偏歷 Pianli
“Slanting Passage” · LI6
Hand Yangming · 6 of 20 · luo-connecting
Where. On the back of the forearm, thumb side, four finger-widths above the wrist hollow of LI5.
For. Ringing ears, nosebleed, an aching arm.
Press. Firm thumb pressure, about a minute each arm.
偏歷,手陽明絡,在腕後三寸按 · Press with me
Six slow breaths
About a minute. Press as you breathe out, ease as you breathe in.
鄰 · Neighbouring leaves
Where Pianli Sits on the Forearm
Turn the hand so the back of the forearm faces up, and you are looking at the neighborhood. The dataset places Pianli with the elbow bent, on the thumb side of the forearm’s back, along the straight line that connects Yangxi (LI5) at the wrist with Quchi (LI11) at the elbow, three cun above the crease at the back of the wrist. A cun is the traditional proportional unit of Chinese point-location, taken from the body being measured rather than from any ruler: the width of the person’s own thumb counts as roughly one cun, so measurements scale naturally from child to adult. Three cun above the wrist crease therefore means three thumb-widths of your own hand climbed up that line — a short walk from the wrist, well before the forearm’s middle.
The terrain itself is friendly to beginners. Nothing delicate lies directly beneath this stretch of the forearm: under the skin sit layers of muscle and tendon doing their ordinary work, cushioned by enough soft tissue that gentle fingertip pressure reaches muscle without approaching anything fragile. Unlike points high on the chest or neck, where the licensed records carry explicit structural warnings, the forearm’s radial border is among the most forgiving ground on the body for surface-level touch. That forgiving geography does not cancel the universal rules of self-care — it simply means the stakes of ordinary, gentle contact are low, and the main risks come from impatience rather than anatomy.
It helps to picture the line before hunting for the point. Yangxi waits at the starting end, in the hollow at the base of the thumb that deepens when the thumb tilts back, right at the radial end of the dorsal wrist crease. Quchi anchors the far end at the elbow, at the outer end of the elbow crease when the arm is bent. Between them the large intestine channel draws its course down the back of the limb, and Pianli sits along that route at the three-cun mark — close enough to the wrist that its classical conversations lean toward the head and face as readily as toward the arm it lives on.
A Self-Palpation Walkthrough
Set yourself up before you search. Sit at a table, rest the back of your left forearm on the surface with the palm facing down and the elbow softly bent, and let the whole arm go heavy. Find Yangxi first: tilt the thumb back toward the ceiling and watch the hollow deepen at the base of the thumb, at the outer end of the wrist crease — that hollow is your starting marker. Return the hand flat. Now bend the elbow and glance at the crease it forms; its outer end, toward the thumb side, points the way toward Quchi at the far end of the line.
Measure with your own hand. Lay the four fingers of your opposite hand together, edges touching, and place their combined width across the top of the forearm just above the dorsal wrist crease, keeping the fingers aligned with the wrist-to-elbow line you traced. Traditional measuring counts this four-finger span as three cun, and it lands almost exactly at the recorded position: three cun above the dorsal wrist crease, on the radial side of the forearm’s back. Press lightly as you arrive — many people feel a faint, dull awareness in the true spot and little a finger-width away, and comparing the two forearms side by side sharpens the picture further.
Two slips account for most misses. The first is wandering onto the palm side of the forearm: the thumb-side edge curls toward the inner forearm sooner than people expect, and the lung channel occupies that front territory, so a spot that feels as though it sits on the arm’s underside has already drifted off the line. The second is measuring from the wrong crease — the front wrist crease rather than the dorsal one — which shifts everything a finger-width inward. When in doubt, reset: thumb tilted up to rediscover the Yangxi hollow, hand flat again, four fingers climbing the line, slowly. Precision matters less than patience; the search itself teaches you the lay of your own forearm.
Reading the Name: Slanting Passage
Pian 偏 carries the sense of slanting, oblique, or set to one side; li 歷 means to pass through or to course along, the character of words for journeys endured — and in simplified writing the same graph, 历, also serves for 曆, the calendar. Read together, Piānlì suggests a passage that travels by a slanted route — a path that leaves the main road and cuts across country. Commentators through the centuries have connected the name with the point’s recorded office as a luo-connecting point: the place where the large intestine channel dispatches a fine vessel that departs its own line and strikes out obliquely toward the paired channel. Whether or not the etymology began there, the fit is neat, and the name doubles as a diagram.
