ST4

Stomach Channel

Earth Base

地仓Dì Cāng

Anatomical location

0.4 cun lateral to the corner of the mouth, directly below the pupil.

Main function

Disperses Wind, regulates the local channels, benefits the face, relieves pain.

  • Crossing point with the Yang Qiao and Ren Mai

Therapeutic indications

  • Deviation of the mouth
  • drooling
  • eyelid spasm
  • facial pain
  • facial paralysis
  • excessive salivation
  • trismus
  • facial tic
  • difficulty speaking

Name and classical tradition

Dicang, 地仓, is the “granary of the earth.” 地 refers to the traditional division of the face into three levels, heaven, human, and earth, in which the mouth occupies the level of the earth. 仓 (倉 in traditional form) is the granary. The point lies beside the corner of the lips, and the name links this area of the face with the function of the Stomach, which receives the grains.

Secondary sources accompany this reading with a quotation attributed to the Neijing (Inner Classic): “地氣通於口,食五穀必經於口,故名地倉,” that is, the Qi of the earth communicates with the mouth, all grains pass through it, hence the name. The phrase has not been located in the Suwen (Basic Questions) or the Lingshu (Spiritual Pivot), and it may well be a modern paraphrase vaguely alluding to the Suwen. It should therefore be taken as a traditional explanation, not as canonical text.

The first work to record the point is the Zhenjiu Jiayi Jing (Systematic Classic of Acupuncture and Moxibustion). It is a crossing point of the Yang Qiao Mai with the hand and foot Yangming. Its alternative names, 會維 and 胃維, “bond of the Stomach,” reinforce the idea of a meeting place.

Other names

  • 會維Jiayi Jing
Location of point ST4, Earth Base
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View point on the 3D modelST4 on the anatomy
Needling techniqueOblique insertion 0.5-1 cun toward ST6 or the nose.
Depth0.5-1 cun
MoxibustionApplicable (3-5 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 ST4 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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