ST41 Jiexi (Dividing Cleft)

Location

On the dorsum of the foot at the midpoint of the transverse crease of the ankle joint in the depression the between tendons of the extensor digitorum longus and hallucis longus approximately at the level of the tip of the external malleolus.

Categories

• Jing-River point of the Stomach meridian

The classical groups this point belongs to, from Deadman, Al-Khafaji & Baker, A Manual of Acupuncture.

Indications

Conditions for which ST41 is listed as indicated. An indication list is a reference index, not a prescription – see the protocols below for sourced treatments.

TCM actions

What classical sources say ST41 does in the terms of Chinese medicine theory. These describe the point, not a condition.

Protocols using ST41

The 50 best-sourced of 82, ranked by strength of evidence. The count above is the full figure.

• Trigeminal Neuralgia – LI04, LI20, ST02, ST06, ST07, ST08, ST41, ST44, SP06, SI18, BL02, BL65, TB05, TB17, GB03, GB14, GB20, LV03, CV24 (doi:10.1016/s0254-6272(10)60018-0 ↗)
• Stroke, Hemiplegia, Paralysis Arm, Paralysis Leg, Spasticity – LI04, LI10, LI14, LI15, ST31, ST32, ST36, ST40, ST41, SP06, SP10, BL60, TB05, GB34, LV03, CV04 (doi:10.1016/s0254-6272(08)60042-4 ↗)
• Stroke, Hemiplegia, Paralysis Arm, Paralysis Leg, Spasticity, Speech Unclear – LI04, LI10, LI14, LI15, ST31, ST32, ST36, ST41, TB05, GB34, LV03 (doi:10.1016/s0254-6272(08)60042-4 ↗)
• Tremor, Parkinson's Disease, Motor Disorder, Bradykinesia, Rigidity Cogwheel, Balance Disturbance – LU05, LI05, LI11, LI15, ST41, SP09, HT03, SI06, SI09, BL36, BL40, KD03, PC02, PC03, PC07, TB02, TB04, TB14, GB30, GB34, LV04 (doi:10.1016/s0254-6272(09)60004-2 ↗)
• Ankle Pain, Sprain Ankle, Ankle Swelling – LI04, ST36, ST41, SP04, SP05, SP06, SP09, HT07, BL60, BL62, BL63, BL64, KD02, KD03, KD06, GB34, GB40, LV03 (doi:10.1186/1745-6215-12-241 ↗)
• Knee Pain, Osteoarthritis Knee, Stomach Deficiency – ST35, ST41, ST43, SP09, SI05, BL39, GB41 (doi:10.1186/1745-6215-14-129 ↗)
• Joint Pain, Stiffness Joint, Deformity Joint, Fluorosis Skeletal, Bi-syndrome – LU05, LI04, LI11, LI15, ST35, ST40, ST41, SP06, SP10, BL10, BL17, TB04, GB29, GB30, GV03, GV14 (doi:10.1155/2013/839132 ↗)
• Shoulder Pain, Neck Pain – ST34, ST36, ST41 (doi:10.1155/2014/283010 ↗)
• Hemiplegia, Ischemic Stroke, Neurological Deficit, Dysphagia, Cognitive Impairment Mild, Paralysis Motor – LI04, LI10, LI11, LI15, ST34, ST36, ST40, ST41, SP06, TB05, GB34, LV03 (doi:10.1186/1745-6215-15-214 ↗)
• Ischemic Stroke, Dysphagia – LI04, LI10, LI11, LI15, ST34, ST36, ST40, ST41, SP06, BL10, TB05, GB20, GB34, LV03, CV23, GV16 (doi:10.1186/1745-6215-15-214 ↗)
