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ST-2 Four Whites

四白 〔四白〕 sì bái

Alternate names: 谷门 gǔ mén, Grain Gate

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

Modern location: An acupoint located on the face, straight below ST-1, over the small depression formed by the infraorbital foramen.

Classical location: Three fēn below Tear Container (ST-1), in the hollow of the cheekbone, level with the pupil. From The Golden Mirror of Medicine (医宗金鑑 yī zōng jīn jiàn)

Local anatomy: The branches of the facial artery and vein, the infraorbital artery and vein. The branches of the facial nerve (the point lies exactly on the course of the infraorbital nerve).

Action: Courses wind and quickens the network vessels; soothes the sinews and relieves pain.

Modern indications: Painful red itchy eyes; eye screen; deviated eyes and mouth; twitching of the eyelids; headache; dizziness.

Classical indications: Headache; dizziness; itchy eyelid rim.

Needle stimulus: Needling: 0.2‒0.3 cùn perpendicular insertion.

Needle sensation: Localized twinge and distension that sometimes radiates upward.

Warning: Deep insertion contraindicated. Moxa contraindicated.

Point name meaning:

The four white areas of the eye, located above, below and to either side of the iris, are the four whites. ST-2 is used to treat such ailments in these areas as painful red swollen eyes, nearsightedness, and eye screens.

Another interpretation claims that the four whites are the four white areas (above, below, and to either side) around the mouth. These areas are diagnostic indicators of the body’s earth qì; therefore the point name may be considered as a reminder that this point belongs to the stomach (earth) channel. The alternate name Grain Gate is also a reference to the mouth, which is the gate to the stomach.

A locational association may be seen in its position in an area of white flesh, where it helps the eye see in the four directions. See acupoint names: origins, meanings, and translations.

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