Ear Gate, designated as TW 21 (Triple Warmer 21) in Traditional Chinese Medicine (TCM), is part of the Sanjiao meridian and plays a significant role in conditions affecting the ears, jaw, and lateral face. Its anatomical position makes it ideal for addressing auditory imbalances and muscular tension around the temporomandibular joint (TMJ).
Traditionally known for regulating qi and clearing heat from the ears, this point is frequently integrated into acupressure and acupuncture protocols for otologic issues, including tinnitus, ear fullness, and hearing sensitivity.
Alternate names include TW 21 and Ermen.
Summary Table
| Attribute | Details |
|---|---|
| Pressure Point Name | TW 21 – Ear Gate |
| Body Area | Ear |
| Exact Location | In the depression just anterior to the ear canal, slightly above the mandibular joint |
| Common Uses | Ear congestion, tinnitus, jaw tension, facial swelling |
| Stimulation Technique | Apply steady inward pressure with fingertip for 1 minute while the jaw is slightly open |
| Contraindications | Avoid in cases of active ear infection or acute TMJ inflammation |
Clinical Significance & Associated Conditions
The Ear Gate pressure point is commonly used to address:
- Eustachian tube dysfunction and ear blockage
- Ringing in the ears (tinnitus) or mild hearing changes
- Tension and pain in the jaw joint (TMJ disorders)
- Facial swelling or inflammation affecting the lateral face
- Headaches radiating from the temple and jaw region
From a TCM perspective, TW 21 dispels wind and clears heat from the sensory organs, restoring the harmonious flow of qi between the head and sensory gates.
Location
To locate TW 21:
- Place your fingertip just in front of the ear canal.
- Open your mouth slightly—this will reveal a small, tender hollow just above the mandible where it hinges.
- The point lies in this depression, directly anterior to the tragus.
It’s easiest to find when the jaw is relaxed and slightly open, allowing the tissue over the joint to soften.
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 reduce ear pressure, ease jaw discomfort, or calm facial tension, the app guides you through every session with visuals and audio. Click here to download our app.
How to Stimulate It
- Tool: Index finger or middle finger
- Method: Apply light to moderate inward pressure into the depression while the jaw is slightly open
- Duration: 1 minute per side
- Pressure Level: Gentle—avoid discomfort near the ear canal
- Posture: Seated or lying down, relaxed jaw
- Frequency: Up to twice daily or as needed for ear or jaw symptoms
- Pairing: Often used with TW 17 – Wind Screen for ear relief or LI 4 – Joining the Valley for facial congestion
Benefits and Common Uses
Stimulation of the Ear Gate pressure point may assist with:
- Auditory Relief: Reduces ear fullness, minor hearing disturbances, and pressure imbalance
- Jaw Function: Eases muscle tension, clicking, or stiffness in the temporomandibular joint
- Facial Harmony: Supports lymphatic drainage and reduces swelling in adjacent facial areas
- Energetic Flow: Opens the sensory portal for auditory perception and qi circulation
Physiological Functions & Mechanisms
Anatomically, TW 21 lies near the superficial temporal artery and branches of the facial and auriculotemporal nerves. Its stimulation may influence muscular tone in the jaw and external ear and improve circulation in the lateral face.
In TCM, the Triple Warmer is associated with pathways regulating fluid metabolism, sensory organ health, and upper body qi distribution—making TW 21 a critical point for upper orifice regulation.
Practitioner Insight
In cases of jaw tightness or mild ear pressure—especially after air travel or dental procedures—TW 21 often responds well to gentle, repeated stimulation combined with jaw relaxation and slow nasal breathing.
Safety & Contraindications
- Do not press directly into the ear canal
- Avoid strong pressure in individuals with:
- Active ear infections
- Acute TMJ inflammation or trauma
- Sensory hypersensitivity around the face
For general precautions, consult the Acupressure Safety Guide and explore related practices in our Acupressure category.
As always, listen to your body and stop if discomfort arises.
Related Points & Techniques
- TW 17 – Wind Screen for posterior ear tension
- SI 19 – Palace of Hearing for ear symptoms and auditory qi
- LI 4 – Joining the Valley for jaw tension and headaches
Complementary techniques:
- Ear cupping or tapping to stimulate circulation
- Facial gua sha or gentle lymphatic massage
- Warm compress over the jaw for relaxation before stimulation
Scientific Perspective
Evidence from preliminary studies suggests acupressure and acupuncture at auricular and facial points may help modulate trigeminal nerve activity and reduce symptoms of TMJ dysfunction and ear-related discomfort. TW 21’s proximity to sensory nerves positions it as a useful target in managing non-infectious ear congestion and jaw tension (PubMed).