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POINT LOCATION I STOMACH CHANNEL OF FOOT YANGMING ST 1 (Cheng Qi) “Container of Tears” Crossing point of the ST, Yang Qiao Mai and Ren Mai With the eyes looking directly forwards, this point is located directly below the pupil between the eyeball and the infraorbital ridge. Perpendicular Insertion: 0.5-0.8 cun *Avoid Deep Needling. *Avoid strong manipulation. Functions Benefits the eyes, eliminates Wind and stops lacrimation Indications redness, swelling, and pain of the eyes, lacrimation induced by wind, blurred vision, twitching or paralysis of the eyelids ST 2 (Si Bai) “Four Directions Brightness” With the eyes looking directly forwards, this point is located 1 cun directly below the pupil, in the depression at the infraorbital foramen. Perpendicular Insertion: 0.2-0.4 cun Functions Expels Wind and benefit the eyes Dredges channels and collaterals, relieves pain Indications Eye disorders: redness, swelling, and pain of the eyes, lacrimation induced by irritation of wind, blurred vision, facial paralysis Pain of the face, paralysis. ST 3 (Ju Liao) “Big Crevice” Crossing point of ST and the Yang Qiao Mai With the eyes looking directly forwards, this point is located directly below the pupil, level with the lower border of the ala nasi, on the lateral side of the naso-labial groove. Perpendicular Insertion: 0.3-0.6 cun Functions Expels Wind, reduces swelling and relieves pain Indications Eye disorders: redness, swelling, and pain of the eyes, lacrimation induced by irritation of wind, blurred vision Facial paralysis Pain and swelling of the nose, lips and cheek, toothache ST 4 (Di Cang) “Earth Storehouse” Crossing Point of ST, LI and Yang Qiao Mai 0.4 cun lateral to the corner of the mouth. Perpendicular Insertion: 0.2 cun Oblique: 1-1.5 cun Functions Expels Wind Activates the channel and collaterals and relieves pain Indications Facial paralysis, loss of voice, excessive salivation, numbness of the mouth and lips, trismus, twitching eyelids, incomplete closure of the eyelids, night blindness Facial pain, TMJ, toothache ST 5 (Da Ying) “Great Welcome” Directly anterior to the angle of the jaw, in a depression at the anterior border of the masseter muscle. Perpendicular Insertion: 0.3-0.5 cun Oblique: 1-1.5 cun *Caution: Facial Artery and vein Functions Expels Wind and reduces swelling Activates the channel and collaterals and relieves pain Indications Trismus, stiff tongue, dysphasia, facial paralysis Swelling of the cheek, scrofula, mumps, fever, chills Toothache, facial pain, TMJ ST 6 (Jia Che) “Cheek Vehicle” Ghost Point Approximately 1 fingerbreadth anterior and superior to the angle of the jaw at the prominence of the masseter muscle. Perpendicular Insertion: 0.5-0.8 cun Oblique: 1-1.5 cun Functions Expels wind and benefits the jaw and teeth Activates the channel and collaterals and relieves pain Calms the Spirit Indications Trismus, facial paralysis, dysphasia, swelling of the cheek Toothache, facial pain Emotional and mental disorders: epilepsy, mania, depression ST 7 (Xia Guan) “Lower Gate” Crossing Point of ST and GB At the lower border of the zygomatic arch, in the depression anterior to the condyloid process of the mandible. Perpendicular Insertion: 0.5-1.0 cun Functions Benefits the ears, jaw and teeth Activates the channel and collaterals and relieves pain Indications Toothache, facial pain, facial paralysis, trismus, tinnitus, deafness, pain of the ears, otitis media ST 8 (Tou Wei) “Head Corner” Crossing Point of ST, GB and Yang Wei Mai Transverse Insertion: 0.5-1.0 cun At the corner of the forehead, 4.5 cun lateral to Shenting DU-24 and 0.5 cun within the anterior hairline. Functions Eliminates Wind and alleviates pain Benefits the eyes Indications Various headaches, dizziness