TB09 Sidu (Four Rivers)

Location

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

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.

TCM actions

What classical sources say TB09 does in the terms of Chinese medicine theory. These describe the point, not a condition.

Protocols using TB09

• Facial Weakness, Myotonia Grip, Muscle Distal Weakness, Dystrophy Myotonic – TB09 (doi:10.1097/MD.0000000000021845 ↗)
• 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 (doi:10.3831/KPI.2013.16.009 ↗)
• Knee Pain, Osteoarthritis Knee, Liver-kidney Deficiency – LU05, LI10, LI11, LI12, ST34, ST35, ST36, SP09, TB09, GB34 (doi:10.27879/d.cnki.ggxzy.2024.000325 ↗)
• Lymphedema Secondary Upper-limb – SP06, TB09, TB13, CV06 (doi:10.27368/d.cnki.gtzyy.2023.000232 ↗)
• Muscle Hypertonia Post-stroke Upper Limb – LI03, LI05, LI07, LI14, LI15, SI03, TB03, TB05, TB09, TB10, TB13 (doi:10.1016/s0254-6272(15)30071-6 ↗)
• Muscle Hypertonia Post-stroke – LI05, LI06, LI14, LI15, TB05, TB09, TB10, TB13, GB34, GB39, GB40, GB41, LV08, LV09 (doi:10.1016/s0254-6272(15)30071-6 ↗)
• Parkinson's Disease – LI05, BL20, TB09, GB29, GB34 (doi:10.1002/mds.70343 ↗)
• Spasticity Post-stroke, Spasticity Upper Limb – LI04, SI03, TB05, TB09 (doi:10.13703/j.0255-2930.20190106-k0003 ↗)
• Elbow Lateral Pain, Lateral Epicondylitis – LI10, TB09 (doi:10.2147/JPR.S608269 ↗)
• Periarthritis Shoulder – LI15, TB05, TB09, XU12 (doi:10.13702/j.1000-0607.190432 ↗)
• Post-stroke Depression – LU04, 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)
• Neck Pain, Radiculopathy Cervical, Upper Extremity Numbness – LI04, 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])
• Knee Pain, Chondromalacia Patellae – ST09, BL37, TB09, XL02, XL05A, XL05B (Zhang Dengbu. Acupuncture Cases from China: A Digest of Difficult and Complicated Case Histories. Edinburgh: Churchill Livingstone, 1994)
• Qi Stagnation, Stasis Blood, Paralysis (infant), Benefit Regulate Yin, Benefit Regulate Wei, Intorsion, Hand Extorsion Stiffness, Qi Stagnation, Stasis Blood, Paralysis (infant), Benefit Regulate Yin, Benefit Regulate Wei, Hand Extorsion Stiffness – LI05, HT03, SI03, TB04, TB09 (sacredlotus.com ↗)
• Qi Stagnation, Stasis Blood, Paralysis (infant), Benefit Regulate Yin, Benefit Regulate Wei, Drop Wrist, Qi Stagnation, Stasis Blood, Paralysis (infant), Benefit Regulate Yin, Benefit Regulate Wei, Drop Wrist – TB05, TB09 (sacredlotus.com ↗)

Most often selected alongside TB09

How many sourced protocols in the index pair each point with TB09. Corpus frequency, not a combination to use.

• TB05Outer Gate6 protocols
• LI05Yang Stream5 protocols
• LI04Junction Valley4 protocols
• LI10Arm Three Miles4 protocols
• LI15Shoulder And Clavicle4 protocols
• SI03Back Stream4 protocols
• TB13Upper Arm Convergence4 protocols
• GB20Wind Pool3 protocols
• GB34Yang Mound Spring3 protocols
• LI11Pond At The Bend3 protocols
• LI14Upper Arm Prominence3 protocols
• ST34Ridge Mound3 protocols

Other points on the Triple Burner Meridian