Points Database

: Lidui : Strict Exchange

ST-45 : Foot Yangming Stomach 45

Classifications:
Jing-Well and Metal point

Child point of the Stomach channel

Location:
On the dorsal aspect of the second toe, at the junction of lines drawn along the lateral border of the nail and the base of the nail, approximately 0.1 cun from the corner of the nail.

Needling:
Perpendicular or oblique insertion directed proximally 0.1 to 0.2 cun, or prick to bleed.

TCM Actions:
Clears heat from the stomach channel
Clears heat, calms the spirit and restores consciousness.

TCM Indications:
  • Swelling of the face, heat in the head, nosebleed, yellow nasal discharge, rhinitis with nosebleed, toothache, lockjaw, throat painful obstruction, cracked lips, deviation of the mouth.
  • Fullness and distension of the chest and abdomen, excessive hunger, lack of appetite, inversion counterflow, malaria, febrile disease, febrile disease with absence of sweating, yellow urine, jaundice.
  • Loss of consciousness.
  • Excessive dreaming, easily frightened with desire to sleep, insomnia, dizziness, mania-depression, desires to ascend to high places and sing, discards clothing and runs around.
  • Sensation of cold int he shin, cold of the lower limbs and feet, swelling and pain of the knee.

    Neuroanatomy:
    Superficial Innervation: Superficial peroneal nerve from L4 - S1
    Dermatome Segment: L5

    Notes:
    In five element acupuncture this point is reduced to drain excess in the Stomach.

    Ling Shu Ch. 19, on the Four Seasonal Qi, advises opening the Jing-Well and Ying-Spring openings in winter, piercing deeply and retaining the needle for a while.

    Ling Shu Ch. 22, On Mania and Madness, advises that when Wind invasion and counterflow causes the limbs to become swollen, profuse sweating, a feeling cold and to be irritated when hungry, then blood is removed from the outer and inner sections of the hand Taiyin and foot Shaoyin and Yangming. If the flesh is cool then it is be done through the Ying-Spring points and if the bones are cold it is to be done through the Jing-Well and Jing-River points.

    Ling Shu Ch. 52, On the Wei Qi, considers this to be the root of the foot Yangming meridian with the tip being at Renying St-9.

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


    Reference Notes: (click to display)