Pain of the eyes, lacrimation induced by irritation of wind, twitching of eyelids, blurred vision ST 9 (Ren Ying) “Man’s Welcome or Carotid Pulse” Crossing Point of ST, GB Window of Heaven Point Sea of Qi Point Perpendicular Insertion: 0.2-0.4 cun *Avoid Deep Needling and Puncturing Carotid Artery! Location: Level with the tip of and 1.5 cun lateral to the laryngeal prominence, in the depression between the anterior border of the sternocleidomastoid muscle and the lateral border of the thyroid cartilage. Note: the carotid artery lies just deep to, and can be readily palpated at, the anterior border of the sternocleidomastoid muscle. This point therefore lies between the carotid artery and the lateral border of the thyroid cartilage. Functions Regulates the flow of Qi and Blood and subdues Rebellious Qi Benefits the throat and neck, reduces swelling, transforms Phlegm Calms the Spirit Indications Headache, dizziness, vomiting, redness in face, hypertension Scrofula, goiter, sore throat Mania ST 10 (Shui Tu) “Water Rushing” On the neck, at the anterior border of the sternocleidomastoid muscle, midway between Renying ST-9 and Qishe ST-11. Perpendicular Insertion: 0.3-0.4 cun *Avoid Deep Needling and Puncturing Carotid Artery! Functions Benefits the throat and neck, reduces swelling, transforms Phlegm Descends Lung Qi Indications Sore throat, goiter, scrofula Cough, wheezing, dyspnea, hiccup ST 11 (Qi She) “Qi Residence, esophagus” At the root of the neck, superior to the medial end of the clavicle, directly below Renying ST-9 in the depression between the sternal and clavicular heads of the sternocleidomastoid muscle. Perpendicular Insertion: 0.3-0.5 cun *Avoid Deep Needling. Functions Benefits the throat and neck, regulates the flow of Qi and transforms Phlegm Indications Cough, dyspnea, oppression of chest, hiccup Swelling of the neck, goiter, scrofula ST 12 (Que Pen) “Empty basin or Depression” Crossing Point: ST, LI, SI, SJ, GB. LOCATION In the supraclavicular area, posterior to the superior border of the clavicle and at its midpoint, 4 cun lateral to the midline, on the mamillary line. Perpendicular Insertion: 0.3-0.5 cun *Contraindicated in pregnancy. *Deep Needling can puncture Lung or damage subclavian Artery. Functions Descends Lung Qi Activates the channel and alleviates pain Indications Cough, asthma, hemoptysis Pain, numbness and spasm of the arm, shoulder or supraclavicular fossa ST 13 (Qi Hu) “Qi Door to a House” LOCATION At the top of the chest, directly below Quepen ST-12, on the inferior border of the clavicle, 4 cun lateral to the midline, on the mamillary line. Oblique or Transverse Lateral Insertion: 0.3-0.8 cun *Caution Deep Needling. *Similar for all thoracic stomach points. Functions Descends Rebellious Qi and unbinds the chest Indications Cough, asthma, hemoptysis, dyspnea Pain or distention of the chest or hypochondrium ST 14 (Ku Fang) “Store House” LOCATION On the chest, in the first intercostal space, 4 cun lateral to the midline (Huagai REN-20), on the mamillary line. Functions Descends Rebellious Qi and unbinds the chest Clears Heat and transforms Phlegm Indications Cough, asthma, hemoptysis, dyspnea Pain or distention of the chest or hypochondrium Expectoration of sputum mixed with blood and pus ST 15 (Wu Yi) “Room Concealment or Fan” LOCATION On the chest, in the second intercostal space, 4 cun lateral to the midline (Zigong REN-19), on the mamillary line. Functions Descends Rebellious Qi and unbinds the chest Clears Heat and transforms Phlegm Expel Wind, alleviate itching and relieves pain Benefits the breasts Indications Cough, wheezing Distention or pain of the chest and hypochondrium Dyspnea, expectoration of sputum mixed with blood and pus Generalized itching or pain of the skin Mastitis ST 16 (Ying Chuang) “Chest