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ST-39 Lower Great Hollow
下巨虚 〔下巨虛〕xià jù xū
Alternate names: 巨虚下廉 jù xū xià lián, Lower Ridge of Great Hollow; 下廉 xià lián, Lower Ridge
Channel: ST, Foot Yáng Brightness (yáng míng) Stomach Channel
Modern location: An acupoint located on the anterior aspect of the lower leg, 9 cùn inferior to ST-35 (dú bí), about one fingerbreadth lateral to the crest of the tibia.
Classic location: One cùn below Ribbon Opening (ST-38), in the depression between the sinew and bone. (Yī Zōng Jīn Jiàn)
Local anatomy: The anterior tibial artery and vein. Branches of the superficial peroneal nerve and the deep peroneal nerve.
Action: Clears heat and disinhibits dampness; clears the bowels and transforms stasis.
Modern indications: Smaller abdominal pain; diarrhea; dysentery; lumbar pain; mammary welling-abscess (rǔ yōng); wilting-impediment (wěi bì) of the lower limbs; lumbar pain stretching into the testicles.
Classic indications: Stomach heat; abdominal pain; diarrhea and dysentery; mania and withdrawal; swelling and pain in the shin.
Needle stimulus: Needling: 0.5‒1.0 cùn perpendicular insertion. Moxa: 7‒15 cones; pole 5‒20 min.
Point groups: Lower uniting point (xià hé xué) of the small intestine.
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