ST38

Stomach Channel

Ribbon Opening

条口Tiáo Kǒu

Anatomical location

8 cun below ST35, one finger-width (index finger) lateral to the anterior crest of the tibia.

Main function

Disperses Wind-Dampness, benefits the shoulder and leg, relieves pain.

Therapeutic indications

  • Shoulder pain
  • knee pain
  • paralysis of the lower limb
  • sciatica
  • frozen shoulder
  • leg pain and weakness
  • abdominal pain
  • numbness of the foot

Name and classical tradition

Tiaokou, 条口, admits two readings. In the anatomical one, which is the dominant reading, 条 (條) is a strip, a long, narrow band, the tibialis anterior muscle, and 口 is the opening, the palpable hollow between the tibia and fibula at this point. In the other, 條 refers to 條風, the northeast wind, and the name would allude to the treatment of Wind disorders of the leg. This second reading is a minority view with weak support, probably a later reinterpretation.

The Zhenjiu Jiayi Jing (Systematic Classic of Acupuncture and Moxibustion) assigns it an indication that has been preserved verbatim: «脛痛,足緩失履,濕痹,足下熱不能久立,條口主之». Pain in the leg, a slack foot that loses its shoe, Damp obstruction (Bi), heat in the sole that prevents standing for long: Tiaokou takes care of all of these. These are local indications, of the leg and foot.

Today Tiaokou is known for a very different use: deep needling toward BL57, Chengshan, for a painful, stiff shoulder. This is a clinical development of the 20th century, not a use documented in the classics.

Location of point ST38, Ribbon Opening
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View point on the 3D modelST38 on the anatomy
Needling techniquePerpendicular insertion 1-1.5 cun or oblique toward the ankle.
Depth1-1.5 cun
MoxibustionApplicable (5-10 minutes, indirect moxa)
Cover of the guide “Protocols for the 20 most common patterns”

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Protocols for the 20 patterns you see most in practice

Each pattern with its tongue, its pulse, the treatment principle and the points to tonify and disperse. Made for the treatment table, not the bookshelf.

Do you use ST38 with your patients?

In the Clinic you record it in the patient's file, next to the tongue, the pulse and the measurements, so at the next session you know exactly what you used. The Atlas is built in.

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