SP04 Gongsun (Grandfather Grandson)

Location

In the depression the distal and inferior to the base of the 1st metatarsal bone at the junction of the red and white skin.

Indications

Conditions for which SP04 is listed as indicated. An indication list is a reference index, not a prescription – see the protocols below for sourced treatments.

Protocols using SP04

The 50 best-sourced of 126, ranked by strength of evidence. The count above is the full figure.

• Nausea, Bloating, Abdominal Pain – SP04, PC06, GV20 (doi:10.3748/wjg.v13.i40.5360 ↗)
• Dysmenorrhea, Menstrual Pain, Pelvic Pain – LI04, ST25, ST29, ST30, ST36, SP04, HT07, BL62, KD03, PC06, LV03, CV04, CV06 (doi:10.1093/ecam/nem020 ↗)
• Fatigue Cancer-related, Fatigue Post-treatment, Cancer Breast – LI04, ST36, SP04, SP06, KD03, PC06 (doi:10.1186/1472-6882-11-49 ↗)
• Dysmenorrhea, Menstrual Pain, Qi-blood Stagnation, Mood Changes – LI04, SP04, SP06, SP08, SP10, BL32, LV03, CV03, CV06 (doi:10.1093/ecam/nep239 ↗)
• 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, Stiffness Joint – ST06, ST34, ST35, ST36, SP04, SP05, SP06, SP09, SP10, BL20, BL40, BL57, BL58, BL60, BL62, KD03, KD10, GB33, GB34, LV08 (doi:10.1155/2013/182528 ↗)
• Nausea, Bloating, Heartburn, Epigastric Pain, Dyspepsia Functional – LI04, ST34, ST36, SP04, SI14, PC06, GB21, LV03, CV12 (doi:10.1186/1745-6215-15-89 ↗)
• Enuresis Nocturnal, Bedwetting – ST36, SP04, SP06, SP12, HT07, HT09, BL23, BL28, BL32, KD03, KD05, CV02, CV03, CV06, GV04, GV15, GV20 (doi:10.1177/147323000303100611 ↗)
• Heartburn, Gastroesophageal Reflux Disease, Reflux Acid, Reflux Bile – ST36, SP04, PC06, LV03, CV12 (doi:10.1016/s0254-6272(13)60039-4 ↗)
• Subarachnoid Hemorrhage, Vasospasm Cerebral, Neurological Deficit Delayed Ischemic – ST36, ST43, SP04, PC06 (doi:10.1186/s13063-015-0591-7 ↗)
• Weight Loss, Diarrhea, Abdominal Pain, Crohn's Disease – ST25, ST36, ST37, SP04, SP06, KD03, LV03, CV06, CV12 (doi:10.1155/2015/938054 ↗)
• Belching, Epigastric Pain, Abdominal Bloating, Functional Dyspepsia, Postprandial Distress – LI04, ST34, ST36, SP04, PC03, LV03, CV12 (doi:10.1186/s13063-016-1296-2 ↗)
• Cough, Nausea, Belching, Dyspepsia, Heartburn, Hoarseness, Epigastric Pain, Regurgitation, Dysphagia, Gerd – LI04, ST36, SP04, SP09, PC06, GB34, LV03, CV10, CV13 (doi:10.1186/s13063-016-1371-8 ↗)
• Anxiety, Back Pain, Miscarriage Threatened, Bleeding Vaginal, Cramping Abdominal – LU07, LI11, ST36, ST37, SP01, SP04, HT07, BL20, BL23, BL57, BL62, KD06, KD09, KD21, KD27, PC06, TB04, TB05, TB06, GB30, GB34, GB41, LV02, LV03, CV04, GV04, GV20 (doi:10.1186/s12884-016-1092-8 ↗)
• Nausea, Belching, Postprandial Fullness, Satiation Early, Dyspepsia Postprandial, Bloating Upper Abdominal – ST25, ST36, SP04, PC06, CV06, CV12, CV17, GV20 (doi:10.1186/s13063-017-2285-9 ↗)
• 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 ↗)
• Dizziness, Headache, Syncope, Menstrual Pain, Uterine Bleeding Dysfunctional, Dysmenorrhea Severe, Menstruation Irregular, Clots Menstrual – LU07, LI04, LI11, ST29, ST36, ST40, ST44, SP04, SP06, SP08, SP09, SP10, SI03, BL23, BL32, BL62, KD03, KD06, KD07, KD14, GB41, GB43, LV03, CV03, CV04, CV06, GV04, GV20, GV24 (doi:10.1136/bcr-2018-224725 ↗)
