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-44 Neiting - Inner Courtyard

More Spirit Names: Inner Court

English: Inner Courtyard
Also Known As: Inner Yard
Inner Court

Location

  • Proximal to the web margin between the second and third toes, in the depression distal and lateral to the second metatarsal joint.
  • At the proximal end of the web between the second and third toes.
  • On the dorsum of the foot, between the second and third toes, 0.5 cun proximal to the margin of the web.

Needling

  • Puncture perpendicularly 0.3 to 0.5 cun.
  • Moxibustion is applicable.
  • Slanted insertion toward the ankle, 0.3 to 0.8 cun, causing local distention and soreness.
  • Perpendicular insertion 0.5 cun,
  • Oblique insertion directed proximally, 0.5 to 1 cun.

Command Functions

  • Ying-Spring point
  • Water point
  • Ma Dan Ying Heavenly Star point

Actions

  • Clears Heat
  • Eliminates fullness
  • Regulates Qi
  • Harmonizes the Intestines
  • Clears Damp-Heat
  • Calms the Shen
  • Stops pain
  • Promotes digestion
  • Eliminates Wind from the face
  • Cools and drains Heat from the Stomach
  • Clears the Stomach
  • Relieves fullness in the Stomach
  • Removes obstruction for the Intestines

Indications

  • Bleeding gums
  • Gingivitis
  • Pain along the Stomach channel
  • Pain in the lower jaw
  • Facial paralysis
  • Trigeminal neuralgia
  • Lack of saliva
  • Lack of digestive juices
  • Constipation
  • Pharyngitis
  • People who cannot stand the human voice
  • Skin disorders
  • Weeping and dry eczema
  • Rashes
  • Facial edema
  • Nightmares of water
  • Febrile diseases
  • Acute and chronic enteritis
  • Epigastric pain
  • Hiccups
  • Abdominal pain and distention
  • Morning sickness
  • Urticaria
  • Lockjaw
  • Pain due to Intestinal hernia
  • Anorexia
  • Stomach ache
  • Inflammation of the upper gums
  • Cholera
  • Malaria with loss of appetite
  • Borborygmus
  • Contracture of the four limbs
  • Facial atony
  • Toothache pain of the lower teeth
  • Facial pain
  • Deviation of the mouth and eye
  • Throat Bi
  • Thirst
  • Depressive type disorders
  • Food Stagnation
  • A person who hates other people
  • Sensation of Cold in the limbs
  • Swelling in the limbs
  • Shivering
  • Pain or deviation of the mouth
  • Dental caries in the upper teeth
  • Cutaneous pain on the cranium
  • Epistaxis
  • Anhidrosis
  • Dysentery
  • Intermittent fevers
  • Hernia
  • Bell's palsy
  • Neuralgia
  • Toothache
  • Sore throat
  • Gastric pain
  • Acid regurgitation
  • Abdominal distention and pain
  • Diarrhea
  • Swelling and pain of the dorsum of the foot
  • Diaphragmatic spasms
  • Fever without sweating
  • Frontal headache
  • Dysmenorrhea
  • Tonsillitis
  • Beriberi
  • Eye pain
  • Throat blockage
  • Tinnitus
  • Hematuria
  • Wind-rash
  • Skin of the head painful
  • Dreads noise
  • Aversion to Cold
  • Hot inversion
  • Pain of the skin of the chest
  • Frequent yawning
  • Vomiting

Combinations

LI-4
Hegu

GB-41
Zulinqi

DU-23
Shangxing

Wind in the face, facial paralysis and trigeminal neuralgia

Toothache

Tonsillitis

Acupuncture analgesia for surgery

Lower abdominal distention

Eyeball pain

SJ-3
Zhongzhu
SJ-6
Zhigou

LI-4 (reinforce)
Hegu

KI-7 (reduce)
Fuliu
M-HN-30
Bailiao

LI-4 (reduce)
Hegu

Ki-7 (reinforce)
Fuliu
M-HN-30
Bailiao

Throat pain

Injury by Cold with absence of sweat (reduce ST-44)

Injury by Cold with sweating (reduce ST-44)

DU-26
Renzhong
LI-4
Hegu

DU-20
Baihui
REN-3
Zhongji
REN-6
Qihai

ST-25
Tianshu
SP-1
Yinbai
REN-6
Qihai
KI-6
Zhaohai
PC-6
Neiguan

ST-36
Zusanli

Loss of consciousness from Summerheat stroke

Red (bloody) dysenteric disorder

All types of diarrhea and abdominal disorders

ST-45
Lidui
ST-25
Tianshu

SP-4
Gongsun
ST-45
Lidui

SP-6
Sanyinjiao
LIV-6
Zhongdu
LI-4
Hegu
LI-11
Quchi
SJ-3
Zhongzhu

SJ-2
Yemen
LIV-2
Xingjian
SP-9
Yinlingquan

Undigested food in the stool

No pleasure in eating

Periumbilical pain

Chronic malaria with no pleasure in eating

Edema of the four limbs

GB-39
Xuanzhong

ST-41
Jiexi

Fullness and distention of the Heart and abdomen

Facial edema

  • ST-44 + LI-11: Stomach Heat with bleeding gums

Contraindications

Notes

  • This is a very important point on the Stomach channel, for clearing Heat.
  • It is mostly used for Excess patterns.
  • This is probably the best point on the Stomach channel for abdominal disorders, especially when accompanied by pain and fear.
  • This is also a special point for Food Retention in the Stomach.
  • This point is good for true Heat with false Cold (warm body with cold limbs).
  • Used in the Yangming Fu stage.
  • For Food Retention, compare ST-44 with Inner Neiting.

Five Elements Spirit Perspective

Spirit of the Point

Inner Courtyard is the Water point, for someone who dislikes pain. It is good for anxiety and fear around symptoms, particularly when the fear far outweighs the pain: 'What is it, what's causing it?' The Stomach needs moisture and the Spleen needs dryness; Earth needs fluid Yin properties so it does not overreact to something. It is for someone who will not go outside and shuts the world away; this lets them feel safe, and their inner world gets stronger so they can go out. A filling, settling point, it lets a person fill their own inner space from within, going inside to be deeply nourished where all is still, somewhere peaceful and comfortable. It brings Water's quiet stillness to a busy mind that has become hard, dry, barren and unreceptive. It lets in close and dear friends who really listen and empathize: a quiet, contemplative place that calms a restless, distrustful mind and helps the person find compassion and let people in. Gentler than ST-9.

Worsley

Location: On the top of the foot between the 2nd and 3rd toes, a little distal to where the 2nd toe's proximal phalanx begins (its base).
Needle depth: 3 fen
Moxa: 3 cones

When to Consider
  • When someone dislikes pain
  • When symptoms bring anxiety and fear out of all proportion to the pain
  • When there is restlessness or anxiety
  • When someone does not want to go outside and shuts the world away
  • When an overwhelmed Earth retreats and feels demanded upon by people
  • When people do not wish to communicate and cannot stand the human voice
  • When the Earth is dry
  • When there is irritability, over-processing, resentment or lack of concentration
  • When a person feels overspent and desperate
  • When worry, fear and anxiety all come at once as agitation
  • For the fear of failing to get what is needed; it gives safety and comfort
  • For Earth-type fears and nightmares
  • When the person rejects sympathy and needs help to let people in and open up
Notes
  • Water point and Spring point of the Stomach
  • Each element feels anxiety and has its own boundary and control issues; here it is the fear, Water, within Earth

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