# TB18 Qimai (Spasm Vessel) – Triple Burner Meridian

契脈 · qì mài

Location: In the center of the mastoid process at the junction of the middle and lower third of the curve formed by TB17 and TB20 posterior to the helix.

Cautions: No specific contraindications.

Canonical page: https://acuiq.com/points/tb18

## Indications

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

Anxiety, Benefit Ears, Benefit Ears, Calm Wind, Calm Wind, Deafness, Diarrhea, Discharge Eye, Discharge Eye, Eyesight / Vision Dim, Dim Vision, Fright, Ghost Syndrome Fright Epilepsy (infant), Ghost Syndrome Fright Epilepsy Infantile, Headache, Headache, Head Behind Ear Pain, Head Behind Ear Pain, Muscle Spasms, Muscle Spasms, Tinnitus, Vomiting, Wind, Wind Head, Wind Head

## Most often selected alongside TB18

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

- TB17 (Hurricane) – 6 protocols
- LI04 (Junction Valley) – 5 protocols
- KD03 (Great Stream) – 4 protocols
- TB03 (Central Islet) – 4 protocols
- TB19 (Skull Rest) – 4 protocols
- TB20 (Angle Vertex) – 4 protocols
- TB21 (Ear Gate) – 4 protocols
- CV04 (Original Qi Gate) – 3 protocols

## Protocols using TB18

| Symptoms | Points | Course | Source | Kind | Caveat |
|---|---|---|---|---|---|
| Tinnitus, Vertigo, Hearing Loss Sensorineural Unilateral | LI04, SI19, KD03, TB03, TB17, TB18, TB21, LV03, CV04, CV06 | 28 days | doi:10.1016/j.jams.2019.04.003 | trial | Point selection reported in a published study. |
| Hearing Loss Sensorineural Unilateral | LI04, SI19, KD03, TB03, TB17, TB18, TB21, LV03, CV04, CV06 | 28 days | doi:10.1016/j.jams.2019.04.003 | 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. |
| Tinnitus, Tinnitus Subjective, Tinnitus Non-pulsating, Tinnitus Idiopathic | LI04, ST36, KD03, TB03, TB05, TB17, TB18, TB19, TB20, TB21, TB22, GB02, GB08, GB20 | 12 days | doi:10.5114/pq.2021.108662 | trial | Point selection reported in a published study. |
| Tinnitus, Tinnitus Subjective | LI04, LI11, ST25, ST36, SP06, KD03, TB03, TB05, TB17, TB18, TB19, TB20, TB21, TB22, GB02, GB08, GB20, GB28, CV04, CV09, CV12 | 56 days | doi:10.51507/j.jams.2023.16.1.11 | 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. |
| Phlegm, Fire, Convulsions (infant), Convulsions (infant) | LI04, ST40, TB18, LV03, CV12, GV26, XH03 | 7 days | sacredlotus.com | web | Point selection published on a website. Not peer-reviewed – check it before relying on it. |

---

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