Acupuncture Points Notebook

Location Guides:

谿 : Taixi : Supreme Stream

Kid-3 : Foot Shaoyin Kidney 3

Shu-Stream and Earth point

Yuan-Source point

In the depression between the medial malleolus and the Achilles tendon, level with the prominence of the medial malleolus

Perpendicular insertion 0.5 - 1 cun or join to Kunlun Bl-60

TCM Actions:
Nourishes kidney yin and clears deficiency heat
Tonifies kidney yang
Anchors the qi and benefits the lung
Strengthens the lumbar spine

TCM Indications:
  • Deafness, tinnitus, headache and dizziness, toothache, nosebleed, sore throat, heat sensation in the mouth, phlegm in the mouth that feels like glue, wasting and thirsting disorder, hot disease with copious sweating, chronic malaria, emaciation.
  • Cough, coughing blood, cough with no pleasure in eating, wheezing, dyspnoea, asthma, chest pain.
  • Insomnia, excessive dreaming, poor memory, heat sensation in the palms, stabbing pain in the Heart.
  • Seminal emission, impotence, premature ejaculation, sexual taxation, irregular menstruation.
  • Frequent and copious urination, enuresis, heat in the hypogastrium with yellow urine, abdominal distension, difficult defecation, cold shan disorder, damp itchy skin lesions on the inner thigh.
  • Lumbar pain, pain of the abdomen and lateral costal region, injury by cold with inversion counterflow of the hands and feet, coldness of the lower limbs, numbness and pain of the legs, swelling and pain of the ankle, swelling and pain of the heel.

    Superficial Innervation: Medial calcaneal branches of tibial nerve (S1 - S2)
    Dermatome Segment: S1

    Foremost point for treating Kidney deficiencies of Yin and Yang.


    Along with Shuiquan Kid-5 this is a possible location for the posterior tibial pulse. The ideal location is halfway between them at Pimenta's Point, the exact midpoint of a line drawn between the bony prominence of the medial malleolus and the insertion of the Achilles' tendon.


    Ling Shu Ch. 6 suggests piercing the Ying and Shu points of the Yin channels if a disease is in the Yin of the Yin realm (e.g. the Zang organs) suggesting this point and Rangu Kid-2 in diseases of the Kidney.

    Ling Shu Ch. 9, On Ends and Beginnings, advises that in the case of Heat associated with receding Yin Qi the Yang conduit should be pierced once and the Yin conduits twice. Based on other recommendation to use the He-Sea of the Yang conduits (Ch. 19) and the Yuan-Source with the Ying-Spring points (Chs. 6, 19 and 24) to clear Heat from the Zangfu, that would suggest this point, Weizhong Bl-40 and Rangu Kid-2 as a protocol to clear Heat in the Kidney/Bladder. Next it advises that in Cold associated with receding Yang Qi the Yang should be pierced twice and the Yin once but no such obvious protocol is evident for this situation. Another interpretation that would match with common practice today, based on the idea of odd numbers being Yang/moving/clearing while even numbers are Yin/tonifying/reinforcing, is that the points on the channel to be cleared are pierced on one side only while those on the channel to be tonified are pierced bilaterally.

    Ling Shu Ch. 19, on the Four Seasonal Qi, advises using the Shu-Stream points, unless the diseases are in the Fu organs, in which case the He-Sea points are chosen.

    Ling Shu Ch. 24, On Counterflow Diseases, employs the point combination mentioned in Ch. 6 for the treatment of Heart pain. It advises piercing this point and Rangu Kid-2 when treating a severe piercing pain in the Heart associated with the Spleen.

    Ling Shu Ch. 34, On the Five Disturbances, advises this point and Yuji Lu-10 to remove disturbing Qi in the Lung causing a raising and lowering of the head, panting, shouting and pressing their chest with their hands to breathe.

    Ling Shu Ch. 44, On the Qi Moving in Accordance with the Norms, indicates that the Shu-Stream points should be pierced in summer or when the disease becomes milder and then more severe again. The seasonal aspect should not be interpreted literally as it describes the time periods of weakness and severity as "controlled by summer". It also describes the morning, afternoon, evening and night cycle of the day to be like the four seasons of the year with afternoon corresponding to summer.


    The Shang Han Lun, line 292, advises using seven cones of moxa on Shaoyin if the pulse fails to arrive normally in a Shaoyin pattern with symptoms of vomiting and diarrhoea, absence of counterflow but presence of heat effusion. No points are given but Zhang Nan suggests this point while Ke Qin suggests Fuliu Kid-7 and Yongquan Kid-1 (Mitchell, Ye and Wiseman, 1999, Shang Han Lun).


    When dispersed and combined with Renying St-9 and Chongyang St-42 this point relates to the Fifth Level of Manifestation of the Soul or the Vishuddha chakra concerned with true expression of yourself as an Authentic Character or Realized Being (Yuen, 2005, 3 Spirits & 7 Souls).


    In Tung acupuncture this point is called Shui Xiang, Water Image (66.14). It is indicated for Kidney deficiency and Water signs, e.g. nephritis, oedema, fatigue and lumbago (Chu, 2015).


    Medieval phlebotomy point (John de Foxton, 1408: Liber Cosmographiae,


    In Tibetan medicine:
    Moxa point (AMNH, Tibetan Medical Paintings)

    Reference Notes: (click to display)