, Temporomandibular Joint Pain | LU10, LI04, ST07, SI18, GV20 | 210 days | doi:10.3389/fneur.2022.931412 | trial | Point selection reported in a published study. |
| Paralysis Facial, Paralysis Facial Traumatic, Eyelid Incomplete Closure, Taste Abnormal | LI04, LI20, ST03, ST04, ST06, ST07, SI18, BL02, TB17, TB23, GB12, GB20 | 60 days | doi:10.3390/healthcare11182546 | trial | Point selection reported in a published study. |
| Temporomandibular Joint Pain, Temporomandibular Disorder, Temporomandibular Pain, Orofacial Pain, Mouth-opening Limited, Limited Mouth Opening | LI04, ST06, ST07, SI18, BL10, GB20, GV20 | 28 days | doi:10.1016/j.jams.2017.08.005 | trial | Point selection reported in a published study. |
| Spasm Facial Hemifacial, Spasm Orbicularis Oculi, Spasm Facial Muscle Involuntary | ST04, ST05, ST07, ST09, SI18, TB17, GB01, GB02, GB14 | 147 days | doi:10.7759/cureus.55219 | trial | Point selection reported in a published study. |
| Facial Droop, Ear Pain, Face Numbness, Taste Loss, Paralysis Facial, Lagophthalmos, Tongue Numbness, Paralysis Facial Peripheral, Bell Palsy | LI04, LI20, ST02, ST04, ST06, ST07, SI18, TB17, GB14, LV03, CV24 | 28 days | doi:10.7759/cureus.57047 | trial | Point selection reported in a published study. |
| Facial Droop, Face Numbness, Taste Loss, Paralysis Facial, Lagophthalmos, Tongue Numbness | LI04, LI20, ST02, ST04, ST06, ST07, SI18, BL02, TB17, GB14, LV03, CV24 | 5 days | doi:10.7759/cureus.57047 | trial | Point selection reported in a published study. |
| Face Numbness, Taste Loss, Paralysis Facial, Tongue Numbness | ST04, ST06, ST36, SI18, GB14 | 14 days | doi:10.7759/cureus.57047 | trial | Point selection reported in a published study. |
| Neuralgia Trigeminal, Facial Trigeminal Pain, Facial Pain, Burning Pain, Electric Shock Pain, Stabbing Pain | LI04, ST02, ST04, ST06, ST07, SI18, TB05, GB01 | 28 days | doi:10.1007/s00415-024-12433-x | trial | Point selection reported in a published study. |
| Ear Pain, Paralysis Facial, Burning Pain, Electric Shock Pain, Postherpetic Neuralgia Pain, Rash Herpes Zoster | LI04, LI19, LI20, ST02, ST04, ST05, ST06, ST07, SI18, BL02, TB05, TB17, GB14 | 63 days | doi:10.3389/fpain.2024.1474103 | trial | Point selection reported in a published study. |
| Anxiety, Depression, Rosacea, Inflammation Skin, Erythema Facial, Edema Facial, Long Covid | LI04, LI06, LI11, LI20, ST02, ST03, ST04, ST36, ST40, SP09, SI18, LV03 | 60 days | doi:10.1097/MD.0000000000043407 | trial | Point selection reported in a published study. |
| Insomnia, Hand Numbness, Foot Numbness, Neuropathy Peripheral, Facial Numbness | ST04, SI18, BL02, TB23, GB20 | 3 days | doi:10.1097/MD.0000000000045454 | trial | Point selection reported in a published study. |
| Insomnia, Spasm Hemifacial, Neuropathy Peripheral, Fatigue Cancer-related, Spasm Facial, Spasm Facial Hemifacial, Twitching Facial Unilateral | ST02, ST04, ST07, SI18, BL02, TB17, GB14 | 30 days | doi:10.3389/fmed.2026.1700524 | trial | Point selection reported in a published study. |
| Paralysis Facial, Bell's Palsy, Paralysis Facial Peripheral, Bell Palsy, Paralysis Facial Acute | LI04, ST04, ST06, SI18, TB17, GB14 | 28 days | doi:10.13702/j.1000-0607.20240016 | trial | Point selection reported in a published study. |
