ACUPUNCTURE
Xi Yan: TCM Acupoint Guide
XIYAN
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.
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.
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