ST41

Stomach Channel

Released Stream

解溪Jiě Xī

Anatomical location

At the ankle flexion crease, between the tendons of the extensor hallucis longus and the extensor digitorum longus.

Main function

Disperses Wind-Dampness, benefits the ankle, descends rebellious Qi.

  • Jing-River point (Fire)
  • Tonification Point

Therapeutic indications

  • Ankle pain
  • foot pain
  • headache
  • dizziness
  • insomnia
  • ankle pain and swelling
  • ankle sprain
  • foot drop
  • headache
  • abdominal distension
  • constipation
  • mania
  • facial edema
  • hyperuricemia and gout
  • rheumatoid arthritis

Ryodoraku

  • Tonification of Stomach

Name and classical tradition

Jiexi, 解溪, combines 解, “to untie,” “to release,” and also, in the anatomical sense, the joint that bends, with 溪, the stream, the small watercourse. There are two possible readings. One is functional: the water of the channel is untied here and dispersed. The other is anatomical: it is the point at the ankle joint where the channel runs. Both are reasonable and consistent with the water nomenclature of the Five Shu points, although neither has an ancient author.

The Lingshu (Spiritual Pivot), in the chapter Ben Shu (本輸), establishes it as the Jing point (經穴) of the Stomach channel, which in the Yang channels corresponds to Fire. The point lies in the ankle crease, between the tendons, right at the joint that the 解 of the name might be pointing to. In the sequence of the Five Shu points, it precedes ST36, the He-Sea point.

Location of point ST41, Released Stream
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View point on the 3D modelST41 on the anatomy
Needling techniquePerpendicular insertion 0.5-0.8 cun between the tendons.
Depth0.5-0.8 cun
MoxibustionApplicable (5-10 minutes, indirect moxa)
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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 ST41 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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