• Weight Loss, Anorexia, Inflammation Systemic, Cachexia Cancer, Muscle Wasting Sarcopenia, Cancer Gastrointestinal – LI04, LI11, ST25, ST36, SP04, SP06, SP07, HT07, KD06, PC06, LV03, CV12, CV13, GV20 (doi:10.1177/1534735418823269 ↗)
• Overweight, Obesity Simple, Bmi Elevated – LI04, LI11, ST21, ST24, ST25, ST26, ST27, ST28, ST32, ST34, ST36, ST37, ST39, ST40, ST44, SP04, SP06, SP09, SP14, SP15, SP16, BL20, BL21, TB06, GB26, LV13, CV04, CV06, CV07, CV09, CV10, CV12, CV13 (doi:10.1155/2020/2367610 ↗)
• Diarrhea, Abdominal Pain, Ulcerative Colitis, Blood In Stool – ST25, ST36, SP04, BL20, BL21, BL23, BL25, KD03, CV04, CV12 (doi:10.1186/s12906-020-03101-4 ↗)
• Diarrhea, Abdominal Pain, Ulcerative Colitis, Blood In Stool – ST25, ST36, SP04, BL16, BL20, BL21, BL22, BL25, KD03, CV04, GV02, GV06 (doi:10.1186/s12906-020-03101-4 ↗)
• Depression Post-stroke, Stroke Sequelae – LU07, SP04, SI03, BL62, KD06, PC06, TB05, GB41 (doi:10.1186/s12906-021-03277-3 ↗)
• Fatigue, Nausea, Reflux, Loss of Appetite, Abdominal Pain, Early Satiety, Cancer Gastric Post-gastrectomy – ST36, SP04, PC06, GV20 (doi:10.1016/j.jpainsymman.2021.09.009 ↗)
• Postprandial Fullness, Satiation Early, Functional Dyspepsia, Bloating Upper Abdominal – ST25, ST36, SP04, PC06, CV06, CV12, CV17, GV20 (doi:10.1155/2022/1614648 ↗)
• Constipation, Vomiting, Nausea, Gastrointestinal Dysfunction Post-surgical, Ileus Post-surgical – SP04, PC06 (doi:10.1186/s12906-024-04418-0 ↗)
• Fatigue, Constipation, Insomnia, Weight Loss, Eating Disorder Arfid, Food Avoidance, Abdominal Bloating, Taste Disturbance, Tongue Pain – LI04, ST19, ST20, ST24, ST25, ST36, ST40, SP04, SP06, HT07, SI03, BL15, BL19, BL20, BL21, BL22, KD06, PC06, GV20 (doi:10.7759/cureus.61912 ↗)
• Anxiety, Indigestion, Nausea, Heartburn, Early Satiety, Postprandial Fullness, Vomiting Cyclic – ST25, ST36, SP04, LV03, CV10, CV12, CV13 (doi:10.1097/MD.0000000000040830 ↗)
• Menorrhagia, Bleeding Uterine, Menstruation Irregular, Bleeding Menstrual Excessive, Bleeding Menstrual Prolonged, Cycle Menstrual Irregular, Stasis Liver Blood – SP04, SP10, KD14, PC06, LV01, CV06 (doi:10.1089/acu.2024.0053 ↗)
• Anxiety, Fibromyalgia, Whole-body Pain, Mood Depressive – ST25, ST27, ST36, SP04, SP06, HT07, SI03, BL16, BL18, BL19, BL20, BL21, BL23, BL62, KD03, KD06, TB05, LV03, LV08 (doi:10.7759/cureus.74385 ↗)
• Ankle Pain, Ankle Swelling, Skin Redness, Erysipelas Lower Limb, Calf Swelling, Edema Calf – ST41, SP04, SP05, SP06, KD03, KD06 (doi:10.1097/MD.0000000000042413 ↗)
• Tremor, Parkinson's Disease, Bradykinesia, Postural Instability, Balance Impaired, Gait Impaired, Rigidity Muscular – ST34, SP04, HT03, HT07, KD03, KD07 (doi:10.1016/j.prdoa.2025.100324 ↗)
• Hiccups Persistent, Cancer Stomach Metastatic – ST36, SP04, BL17, PC06, LV03, CV12 (doi:10.1097/MD.0000000000044036 ↗)
• Hiccups Persistent, Cancer Lung Metastatic – ST36, SP04, BL17, PC06, LV03, CV12 (doi:10.1097/MD.0000000000044036 ↗)
