ST-45 Lidui - Hard Bargain
More Spirit Names: Sick Mouth, Severe Mouth, Strict Exchange, Evil's Dissipation
| English: | Strict Exchange |
| Also Known As: | Evil's Dissipation Hard Bargain General Exchange Hard Payment Exchange of Wilderness Bitter Exchange Sick Mouth |
Location
- On the dorsal aspect of the second toe, at the junction of the lines drawn along the lateral border of the nail and the base of the nail, approximately 0.1 cun from the corner of the nail.
- About 0.1 cun from the lateral corner of the second toenail.
- On the lateral side of the second to, 0.1 cun posterior to the corner of the nail.
Needling
- Perpendicular or oblique insertion directed proximally 0.1 to 0.2 cun, or prick to bleed.
- Straight insertion 0.1 to 0.3 cun.
- Puncture subcutaneously 0.1 cun.
- Moxibustion is applicable.
Command Functions
- Jing-Well point
- Metal point
- Sedation point
Actions
- Clears Heat from the Stomach channel
- Clears Heat
- Calms the Shen
- Restores consciousness
- Brightens the eyes
- Clears the Heart
- Relieves Food Retention
Indications
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Combinations
| SP-1 | LIV-1 Or KI-3 | |
Facial swelling | Nightmares | Somnolence |
Somnolence with no desire to move the four limbs | Excessive fright | Weakness of the legs (moxa all points) |
Contraindications
- Forbidden during the sixth month of pregnancy.
Notes
- The primary functions of this point are to clear Heat in the Stomach channel and to clear Heat and calm the Shen.
- This is probably the best point for insomnia.
- Use with direct moxa for Heart Fire.
- Especially suited when Food Retention is accompanied by insomnia.
Five Elements Spirit Perspective
| Spirit of the Point | Hard Bargain is the Metal point on the Stomach, for a sense of grief that is stuck, when it never seems fair. It is the hard bargain of dealing with loss or grief or some other issue in life. It is for a person who is cold, rigid and inert, mentally cold, lacking tolerance, understanding or compassion: Metal too cold in Earth. Metal also helps Earth see its own harvest, know the limits of its work and gain a sense of purpose. Metal gives richness to Earth, so it helps a barren Earth. |
|---|---|
| Worsley |
Location: At the nail point on the outer (lateral) side of the 2nd toe. |
| When to Consider |
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| Combinations | |
| Notes |
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From Class
- ST-40, ST-45, HT-9 (agitation from heat): When heat agitates the Heart and stirs the Shen, ST-40, ST-45 and HT-9 reduce excitability and irritability. (Lewis)
- Clear the shen: ST-40, ST-45, HT-9: Heart and stomach are the most yang of their groups, so act most on the spirit. (Yuen)
- Jing-well indications (overview): Jing-wells open the portals and resuscitate yang: PC-9, SI-1, HT-9 for behavior change; LU-11, LI-1 throat; SP-1 stops bleeding; HT-9 tongue pain, heart attack. (Gioioso)
- Jing-well sequence in labor: BL-67 → LI-1 → ST-45 …: Only once contractions span the whole Dai: start with water (BL-67), end with wood; LI-1 opens the birth canal; ST-45 after the cervix opens. (Lewis)