| Tinnitus, Drooling, Ear Pain, Paralysis Facial, Taste Altered, Tearing Abnormal, Sound Hypersensitivity | LI04, LI20, ST02, ST04, ST06, ST36, SI18, BL02, TB17, TB23, GB14, GB20, CV24, GV26 | – | doi:10.3831/KPI.2018.21.025 | trial | Point selection reported in a published study. |
| Facial Pain, Temporomandibular Pain, Jaw Restricted Movement, Muscle Tension Masticatory | LI04, ST06, ST07, SI18, TB17, TB21 | – | doi:10.5935/1806-0013.20160076 | trial | Point selection reported in a published study. |
| Paralysis Facial, Cheek Weakness, Peripheral Facial Palsy | LI04, ST02, ST04, ST06, ST44, SI18, GB14 | 28 days | doi:10.27820/d.cnki.gszxy.2023.000108 | trial | Point selection reported in a published study. |
| Ischemic Stroke, Paralysis Facial Central | LI04, LI20, ST04, ST06, SP06, SI18, PC06, GV26 | 14 days | doi:10.13703/j.0255-2930.2014.07.016 | trial | Point selection reported in a published study. |
| Spasm Facial, Hemifacial Spasm | LI04, ST02, ST04, ST06, ST07, ST36, SI18, BL02, TB17, GB20, LV03, GV20 | – | doi:10.13359/j.cnki.gzxbtcm.2021.11.025 | trial | Point selection reported in a published study. |
| Paralysis Facial, Retroauricular Pain | LI04, ST02, ST04, SI18, BL02, TB17, GB14 | 28 days | doi:10.13703/j.0255-2930.20231014-k0003 | trial | Point selection reported in a published study. |
| Paralysis Facial, Retroauricular Pain | LI04, ST02, ST04, SI18, BL02, TB17, GB14, GV20 | 28 days | doi:10.13703/j.0255-2930.20231014-k0003 | trial | Point selection reported in a published study. |
| Paralysis Facial, Facial Nerve Palsy Peripheral Refractory | LI04, ST04, ST06, SI18, TB17, GB14 | 28 days | doi:10.27282/d.cnki.gsdzu.2024.000964 | trial | Point selection reported in a published study. |
| Temporomandibular Joint Disorder | LI04, ST06, ST07, ST36, SI18, SI19, TB17, GB02, GB03, GB20 | – | doi:10.13359/j.cnki.gzxbtcm.2024.03.026 | trial | Point selection reported in a published study. |
| Paralysis Facial Chronic | LI04, ST04, ST06, ST07, ST08, SI18, BL02, TB17, GB14, CV24, GV26 | 70 days | doi:10.13729/j.issn.1671-7813.2015.08.73 | trial | Point selection reported in a published study. |
| Paralysis Facial, Paralysis Facial Peripheral, Bell Palsy | LI20, ST02, ST04, ST06, ST07, SI18, BL02, TB17, GB14, CV24 | – | doi:10.1155/2020/5419407 | trial | Point selection reported in a published study. |
| Paralysis Facial, Paralysis Facial Peripheral, Atrophy Facial Muscle | LI04, LI20, ST04, ST07, SI18, BL02, TB23, GB12, GB20, LV03 | 56 days | doi:10.1186/s13063-021-05696-6 | trial | Point selection reported in a published study. |
| Paralysis Facial, Paralysis Facial Peripheral, Facial Paralysis Intractable | LI04, LI20, ST04, ST06, SI18, GB14, GB20, CV24, GV26 | 30 days | doi:10.3389/fneur.2025.1504089 | trial | Point selection reported in a published study. |
| Paralysis Facial, Paralysis Facial Peripheral, Bell Palsy | LI04, ST04, ST06, ST07, ST36, SI18, BL02, TB17, GB14 | 42 days | doi:10.1007/s10103-023-03754-w | trial | Point selection reported in a published study. |
| Ear Pain, Paralysis Facial, Burning Pain, Electric Shock Pain, Postherpetic Neuralgia Pain, Rash Herpes Zoster | LI04, LI19, LI20, ST02, ST04, ST05, ST06, ST07, SI18, BL02, TB05, TB17, GB14 | 63 days | doi:10.3389/fpain.2024.1474103 | trial | Point selection reported in a published study. |
