Location

in the depression in front of the Tragus and behind the condyloid process of the mandible when the mouth is open

Needling

perpendicular insertion 0.5 to 1.0 inch

note; needle with mouth open; following insertion patient may close the mouth.

Moxa is OK

Actions

Benefits the ears
Calms the spirit

Signs and Symptoms

deafness, tinnitus, motor impairment of the mandible, toothache

Commentary:

Tinggong (Si 19) is one of three points located in front of the Tragus. Ermen (Sj 21) is located immediately above Tinggong at the uppermost border of the Tragus, and Tingui (Gb2) is located at the lower border of the Tragus. All three have the similar action of benefiting the ear, and are often needled together, or rotated in treating a wide variety of ear disorders.

Interesting to note is that Tinggong has the added action of 'calming the spirit' and is used to treat 'sadness below the heart.'