ST38

Tiaokou

Star

條口 (Tiáokǒu) — Ribbon Opening

Stomach channel · point 38

Not yet clinically reviewed

Traditionally used for

  • Digestion
  • Nerves & recovery
  • Pain & joints

Location

On the anterior lower leg, on the line connecting ST35 and ST41, 8 cun below ST35, over tibialis anterior (about one finger-breadth lateral to the anterior crest of the tibia); level with ST40.

How to locate: Place the little fingers on ST35 at the knee and ST41 at the ankle and let the thumbs meet at the midpoint (8 cun below ST35). The point is in the depression one middle-finger-breadth lateral to the anterior crest of the tibia at that level, level with ST40.

Distances are in cun, a proportional unit — how to measure.

Body map, front: ST38 · Lower leg
Fig. — ST38 · Lower leg After Albinus, 1747
Body map, front: ST38 · Lower leg

ST38 · Lower leg · Albinus, Tabulae sceleti et musculorum, 1747

Bones of the leg — Gray's Anatomy plate
Bones of the leg Gray's Anatomy, 1918
Bones of the leg — Gray's Anatomy plate

Bones of the leg · Gray's Anatomy, 1918

3D view

3D view not available for this point: its position can't be carried onto the 3D model reliably (it failed a placement check). The 2D maps above show it.

Needling

Cited needling

Techniques — the source gives these as alternatives:

  1. Perpendicular insertion
    Depth 1–1.5 cun
    skindeeper
  2. Oblique insertion
    Depth 1–1.5 cun
    skindeeper

Depths describe average adult habitus in the cited population, never a single safe number for the patient in front of you. Palpate and adjust.

Sources (1)
  1. Deadman P, Al-Khafaji M, Baker K. A Manual of Acupuncture. Hove: Journal of Chinese Medicine Publications; 1998 — p. 163 Supports: techniques (names this point)

Site notes · not cited

Depth: 1.0–1.5 cun, or threaded toward BL57
Angle: Perpendicular, or threaded posteriorly toward BL57

Functions

  • Activates the channel and relieves shoulder pain
  • Expels wind and damp from the leg

Indications

Frozen shoulder and shoulder painknee and leg painnumbness and weakness of the lower limbabdominal pain

Balance Method partners

Under Dr. Tan's six systems, ST38 at the lower leg balances these channels at the regions its segment images.

  • 1. Same Chinese name
    Large Intestine channel
    Forearm · Mirror (arm ↔ leg)
    Upper arm · Reversed mirror
    Chest, Upper back · Image, head at the hand/foot
    Upper abdomen, Lower back · Image, head toward the elbow/knee
    Solve for the Large Intestine channel →
  • 2. Branching (Bie Jing / Zang Fu Bie Tong)
    Pericardium channel
    Forearm · Mirror (arm ↔ leg)
    Upper arm · Reversed mirror
    Chest, Upper back · Image, head at the hand/foot
    Upper abdomen, Lower back · Image, head toward the elbow/knee
    Solve for the Pericardium channel →
  • 3. Interior–exterior pair
    Spleen channel
    Lower leg, Calf · Same segment, opposite side
    Chest, Upper back · Image, head at the hand/foot
    Upper abdomen, Lower back · Image, head toward the elbow/knee
    Solve for the Spleen channel →
  • 4. Chinese clock opposite
    Pericardium channel
    Forearm · Mirror (arm ↔ leg)
    Upper arm · Reversed mirror
    Chest, Upper back · Image, head at the hand/foot
    Upper abdomen, Lower back · Image, head toward the elbow/knee
    Solve for the Pericardium channel →
  • 5. Chinese clock neighbour
    Large Intestine channel
    Forearm · Mirror (arm ↔ leg)
    Upper arm · Reversed mirror
    Chest, Upper back · Image, head at the hand/foot
    Upper abdomen, Lower back · Image, head toward the elbow/knee
    Solve for the Large Intestine channel →
  • 6. Same channel
    Stomach channel
    Lower leg, Calf · Same segment, opposite side
    Chest, Upper back · Image, head at the hand/foot
    Upper abdomen, Lower back · Image, head toward the elbow/knee
    Solve for the Stomach channel →

Clinical Notes

The classical distal point for frozen shoulder: needle deeply on the opposite side while the patient actively mobilises the affected shoulder.

Combinations Using This Point

Sources

  • World Health Organization. WHO Standard Acupuncture Point Locations in the Western Pacific Region. Manila: WHO Regional Office for the Western Pacific, 2008. (Location.)
  • Focks C, ed. Atlas of Acupuncture. Edinburgh: Churchill Livingstone Elsevier, 2008. (Locating method and actions.)

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