ST41

Jiexi

Star

解谿 (Jiěxī) — Ravine Divide

Stomach channel · point 41

Not yet clinically reviewed

Jing-River pointFire pointFire point of the Stomach channelTonification (mother) point

Traditionally used for

  • Headaches
  • Dizziness
  • Digestion
  • Bowel health
  • Urinary & fluids
  • Mood & calm

Location

On the front of the ankle, at the centre of the ankle joint, in the depression between the tendons of extensor hallucis longus and extensor digitorum longus — at the midpoint of the line joining the prominences of the two malleoli.

How to locate: Have the patient extend the big toe against resistance so the extensor hallucis longus tendon stands out; the point is in the clear hollow just lateral to it, on the front of the ankle joint at the level of the malleolar prominences.

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

Body map, front: ST41 · Ankle
Fig. — ST41 · Ankle After Albinus, 1747
Body map, front: ST41 · Ankle

ST41 · Ankle · Albinus, Tabulae sceleti et musculorum, 1747

Bones of the foot, dorsal — Gray's Anatomy plate
Bones of the foot, dorsal Gray's Anatomy, 1918
Bones of the foot, dorsal — Gray's Anatomy plate

Bones of the foot, dorsal · 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 0.5–0.5 cun
    skindeeper
  2. Oblique insertion — beneath the tendons to join with Shangqiu SP5 medially or Qiuxu GB40 laterally

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. 167 Supports: techniques (names this point)

Site notes · not cited

Depth: 0.5–1.0 cun
Angle: Perpendicular

Functions

  • Clears heat from the Stomach and Stomach channel
  • Calms the spirit
  • Benefits the ankle, opens the channel and alleviates pain
  • Resolves dampness and dispels swelling

Indications

Ankle pain and swellingheadache and dizzinessmania and agitationabdominal distension and constipationfacial oedemafoot drop

Balance Method partners

Under Dr. Tan's six systems, ST41 at the ankle balances these channels at the regions its segment images.

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

Classical calendar method · 子午流注

When the tables open ST41

The hours Zi Wu Liu Zhu names this point at, by method. Times are the double-hour's start in UTC.

  • 戊申 15:00–17:00 Na Jia Fa, 壬-day sequence · Jing-River (經)

    「戊申時註解谿胃」

    Next: Thu 15 Oct, 15:00

  • 巳 09:00–11:00 Na Zi Fa, ST channel · reinforce (補)

    「補用巳時,解谿,為經火」

    Next: Thu 15 Oct, 09:00

A classical reference, not a recommendation: the tables say when the method opens this point, not that it is the point to needle. Open points by the hour →

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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