TB09 (Four Rivers)

四瀆sì dú

Triple Burner Meridian

Location of acupuncture point TB09 (Four Rivers)
22
Indications
12
Protocols

Location

On the lateral side of the forearm 5 thumb widths below olecranon the between radius and ulna.

Cautions

No specific contraindications.

Indications

Conditions for which TB09 is listed as indicated. An indication list is a reference index, not a prescription – see the protocols below for sourced treatments.

Benefit EarsBenefit EarsBenefit ThroatBenefit ThroatDeafnessEpicondylitis Lateral Tennis ElbowEpicondylitis Lateral Tennis ElbowFeverArm StiffnessForearm Extensor Tendonitis StiffnessImmobility ArmImmobility Forearm Extensor TendonitisLethargyArm PainArm PainBack Lumbar Trauma PainBack Lumbar Trauma PainToothacheToothacheExcessive SleepinessVoice LossVoice Loss

Protocols using TB09

  • Knee Pain, Osteoarthritis Knee, Liver-kidney DeficiencyLU05, LI10, LI11, LI12, ST34, ST35, ST36, SP09, TB09, GB34 (https://doi.org/10.27879/d.cnki.ggxzy.2024.000325)
  • 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])
  • Post-stroke DepressionLU04, LI04, LI06, LI07, LI10, LI11, LI12, LI13, LI15, ST02, ST32, ST33, ST34, ST36, ST37, ST39, ST40, ST44, SP06, SP10, SP11, HT05, BL15, BL20, BL23, BL61, BL64, KD02, KD03, PC02, PC03, PC06, TB03, TB06, TB07, TB09, TB12, TB14, GB20, GB31, GB33, GB43, LV02, LV03, LV05, LV14, GV20, GV23, GV26 (Acupuncture for Ischemic Post-stroke Depression. ClinicalTrials.gov NCT02472613)
  • Benefit ThroatLU10, LU11, LI03, LI17, LI18, ST09, ST10, ST11, HT09, SI02, SI16, SI17, KD06, TB09, CV21, CV22, XH06 (DEADMAN-COMPOSITE)
  • Excessive SleepinessLU03, LI02, LI03, LI12, SP05, BL17, KD04, KD06, TB09, TB10, GB44, LV01, LV10, GV22 (DEADMAN-COMPOSITE)
  • FeverLU01, LU07, LU10, LI03, LI04, LI05, ST05, ST08, ST12, ST16, ST36, ST42, ST43, SP01, SP05, SP09, SI01, SI03, SI04, SI05, SI07, SI10, SI14, SI15, SI17, BL09, BL11, BL12, BL13, BL16, BL17, BL20, BL22, BL30, BL31, BL40, BL41, BL42, BL43, BL44, BL45, BL46, BL47, BL58, BL59, BL62, BL64, BL65, PC01, PC06, PC07, PC08, PC09, TB01, TB02, TB03, TB05, TB09, TB10, TB12, TB13, TB15, GB03, GB10, GB16, GB20, GB22, GB25, GB34, GB38, GB40, GB41, LV14, CV22, GV04, GV06, GV07, GV08, GV09, GV10, GV11, GV12, GV13, GV14, GV15, GV17, GV24, GV26, XU11A, XU11B, XU11C, XU11D, XU11E, XU11F, XU11G, XU11H, XU11I, XU11J (DEADMAN-COMPOSITE)
  • DeafnessLI01, LI04, LI05, LI06, ST01, ST07, SI01, SI03, SI05, SI09, SI17, SI19, BL62, BL65, BL67, KD03, TB01, TB02, TB03, TB04, TB05, TB06, TB07, TB09, TB10, TB16, TB18, TB19, TB20, TB21, GB02, GB03, GB10, GB19, GB20, GB41, GB42, GB43, GB44, XH01A, XH01B, XH01C, XH01D, XH14, XH30, XU06 (DEADMAN-COMPOSITE)
  • ToothacheLU07, LU09, LU10, LI02, LI05, LI10, LI11, ST03, ST04, ST05, ST06, ST07, ST42, ST44, ST45, SI03, SI18, SI19, BL14, BL63, KD03, TB02, TB05, TB09, TB12, TB20, TB21, TB23, GB02, GB03, GB04, GB05, GB07, GB09, GB10, GB12, GB41, XH05, XH18, XH38, XH39, XL08, XL09, XL25, XU09A, XU09B, XU09C, XU09D, XU09E, XU09F, XU09G, XU09H, XU18, XU22 (DEADMAN-COMPOSITE)
  • Arm PainLU01, LI04, LI08, ST18, HT01, HT09, SI03, SI05, SI08, SI10, SI11, BL44, PC01, PC02, TB02, TB04, TB05, TB06, TB09, TB10, TB12, TB13, TB14, TB15, GB10, GB21, GB22, GB23, GB41, CV17, XC25, XU08, XU12 (DEADMAN-COMPOSITE)
  • TinnitusST36, ST37, SI19, TB03, TB09, TB17, TB21, GB02, GB08 (https://doi.org/10.1186/s12906-017-1589-3)
  • Benefit EarsLI04, ST07, SI02, SI16, SI17, SI19, BL23, TB01, TB02, TB03, TB05, TB07, TB09, TB17, TB18, TB19, TB20, TB21, GB02, GB03, GB43 (DEADMAN-COMPOSITE)
  • Voice LossLU06, LU10, LI04, LI07, LI10, LI11, LI17, LI18, ST04, ST06, ST40, HT04, HT05, HT06, HT07, SI16, SI19, KD01, KD20, PC05, TB06, TB09, TB17, GB07, CV23, CV24, GV15, GV16, GV17, XH12, XH13, XH44 (DEADMAN-COMPOSITE)