Auditory Palace, also known as SI 19 in Traditional Chinese Medicine (TCM), is a key point on the Small Intestine meridian. It is located near the temporomandibular joint and directly influences the sensory and structural functions of the ear. Its placement makes it especially relevant for treating auditory imbalances and tension patterns in the jaw and surrounding muscles.
Traditionally, this point is used to open the ear orifice, dispel wind, and harmonize qi circulation in the head. It is one of the most frequently employed acupressure points for tinnitus, blocked ears, and discomfort in the facial region.
Alternate names include SI 19 and Tinggong.
Summary Table
| Attribute | Details |
|---|---|
| Pressure Point Name | SI 19 – Auditory Palace |
| Body Area | Ear |
| Exact Location | In the hollow anterior to the tragus, behind the mandibular condyle when the mouth is slightly open |
| Common Uses | Tinnitus, ear pressure, TMJ pain, facial tension |
| Stimulation Technique | Apply light inward pressure with finger while jaw is slightly open; hold for 1 minute |
| Contraindications | Avoid with acute ear infections, inflammation, or mandibular dislocation |
Clinical Significance & Associated Conditions
SI 19 is clinically relevant for addressing sensory and neuromuscular conditions of the face and ears. It is frequently used to help with:
- Tinnitus or ringing in the ears
- Mild hearing disturbances and auditory sensitivity
- TMJ dysfunction and jaw tension
- Ear fullness or pressure changes during altitude shifts
- Facial pain, trigeminal nerve discomfort, and emotional tension in the head
As a point that connects with both the Small Intestine meridian and the auditory pathways, it harmonizes qi in the sensory orifices and relieves stagnation affecting the head.
Location
To locate SI 19:
- Gently open your mouth to relax the jaw.
- Place your finger just in front of the ear opening (tragus), in the hollow that forms behind the jawbone as it moves forward.
- The point is felt as a slight depression that becomes more pronounced when the mouth opens.
This location lies at the intersection of the auricular and mandibular areas, where sensory nerves and lymphatic flow converge.
Looking for an easier way to use this point in your wellness routine? This pressure point is simple to locate and even easier to apply when guided step-by-step. It’s featured in over 70 evidence-based pressure point protocols inside our Pressure Points Guide app. Whether you’re looking to relieve TMJ discomfort, release ear pressure, or reduce facial stress, the app guides you through every session with visuals and audio. Click here to download our app.
How to Stimulate It
- Tool: Index or middle finger
- Method: Apply gentle inward pressure into the depression with a relaxed jaw
- Duration: Hold for 1 minute per side
- Pressure Level: Light to moderate; do not press into the ear canal
- Posture: Seated with relaxed shoulders and slightly open mouth
- Frequency: Up to twice daily or as needed for ear or jaw tension
- Pairing: Works well with TW 21 – Ear Gate and LI 4 – Joining the Valley for enhanced relief
Benefits and Common Uses
Stimulation of the Auditory Palace pressure point supports:
- Ear Function: Helps relieve tinnitus, mild pressure imbalances, and auditory fatigue
- Jaw and Facial Relaxation: Addresses TMJ tension, facial tightness, and clenching
- Emotional Balance: Calms irritability and frustration linked to sensory overload
- Energetic Flow: Opens the orifices and disperses stagnation around the head
Physiological Functions & Mechanisms
SI 19 is anatomically adjacent to the auriculotemporal nerve and temporal artery, with influence on lymphatic drainage and sensory nerve input. Stimulation here may modulate nerve excitability in the craniofacial region and promote local blood circulation.
From a TCM standpoint, this point restores harmony between the sensory organs and the Heart-Small Intestine pathway—helping balance emotional and sensory input.
Practitioner Insight
For clients with mild ear congestion from sinus changes or those who grind their teeth at night, SI 19 can be a subtle but effective point. It often complements cranial release techniques and can help break the loop of ear-jaw tension patterns.
Safety & Contraindications
- Avoid strong or deep pressure near the ear canal
- Do not use if:
- The ear is infected or inflamed
- There’s recent trauma to the jaw or face
- The individual is experiencing dizziness triggered by ear stimulation
For more details on usage, visit our Acupressure Safety Guide and browse all methods in the Acupressure category.
As always, listen to your body and stop if discomfort arises.
Related Points & Techniques
- TW 21 – Ear Gate for inner ear and jaw issues
- GB 2 – Hearing Assembly for ear pain and tension
- LI 4 – Joining the Valley for general facial and jaw relief
Complementary techniques:
- Slow nasal breathing during pressure to reduce sympathetic tension
- Ear massage or light pulling to release auricular fascia
- Warm compress around the jawline for muscular relaxation
Scientific Perspective
Acupressure studies have highlighted auricular and jaw-adjacent points for their role in modulating nerve responses linked to TMJ disorders and auditory symptoms. SI 19’s proximity to the trigeminal nerve and parotid structures may contribute to its calming effects on jaw-eustachian tube coordination (PubMed).