| Paralysis Facial, Facial Nerve Palsy Peripheral Refractory | LI04, ST04, ST06, SI18, PC06, TB17, GB14, LV03, CV12, GV04, GV09, GV14, GV16, GV20, GV24, XH03 | 28 days | doi:10.27282/d.cnki.gsdzu.2024.000964 | trial | Point selection reported in a published study. |
| Skin Aging, Wrinkles, Skin Laxity | LI20, ST02, ST03, ST05, ST07, SI18, BL02, TB23, GB14, CV24, XH03, XH05 | – | doi:10.1111/jocd.70839 | trial | Point selection reported in a published study. |
| Face Numbness, Nerve Injury, Facial Fracture | LI04, ST02, SI18, GV26 | 56 days | doi:10.1186/s13256-026-06027-6 | trial | Point selection reported in a published study. |
| Facial Paralysis, Paralysis Facial, Paralysis Facial Peripheral, Facial Paralysis Intractable | LI10, LI20, ST04, ST06, ST07, ST36, SI18, GB01, GB14 | 33 days | doi:10.13702/j.1000-0607.20250433 | trial | Point selection reported in a published study. |
| Facial Pain, Neuralgia Trigeminal, Orofacial Neuropathic Pain | LI04, ST02, ST06, ST07, SI18, PC06, TB21, CV24 | – | doi:10.22514/jofph.2025.044 | trial | Point selection reported in a published study. |
| Myopia, Reduced Visual Acuity, Eye Strain | LU01, LU02, LI20, ST01, ST02, ST03, ST36, ST40, SP03, SP06, SP09, SP10, SI18, BL02, BL13, BL15, BL18, BL19, BL20, BL21, BL23, BL40, BL57, KD01, KD03, PC06, PC08, TB05, TB17, TB23, GB01, GB14, GB20, GB34, LV03, GV04, GV14, GV16, XH03, XH04, XH05 | 84 days | doi:10.1097/MD.0000000000046414 | trial | Point selection reported in a published study. |
| Paralysis Facial, Paralysis Facial Peripheral | LI04, ST04, ST06, ST36, SP06, SP10, SI18, TB17, GB14, CV06 | 28 days | doi:10.13703/j.0255-2930.20230703-k0002 | trial | Point selection reported in a published study. |
| Paralysis Facial, Retroauricular Pain, Paralysis Facial Acute | LI04, ST02, ST04, SI18, BL02, TB17, GB14, XH05 | 24 days | doi:10.13703/j.0255-2930.20231014-k0003 | trial | Point selection reported in a published study. |
| Paralysis Facial, Retroauricular Pain, Paralysis Facial Acute | LI04, ST02, ST04, SI18, BL02, TB17, GB14, GV20, XH05 | 24 days | doi:10.13703/j.0255-2930.20231014-k0003 | trial | Point selection reported in a published study. |
| Aging Facial, Wrinkles, Skin Laxity | LI20, ST02, ST04, ST05, ST06, ST07, ST09, SI18, GB14, XH03, XH05 | 28 days | doi:10.13703/j.0255-2930.20240611-0002 | trial | Point selection reported in a published study. |
| Mastoid Pain, Paralysis Facial, Paralysis Facial Peripheral | LI04, LI20, ST04, ST07, ST36, SI18, BL02, TB17, GB12, GB14, CV24, XH05 | 21 days | doi:10.13703/j.0255-2930.20250205-k0007 | trial | Point selection reported in a published study. |
| Mastoid Pain, Paralysis Facial, Paralysis Facial Peripheral | LI04, LI20, ST04, ST07, ST36, SI18, BL02, BL10, TB17, GB12, GB14, GB20, CV24, XH05 | 21 days | doi:10.13703/j.0255-2930.20250205-k0007 | trial | Point selection reported in a published study. |
| Paralysis Facial, Paralysis Facial Peripheral | ST02, ST04, ST06, SI18, TB17, GB14 | 56 days | doi:10.13703/j.0255-2930.20251012-k0003 | trial | Point selection reported in a published study. |
| Paralysis Facial, Paralysis Facial Peripheral | ST02, ST04, ST06, ST09, SI18, TB17, GB14 | 56 days | doi:10.13703/j.0255-2930.20251012-k0003 | trial | Point selection reported in a published study. |

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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