# TB09 Sidu (Four Rivers) – Triple Burner Meridian

四瀆 · sì dú

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

Cautions: No specific contraindications.

Canonical page: https://acuiq.com/points/tb09

## Indications

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

Benefit Ears, Benefit Ears, Benefit Throat, Benefit Throat, Deafness, Epicondylitis Lateral Tennis Elbow, Epicondylitis Lateral Tennis Elbow, Fever, Arm Stiffness, Forearm Extensor Tendonitis Stiffness, Immobility Arm, Immobility Forearm Extensor Tendonitis, Lethargy, Arm Pain, Arm Pain, Back Lumbar Trauma Pain, Back Lumbar Trauma Pain, Toothache, Toothache, Excessive Sleepiness, Voice Loss, Voice Loss

## Most often selected alongside TB09

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

- ST36 (Leg Three Miles) – 7 protocols
- TB03 (Central Islet) – 6 protocols
- LI05 (Yang Stream) – 5 protocols
- ST37 (Upper Great Hollow) – 5 protocols
- TB05 (Outer Gate) – 5 protocols
- LI04 (Junction Valley) – 4 protocols
- LI10 (Arm Three Miles) – 4 protocols
- SI03 (Back Stream) – 4 protocols

## Protocols using TB09

| Symptoms | Points | Course | Source | Kind | Caveat |
|---|---|---|---|---|---|
| Tinnitus | ST36, ST37, SI19, TB03, TB09, TB17, TB21, GB02, GB08 | 28 days | doi:10.1186/s12906-017-1589-3 | trial | Point selection reported in a published study. |
| Tinnitus | ST36, ST37, TB03, TB09 | 28 days | doi:10.1186/s12906-017-1589-3 | trial | Point selection reported in a published study. |
| Facial Weakness, Myotonia Grip, Muscle Distal Weakness, Dystrophy Myotonic | TB09 | 90 days | doi:10.1097/MD.0000000000021845 | trial | Point selection reported in a published study. |
| 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 | 10 days | doi:10.3831/KPI.2013.16.009 | trial | Point selection reported in a published study. |
| 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 | trial | Point selection reported in a published study. |
| Lymphedema Secondary Upper-limb | SP06, TB09, TB13, CV06 | – | doi:10.27368/d.cnki.gtzyy.2023.000232 | trial | Point selection reported in a published study. |
| Parkinson's Disease | LI05, BL20, TB09, GB29, GB34 | – | doi:10.1002/mds.70343 | trial | Point selection reported in a published study. |
| Spasticity Post-stroke, Spasticity Upper Limb | LI04, SI03, TB05, TB09 | – | doi:10.13703/j.0255-2930.20190106-k0003 | trial | Point selection reported in a published study. |
| Tinnitus, Tinnitus Idiopathic | ST36, ST37, SI19, TB03, TB09, TB17, TB21, GB02, GB08 | 28 days | doi:10.1186/s12906-017-1589-3 | trial | Point selection reported in a published study. |
| Tinnitus, Tinnitus Idiopathic | ST36, ST37, TB03, TB09 | 28 days | doi:10.1186/s12906-017-1589-3 | trial | Point selection reported in a published study. |
| Elbow Lateral Pain, Lateral Epicondylitis | LI10, TB09 | 28 days | doi:10.2147/JPR.S608269 | trial | Point selection reported in a published study. |
| 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 | 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. |
| Muscle Hypertonia Post-stroke Upper Limb | LI03, LI05, LI07, LI14, LI15, SI03, TB03, TB05, TB09, TB10, TB13 | 28 days | Liu Xiafei, Bao Chunling, Dong Guirong. Using acupoint-to-acupoint penetrative needling to treat poststroke spastic paralysis: a clinical progress review. Journal of Traditional Chinese Medicine 2014 October 15; 34(5): 609-615. | text | Point selection recorded in a clinical text or case report. |
| Muscle Hypertonia Post-stroke | LI05, LI06, LI14, LI15, TB05, TB09, TB10, TB13, GB34, GB39, GB40, GB41, LV08, LV09 | 28 days | Liu Xiafei, Bao Chunling, Dong Guirong. Using acupoint-to-acupoint penetrative needling to treat poststroke spastic paralysis: a clinical progress review. Journal of Traditional Chinese Medicine 2014 October 15; 34(5): 609-615. | text | Point selection recorded in a clinical text or case report. |
| 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 | 7 days | sacredlotus.com | web | Point selection published on a website. Not peer-reviewed – check it before relying on it. |
| 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 | 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