Pinyin renders the name Piānlì — a flat, high first tone on pian and a falling fourth tone on li. The two characters are compact and visually distinct, easy to memorise at a glance: 偏歷. Like so many points named for landscape and architecture — ravines, pools, gates, passes, courtyards — the metaphor does genuine work rather than decorating. A pass or a crossing implies traffic moving between regions, and that is precisely the role the tradition assigns this spot. For readers meeting pinyin for the first time, the tone marks are helpers rather than hurdles: they record the melody the syllables carry in speech, and ignoring them entirely still leaves a serviceable approximation.
Names of this kind repay slow reading. The main channel is the highway; the luo vessel is the footpath branching away at an angle, joining territories the highway never touches. Pianli stands at the trailhead. Once you hold that image, several quirks of the classical record fall into place — why a point on the forearm shows up in discussions of the face, why its recorded uses scatter across systems that anatomy treats as unrelated, and why the tradition files it not with the great gathering points but with the connectors, the quiet infrastructure of the network.
A Luo Point: Where Two Channels Shake Hands
Classical teaching assigns each of the twelve principal channels a single luo point, and gathers these with three further connectors into a celebrated set of fifteen for the body as a whole. The job description is consistent across the set: each luo point hosts a fine connecting vessel that parts company with its own channel and travels to the channel paired with it — each yang channel holding hands with its yin counterpart, and the reverse. The connectors are imagined as the network’s secondary roads: lighter than the trunk lines, yet responsible for much of the everyday exchange between neighboring territories.
For the large intestine channel, that connector sets out from Pianli. The pairing in question is the classical marriage of the hand yangming channel with the hand taiyin — the large intestine with the lung. Traditional texts describe the connecting vessel leaving the main line at this forearm point and reaching across toward the lung channel’s territory, so that two systems distinct on the surface are taught as continuous underneath. Commentators have long treated this bridge as the formal reason the two organs appear together in so many classical discussions, from breathing to bowels.
Whatever one makes of the physiology, the bridge idea organises the point’s recorded portfolio remarkably well. A point may serve its own channel’s territory — the arm, and through the channel’s facial course the head and senses — while borrowing relevance from the partner system, the lung with its traditional stewardship of qi and of the water pathways. Tradition reads Pianli as standing in the doorway between the two, relaying messages in either direction. That is the framework’s own logic, offered here as cultural context rather than as a claim about the body as modern science maps it.
Traditional Indications, Explained
The licensed record lists seven indications for Pianli: tinnitus, nosebleed, conjunctivitis, aching pain of the arm, abdominal fullness and distension, edema, and facial paralysis. Read as tradition rather than as promise, the list sorts into clusters. One cluster is local and obvious: the forearm ache belongs to the point’s own doorstep. Another gathers the face and sense organs — ears, nose, eyes, and the muscles of expression — which looks stranger until the channel map enters: classical texts run the large intestine channel up the arm and across the face, past the cheek and beside the nose, territory that places ears, eyes, and facial movement within its traditional reach.
The remaining cluster — abdominal fullness and distension, and edema, the settling of fluid in the tissues — belongs to the pairing story. In traditional physiology the lung is credited with regulating the water passages, and the large intestine conducts the final movements of fluid in the lower body; a connector point standing between the two systems became, in classical commentary, a plausible station for complaints of water that will not move and abdomens that will not settle. None of this is offered as mechanism. It is the internal logic of the tradition, showing why one small forearm point collected such varied duties.
Facial paralysis deserves a sentence of its own, because it is the gravest item on the list and the one where conservatism matters most. Classical sources filed facial droop among conditions approached through channel points; modern medicine treats new facial weakness as a presentation requiring prompt professional assessment, partly because several distinct causes can look alike. Both statements stand together comfortably: the historical record is what it is, and anyone experiencing sudden facial droop today should seek medical care urgently rather than reach for a pressure routine.
