L.

Intestine
CONTENTS
CONTENTS
CONTENTS
CONTENTS
CONTENTS
CONTENTS
Stomach
Stomach Channel
Spleen

General
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Indications
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Heart
S. Intestine
XIANGU
ST-43

Fever with absence of sweating, cold shivering with

malarial disorders.
Swelling and pain of the dorsum of the foot, difficulty in flexing and extending the toes.

Bladder
Sunken
Valley
Kidney
Shu-Stream
and Wood point of the Stomach
Pericardium
channel
Sanjiao

COMMENTARY

Gall Bladder

LOCATION

Liver
On the
dorsum of the foot, between the second and third
Conception
metatarsal
bones, in a depression 1 cun proximal to Neiting
ST-44.Governing
Extra Points

Taichong LIV-3
1 cun

Xiangu ST-43

Neiting ST-44

NEEDLING

Perpendicular or oblique insertion 0.5 to 1 cun.

ACTIONS

Regulates the Spleen and dispels oedema

Regulates and harmonises the Stomach and intestines
INDICATIONS

Oedema, oedema and swelling of the face, pain and

swelling of the eyes.
Abdominal pain, abdominal distention and fullness,
borborygmus, fullness of the chest and lateral costal
region, belching.

A number of classics cite Xiangu ST-43 for the treatment

of oedema, especially of the face and eye region. The name
Sunken Valley conjures up the image of a place where
water accumulates and gathers, and is considered to
reflect this usage. Its application in oedema may be explained both by the course of the yangming channel
which governs the face, and by the intimate relationship
between the Stomach and the Spleen, which plays an
important role in the transportation and transformation
of fluids. The action of Xiangu ST-43 on regulating the
Spleen is further reflected by its use in the treatment of
borborygmus and abdominal distention.
Xiangu ST-43 is traditionally indicated for disorders
such as swelling and pain of the dorsum of the foot and
difficulty in flexing and extending the toes. In more recent
times, however, Xiangu ST-43 has been used in combination with Hegu L.I.-4 in the treatment of febrile painful
obstruction in any region of the body. Febrile painful
obstruction is painful obstruction which manifests with
redness, swelling, heat and pain of the joints, aversion to
heat in the affected area and systemic signs such as fever,
constipation, thirst etc.
COMBINATIONS

Sudden swelling of the face: Xiangu ST-43,

Shangxing DU-23, Xinhui DU-22, Qianding DU-21
and Gongsun SP-4 (Supplementing Life).
Facial swelling: Xiangu ST-43, Tianshu ST-25,
Fenglong ST-40, Lidui ST-45 and Chongyang ST-42
(Thousand Ducat Formulas).
Oedema: Xiangu ST-43, Lieque LU-7, Yanggu SI-5,
Hegu L.I.-4, Jianshi P-5, Yanglingquan GB-34, Yingu
KID-10, Zusanli ST-36, Ququan LIV-8, Jiexi ST-41,
Fuliu KID-7, Gongsun SP-4, Lidui ST-45, Chongyang
ST-42, Yinlingquan SP-9, Weishu BL-21, Shuifen
REN-9 and Shenque REN-8 (Great Compendium).
Post-partum belching: Xiangu ST-43 and Qimen
LIV-14 (Supplementing Life).
Borborygmus: Xiangu ST-43 and Xiawan REN-10
(One Hundred Symptoms).
Pain of intestinal abscess: Xiangu ST-43, Taibai SP-3
and Dachangshu BL-25 (Great Compendium).