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ST-40 Bountiful Bulge

丰隆 〔豐隆〕 fēng lóng

Channel: ST, foot yáng brightness (yáng míng) stomach channel

Modern location: An acupoint located on the lower leg, 8 cùn inferior to ST-35 (dú bí), about 1 cùn lateral to ST-38 (tiáo kǒu).

Classical location: Bountiful Bulge (ST-40) lies upward and outward from Lower Great Hollow (ST-39), eight cùn above the outer anklebone, in a depression on the outer face of the lower leg bone. From The Golden Mirror of Medicine (医宗金鑑 yī zōng jīn jiàn)

Local anatomy: Branches of the anterior tibial artery and vein. The superficial peroneal nerve.

Action: Harmonizes the stomach; transforms phlegm-dampness; clears the spirit-mind.

Modern indications: Headache; dizziness; cough with copious phlegm; retching and vomiting; constipation; water swelling; wilting-impediment (wěi bì) of the lower limbs; mania and withdrawal; epilepsy.

Classical indications: Qì counterflow; throat impediment (hóu bì) and fulminant loss of voice; network vessel repletion with mania and withdrawal; network vessel vacuity with non-contraction of legs and wilting of the calves; retching and vomiting; constipation; leg qì (jiǎo qì, beriberi); reversal headache; heart vexation; swelling of the face; swelling of the limbs; enduring amenorrhea; phlegm diseases.

Needle stimulus: Needling: 0.5‒1.0 cùn perpendicular insertion. Moxa: 7‒15 cones; pole 5‒20 min.

Point groups: Network (luò) point.

Point name meaning:

ST-40 is located at the belly of the calf muscle, the Bountiful Bulge. As the network (luò) point of the stomach channel, ST-40 is also endowed with an abundance of earth qì. These elements give the name Bountiful Bulge a double meaning where the word bountiful can refer to both the abundance of earth qì at the network (luò) point and the largeness of the bulge of muscle. Thus, the name at once reminds us where the point is located and that it is the network (luò) point of the channel.

This point's name is also the name of a cloud spirit and an expression describing the sound of thunder. See acupoint names: origins, meanings, and translations.

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