Tianliao TE15: Nomenclature, Location, Functions, Indications



Tian: heaven         liao: foramen
“Heaven” here means “upper”. Tianliao is in a foramen above the shoulder blade.
Point: TE15
Chinese Name: 天髎
Name: Tianliao
English Name/Meaning: Heavenly Crevice
Pinyin: tiān liáo
Han Geul 한글: cheol lyo 천료
Romaji: ten ryō
Vietnamese: Thiên liêu


Midway between Jianjing (GB21) and Quyuan (SI13) on the superior angle of the scapula.


  • Dispels wind and damp in channel.
  • Invigorates Qi, Blood and relieves pain.

Indications of Tianliao:

Pain in the shoulder and elbow, stiffness of the neck, arthritis of shoulder joint, shoulder impairment, Rotator cuff, frozen shoulder.


Oblique insertion directed according to the clinical manifestations, 0.5 to 1 cun.


  • Meeting point of TE and Yangwei vessel.
  • Good for rotator cuff problems.
  • Use moxa for frozen shoulder.


Perpendicular insertion, especially in thin patients, carries a substantial risk of inducing a pneumothorax.

Dr. Ishwar Gyawali

Dr. Ishwar Gyawali is Consultant Acupuncturist and Ayurveda Physician from Kathmandu, Nepal. He had completed BAMS (Bachelor of Ayurveda Medicine and Surgery), a five and half year course on Ayurveda Medicine from Kirtipur Campus affiliated to Tribhuvan University ,Institute Of Medicine, Nepal under scholarship in 2011. He had completed his MD in TCM from Nanjing University Of Chinese Medicine in 2016 under scholarship of Ministry of Education, Nepal. With an experience of Serving for Government of Nepal for 2 years and private practise for more than 5 years, he has sound knowledge in Ayurveda as well as Chinese Medicine. He is a registered Doctor in NAMC (Nepal Ayurveda Medical Council ) both as a physician as well as TCM/Acupuncture Specialist.

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