SI-14 - Outer Shoulder Shu
肩外俞 - Jiān wài shū
Point Region: Upper back
SI-14 Jianwaishu, meaning 'Outer Shoulder Point,' is a local point for upper back and scapular disorders. Located on the back, it is a key point for addressing a wide range of issues that are caused by stagnation or excess heat in the upper back. Its name, 'Outer Shoulder Point,' alludes to its ability to bring a sense of order and harmony to the body's entire system.
Think of Jianwaishu as a point that helps to 'straighten the shoulder' of your body. It's invaluable for addressing issues like shoulder pain, a feeling of 'stuckness' in the arm, and a restless spirit. By regulating the body's internal energy, it helps to restore a sense of ease and freedom.
By regulating the body's internal energy, SI-14 helps to restore a sense of balance and inner peace. It's a point that reminds us that our true power comes from a calm and unburdened body.
Location & How to Find
Anatomical Location: Located on the upper back, lateral to the spine, at the level of the first thoracic vertebra.
How to Locate:
- Find the base of your neck where it meets your shoulders
- Move outward from your spine toward your shoulder
- This is at the level where your neck meets your upper back
- The point is lateral to your spine at this level

Primary Functions
Musculoskeletal System
- Relieves shoulder and upper back pain
- Treats shoulder blade tension
- Reduces neck stiffness
- Improves shoulder mobility
- Strengthens back and shoulder muscles
- Treats cervical and thoracic spine issues
Respiratory System
- Relieves chest congestion
- Improves breathing function
- Treats chronic cough
- Reduces chest tightness
- Promotes lung qi circulation
Nervous System
- Alleviates nerve pain in shoulder
- Reduces headaches from tension
- Calms the nervous system
- Treats cervical radiculopathy
Circulatory System
- Improves circulation in upper body
- Reduces inflammation
- Promotes tissue healing
Clinical Applications
Primary Indications
- Stiff neck
- Upper back pain
- Shoulder tension
- Neck pain
- Shoulder stiffness
- Upper back stiffness
Related Health Concerns
Common Conditions:
Related Acupoints
Select a point to learn about its location, primary functions, clinical applications, and protocols.
SI-14 Protocols
N/A
Important Precautions
- Recent neck surgery
- Severe cervical spine injury
- Acute upper back trauma