And the standing honesty clause applies here as everywhere on this site. These indications are transcribed from a licensed dataset and classical literature for cultural and historical understanding; they are not claims that pressing this point treats disease. Where modern research has touched self-applied pressure at all, reviews suggest effects are modest and heavily context-dependent, and evidence tied to any single point remains thin. Hold the tradition as a lens, not a prescription — and let anything persistent be examined by a qualified clinician.
Self-Care Acupressure at Home
Locate the point by the walkthrough above, then settle in: seated, left forearm resting palm-down on a cushion or the table’s edge, shoulders easy. Bring the pads of two or three fingers — never the tips, never a knuckle — onto the spot and begin with simple contact, letting the hand learn the texture beneath. After a few slow breaths, add small circles, letting the skin glide over the tissue rather than dragging against it. Aim for a sensation of pleasant dullness or mild spreading warmth. A common home rhythm is one to three minutes per side, once or twice daily, matched loosely to the exhale so each circle rides the breath out; then swap arms and repeat.
Quality outranks quantity in this practice, as throughout the wellness register this page keeps. Light, patient, regularly repeated contact is the entire art; harder pressing adds risk without teaching the tissue anything new. Warm your hands first if they run cold, since chilled muscle tightens under touch. Choose a quiet corner rather than a screen, and let the session double as a pause: inhale through the nose, notice the forearm beneath still fingers, lean the smallest degree of pressure into the long exhale. People who keep such routines usually anchor them to existing habits — morning coffee steeping, an afternoon stretch — because regularity, not intensity, is what self-care traditions actually request.
Keep expectations sized to the practice. Self-acupressure is a ritual of attention with a comfortable, modest scope: perhaps the forearm feels looser afterward, perhaps the pause itself is the benefit, perhaps nothing measurable happens at all. Every one of those outcomes is honest. What falls outside the scope is escalation — pressing harder, longer, or more often to force a result — and any hope of the point substituting for care from a qualified practitioner. When curiosity pulls toward escalation, return to gentleness, or close the day’s session early.
Cautions and Safe Practice
Begin with what the record says — and with what it does not. The licensed dataset records no specific cautions for Pianli, and the point’s geography supports that calm: the radial forearm offers muscle and tendon to the fingertip, with no delicate structure close beneath the surface. An empty caution field, though, describes the dataset’s silence rather than an exemption from care; the universal rules that govern every point on this site apply here in full, and the guidance below leans deliberately conservative.
Practical rules, then. Keep contact superficial: finger pads, light pressure, no tools, no devices, no pressing through pain. Skip the point over broken, irritated, or recently injured skin, over rashes or healing wounds anywhere on the forearm, and during any feverish or acute illness. Anyone pregnant, or managing a condition or taking a medicine that affects clotting or skin fragility, should ask a qualified practitioner before adding new point work. Sharp, electric, or radiating sensation under the fingers means stopping immediately and leaving the point alone for the day. None of these rules is unique to Pianli; together they form simply the floor beneath every self-care practice on this site.
Finally, the referral lines, drawn firmly. New or worsening tinnitus, especially one-sided, belongs with a clinician; so do recurrent nosebleeds, a red painful eye, visible or persistent swelling, and above all any sudden facial weakness, which warrants urgent medical assessment rather than home measures. Bowel habits that change and stay changed, abdominal distension that does not settle, swelling accompanied by breathlessness — each of these calls for professional evaluation promptly, not eventually. Acupressure can sit alongside such care as a comfort practice; it cannot precede or replace it. Persistent symptoms belong with a licensed practitioner, and this page is educational only.
Pianli, the Slanting Passage, sits on the thumb side of the back of the forearm, partway up the line from the wrist toward the outer elbow. Classical teaching describes a fine branch leaving the channel here for the lung channel, its paired partner. Old practice reached for it when ringing ears, nosebleeds, or irritated eyes troubled someone.
Self-care limits
Frequently asked
- How do I find Pianli without knowing anything about cun?
