Large Intestine Meridian

Shanglian LI-9 : Nomenclature,Location, Functions, Indications, Method



Shang: Upper             Lian: Edge
Shanglian is superior to Xialian (LI8) at the dorsal side of the forearm, close to the radial aspect.

Point: LI-9
Chinese Name:上廉
English: Upper Angle
Pinyin: shàng lián
Han Geul 한글: sang nyeom 상렴
Romaji: jō ren?
Vietnamese: Thượng liêm


Shanglian is located on the line joining Yangxi (LI5) and Auchi (LI11) , 3 cun below the cubital crease.

Functions and indications of shanglian:

  • Opens the channel and expels Wind: Respirator disorders: cough, SOB, dyspnea but not the first point of choice.
  • Harmonises the Large Intestine: Borborygmus, abdominal pain, constipation and diarrhoea (best combination with ST25, ST37).
  • Local disorders: Aching of the Shoulder and arm, Motor impairment of the upper limb, Numbness of the hand and arm, tennis elbow.


Perpendicular or oblique insertion 0.5 to 1.5 cun.


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.