Window” LOCATION On the chest, in the third intercostal space, 4 cun lateral to the midline (Yutang REN-18), on the mamillary line. Functions Descends Rebellious Qi and unbinds the chest Clears Heat and transforms Phlegm Clears Heat, subdues inflammation, benefits the breasts Indications Cough, asthma, distention or pain of the chest and hypochondrium Expectoration of sputum mixed with blood and pus Mastitis ST 17 (Ru Zhong) “Breast Center” LOCATION At the centre of the nipple, in the fourth intercostal space, 4 cun lateral to the midline. *Contraindicated to needling and Moxibustion! ST 18 (Ru Gen) “Breast Root” LOCATION Directly below the nipple, in the fifth intercostal space. Functions Regulate Qi and Blood in the Breast. Clears Heat, subdues inflammation, benefits the breasts Descends Rebellious Qi and unbinds the chest Clears Heat and transforms Phlegm Indications Mastitis, oligogalactia Distending pain of the chest and hypochondrium Cough, asthma, expectoration of sputum mixed with blood and pus ST 19 (Bu Rong) “No Containment” LOCATION On the abdomen, 2 cun lateral to the midline and 6 cun superior to the umbilicus, level with Juque REN-14. Perpendicular Insertion: 0.5-1.0 cun Desired depth is muscle layer *Similar for all abdominal stomach points *Caution for deep needling with patients with an enlarged liver. Functions Harmonizes the Middle Jiao Subdues Rebellious Qi of the Upper and Middle Jiao Indications Stomachache, abdominal distention, borborygmus Poor appetite Vomiting, hematemesis Cough, asthma Pain of the hypochondrium ST 20 (Cheng Man) “Receive or Support Fullness” LOCATION On the abdomen, 2 cun lateral to the midline and 5 cun superior to the umbilicus, level with Shangwan REN-13. Functions Harmonizes the Middle Jiao Subdues Rebellious Qi of the Upper and Middle Jiao Indications Stomachache, abdominal distention, borborygmus Poor appetite Vomiting, hematemesis Cough, asthma Pain of the hypochondrium ST 21 (Liang Men) “Grain Door” LOCATION On the abdomen, 2 cun lateral to the midline and 4 cun superior to the umbilicus, level with Zhongwan REN-12. Functions Harmonizes the Middle Jiao, regulates Qi and transforms stagnation Strengthens the Spleen and relieves diarrhea Indications Epigastric pain and distention, vomiting Food stagnation Poor appetite, borborygmous, diarrhea ST 22 (Guan Men) “Pass or Close Door” LOCATION On the abdomen, 2 cun lateral to the midline and 3 cun superior to the umbilicus, level with Jianli REN-11. Functions Regulates the Stomach and intestines Promotes urination and relieves edema Indications Epigastric pain, vomiting, poor appetite Abdominal pain and distention, diarrhea Ascites, enuresis ST 23 (Tai Yi) “Great Center of Abdomen” LOCATION On the abdomen, 2 cun lateral to the midline and 2 cun superior to the umbilicus, level with Xiawan REN10. Functions Transforms Phlegm and Calms the Spirit Harmonizes the Middle Jiao Indications Mania, hysteria, depression, epilepsy Vomiting, abdominal distention and pain, dyspepsia ST 24 (Hua Rou Men) “Smooth or Refined, Meat or Food Door” LOCATION On the abdomen, 2 cun lateral to the midline and 1 cun superior to the umbilicus, level with Shuifen REN-9. Functions Transforms Phlegm and Calms the Spirit Harmonizes the Stomach and Subdues Rebellious Qi Indications Mania, hysteria, depression, epilepsy Vomiting, hematemesis, abdominal distention and pain, dyspepsia ST 25 (Tian Shu) “Heavenly pivot” Front-Mu Point of the LI LOCATION On the abdomen, 2 cun lateral to the umbilicus. Perpendicular Insertion: 0.5-1.0 cun Functions Regulates the intestines Regulates the Middle Jiao Regulates Qi and eliminates stagnation Transforms Dampness Indications Diarrhea, constipation, dysentery Borborygmous, poor appetite, vomiting, hematemesis Irregular