ST40

Fenglong

Star

豐隆 (Fēnglóng) — Abundant Bulge

Stomach channel · point 40

Not yet clinically reviewed

Luo-Connecting point

Traditionally used for

  • Dizziness
  • Nose & throat
  • Cough & breathing
  • Urinary & fluids
  • Mood & calm
  • Nerves & recovery

Location

On the anterolateral lower leg, at the lateral border of tibialis anterior, 8 cun above the prominence of the lateral malleolus — one finger-breadth lateral to ST38 (two finger-breadths lateral to the anterior crest of the tibia).

Focks' Atlas of Acupuncture places it at the same level and distance but between the extensor digitorum longus and peroneus brevis muscles.

How to locate: Find the midpoint of the line from ST35 to ST41 by spreading the hands; at that level, 8 cun above the lateral malleolus, the point is two finger-breadths lateral to the anterior crest of the tibia, one finger-breadth lateral to ST38, at the outer edge of tibialis anterior. Choose the most tender spot.

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

Body map, front: ST40 · Lower leg
Fig. — ST40 · Lower leg After Albinus, 1747
Body map, front: ST40 · Lower leg

ST40 · 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

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. 165 Supports: techniques (names this point)

Site notes · not cited

Depth: 1.0–1.5 cun
Angle: Perpendicular
⚠ Cautions: The principal Phlegm-resolving point.

Functions

  • Transforms phlegm and dampness
  • Calms the spirit and opens the orifices
  • Descends rebellious qi and clears the chest
  • Benefits the throat

Indications

Cough with copious phlegmchest oppressiondizziness and heaviness of the headmania, epilepsy and mental confusionoedemasore throatleg pain and weakness

Balance Method partners

Under Dr. Tan's six systems, ST40 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 pre-eminent point for phlegm in the entire repertoire — for phlegm in the Lung, phlegm misting the mind, and phlegm nodules alike.

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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