• Ischemic Stroke, Cognitive Impairment Mild – LI04, LI10, LI11, LI15, ST34, ST36, ST40, ST41, SP06, TB05, GB13, GB34, LV03, GV20, GV24 (doi:10.1186/1745-6215-15-214 ↗)
• Fatigue, Dizziness, Tinnitus, Headache, Constipation, Depression, Insomnia, Itchiness, Edema, Palpitation, Knee Pain, Back Pain, Vision Blurred, Cervical Pain, Stiffness Shoulder, Cramp Leg, Lower-limb Pain, Upper-limb Numbness, Lower-limb Numbness, Hemodialysis Complication – LU05, LU09, LI02, LI11, ST41, ST45, SP02, SP05, HT07, HT09, SI03, SI08, BL65, BL67, KD01, KD07, PC07, PC09, TB03, TB10, GB38, GB43, LV02, LV08 (doi:10.1155/2015/802846 ↗)
• Fatigue, Constipation, Numbness, Insomnia, Speech Slurred, Cognitive Impairment, Paralysis Hemiplegia, Paresthesia, Balance Impaired, Traumatic Brain Injury Severe, Tremor Pill-rolling, Vision Diplopia – LI04, LI11, LI14, LI15, ST36, ST38, ST41, SP06, KD03, TB05, GB34 (doi:10.7453/gahmj.2014.069 ↗)
• Hemiplegia, Ischemic Stroke, Neurological Deficit – LI04, LI10, LI11, LI15, ST34, ST36, ST40, ST41, SP06, TB05, GB34, LV03, MS06, MS07 (doi:10.1186/s12906-016-1193-y ↗)
• Hemiplegia, Ischemic Stroke, Dysphagia – LI04, LI10, LI11, LI15, ST34, ST36, ST40, ST41, SP06, BL10, TB05, GB20, GB34, LV03, CV23, GV16, MS06, MS07 (doi:10.1186/s12906-016-1193-y ↗)
• Hemiplegia, Cognitive Impairment, Ischemic Stroke – LI04, LI10, LI11, LI15, ST34, ST36, ST40, ST41, SP06, TB05, GB13, GB34, LV03, GV20, GV24, MS06, MS07 (doi:10.1186/s12906-016-1193-y ↗)
• Knee Pain, Osteoarthritis Knee, Stiffness Morning, Disability Musculoskeletal – LI04, ST34, ST35, ST36, ST40, ST41, SP06, SP09, SP10, BL60, KD03, GB31, GB33, GB34, GB36, GB39, GB41, LV03, LV08 (doi:10.1136/bmjopen-2016-013830 ↗)
• Fatigue, Loss of Appetite, Low-back Pain, Cough Chronic Intractable, Throat Dry, Lupus Nephropathy – LU07, LI04, LI20, ST21, ST25, ST36, ST40, ST41, SP04, SP06, SI03, BL13, BL18, BL23, BL62, KD03, KD06, PC06, TB05, GB41, LV03, CV04, CV06, CV22, GV01, GV08, GV14, GV24 (doi:10.1097/MD.0000000000009309 ↗)
• Neuropathic Pain, Tingling Feet, Neuropathy Peripheral Chemotherapy-induced, Tingling Hands, Extremities Numbness – LI04, LI11, ST36, ST41, SP06, PC07, TB05, LV03 (doi:10.1177/1534735419836501 ↗)
• Ankle Pain, Sprain Ankle, Ankle Swelling, Sprain Ankle Lateral – ST36, ST41, BL60, BL62, KD03, KD06, GB39, GB40 (doi:10.1186/s13063-020-4111-z ↗)
• Hemiplegia, Limb Weakness, Motor Dysfunction Upper Limb, Motor Dysfunction Lower Limb, Paralysis Post-stroke – LI04, LI10, LI11, LI15, ST36, ST41, BL60, TB05, GB30, GB34 (doi:10.1155/2020/5094914 ↗)
• Knee Pain, Osteoarthritis Knee, Stiffness Knee, Inflammation Joint – ST34, ST35, ST36, ST40, ST41, SP06, SP09, SP10, BL60, KD03, GB31, GB33, GB34, GB36, GB39, GB41, LV03, LV07, LV08 (doi:10.2147/JPR.S256950 ↗)