- Let your own hand do the measuring. Four fingers held together, edges touching, span about three cun by the traditional reckoning. Find the hollow at the base of the thumb with the wrist tipped back, flatten the hand, then climb the wrist-to-elbow line one four-finger-width above the dorsal wrist crease, staying on the thumb side of the forearm’s top. The spot that answers with a faint, dull awareness a little apart from its neighbors is the one the dataset describes.
- Is pressing Pianli myself actually safe?
- For healthy adults, gentle fingertip pressure on this stretch of forearm is generally regarded as reasonable self-care: the area holds muscle and tendon close beneath the skin, with none of the vulnerable structures that earn some points stern written warnings, and the licensed dataset records no specific cautions for this point. Reasonable is not careless-proof, though — keep the touch light, honour the stop signals, and treat any sharp or electric sensation as the end of the day’s session.
- What did classical practice use Pianli for?
- The traditional record lists tinnitus, nosebleed, conjunctivitis, aching pain of the arm, abdominal fullness and distension, edema, and facial paralysis. Classical texts describe Pianli as the luo-connecting point where the large intestine channel sends a branch toward its partner, the lung channel, and commentators read the point’s wide portfolio through that bridge. These are documented traditional frameworks, offered for context and understanding — not evidence-backed treatment claims.
- Why would a forearm point appear in old records about ears, nose, and eyes?
- Two traditional ideas converge there. First, the channel itself: classical texts trace the large intestine pathway up the arm and across the face, past cheek, nose, and jaw, placing the sense organs inside its mapped territory. Second, the luo bridge to the lung channel extends the point’s traditional reach toward the lung’s recorded offices, among them governing qi and regulating the water pathways. Together they let classical writers justify a strikingly broad list from one small spot on the forearm.
- My ears ring constantly. Should I expect this point to help?
- Hold expectations honestly: no. Constant tinnitus deserves a proper clinical evaluation, both to understand what may explain it and to find approaches that genuinely help people live with it, and self-acupressure is not a substitute for that process. Some people enjoy folding a quiet pressing ritual into their week as a comfort practice, and within the safety rules there is no harm in that — but the right first step for persistent ringing is a consultation, not a forearm.
- When should I skip Pianli altogether?
- Skip it whenever the forearm skin is broken, rashy, bruised, or recently injured; during feverish or acute illness; and whenever pressing produces sharp, electric, or radiating sensation instead of pleasant dullness. Readers who are pregnant, or who manage conditions or take medicines affecting clotting or skin fragility, should consult a qualified practitioner before beginning. And if any symptom the point traditionally addresses — ear, eye, facial, swelling, or abdominal — is new, severe, or stubborn, let a licensed clinician lead.
Sources
- 01WHO Standard Acupuncture Point Locations in the Western Pacific Region (2008), World Health Organization — nomenclature conventions.
- 02A Manual of Acupuncture, Peter Deadman, Mazin Al-Khafaji and Kevin Baker — luo-connecting point theory, point-name tradition, and channel context.
- 03aijiu-mpvue (MIT License) licensed dataset, entry for LI6 Pianli — location, point class, actions, and caution record.
Last reviewed
牌記This leaf, for machines
Old books ended with a colophon saying who printed them. Every leaf here carries the same facts as structured data for agents and search, with no layout in the way.
- GET /en/points/li6/leaf.json
- GET /zh-hant/points/li6/leaf.json
- GET /zh-cn/points/li6/leaf.json
- /llms.txt — the index of every leaf
- JSON-LD in the page: MedicalWebPage, MedicalEntity and FAQPage
{
"id": "LI6",
"name": {
"en": "Pianli",
"gloss": "Slanting Passage",
"zh-Hant": "偏歷",
"zh-Hans": "偏历"
},
"channel": {
"id": "LI",
"order": 6,
"of": 20
},
"location": {
"text": "On the back of the forearm, thumb side, four finger-widths above the wrist hollow of LI5."
},
"for": [
"ringing ears",
"nosebleed",
"an aching arm"
],
"press": {
"text": "Firm thumb pressure, about a minute each arm.",
"seconds": 60,
"sides": "both"
},
"cautions": [],
"source": "Zhenjiu Jiayi Jing, book 3",
"url": "https://acupoints.com/en/points/li6",
"lastReviewed": "2026-08-24"
}