• Dysmenorrhea, Dysmenorrhea Primary, Menstrual Pain, Autonomic Dysfunction – SP04, SP06, SP10, PC06, CV04, CV06 (doi:10.1155/prm/3494216 ↗)
• Surgery Thoracoscopic Lung Cancer, Arrhythmia Postoperative Supraventricular, Sleep Disturbance Postoperative – SP04, PC06 (doi:10.3389/fneur.2025.1580759 ↗)
• Sweating, Infertility, Sleep Disturbed, Infertility Female, Appetite Poor, Menstruation Irregular, Menstruation Dysmenorrhea, Ovarian Reserve Diminished, Infertility Diminished-ovarian-reserve – LI04, ST25, ST29, ST36, SP04, SP06, SP09, SP10, KD07, CV04, CV06, CV12, GV20, GV24 (doi:10.1097/MD.0000000000042537 ↗)
• Vomiting, Nausea, Chemotherapy Nausea, Vomiting Chemotherapy-induced – ST36, SP04, PC06, CV12 (doi:10.1177/2164956119870444 ↗)
• Vomiting, Nausea, Heat Stomach, Chemotherapy Nausea – ST36, ST41, ST44, SP04, PC06, GB34, CV12 (doi:10.1177/2164956119870444 ↗)
• Vomiting, Nausea, Chemotherapy Nausea, Spleen-qi Deficiency – ST25, ST36, SP04, BL20, PC06, CV06, CV12 (doi:10.1177/2164956119870444 ↗)
• Vomiting, Nausea, Chemotherapy Nausea, Stomach Yin Deficiency – ST36, SP04, BL21, KD06, PC06, CV04, CV12 (doi:10.1177/2164956119870444 ↗)
• Fatigue, Blood Deficiency – ST36, SP04, SP06, HT07, BL17, BL18, LV08, GV20 (doi:10.1177/2164956119870444 ↗)
• Dysmenorrhea, Menstrual Cramping Pain – SP04, SP06 (doi:10.2147/JPR.S498184 ↗)
• Joint Pain, Abdominal Pain, Bleeding Rectal, Inflammatory Bowel Disease, Diarrhea Chronic – LI04, ST23, ST24, ST25, ST26, ST27, ST28, SP03, SP04, SP05, KD02, KD03, KD04, KD05 (doi:10.1016/j.jaim.2024.101080 ↗)
• Fatigue, Dizziness, Headache, Vomiting, Nausea, Diarrhea, Dysmenorrhea Primary, Abdominal Pain, Menstrual Pain – ST29, SP04, SP06, SP08, BL32, CV03 (doi:10.2147/JPR.S537971 ↗)
• Nausea, Bloating, Epigastric Pain, Dyspepsia Functional – ST25, ST36, ST44, SP04, SP09, BL20, BL21, PC06, LV03, CV12 (doi:10.1016/j.dcmed.2024.01.001 ↗)
• Locked-in Syndrome, Quadriplegia, Stroke Pontine Infarction – LU10, LI04, LI11, SP03, SP04, SP06, SP08, SP09, KD02, LV03, GV20 (doi:10.13045/jar.24.0058 ↗)
• Epigastric Pain – ST36, SP04, BL20, BL21, PC06, CV12, CV13 (doi:10.13703/j.0255-2930.20240904-k0002 ↗)
• Infertility Female, Diminished Ovarian Reserve – LU07, ST30, SP04, KD06, KD12, KD14, KD16, KD18, PC06, CV04, CV06 (doi:10.19879/j.cnki.1005-5304.202211467 ↗)
• Abdominal Pain, Diarrhea Irritable Bowel Syndrome, Anxiety Stress-related Gut Dysfunction – ST25, ST36, ST37, SP04, PC06, GB13, GV20, GV24 (doi:10.19917/j.cnki.1005-0779.023168 ↗)
• Gerd, Acid Reflux – SP04, HT09, GB23, GB24, CV22 (doi:10.19621/j.cnki.11-3555/r.2019.0156 ↗)

Most often selected alongside SP04

How many sourced protocols in the index pair each point with SP04. Corpus frequency, not a combination to use.

• ST36Leg Three Miles85 protocols
• PC06Inner Gate69 protocols
• CV12Stomach Centre50 protocols
• SP06Three Yin Intersection49 protocols
• LV03Great Surge44 protocols
• ST25Celestial Pivot42 protocols
• LI04Junction Valley34 protocols
• CV06Sea Of Qi31 protocols
• GV20100 Convergences26 protocols
• KD03Great Stream25 protocols
• KD06Shining Sea24 protocols
• BL20Spleen Shu Point23 protocols

Other points on the Spleen Meridian