• Paralysis Lower Limb, Motor Dysfunction Lower Limb, Stroke Hemiplegia, Spasm Extensor, Gait Hemiparetic – LI04, LI10, LI11, LI15, ST36, ST41, BL60, TB05, GB30, GB34 (doi:10.1155/2020/3805628 ↗)
• Ankle Pain, Ankle Swelling, Sprain Ankle Lateral, Instability Ankle – ST36, ST41, BL60, BL62, KD03, KD06, GB39, GB40 (doi:10.1186/s13063-021-05135-6 ↗)
• Depression, Insomnia, Ankle Pain, Phantom Limb Pain, Phantom Limb Sensation – ST41, BL62, KD06, LV03 (doi:10.3389/fnins.2021.713548 ↗)
• Knee Pain, Osteoarthritis Knee, Deformity Varus Knee, Lower Limb Swelling – ST32, ST34, ST40, ST41, SP06, SP10, KD03, KD06 (doi:10.1155/2022/6428759 ↗)
• Fatigue, Depression, Insomnia, Poor Appetite, Lower Limb Weakness, Upper Limb Weakness, Muscle Atrophy Progressive, Paralysis Motor Neuron – LI04, LI10, LI11, LI15, ST32, ST36, ST41, SP06, BL18, BL20, BL23, KD03, PC06, TB05, GB20, GB34, CV04, CV06, CV12, CV23, GV14, GV20 (doi:10.1155/2022/6541600 ↗)
• Ankle Pain, Sprain Ankle, Ankle Swelling, Sprain Ankle Acute, Bruising Ankle, Functional Impairment Ankle – ST41, BL40, BL60, KD06, KD09, GB39 (doi:10.12659/MSM.944157 ↗)
• Neuropathy Peripheral Chemotherapy-induced, Extremities Numbness, Tingling Extremities – LI04, ST36, ST41, CV04 (doi:10.1186/s12906-024-04603-1 ↗)
• Muscle Weakness, Muscle Atrophy, Sarcopenia, Reduced Muscle Mass, Decreased Physical Performance – LI04, LI10, LI11, LI14, ST32, ST34, ST36, ST41 (doi:10.1186/s12906-024-04723-8 ↗)
• Ankle Pain, Ankle Swelling, Skin Redness, Erysipelas Lower Limb, Calf Swelling, Edema Calf – ST41, SP04, SP05, SP06, KD03, KD06 (doi:10.1097/MD.0000000000042413 ↗)
• Contracture Knee, Brachial Plexus Injury, Muscle Atrophy, Paralysis Upper Extremity, Paralysis Lower Extremity, Contracture Ankle, Contracture Shoulder, Contracture Elbow, Scoliosis, Neuromotor Impairment, Steppage Gait – LU01, LI04, LI05, LI11, LI14, ST34, ST36, ST41, SP09, SP10, SI05, SI06, SI07, SI09, BL11, BL12, BL22, BL23, BL24, BL25, BL26, BL36, BL37, BL39, BL55, BL56, BL57, BL58, BL60, BL61, BL62, KD03, KD04, KD05, KD06, TB09, GB20, GB21, GB40 (doi:10.3831/KPI.2013.16.009 ↗)
• Vomiting, Nausea, Heat Stomach, Chemotherapy Nausea – ST36, ST41, ST44, SP04, PC06, GB34, CV12 (doi:10.1177/2164956119870444 ↗)
• Memory Impaired, Cognitive Impairment Mild – ST25, ST41, BL23, KD13 (doi:10.3389/fneur.2022.942682 ↗)
• Ankle Pain, Sprain Ankle – ST36, ST41, SP05, GB34, GB40, LV04 (doi:10.3831/kpi.2005.8.2.011 ↗)
• Varicose Veins, Leg Pain, Edema Leg, Venous Insufficiency, Cyanosis Toe – ST24, ST25, ST41, SP09, KD06, LV03 (doi:10.5606/e-cvsi.2019.702 ↗)