menstruation, metrorrhagia, metrostaxis, dysmenorrhea, amenorrhea, postpartum abdominal pain, hernia, abdominal pain and distention Edema, dysuria, leukorrhea ST 26 (Wai Ling) “Outer Hill” LOCATION On the lower abdomen, 2 cun lateral to the midline and 1 cun inferior to the umbilicus, level with Yinjiao REN-7. Perpendicular Insertion: 0.5-1.5 cun Functions Regulates Qi and relieve pain Indications Stomachache, abdominal pain Hernia Dysmenorrhea ST 27 (Da Ju) “Large Extreme” LOCATION On the lower abdomen, 2 cun lateral to the midline and 2 cun inferior to the umbilicus, level with Shimen REN-5. Functions Regulate the intestines Fortifies Kidney Qi and secures Essence Indications Pain of the lower abdomen, constipation Seminal emission, premature ejaculation, impotence ST 28 (Shui Dao) “Water Path” LOCATION On the lower abdomen, 2 cun lateral to the midline and 3 cun inferior to the umbilicus, level with Guanyuan REN-4. Perpendicular Insertion: 0.5-1.5 cun *Avoid puncturing a full bladder. Functions Promotes urination Regulates menstruation and relieves pain Regulates the Lower Jiao and dispels stagnation Indications Urinary retention, dysuria, edema Lower abdominal pain or distention, constipation Dysmenorrhea ST 29 (Gui Lai) “Return Arrive” LOCATION On the lower abdomen, 2 cun lateral to the midline and 4 cun inferior to the umbilicus, level with Zhongji REN-3. Functions Promotes the flow of Qi and Blood in the Uterus and Lower Jiao. Raise Qi and firms Essence Indications Amenorrhea, irregular menstruation, dysmenorrhea, infertility Pain of the lower abdomen, hernia, pain and cold of the genitals Uterine prolapse, impotence, seminal emission, nocturia, leukorrhea ST 30 (Qi Chong) “Qi Pouring” Sea of Water and Grain/Nourishment Point Coalescent Point of the Chong Mai LOCATION On the lower abdomen, 2 cun lateral to the midline, level with the superior border of the pubic symphysis (Qugu REN-2). Functions Regulates Qi and Blood in the Lower Jiao and relieves pain Regulates the Chong Mai Subdues Running Piglet Qi Indications Hypogastric pain, pain of the genitals, hernia, impotence, dysuria Irregular menstruation, infertility, abnormal uterine bleeding, oligogalactia, difficult labor Sensation of Qi rushing upwards to the chest causing intense agitation and anxiety ST 31 (Bi Guan) “Thigh Gate” LOCATION On the upper thigh, in a depression just lateral to the sartorius muscle, at the junction of a vertical line drawn downward from the anterior superior iliac spine, and a horizontal line drawn level with the lower border of the pubic symphysis. Perpendicular Insertion: 1.0-1.5 cun Oblique: 2.0-3.0 cun Functions Activates the channel and collaterals and relieves pain Indications Pain of the hip joint; contraction of hip flexors or thigh muscles; weakness, paralysis, pain or numbness of the leg; pain of the lower back and knee ST 32 (Fu Tu) “Crouching Rabbit” LOCATION On the thigh, on a line drawn between the lateral border of the patella and the anterior superior iliac spine, in a depression 6 cun proximal to the superior border of the patella. Perpendicular Insertion: 1.0-2.0 cun Functions Disperses Wind Dampness Activates the channel and collaterals and relieves pain Indications Pain, numbness or contraction of the thigh muscles; weakness, paralysis, pain or numbness of the leg; pain of the knee and lower back; pain of the hip joint; contraction of hip flexors Urticaria ST 33 (Yin Shi) “Yin Market” LOCATION On the thigh, on a line drawn between the lateral border of the patella and the anterior superior iliac spine, in a depression 3 cun proximal to the superior border of the patella. Perpendicular Insertion: 0.5-1.0 cun Functions Disperses Wind-Cold-Damp Activates channel and collaterals and relieves pain Indications Pain, numbness, weakness of the leg Abdominal pain and distention