TB 22 — Ěr Hé Liáo (耳和髎) — Ear Harmony Crevice
On this page
1. Overview
TB 22 — Ěr Hé Liáo (耳和髎) — is an acupuncture point on the Triple Burner meridian (San Jiao). Its English name, Ear Harmony Crevice, reflects the point’s classical character and location. It is used in acupuncture practice as part of channel-balancing prescriptions for a range of conditions.
I am Dr (TCM) Attilio D’Alberto, a member of the British Acupuncture Council with over 25 years of clinical experience. I use TB 22 as part of individually tailored acupuncture prescriptions at my clinic in Wokingham, Berkshire.
2. Location
Approximately 0.5 cun, anterior to the upper border of the root of the ear, in a slight depression on the posterior border of the hairline of the temple. Note: The point lies just posterior to where the superficial temporal artery can be palpated.
3. Actions
- Expels Wind
- Alleviates pain
4. Indications
- Migraine
- Tinnitus
- Headache
- Head Wind
- Swelling and pain of the tip of the nose
- Clonic spasm
- Facial paralysis
- Lockjaw
- Pain and heaviness of the head
5. Needling
Puncture obliquely 0.1 to 0.3 cun. Avoid puncturing the artery.
Important: Acupuncture should only be performed by a fully qualified practitioner. Never attempt self-needling. All needles I use are sterile, single-use and disposed of immediately after treatment in a clinical sharps container.
6. Clinical notes
TB 22 Ěr Hé Liáo (Ear Harmony Crevice) is classified as: Meeting point with the Gall Bladder and Small Intestine channels. These classifications inform how the point is used in clinical practice. The point is typically combined with other channel points to form a balanced prescription based on the patient’s individual TCM diagnosis.
7. Treatment at my clinic
I use TB 22 as part of tailored acupuncture prescriptions for conditions including Migraine, Tinnitus, Headache, Facial paralysis. Each treatment is individually designed following a full TCM assessment.
I see patients in person at my clinic in Wokingham, Berkshire. Visit the prices page for consultation fees. Return to the acupuncture points directory or the acupuncture main page.















