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POINT: ST-41 (STOMACH-41)  

NAME: JIEXI

English: Stream Divide
Also Known As: Release Stream
Dispersing Stream
Melted Creek
Released Stream
Wild River

LOCATION:

  • At the midpoint of the transverse crease of the front of the ankle, between the tendons of the extensor digitorum longus and hallucis longus muscles, approximately at the tip of the lateral malleolus.
  • On the ankle, level with the prominence of the lateral malleolus, in the depression between the tendons of the extensor hallucis longus and extensor digitorum longus.
  • At the midpoint of the transverse crease of the front of the ankle, between the two tendons and level with the lateral malleolus.

NEEDLING:

  • Perpendicular insertion 0.5 cun.
  • Oblique insertion beneath the tendons to join with SP-5 Shangqiu medially or GB-40 Qiuxu laterally.
  • Caution: the anterior tibial vessels and nerve lie deep to this point.
  • Puncture perpendicularly 0.5 to 0.7 cun.
  • Moxibustion is applicable.

COMMAND FUNCTIONS:

  • Jing-River point
  • Fire point
  • Tonification point

ACTIONS:

  • Clears Heat from the Stomach and Stomach channel
  • Calms the Shen
  • Activates the channel
  • Alleviates pain
  • Eliminates Wind
  • Clears the Mind
  • Brightens the eyes
  • Eliminates Cold-Damp

INDICATIONS:

  • Headache
  • Headache with vertigo due to Wind
  • Pain of the eyebrows
  • Abdominal distention
  • Constipation
  • Heavy sensation on passing stools
  • Wei and Bi syndromes of the lower limb
  • Leg spasms
  • Rheumatic arthritis
  • Muscular atrophy, motor impairment, pain and paralysis of the lower extremities
  • Drop foot
  • Edema of the head and face
  • Face bloated and blackish
  • Cough with dyspnea
  • Palpitations
  • Severe palpitations
  • Fright palpations
  • Heart malaise
  • Irritability
  • Groaning
  • Anxiety in the cardiac region
  • Seizures
  • Convulsions
  • Eye dizziness with red eyes and frequent lachrymation
  • Febrile disease with anhidrosis
  • Malarial disorders
  • Sudden turmoil disorder with cramps
  • Stomach Heat with raving
  • Seeing ghosts
  • Hypertension
  • Sciatica
  • Injury of the big toe
  • Delirium due to Stomach Fire
  • Incoherent speech
  • Burning epigastric pain
  • Thirst
  • Face somber
  • Diarrhea
  • Nervousness
  • Toothache
  • Fainting
  • Rheumatic feet
  • Knee trouble
  • Myositis of the legs
  • Aching feet
  • Nephritis
  • Depressive psychosis
  • All cases of madness
  • Vertigo
  • Dizziness
  • Ankle pain
  • Diseases of the ankle and surrounding soft tissue
  • Pain in the foot and ankle
  • Pain and swelling in the instep, leg and knee
  • Ankle joint sprain
  • Swelling and pain of the ankle joint
  • Inflammatory beriberi
  • Edema of the leg
  • Borborygmus
  • Enteritis
  • Cholera
  • Sensations of energy rising from the abdomen to the upper body
  • Nephritis
  • Frontal headache
  • Head Wind
  • Redness of the face and eyes
  • Pain in the mouth
  • Biting the tongue
  • Abdominal distention after eating
  • Belching with abdominal distention and fullness
  • Hunger with inability to eat
  • Epilepsy
  • Clonic spasm
  • Mania
  • Agitation
  • Sadness and weeping
  • Heaviness of the knee and thigh
  • Sinew Bi
  • Damp Bi
  • Vomiting due to Stomach Fire
  • Chest pain
  • Sore throat due to Stomach Heat
  • Ballooning of the face
  • Swelling of the knee and hip
  • Madness of a calm nature
  • Conjunctivitis
  • Tympanites
  • Blackouts
  • Gout

COMBINATIONS:

ST-44
Neiting

ST-31
Biguan
ST-36
Zusanli

SP-5 (join)
Shangqiu

Facial edema

Atrophy disorder

Hemiplegia

Disharmony of the Stomach and Spleen

LI-4
Hegu
GB-14
Yangbai

HT-5
Tongli

LI-4
Hegu
ST-40
Fenglong
GB-20
Fengchi

Head Wind with a splitting sensation between the eyebrows and the eyes

Head Wind

Redness of the face and eyes

Head Wind

Dizziness

ST-36
Zusanli
SP-4
Gongsun
REN-12
Zhongwan

REN-14
Juque
SJ-1
Guanchong
SJ-6
Zhigou
SP-4
Gongsun

or

SP-9
Yinlingquan
SP-3
Taibai
UB-57
Chengshan

GB-35
Yangjiao

Stagnation of Food in the mid-abdomen

Stabbing pain that does not cease

Sudden turmoil disorder

Fright palpitations

Pounding of the Heart

UB-62
Shenmai

UB-15
Xinshu
HT-7
Shenmen
PC-7
Daling

PC-1
Tianchi
REN-22
Tiantu
REN-17
Shanzhong
SI-13
Jianzhongshu

Madness

Weeping with grief

Rebellious Qi cough

UB-23
Shenshu
KI-7
Fuliu
SP-9
Yinlingquan

REN-22
Tiantu

 

Nephritis

Fainting secondary to abdominal problems

 

CONTRAINDICATIONS:

NOTES:

  • This point has a equally strong effect on clearing Heat from both the Stomach and the Stomach channel.
  • This point is frequently used to treat Painful Obstruction of the foot to remove Cold and Dampness.
  • This point is not used much in China.
  • This is considered an energy and happiness point.