The LI 20 – Welcoming Perfume pressure point is a critical location within the Large Intestine meridian, traditionally used in Traditional Chinese Medicine (TCM) to address nasal and sinus disorders. Positioned near the nostrils, this point is especially valued for its ability to relieve nasal congestion and support respiratory comfort. Its therapeutic relevance spans both acute and chronic conditions involving the nasal passages, particularly those associated with sinus inflammation and allergic responses.
Summary Table
| Attribute | Details |
|---|---|
| Pressure Point Name | LI 20 – Welcoming Perfume |
| Body Area | Face |
| Exact Location | Beside nostrils, at bottom of cheekbone |
| Common Uses | Relieves nasal congestion, sinus pain |
| Stimulation Technique | Press upward under cheekbones with middle/index fingers for 1 min |
| Contraindications | Avoid pressing if area is inflamed, infected, or healing from surgery |
Clinical Significance & Associated Conditions
The Welcoming Perfume pressure point is particularly effective in treating symptoms related to upper respiratory congestion, sinusitis, allergic rhinitis, and facial puffiness. It is commonly indicated when there is blockage in the nasal passages, resulting in difficulty breathing, pressure headaches, or pain radiating across the cheekbones. As a local point on the Large Intestine channel, it plays a direct role in draining and dispersing wind and heat that commonly underlie sinus discomforts in TCM theory.
Location
LI 20 is found bilaterally on the face. To locate it accurately, place your index or middle finger beside each nostril where the nasal flare meets the lower edge of the cheekbone. The point lies within a slight depression just lateral to the nose’s alar base. It’s approximately half a finger-width lateral to the nostril’s edge and can be easily identified by a tender spot when nasal passages are congested.
How to Stimulate It
Use the pads of your middle or index fingers to press gently but firmly upward into the small indentation beneath each cheekbone, just beside the nostrils. Apply pressure for approximately one minute while maintaining steady, rhythmic breathing. This technique is best performed while seated or standing upright to promote drainage. For enhanced effects, pair this stimulation with deep inhalation through the nose and exhalation through the mouth. Daily use, especially in the morning and evening, can help regulate sinus pressure and restore clearer breathing.
Benefits and Common Uses
- Alleviates nasal congestion and clears blocked sinuses
- Eases pressure associated with sinus headaches
- Supports relief from seasonal allergies and hay fever
- Can aid in reducing puffiness around the nostrils and face
- Often used in combination with other facial points to balance respiratory qi
Physiological Functions & Mechanisms
From a TCM perspective, LI 20 serves to open the nasal orifices by expelling wind and clearing heat from the face and respiratory tract. Anatomically, it is adjacent to the nasolabial artery and facial nerves, which may explain its effectiveness in modulating local circulation and sensory function. Stimulation enhances blood flow to mucosal membranes, potentially supporting decongestion and immune responsiveness. It is a primary point in the treatment of nose-related disorders and serves as a local outlet on the Yangming meridian, which is rich in qi and blood.
Practitioner Insight
In my practice, I often recommend LI 20 for clients who suffer from chronic sinus issues, especially those exacerbated by weather changes or environmental allergens. I find it particularly effective when paired with breathing exercises or steam inhalation. This point responds quickly—just one minute of pressure can make a noticeable difference in nasal airflow.
Safety & Contraindications
Avoid stimulating LI 20 if the area is swollen due to infection, trauma, or recent surgery. People with skin conditions or open wounds in the area should consult a healthcare provider before use. Always clean hands before touching facial acupoints to prevent introducing bacteria.
For broader safety guidelines, see our acupressure safety guide.
As always, listen to your body and stop if discomfort arises.
Related Points & Techniques
- LI 4 – Joining the Valley – Excellent for relieving facial and sinus pressure when used together with LI 20
- GV 24.5 – Third Eye Point – Enhances respiratory clarity and calms the mind
- Breathing techniques or gentle tapping along the face can be used to enhance circulation and relaxation
- Moxibustion is generally not used near LI 20 due to facial sensitivity
Scientific Perspective
While direct clinical studies on LI 20 are limited, acupoint-based interventions have shown efficacy in reducing nasal resistance and improving airflow in individuals with allergic rhinitis. For example, a study published in Medical Acupuncture (2014) found measurable improvement in nasal patency following acupoint stimulation on the face and limbs (NIH link). Other trials support acupressure’s effectiveness for sinus and respiratory complaints through its neuromodulatory impact and circulatory effects.