Dysuria, edema ST 34 (Liang Qiu) “Ridge Mound” Xi-Cleft Point On the thigh, on a line drawn between the lateral border of the patella and the anterior superior iliac spine, in a depression 2 cun proximal to the superior border of the patella. Perpendicular Insertion: 0.5-1.0 cun Functions Activates the channel and collaterals and alleviates pain Harmonizes the Stomach Indications Pain and swelling of the knee Epigastric pain, acid regurgitation ST 35 (Du Bi) “Calf Nose” LOCATION On the knee, in the hollow formed when the knee is flexed, immediately below the patella and lateral to the patellar ligament. Perpendicular Insertion: 0.7-1.0 cun *Use proper sterilization. Functions Dispels Wind-Damp and reduces swelling Activates the channel and collaterals and relieves pain Indications Pain, swelling of the knee Beriberi Numbness and pain of the leg ST 36 (Zu San Li) “Foot Three Mile” He-Sea Point Earth Point Command Point Sea of Water and Grain Point LOCATION Below the knee, 3 cun inferior to Dubi ST-35, one fingerbreadth lateral to the anterior crest of the tibia. Perpendicular Insertion: 0.5-1.2 cun Functions Harmonizes the Stomach Strengthens the Spleen and resolves Dampness Regulates the Intestines Reinforces Correct Qi and supports Original Qi Tonifies Qi and Nourishes Blood and Yin Activates the channel and collaterals and alleviates pain Revives the Yang and restores consciousness Clears Fire and calms the Spirit Indications Abdominal or epigastric distention or pain, nausea, vomiting, acid regurgitation, belching, hiccup, excessive hunger, hunger without desire to eat Borborygmus, flatulence, diarrhea, dysentery, constipation, edema, heaviness of the limbs Fatigue, shortness of breath, dyspnea from deficiency, dizziness from deficiency, palpitations , poor vision, susceptibility to infections and cold/flu Swelling, pain, or abscess of the breast; pain, numbness, atrophy or paralysis of the lower limbs Loss of consciousness, aversion to cold, cold counterflow of the limbs, purple lips Mania, insomnia, palpitations, anxiety ST 37 (Shang Ju Xu) “Upper Great Void” Lower He-Sea Point LI Sea of Blood Point LOCATION On the lower leg, 3 cun inferior to Zusanli ST-36, one finger-breadth lateral to the anterior crest of the tibia. Functions Regulates the Stomach, Intestines and Spleen Clears Damp Heat Activates channel and collaterals and relieves pain Indications Abdominal or epigastric distention or pain, borborygmus, flatulence Diarrhea, dysentery, constipation, edema, heaviness of the limbs Pain, numbness, atrophy or paralysis of the lower limbs ST 38 (Tiao Kou) “Narrow Mouth” LOCATION On the lower leg, midway between the tibiofemoral joint line (level with the popliteal crease) and the prominence of the lateral malleolus, one finger-breadth lateral to the anterior crest of the tibia. Functions Activates the channel and collaterals and relieves pain Regulates the flow of Qi in the Middle Jiao Indications Local disease: pain, numbness, spasm, weakness, coldness, edema of the lower leg Pain of the shoulder Abdominal pain ST 39 (Xia Ju Xu) “Lower Great Void” Lower He-Sea Point SI Sea of Blood Point LOCATION On the lower leg, 3 cun inferior to Shangjuxu ST-37, one finger-breadth lateral to the anterior crest of the tibia. Functions Regulates the Intestines and transforms stagnation Clears Damp Heat Activates the channel and collaterals and alleviate pain Indications Lower abdominal distention or pain, lumbar pain that radiates to the testicles Diarrhea, dysentery; dark, scanty urine Pain, numbness, atrophy or paralysis of the lower limbs ST 40 (Feng Long) “Rich Prosperous” Lou-Connecting Point LOCATION On the lower leg, midway between the tibiofemoral joint line (level with the popliteal crease) and the lateral malleolus, two finger-breadths lateral