Location

in the depression anterior to the supratragic notch and slightly superior to the condyloid process of the mandible.

note; this point is best located when patient opens the mouth so the condyloid process can slide forward revealing the depression.

Needling

perpendicular insertion, 0.3 to 0.5 inch.
needle with mouth open.
mouth can be closed after insertion.

moxa is OK, but contraindicated in some texts.

Actions

Benefits the ears
Clears heat

Signs and Symptoms

deafness, tinnitus, ear infection, toothache, stiffness of the lip.

Commentary

Ermen (Sj 21) is one of three points located in front of theTragus, located immediately at the uppermost border of the TragusTingui (Gb2) is located at the lower border of the Tragus and Tinggong (Si 19) is located in the middle . All three have the similar action of benefiting the ear, and are often needled together, or rotated in treating a wide variety of ear disorders.