Where is St1?
Directly below the pupil between the eyeball and infraorbital ridge
Indications st1?
- Redness, swelling and pain of the eyes, dimness of vision, short sightedness, visual dizziness, night blindness, itching of the eyes, upward staring eyes, twitching of the eyelids
- Deviation of the mouth and eye, inability to speak, deafness and tinnitus
Where is st2?
1 cun directly below pupil, in the depression at the infraorbital foramen
How to needle st2?
Perpendicular 0,2-0,4 cun
RISK!! Deep insertion along the foramen may injure the eyeball. Manipulation by lifting and thrusting is contraindicated due to the risk of damaging the infraorbital nerve which emerges from the foramen
Indications st2?
• Redness and pain of the eyes, superficial visual obstruction, dimness of vision, visual dizziness, itching eyes, excessive lacrimation, deviation of the mouth and eye, twitching of the eyelids, headache
Where is st3?
Directly below pupil, level with the lower border of the ala nasi
How to needle st3?
Perpendicular 0,3-0,4 cun
Indications of st3?
- Pain and swelling of the external nose and cheek, nosebleed, toothache, swelling and pain of the lips and cheek, deviation of the mouth, aversion to wind and cold in the face and eyes, superficial visual obstruction, excessive lacrimation, clonic spasm
- Swelling of knee
Where is st4?
0,4 cun lateral to the corner of mouth
How to needle st4?
Transverse insertion to join st6, li20, ren24 etc
Indications of st4?
- Deviation of the mouth, pain of the cheek, trigeminal neuralgia, numbness of the lips and face, tootache, contraction of the facial muscles, loss of speech
- Ceaseless movement of the eyeball, inability to close the eye, twitching of the eyelids, itching of the eye, blurring of distant objects, night blindness
- Atrophy disorder with inability to walk, swelling of the leg, inability to eat
What is the location of st5?
Directly anterior to angle of jaw, in a depression at the anterior border of the masseter muscle
How to needle st5?
Ask patient to clench jaw
Oblique 0,3-0,5 cun
RISK! Vigorous manipulation is contraindicated to avoid the risk of damaging the facial artery and vein
Indications st5?
- lockjaw, deviation of the mouth, twitching of the lips, toothache of the lower jaw, frequent yawning, stiffness of the tongue with inability to speak, inability to close the eyes accompanied by pain of the eyes
- Swelling of the face and lower cheek, neck pain with chills and fever, aversion to cold
Location of st6?
1 fingerbreadth anterior and superior to angle of jaw
How to needle st6?
Ask patient to clench jaw
Perpendicular insertion 0,5 cun
Indications of st6?
- Deviation of the mouth and eye, swelling of the cheek, tootache, gum disorders, lockjaw, tension and pain of the jaw, inability to chew, inability to open the mouth
- Stiffness and pain of the neck, loss of voice
Location of st7?
• Lower border of zygomatic arch, in the depression anterior to condyloid process of mandible
How to needle st7?
Perpendicular slightly inferiorly 0,5-1 cun
Indications of st7?
- Deafness, tinnitus, ear pain, itching, and purulent discharge from the ear
- Lockjaw, dislocation of the jaw
- Tootache, pain of the teeth of the lower jaw, swelling and pain of the gums (of the lower jaw), pain of the cheek and face, swelling of the cheek, yawning deviation of the mouth and eye, visual dizziness
Location of st8?
Corner of forehead, 0,5 cun within the anterior hairline
How to needle st8?
Transverse 0,5-1 cun
Indications of st8?
- Headache, splitting headache with chills and fever, dizziness, vomiting
- Dimness of vision, bursting eye pain, lacrimation on exposure to wind, twitching of the eyelids
- Dyspnoea with agitation and oppression, hemiplegia
Location of st9?
Level with tip of and 1,5 cun lateral to laryngeal prominence, in the depression between anterior border of scm and thyroid cartilage (also between carotid artery and lateral border of thyroid cartilage)
