Acupuncture Points Notebook

Location Guides:

: Neiting : Inner Courtyard

St-44 : Foot Yangming Stomach 44

Ying-Spring and Water point

Ma Dan-yang Heavenly Star point

On the dorsum of the foot, between the second and third toes, 0.5 cun proximal to the margin of the web.

Perpendicular insertion 0.5 cun or oblique insertion directed proximally inserted 0.5 - 1 cun

TCM Actions:
Clears heat from the stomach channel and alleviates pain
Harmonises the intestines and clears damp heat
Calms the spirit

TCM Indications:
  • Toothache, pain of the lower teeth, pain of the upper teeth, pain of the face, deviation of the mouth and eye, nosebleed, throat painful obstruction, tinnitus, thirst.
  • Abdominal pain, distension of the lower abdomen, borborygmus, diarrhoea, dysenteric disorder, blood in the stool, constipation.
  • Febrile disease with absence of sweating, malarial disorders with no pleasure in eating, cold shivering, aversion to cold, hand and feet counterflow cold, hot inversion, urticaria, pain of the skin of the chest, blood in the urine.
  • Aversion to the sound of people talking, desire for silence, frequent yawning.
  • Pain and swelling of the dorsum of the foot.

    Superficial Innervation: Superficial peroneal nerve from L4 - S1
    Dermatome Segment: L5

    Important point for clearing Heat from the Stomach and Yangming.


    Ling Shu Ch. 19, on the Four Seasonal Qi, advises opening the Jing-Well and Ying-Spring openings in winter, piercing deeply and retaining the needle for a while.

    Ling Shu Ch. 22, On Mania and Madness, advises that when Wind invasion and counterflow causes the limbs to become swollen, profuse sweating, a feeling cold and to be irritated when hungry, then blood is removed from the outer and inner sections of the hand Taiyin and foot Shaoyin and Yangming. If the flesh is cool then it is be done through the Ying-Spring points and if the bones are cold it is to be done through the Jing-Well and Jing-River points.

    Ling Shu Ch. 34, On the Five Disturbances, advises piercing this point with Xiangu St-43, Zulingqi GB-41 and Xianxi GB-43 after bleeding stagnant blood in the vessels to remove disturbing Qi in the limbs causing counterflow.


    In Mayan medicine:
    Pinched and pulled in cases of pain and inflammation of the foot and toes (Garcia, Sierra, Balam, 1999: Wind in the Blood)


    In Thai massage:
    Acupressure point (Salguero & Roylance, 2011, Encyclopedia of Thai Massage)

    Reference Notes: (click to display)