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Alternate names: 长顪 cháng huì, Long Plate; 长颊 cháng jiá, Long Cheek; 长髎 cháng liáo, Long Bone-Hole; 长窌 cháng liáo, Long Bone-Hole; 长频 cháng pín, Long Shore; 长䪼 cháng zhuō, Long Cheek

Channel: LI, hand yáng brightness (yáng míng) large intestine channel

Modern location: An acupoint located superior to the upper lip, over a slight depression in the maxilla inferior to the medial margin of the ala nasi, at the level of GV-26.

Classical location: Below the nostril, five fēn from the philtrum [or Water Trough (GV-26)]. From The Great Compendium of Acupuncture and Moxibustion (针灸大成 zhēn jiǔ dà chéng)

Local anatomy: The superior labial branches of the facial artery and vein. The anastomotic branch of the facial nerve and the infraorbital nerve.

Action: Diffuses lung qì and clears lung heat; clears the nose and rouses the spirit.

Modern indications: Nasal congestion; sniveling nose; nosebleed; deviated mouth; clenched jaw.

Classical indications: Nose sores and nasal polyps; runny nose with clear snivel; clenched jaw; deathlike reversal.

Needle stimulus: Needling: 0.2‒0.3 cùn inward oblique insertion.

Needle sensation: Localized distension and pain.

Warning: Moxa contraindicated.

Point name meaning:

• 禾 hé: grain, rice, corn
• 髎 liáo: bone-hole

LI-19 is located below the lateral edge of the nostril, level with GV-26. Palpation at this point will reveal a depression (actually, the space between the teeth at gum level) about the size of a grain of rice. Since rice is the grain associated with the metal phase (and thus the large intestine), the point name could be translated as either Grain Bone-Hole or Rice Bone-Hole. See acupoint names: origins, meanings, and translations.

Note that hé??jī was long ago mistranscribed as the more familiar 禾 (hé) Thus the point name should be and not 禾 () ?? 禾 is a pictograph of a tree that serves as a map to the point. The trunk (philtrum) bends into the bone-hole.

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