TE-9 - Four Rivers
四渎 - sì dú
Point Region: Forearm
TE-9 Sidu, meaning 'Four Rivers,' is a point that regulates Qi and benefits the arm and shoulder. Located on the back of the forearm, it is a key point for addressing a wide range of issues that are caused by stagnant Qi or excess heat in the upper body. Its name, 'Four Rivers,' alludes to its ability to create a sense of flow and ease in the body, bringing a sense of order and harmony to the entire arm.
Think of Sidu as a point that helps to get things flowing in your arm. It's invaluable for addressing issues like shoulder pain, tennis elbow, and a feeling of heaviness or stiffness in the arm. By regulating Qi and benefiting the arm and shoulder, it helps to restore a sense of ease and freedom.
By regulating Qi and benefiting the arm and shoulder, TE-9 helps to restore a sense of balance and inner peace. It's a point that reminds us that our true power comes from a well-regulated and harmonious body.
Location & How to Find
Anatomical Location: On the line connecting TE-4 and the olecranon, 5 cun above the wrist crease
How to Locate:
- Turn your arm palm down and bend your wrist back slightly
- Find the groove between the tendons going to your ring finger and pinky at the wrist crease
- Measure 5 finger-widths up your forearm from this wrist groove
- This location between the two main bones of your forearm is TE-9

Primary Functions
Auditory System
- Treats deafness and hearing impairment
- Reduces chronic tinnitus
- Improves inner ear circulation
- Balances auditory nerve function
Respiratory System
- Treats asthma and breathing difficulties
- Reduces chest tightness
- Improves lung qi circulation
- Calms respiratory inflammation
Musculoskeletal System
- Relieves arm and shoulder stiffness
- Treats elbow joint disorders
- Reduces muscle tension
- Improves arm flexibility
Nervous System
- Treats toothache and facial pain
- Reduces nerve inflammation
- Calms nervous system irritation
- Improves nerve conduction
Endocrine & Metabolic System
- Regulates triple energizer circulation
- Balances energy transformation
- Supports organ coordination
- Harmonizes metabolic processes
Emotional & Mental
- Reduces mental agitation
- Calms excessive thinking
- Promotes emotional balance
- Enhances mental clarity
Clinical Applications
Primary Indications
- Forearm pain
- Tinnitus
- Deafness
- Toothache
- Arm pain
- Ear ringing
- Hearing problems
- Dental pain
- Jaw pain
Related Health Concerns
Common Conditions:
Related Acupoints
Select a point to learn about its location, primary functions, clinical applications, and protocols.
TE-9 Protocols
N/A
Important Precautions
- Recent dental surgery
- Severe elbow injury
- Acute arm fracture