Shixuan Point (EX-UE11 / Ten Xuan Points)
Discover the exact location and acupressure method for Shixuan (EX-UE11 / Ten Xuan Points). Learn their benefits for acute tonsillitis, stroke, high fever, and heatstroke – the extraordinary emergency points with bloodletting therapy – plus classic combinations for comprehensive treatment.
Indications
Clears heat, opens the orifices, and revives the spirit, drains heat and relieves spasms, reduces swelling and relieves pain. Treats acute tonsillitis, stroke with coma (locked jaw, unconsciousness), high fever with convulsions, heatstroke, coma, shock, epileptic seizures, and finger numbness.
Precise Location
At the tips of all ten fingers, 0.1 cun from the free edge of the nails – ten points in total.
Location Method
Sit upright or lie supine with the hands extended. Locate the points at the tips of all ten fingers, 0.1 cun from the free edge of the nails.
Massage Method
Pinch each point sequentially with the thumbnail – 10–20 times per point – a strong stinging sensation is optimal. Clinical practice commonly uses pricking bloodletting: use a three-edged needle or lancet to prick each point sequentially, squeezing out a few drops of blood – rapidly clearing heat, reviving the spirit, and relieving spasms, with emergency effects for stroke coma and high fever with convulsions. Strict disinfection and professional operation are required. Therapeutic actions: Clears heat, opens the orifices, and revives the spirit, drains heat and relieves spasms, and reduces swelling and relieves pain.
Compatibility
Stroke with coma: Combine with the twelve Jing-Well points – to open the orifices and revive the brain. High fever with convulsions: Combine with Quchi (LI-11) – to drain heat and relieve spasms. Acute tonsillitis: Combine with Shaoshang (LU-11) and Shangyang (LI-1). Heatstroke and coma: Combine with Shuigou (GV-26) and Yongquan (KI-1). Epileptic seizures: Combine with Shuigou (GV-26) and Dazhui (GV-14). Finger numbness: Combine with Baxie (EX-UE9) and Hegu (LI-4).
Efficacy & Actions
This is an extraordinary point located at the tips of all ten fingers, 0.1 cun from the free edge of the nail – ten points in total. It clears heat, opens the orifices, and revives the spirit, drains heat and relieves spasms, and reduces swelling and relieves pain. It is a commonly used key point for emergency and febrile disorders. First documented in the Beiji Qianjin Yaofang (Emergency Thousand-Gold Formulas). "Shi" refers to the ten fingers; "Xuan" means to disperse or drain. Located at the tips of the ten fingers, these points drain heat pathogens, open the orifices, and revive the spirit – hence the name Shixuan (Ten Xuan Points). Shixuan is a key emergency point, commonly used for stroke, coma, high fever, and heatstroke. Clinical practice often uses pricking bloodletting to drain heat toxins and revive the spirit. It is also effective for acute tonsillitis.
Contraindications
Located at the fingertips – strict disinfection and single-use needles are required for bloodletting to prevent infection. Bloodletting is contraindicated in patients with bleeding disorders. Use with caution in pregnant women. Shixuan is primarily used for emergency; patients should seek medical attention after symptom relief.