to the anterior crest of the tibia (i.e. one finger-breadth lateral to Tiaokou ST-38). Perpendicular Insertion: 0.5-1.5 cun Functions Transform Phlegm-Damp Unbinds the chest Calms the Spirit Activates the channel and collaterals and alleviate pain Regulate the Stomach and subdues Rebellious Qi Indications Copious phlegm, headache, dizziness Oppression and pain of the chest, cough, asthma and expectoration of phlegm Mental disorders: epilepsy, mania, depression Pain, numbness, atrophy or paralysis of the lower limbs Nausea, vomiting ST 41 (Jie Xi) “Separation Stream” Jing-River Point Fire Point LOCATION On the ankle, level with the prominence of the lateral malleolus, in a depression between the tendons of extensor hallucis longus and extensor digitorum longus. Perpendicular Insertion: 0.5-0.7 cun Functions Activates the channel and collaterals and alleviate pain Clears Heat from the Stomach fu and Stomach channel Calms the Spirit Indications Pain, swelling or motor impairment of the ankle; hemiplegia Fu Heat: abdominal pain or distention, constipation, belching, excessive hunger Channel Heat: pain, swelling, inflammation of the Yangming aspect of the head, red face and eyes, frontal headache, mouth pain, dizziness Epilepsy, mania ST 42 (Chong Yang) “Rushing Yang” Yuan-Source Point LOCATION On the dorsum of the foot, in the depression formed by the junction of the second and third metatarsal bones and the cuneiform bones (second and third), 1.5 cun distal to Jiexi ST-41, on the line drawn between Jiexi ST-41 and Xiangu ST-43, at the point where the pulsation of the dorsalis pedis artery may be palpated. Perpendicular Insertion: 0.3-0.5 cun Functions Activates the channel and collaterals and alleviate pain Clears Heat from the Stomach fu and Stomach channel Calms the Spirit Indications Pain or swelling of the dorsum of the foot; motor impairment of the foot Fu Heat: abdominal pain or distention, epigastric pain Channel Heat: pain, swelling, inflammation of the Yangming aspect of the head, deviation of eyes and mouth, tooth and mouth pain Mania ST 43 (Xian Gu) “Sunken Valley” Shu-Stream Point Wood Point LOCATION On the dorsum of the foot, between the second and third metatarsal bones, in a depression 1 cun proximal to Neiting ST-44. Perpendicular Insertion: 0.3-0.5 cun Functions Regulates the Spleen and eliminates edema Regulates the Stomach and intestines and alleviate pain Activates the channel and collaterals and alleviates pain Indications Ascites, edema of the face, pain and swelling of the eyes Abdominal pain and distention, borborygmus Pain and swelling of the dorsum of the foot ST 44 (Nei Ting) “Inner Residence” The Ying-Spring Point Water Point LOCATION On the dorsum of the foot, between the second and third toes, 0.5 cun proximal to the margin of the web. Perpendicular Insertion: 0.3-0.5 cun Functions Clears Stomach Channel Heat Activates the channel and alleviates pain Harmonizes the Stomach and intestines and clears Damp Heat Calms the Spirit Indications Toothache, eye pain, frontal headache, gingivitis, epistaxis, sore throat, fever, facial pain or paralysis Toothache, eye pain, frontal headache, facial pain Abdominal pain, acid regurgitation, excessive hunger, diarrhea, dysentery, hemafecia, constipation Aversion to the sound of talking, desire for silence ST 45 (Li Dui) “Stomach Door” The Jing-Well Point Metal Point Perpendicular Insertion: 0.1-0.2 cun *Pricking: 3-Edge Needle Functions Clears Stomach Channel Heat Clears Stomach Heat Calms the Spirit and restores consciousness Indications Toothache, eye pain, frontal headache, purulent nasal discharge, facial paralysis, gingivitis, epistaxis, cracked lips, sore throat Abdominal pain, excessive hunger, fever Mania, dream-disturbed sleep, depression, epilepsy, loss of consciousness