NAME
ZHIGOU
LOCATION
3 cun proximal to SJ-4 Yangchi, in the depression between the radium and the ulna, on the radial side of the extensor digitorus communis muscle.
Note: To locate this point, divide the distance between SJ-4 Yangchi and the lateral epicondyle into half and then halve then half again.
The point is located between the radius and the extensor digitorus communis muscle, close to the border of the radius.
3 cum proximal to the dorsal crease of the wrist, on the line connecting SJ-4 Yangchi and the tip of the olecranon, between the radius and the ulna, on the radial side of m. extensor digitorum.
3 cun above the transverse crease on the dorsal side of the wrist, 1 cun above SJ-5 Waiguan.
On the dorsal surface of the forearm, 3 cun above the transverse crease of the wrist, between the radius and the ulna.
NEEDLING
Slightly oblique insertion towards the ulnar side or oblique proximal or distal insertion towards the elbow or wrist respectively, 0.5 to 1.5 cun.
Joined by through needling to PC-5 Jianshi.
Caution: movement of the patient's arm or hand after needling can result in a bent needle.
Puncture perpendicularly 0.8 to 1.2 cun.
Moxibustion is applicable.
Straight insertion 1 to 1.5 cun. Sensation: local distention and soreness, possibly reaching the elbow, and sometimes an electric, numb sensation extending to the fingertips.
COMMAND FUNCTIONS
Jing-River point of the San Jiao channel
Fire point of the San Jiao channel
ACTIONS
Regulates Qi in the three Jiaos
Spreads the Qi
Clears Heat in the three Jiaos
Benefits the chest and lateral costal region
Opens the Intestines
Regulates and moistens the Large Intestine
Moves the stool
Benefits the voice
Disperses Obstruction
Activates the channel
Alleviates pain
Harmonizes and cools the Lower Jiao
Removes obstructions from the channel
Removes Stagnation of Qi
Expels Wind
Dispels Wind-Heat
Dispels Wind-Dryness
Transforms Phlegm
Moistens Dryness
Generates Fluids
Expands and relaxes the chest
Treats the flanks
INDICATIONS
Tinnitus
Wind-Heat tinnitus and deafness
Sudden loss of voice
Lockjaw
Febrile disease with anhidrosis
Eye pain
Redness and swelling of the eyes
Pain and swelling of the throat
Scrofula
Pain of the axilla
Pain of the axilla and sides of the chest
Shoulder pain
Painful obstruction of the elbow
Wind-Cold hand trembling
Hemiplegia
Pleurisy
Intercostal neuralgia
Puffy limbs
Edema
Intense pain with intense Heat
Hard, dry stools
Cystitis
Pneumonia
Melancholy
Hypochondriac pain
Angina pectoris
Habitual constipation
Swollen throat
Psoriasis
Herpes zoster
Cholecystitis pain
Painful defecation
Deafness
Pain in the chest and hypochondrium
Vomiting and diarrhea
Cholera with vomiting
Apical pulmonary catarrh
Pain of the lateral costal region
Abdominal pain
Sudden Heart pain and oppression of the chest
Cough
Cough with redness and Heat of the face
Constipation
Vomiting
Nausea
Sudden turmoil disorder
Postpartum dizziness
Blockage of the REN channel in women
Tremor of the hand
Numbness of the hand
Disorders which affect the voice
Dyspnea
Aching and heavy sensation of the shoulder, back and arm
All rheumatic, arthritic conditions
Difficulty in articulation
Hemorrhoids
Excessive bleeding/fainting during childbirth
Excessive bleeding from the lower Jiao
Bronchitis
Sudden hoarseness
Insufficient lactation
Belching
Menopause syndrome
Tidal fever
Chest constriction during the flu
Fecal incontinence due to paralysis
Motor impairment of the hand and upper extremities
Skin diseases
Acute pain in the ribs and axilla
Carditis
Sudden influenza
Amenorrhea
COMBINATIONS
| GB-39 Xuanzhong | KI-2 Rangu KI-3 Taixi | UB-40 Weizhong |
| Wandering Bi | Stabbing Heart pain | Chest and lateral costal region pain (reduce left SJ-6 for right-sided pain and vice versa) |
| GB-34 Yanglingquan | LIV-13 Zhangmen SJ-5 Waiguan or SP-4 Gongsun GB-34 Yanglingquan LIV-13 Zhangmen | SI-16 Tianchuang LI-18 Futu GB-7 Qubin HT-4 Lingdao or UB-66 Tonggu SJ-8 Sanyangluo |
| Pain of the lateral costal region due to injury by Cold Intercostal neuralgia | Pain of the lateral costal region | Sudden loss of voice |
| ST-25 Tianshu | SJ-1 Guanchong REN-14 Juque SP-4 Gongsun ST-41 Jiexi | KI-6 Zhaohaior KI-6 Zhaohai SP-3 Taibai LIV-13 Zhangmen |
| Vomiting Sudden turmoil disorder | Sudden turmoil disorder | Constipation |
| ST-36 (reduce) Zusanli | PC-7 Daling SJ-5 Waiguan | HT-3 Shaohai PC-1 Tianchi LIV-13 Zhangmen GB-41 Zulingqi GB-38 Yangfu GB-21 Jianjing LI-10 Shousanli |
| Deficiency constipation (reinforce SJ-6) | Abdominal pain Constipation | Scrofula |
| ST-36 Zusanli SP-6 Sanyinjiao | GB-39 Xuanzhong | REN-17 Shanzhong REN-12 Zhongwan REN-6 Qihai LIV-3 Taichong |
| Postpartum dizziness | Wandering Bi pain | Stagnation of Qi in the San Jiao leading to distention, oppression and pain in the chest and abdomen |
| SI-3 Houxi SI-4 Wangu UB-12 Fengmen GB-21 Jianjiang SJ-3 Zhongzhu UB-40 Weizhong | ST-36 Zusanli SP-15 joined to ST-25 Dahengjoined to Tianshu | ST-36 Zusanli REN-17 Shanzhong ST-18 Rugen |
| Pain of the shoulder and back | Habitual constipation | Insufficient lactation |
| GB-31 Fengshi | ||
| Herpes zoster (especially if the eruptions are on the flanks) |
CONTRAINDICATIONS
NOTES
This point is able to drain Ministerial Fire from the three Jiaos. It is the most important point for moving Qi and clearing Heat in the San Jiao. It resolves Stagnant Heat in the Liver and Gallbladder. This is the true constipation point. Defecation can occur directly after needling this point. This is a specific point for ******Plum Pit Qi Stagnation******. This is a major point to treat the sides. This point can be used to drop the placenta. this point expels Wind-Heat in the Blood affecting the skin.