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
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Combinations
| GB-40 | ||
Tonifies Blood | Diarrhea and dysenteric disorder with pus and Blood | Manic raving |
ST-36 | ||
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. |
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| 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. |
| When to Consider |
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| Combinations |
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| Notes |
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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)
