ST39

Xiajuxu

Star

下巨虛 (Xiàjùxū) — Lower Great Void

Stomach channel · point 39

Not yet clinically reviewed

Lower He-Sea point of the Small Intestine

Traditionally used for

  • Digestion
  • Bowel health
  • Menstrual & women's health
  • Nerves & recovery
  • Pain & joints

Location

On the anterior lower leg, on the line connecting ST35 and ST41, 9 cun below ST35, over tibialis anterior (about one finger-breadth lateral to the anterior crest of the tibia); level with GB35 and GB36.

How to locate: Find the midpoint of the line from ST35 to ST41 by spreading the hands (the level of ST38), go 1 cun further down and feel for the depression one finger-breadth lateral to the anterior crest of the tibia; it is level with GB35 and GB36.

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

Body map, front: ST39 · Lower leg
Fig. — ST39 · Lower leg After Albinus, 1747
Body map, front: ST39 · Lower leg

ST39 · 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. 164 Supports: techniques (names this point)

Site notes · not cited

Depth: 1.0–1.5 cun
Angle: Perpendicular

Functions

  • Moves Small Intestine qi and resolves stagnation
  • Clears damp-heat
  • Opens the channel and alleviates pain

Indications

Lower abdominal paindiarrhoea and dysenterymastitislumbar pain radiating to the testicleleg weakness and numbness

Balance Method partners

Under Dr. Tan's six systems, ST39 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 →

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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