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Neijing
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Knowledge baseAcupuncture points

ST-45

Lidui

Strict Exchange

Also known asEvil's Dissipation · Hard Bargain · General Exchange · Hard Payment · Exchange of Wilderness · Bitter Exchange · Sick Mouth

Channel
Stomach
Classification
Jing-Well, Five Phase, Sedation

Location

  1. 01On top of the second toe, at the spot where a line running along the nail's outer edge meets a line along its base — roughly 0.1 cun from the nail's corner.
  2. 02Roughly 0.1 cun from the outer corner of the second toenail.
  3. 03On the outer side of the second toe, 0.1 cun behind the nail's corner.

Needling

  1. 01Insert perpendicularly or obliquely, angled toward the body, 0.1 to 0.2 cun, or bleed the point with a prick.
  2. 02Needle straight in, 0.1 to 0.3 cun.
  3. 03Insert just beneath the skin, 0.1 cun deep.
  4. 04Moxa may also be used.

Point functions

  • Jing-Well point
  • Metal point
  • Sedation point

Actions

  • Drains Heat from the Stomach channel
  • Drains Heat
  • Settles the Shen
  • Revives consciousness
  • Sharpens vision
  • Purges the Heart
  • Relieves food stagnation

Indications

  • Facial swelling
  • Heat sensation in the head
  • Epistaxis
  • Yellow discharge from the nose
  • Rhinitis accompanied by nosebleed
  • Toothache
  • Lockjaw
  • Throat Bi
  • Cracked lips
  • Mouth deviation
  • Cold sensation in the shin
  • Coldness of the lower limbs and feet
  • Knee swelling and pain
  • Withdrawal
  • Psychosis
  • Resuscitation
  • Gingivitis
  • Tonsillitis
  • Hepatitis
  • Indigestion
  • Abdominal Heat
  • Epigastric pain
  • Sore throat
  • Hoarse voice
  • Diminished patience, understanding, or compassion
  • Inguinal neuralgia
  • Tetany
  • Periorbital furuncle
  • Gonad pain
  • Buttock pain
  • Bulimia
  • Chest and abdominal fullness and distention
  • Excessive hunger
  • Anorexia
  • Inversion counterflow
  • Malaria
  • Febrile illness with no sweating
  • Yellow urine
  • Jaundice
  • Loss of consciousness
  • Excessive dreaming
  • Easily startled, with a tendency to sleepiness
  • Insomnia
  • Dizziness
  • Mania-depression
  • Urge to climb to high places and sing
  • Tears off clothing and runs about
  • Cerebral ischemia
  • Neurasthenia
  • Hysteria
  • Depression
  • Disorientation
  • Wry mouth
  • Hangover
  • Liver abscess
  • Cerebral anemia
  • Bell's palsy
  • Agitation
  • Cervical adenopathy
  • Chest and breast pain

Cautions

Contraindicated during the sixth month of pregnancy.

Combinations

Notes

  • This point's core actions are draining Heat from the Stomach channel and clearing Heat while settling the Shen.
  • It may be the single best point for insomnia.
  • Apply direct moxa here for Heart Fire.

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