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ST-7 Below the Joint
下关 〔下關〕 xià guān
Channel: ST, foot yáng brightness (yáng míng) stomach channel
Modern location: An acupoint located anterior to the ear, straight above ST-6, in the hollow immediately below the inferior border of the zygomatic arch.
Classical location: Below Guest-Host (GB-3 alternate name), on the lower aspect of the pulsating vessel in front of the ear. A hollow felt when the mouth is closed disappears when the mouth is opened. The point is found in lateral recumbent posture with the mouth closed. From
Local anatomy: Superficially, the transverse facial artery and vein; at the deepest level, the maxillary artery and vein. The zygomatic branch of the facial nerve and the branches of the auriculotemporal nerve.
Action: Courses wind and quickens the network vessels; opens the orifices and sharpens the hearing.
Modern indications: Deafness; tinnitus; purulent ear; toothache; clenched jaw; deviated eyes and mouth.
Classical indications: Clenched jaw; loss of voice;
Needle stimulus: Needling: 0.3‒0.5 cùn perpendicular insertion; 1.0‒1.5 cùn transverse insertion joining ST-6 (jiā chē). Moxa: 3 cones; pole 5‒10 min.
Point groups: Intersection point (jiāo huì xué) of the stomach and gallbladder channels.
Point name meaning: