Acupuncture Points Notebook

Location Guides:

谿 : Jiexi : Stream Divide

St-41 : Foot Yangming Stomach 41

Classifications:
Jing-River and Fire point

Mother point of the Stomach channel

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

Needling:
Perpendicular insertion 0.5 cun, or oblique insertion beneath the tendons to join with Shangqiu Sp-5 medially or Qiuxi GB-40 laterally

Warning:
The anterior tibial vessels and nerve lie deep to this point


TCM Actions:
Clears heat form the stomach channel and fu
Calms the spirit
Activates the channel and alleviates pain

TCM Indications:
  • Swelling of the face and head, frontal heachache, pain of the eyebrow, head wind, redness of the face and eyes, visual dizziness, dizziness, pain in the mouth, biting of the tongue.
  • Abdominal distension, abdominal distension after eating, belching with abdominal distension and fullness, hunger with inability to eat, constipation.
  • Febrile disease with absence of sweating, malarial disorders, sudden turmoil disorder with cramps.
  • Epilepsy, clonic spasm, mania, agitation, sadness and weeping, fright palpitations, Stomach heat with raving, seeing ghosts, hypertension.
  • Swelling and pain of the ankle joint, drop-foot, atrophy disorder of the leg, heaviness of the thigh, sciatica, sinew painful obstruction, damp painful obstruction, injury of the big toe.

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

    Notes:
    One of the points in the Internal Dragons protocol in five element acupuncture, along with Jiuwei Ren-15, Tianshu St-25 and Futu St-32, for eliminating a blockage between the therapist and patient, or a disconnection from themselves, due to internal causes.

    In five element acupuncture this point is reinforced to tonify Stomach deficiencies.

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    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.

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    In Mayan medicine:
    Used to facilitate movement of the feet and toes by treating pain and inflammation of the feet (Garcia, Sierra, Balam, 1999: Wind in the Blood)

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    Lad and Durve (2008) in Marma Points of Ayurveda call this point Pada Charana and associate it with Apana Vayu, Prana Vayu, Vyana Vayu, Shleshaka Kapha and Alochaka Pitta.

    They give the following functions:
    - Benefits the ankles
    - Improves circulation in the feet
    - Relieves pain locally
    - Regulates the functions of colon and bladder

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

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    In Thai massage:
    Point along the Kalatharee sen line where the single line splits into five to terminate at the toes. Also the point along the Sahatsarangsi (left) and Tawaree (right) sen lines where the inner channel turns and ascends back up the outer leg.
    Indicated for knee pain/injury/arthritis
    (Salguero & Roylance, 2011, Encyclopedia of Thai Massage)


    Reference Notes: (click to display)