ST-35 Dubi (Lateral), Xiyan (Medial)

English:	Calf's Nose
Also Known As:	Calf Nose External Knee Eye Eyes of the Knee

Location

• With the knee flexed (to 90 degrees), in the depression below the patella and medial or lateral to the patellar ligament.
• With the knee flexed, In the depression formed by the lateral foramen of the patella.
• When the knee is flexed, the point is at the lower border of the patella, in the depression lateral to the patellar ligament.
• With the knee flexed, this point can be found below the knee cap in the hollow on either side of the patellar tendon.

Needling

• Puncture perpendicularly 0.7 to 1 cun.
• Moxibustion is applicable.
• Straight insertion, pointed medially or laterally, 1.5 to 2 cun. Sensation: local distention, possibly extending downward.
• Slanted insertion, through the patellar tendon joining the first eye to the second, 2 to 2.5 cun. Sensation: local distention and soreness.
• Perpendicular insertion, directed toward UB-40 Weizhong, 1 to 2 cun.
• Oblique insertion in a medial superior direction behind the patella 1 to 2 cun.
• Behind the patellar ligament to join with MN-LE-16 Xiyan.

Command Functions

Actions

• Removes obstruction from the channels
• Invigorates the channel
• Relieves swelling
• Stops pain
• Dispels Wind-Damp

Indications

Pain, swelling and numbness of the knee Difficulty rising from a kneeling position Numbness and motor impairment of the knee Rheumatic pains of the knee joint Knee joint arthritis Rheumatoid arthritis Diseases of the knee and surrounding soft tissue Gout Difficulty flexing and extending the knee Beriberi Foot Qi

Leg Qi Swelling of the leg due to Dampness Hydrathorosis Paralysis of the lower limb Painful obstruction of the knee Stiffness of the knee Inflammation of the knee and surrounding tissue Atrophy disorder (Wei syndrome) of the lower limb Weakness of the knee joint Numbness of the lower limb

Combinations

ST-34 Liangqiu GB-34 Yanglingquan	LIV-7 Xiguan ST-36 Zusanli GB-34 Yanglingquan	ST-31 Biguan GB-34 Yanglingquan
Arthritis of the knee	Moxa for disorders of the the knee and below the knee	Numbness of the knee

Contraindications

Notes

• This point is also listed as MN-LE-16.
• This point is essential in treating all knee disorders whether they be due to Excess of Deficiency, Heat or Cold.
• This is an important point for treating Bi syndrome of the knee. It is most effective when moxa is used on the needle to expel Dampness and Cold.