Sundance Acupuncture

Herb & Acupuncture Database

(This is my own personal database of teachers, teachings and notes that I use in my practice. I’ve decided to share it freely with anyone who would like to reference it.)

ST-39 Xiajuxu - Lower Great Void

More Spirit Names: Lower Great Emptiness, Lower Great Hollow, Lower Void, Lower Ridge

English: Lower Great Void
Also Known As: Lower Great Emptiness
Lower Void

Location

  • 9 cun below ST-35 Dubi and one finger breadth from the anterior border of the tibia.
  • On the lower leg, 3 cun below ST-37 Shangjuxu or 9 cun below the knee.
    Note: to locate this point, divide the distance between the tibiofemoral joint line (level with the popliteal crease) and the prominence of the lateral malleolus into two equal parts. The midpoint is ST-38 Tiaokou. This point is one cun below ST-38 Tiaokou.

Needling

  • Puncture perpendicularly 0.5 to 1 cun.
  • Moxibustion is applicable.
  • Straight insertion 1 to 2 cun.
  • Perpendicular or oblique insertion 1 to 1.5 cun.

Command Functions

  • Lower He-Sea point of the Small Intestine
  • Point of the Sea of Blood
  • He-Sea point of the Lower Jiao

Actions

  • Regulates the functions of the Stomach and Intestines
  • Eliminates Damp-Heat
  • Eliminates Wind-Damp
  • Stops pain
  • Moves Small Intestine Qi.
  • Transforms Stagnation
  • Regulates and harmonizes the Intestines
  • Activates the channel

Indications

  • Lower abdominal pain
  • Borborygmus
  • Flatulence
  • Cloudy, dark urine
  • Hypersalivation
  • Alopecia (hair comes out in handfuls)
  • Abdominal pain
  • Abdominal pain with diarrhea
  • All generalized aches and pains
  • Spasms and paralysis of the lower legs
  • Weakness of the legs with cerebral anemia
  • Tonsillitis
  • Diseases of the breasts
  • Backache referring to the testes
  • Numbness and paralysis of the lower extremities
  • Throat Bi
  • Pharyngitis
  • Acute Intestinal obstruction
  • Diarrhea
  • Constricted breathing
  • Cough
  • Muscular atrophy of the lower extremities
  • Breast abscess
  • Manic raving
  • Sudden fright
  • Drooling
  • No pleasure in eating
  • Arthritis
  • Wind Bi
  • Hemiplegia
  • Small Intestine disorders with pains in the scrotum radiating to the lumbar region and spine and pains in the Heart and navel
  • Pain in the testes
  • Dull complexion
  • Sore throat
  • Dried out body hair
  • Small Intestine Qi Deficiency
  • Pale face
  • Hemiplegia of the leg
  • Cold Bi
  • Afflictions of the throat
  • Deficient Qi in the feet
  • Foot Qi
  • Heavy feet
  • Dry, parched lips
  • Anhidrosis
  • Anorexia
  • Hemafecia
  • Pain in the chest and abdomen
  • Pain towards the testicles
  • Burning sensation in front of the ears
  • Fright
  • Mastitis
  • Pain in the heels
  • Pain in the ankles
  • Acute or chronic enteritis
  • Hepatitis
  • Paralytic ileus
  • Herniation of the Small Intestine
  • Diarrhea with pus and Blood
  • Diarrhea containing undigested food
  • Dysenteric disorder
  • Bi syndrome of the lower leg
  • Atrophy disorder of the lower leg
  • Atrophy disorder of the foot
  • Extreme sensation of Cold and Heat in the shoulder
  • Heat sensation in the area between the ring and little fingers
  • Breast carbuncle
  • Pain in the lower back and lower thoracic back
  • Beriberi

Combinations

ST-37
Shangjuxu
UB-11
Dashu

KI-21
Youmen
SP-3
Taibai

GB-40
Qiuxu

Tonifies Blood

Diarrhea and dysenteric disorder with pus and Blood

Manic raving

GB-40
Qiuxu

GB-43
Xiaxi
UB-23
Shenshu

ST-36
Zusanli
GB-43
Xiaxi
LU-10
Yuji
UB-40
Weizhong
GB-41
Zulinqi
SI-1
Shaoze

Fullness of the chest and lateral costal region radiating to the abdomen

Breast abscess

Contraindications

Notes

  • This point is used for all patterns of the Small Intestines.
  • This point is used instead of SI-8 Xiaohai, the He-Sea point of the Small Intestine channel.

Five Elements Spirit Perspective

Spirit of the Point

Lower Great Void goes to and regulates the Small Intestine and is also a Sea of Blood point. It is more of a spirit point for sorting, confusion and agitation, helping the spirit clear out when there is agitation around something not moving in a person's processing. When someone feels insubstantial and cut loose from their sense of self, it can give a sense of presence and bring them back to their center. It brings fullness to the lower parts when there is a feeling that nothing is there.

Worsley

Location: On the front of the lower leg, outside the edge of the tibia, 7 ACI above the level of the lateral malleolus prominence.
Needle depth: 5 fen
Moxa: 3-7 cones

When to Consider
  • When there is confusion and agitation around sorting things out
  • When they feel agitated about something not moving in their processing
  • When the spirit needs to clear out
  • When a person feels insubstantial, emotionally or physically, cut loose from their sense of self, and cannot feel nourished by life
  • When the patient feels inwardly empty, hollow, insecure and unsteady, out of touch with the Earth; it opens up an inner blockage like clearing a gutter or ditch
  • When the person feels empty, perhaps starving or emaciated, and overeats to compensate, yet the void remains, in body, mind or spirit
Combinations
  • ST-37 Upper Great Void with ST-39: together they help a person feel present and hold on to nourishment
Notes
  • Small Intestine Lower Sea point, and a Sea of Blood point
  • Third chakra: Spleen and Stomach processing has a lot to do with the mind, and Earth issues and Wood go together, the same interlacing energy (as against the Metal and Heart matters up in the Heart and Lungs)
  • Some people need both Voids treated together

From Class

  • ST-37 / ST-39 / ST-36: Smokeless moxa on ST-37, ST-39 and ST-36 to tonify blood when the stomach isn't producing enough blood. (Yuen)
  • ST-37 Shangjuxu / ST-39 Xiajuxu: Lower transporting (lower he-sea) points used for regulating blood, per Ling Shu ch.33. (Yuen)
  • Blood points: ST-36/9/30 regulate; SP-10/BL-17 invigorate; BL-11, ST-37, ST-39 move; PC-4 dissipate: Ling Shu ch.33 sea of blood points only move blood; tight/wiry pulse = move qi to move blood; choppy pulse = invigorate. (Yuen)
  • Lower he-sea points of the arm yang channels: Arm yang channels have lower he-sea points to affect their bowels: ST-37 (LI), ST-39 (SI), BL-39 (SJ); use them to promote elimination. (Yuen)
  • Running piglet/vascular stress: SP-4 + PC-6; bowels: ST-36, ST-37, ST-39, LI-11: Anxiety/panic may mean vascular stress in the child — open Chong with SP-4 + PC-6; moxa chest for reflux; ST-36, ST-37, ST-39, LI-11 disinhibit the bowels. (Lewis)

For educational reference only; not a substitute for care from a qualified practitioner.