Traditional Chinese Medicine Healing Herbs(TCMHH)

ACUPUNCTURE

Xi Yan: TCM Acupoint Guide

XIYAN
By the TCMHH editorial team Not medically reviewed How we work Updated 6 Oct 2026
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Name

Xi Yan (Xiyan)

Location

A pair of points in the two depressions medial and lateral to the patellar ligament, immediately below the patella. Locate with the knee flexed. The medial Xiyan overlaps with ST-35 Dubi.

Needling

  • With the knee flexed and supported, perpendicular insertion directed toward UB-40 Weizhong, 1 to 2 cun.
  • With the knee flexed and supported, oblique insertion in a medial and superior direction behind the patella, 1 to 2 cun.
  • With the knee flexed and supported, through between lateral and medial Xiyan, behind the patellar ligament.
  • Straight insertion, pointed medially or laterally, 1.5 to 2 cun. Sensation: local distention, possibly extending downward.
  • Slanted insertion, through the patellar tendon joining the first eye to the second, 2 to 2.5 cun. Sensation: local distention and soreness.
  • Puncture perpendicularly, 0.5 to 1 cun.
  • Moxibustion is applicable.

Actions

  • Dispels wind-damp
  • Benefits the knees
  • Reduces swelling
  • Alleviates pain

Indications

  • Swelling and pain of the knee joint
  • Difficulty flexing and extending the knee
  • Weakness of the knee joint
  • Numbness of the knee
  • Numbness of the lower limb
  • Atrophy disorder of the lower limb
  • Difficulty squatting
  • Leg qi
  • Paralysis of the lower limb

Notes

These are essential points in the treatment of all knee disorders. Moxa is particularly helpful on these points.

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Sources and further reading

We cite classical materia medica and modern reference works. This article is health education, not medical advice.

  • Shennong Bencao Jing (The Divine Farmer's Materia Medica), Han dynasty.
  • Bencao Gangmu (Compendium of Materia Medica), Li Shizhen, 1578.
  • Chinese Pharmacopoeia, current edition — identity, quality and safety monographs.
  • NCCIH and WHO reference material on traditional medicine safety.

Spotted an error or a better source? Tell us — corrections are logged on our editorial policy page.

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