• Stroke Sequelae, Stroke Post, Paralysis Ankle, Ankle Joint Problems, Ankle Dysfunction – ST31, ST34, ST36, ST37, ST40, ST41, SP10, KD06, GB34, GB39, GB40, LV03 (doi:10.27127/d.cnki.ghlzu.2024.000593 ↗)
• Stroke Sequelae, Stroke Post, Paralysis Ankle, Ankle Joint Problems, Ankle Dysfunction – ST31, ST34, ST36, ST37, ST40, ST41, SP10, BL39, KD06, GB34, GB39, GB40, LV03 (doi:10.27127/d.cnki.ghlzu.2024.000593 ↗)
• Ankle Pain, Sprain Ankle Chronic, Ankle Problems – ST41, BL60, BL62, KD06, GB40 (doi:10.16448/j.cjtcm.2017.0181 ↗)
• Hemiplegia Post-stroke, Foot Drop, Ankle Mobility Reduced, Lower Limb Motor Dysfunction – ST36, ST37, ST41, SP06, GB20, GB34, GB39, GB40, GV20 (doi:10.27465/d.cnki.gzzyc.2020.000412 ↗)
• Paralysis Lower Limb, Stroke Sequelae, Gait Impairment, Gait Disturbance, Foot Drop, Gait Dysfunction Post-stroke – ST36, ST41, GB34, GB39, GB40, LV03 (doi:10.13703/j.0255-2930.20240115-k0004 ↗)
• Neuropathy Peripheral Diabetic, Liver-kidney Deficiency, Diabetes Complications – ST36, ST41, SP06, SP09, BL18, BL20, BL23, KD01, CV04, CV06 (doi:10.19917/j.cnki.1005-0779.022190 ↗)
• Headache Migraine – LI04, ST41, BL02, GB20, GV20 (doi:10.19917/j.cnki.1005-0779.023136 ↗)
• Stroke Sequelae, Motor Impairment, Gait Disturbance, Spasticity Lower Limb – LI04, LI11, LI15, ST41, GB34, GB39, GB40 (doi:10.13703/j.0255-2930.20240411-k0001 ↗)
• Diplopia, Paralytic Strabismus – ST02, ST41, GB01, GB20, LV03, XH05 (doi:10.13703/j.0255-2930.20240424-0001 ↗)
• Sarcopenia – LI04, LI10, LI11, LI14, ST32, ST34, ST36, ST41 (doi:10.1186/s12906-024-04723-8 ↗)
• Stroke, Hemiplegia Post-stroke, Paralysis Post-stroke Motor Dysfunction – LI04, LI10, LI11, LI15, ST36, ST41, SP06, TB05, GB34, LV03, GV20, XH01A, XH01B, XH01C, XH01D, MS06 (doi:10.3389/fneur.2026.1794260 ↗)
• Fibromyalgia Pain Musculoskeletal Diffuse – LI04, LI11, ST36, ST41, SP06, HT07, BL12, BL17, BL20, BL21, BL23, TB05, LV03, CV04 (doi:10.1016/s0254-6272(15)30037-6 ↗)
• Dementia Senile – LI04, ST36, ST40, ST41, HT07, BL15, BL18, PC06, LV03, GV14, GV16, GV20 (doi:10.1016/s0254-6272(09)60071-6 ↗)
• Ischemic Stroke, Aphasia Post-stroke – ST36, ST41, SP06, GB30, GB31, LV03, GV20 (doi:10.4314/ahs.v24i4.34 ↗)

Most often selected alongside ST41

How many sourced protocols in the index pair each point with ST41. Corpus frequency, not a combination to use.

• ST36Leg Three Miles58 protocols
• LI04Junction Valley42 protocols
• GB34Yang Mound Spring41 protocols
• SP06Three Yin Intersection35 protocols
• LV03Great Surge33 protocols
• LI11Pond At The Bend31 protocols
• ST34Ridge Mound26 protocols
• LI15Shoulder And Clavicle24 protocols
• TB05Outer Gate24 protocols
• ST40Abundant Bulge21 protocols
• KD03Great Stream20 protocols
• LI10Arm Three Miles20 protocols

Other points on the Stomach Meridian