Small Intestine 11 (SI 11) Tian Zong — Heavenly Gathering

This point, in the centre of the scapula, is a major point for pain of the scapula and shoulder and benefits the breast.

Small Intestine 11 (SI 11) Tian Zong 天宗 — Heavenly Gathering

Location

On the scapula, in the centre of the infrascapular fossa, at the junction of the upper third and lower two-thirds of the line connecting the midpoint of the scapular spine and the inferior angle of the scapula.

Anatomy

In the infraspinatus muscle; the circumflex scapular artery; the suprascapular nerve.

Actions & Functions

  • Activates the channel and relieves pain of the scapula and shoulder
  • Benefits the breast
  • Descends rebellious Lung qi

Indications

Pain and stiffness of the scapula and shoulder, mastitis and breast disorders, and asthma.

Needling

0.5-1.0 cun, perpendicular insertion.

Moxibustion Suitability

Suitable for moxibustion.

Point Combinations

With SI-1 and ST-18 for breast disorders; with SI-9, SI-10 for shoulder pain.

Classical Text References

A principal local point of the scapula, classically also used for the breast.

Cautions & Contraindications

None specific.

Latest Research

Latest peer-reviewed research on this point will be summarised here, with citations linked to PubMed, via our research integration.

About Attilio

Doctor of Chinese medicine, acupuncture expert and author of My Fertility Guide and My Pregnancy Guide.

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PubMed research

Network Meta-Analysis Finds Chinese Herbal Decoctions Improve Outcomes and Reduce Side Effects in Breast Cancer Treatment

Research summary (Traditional Chinese Medicine): Efficacy and safety of traditional Chinese medicine decoctions in breast cancer treatment: a network meta-analysis. - Frontiers in oncology, 2026.