# SP04 Gongsun (Grandfather Grandson) – Spleen Meridian

公孫 · gōng sūn

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.

Cautions: Contraindicated during pregnancy.

Canonical page: https://acuiq.com/points/sp04

## Indications

An indication list is a reference index, not a prescription – see the protocols below for sourced treatments.

Loss of Appetite, Loss of Appetite, Benefit Chest, Benefit Chest, Benefit Heart, Benefit Heart, Benefit Regulate Chong Mai, Benefit Regulate Jiao Middle, Benefit Regulate Qi, Benefit Spleen, Benefit Spleen, Stomach Rumbling, Stomach Rumbling, Calm Spirit Shen, Calm Spirit Shen, Cold Malaria, Cold Malaria, Cold Stomach, Cold Stomach, Constriction Oesophagus, Constriction Oesophagus, Damp, Gallbladder Deficiency, Gallbladder Deficiency, Depression, Diarrhea, Gynaecological Disorder, Gynaecological Disorder, Psychological Disorder, Psychological Disorder, Turmoil Disorder, Turmoil Disorder, Abdominal Bloating, Abdominal Bloating, Umbilical Region Bloating, Umbilical Region Bloating, Dysentery, Epilepsy, Heat Foot Sole, Heat Foot Sole, Insomnia, Jaundice, Malaria, Edema, Abdominal Pain, Abdominal Pain, Upper Stomach Pain, Upper Stomach Pain, Heart Pain, Heart Pain, Heel Pain, Heel Pain, Intestines Cutting Pain, Intestines Cutting Pain, Umbilical Region Pain, Umbilical Region Pain, Irregular Periods, Period / Menstruation Irregular, Qi Leg, Qi Leg, Regulate Chong Mai, Regulate Jiao Middle, Regulate Qi, Restlessness, Retention Lochia, Retention Lochia, Retention Placenta, Retention Placenta, Sighing Excessive, Sighing Excessive, Blood in Stool, Blood in Stool, Undigested Food in Stool, Undigested Food in Stool, Facial Swelling, Facial Swelling, Head Swelling, Head Swelling, Tenesmus, Tympanites / Drum Belly, Tympanites Drum Belly, Vomiting

## Most often selected alongside SP04

Sourced protocols in the index pairing each point with this one. Corpus frequency, not a combination to use.

- ST36 (Leg Three Miles) – 85 protocols
- PC06 (Inner Gate) – 69 protocols
- CV12 (Stomach Centre) – 50 protocols
- SP06 (Three Yin Intersection) – 49 protocols
- LV03 (Great Surge) – 44 protocols
- ST25 (Celestial Pivot) – 42 protocols
- LI04 (Junction Valley) – 34 protocols
- CV06 (Sea Of Qi) – 31 protocols

## Protocols using SP04 (50 best-sourced of 126)

| Symptoms | Points | Course | Source | Kind | Caveat |
|---|---|---|---|---|---|
| Nausea, Bloating, Abdominal Pain | SP04, PC06, GV20 | 3 days | doi:10.3748/wjg.v13.i40.5360 | trial | Point selection reported in a published study. |
| Dysmenorrhea, Menstrual Pain, Pelvic Pain | LI04, ST25, ST29, ST30, ST36, SP04, HT07, BL62, KD03, PC06, LV03, CV04, CV06 | 56 days | doi:10.1093/ecam/nem020 | trial | Point selection reported in a published study. |
| Fatigue Cancer-related, Fatigue Post-treatment, Cancer Breast | LI04, ST36, SP04, SP06, KD03, PC06 | 56 days | doi:10.1186/1472-6882-11-49 | trial | Point selection reported in a published study. |
| Dysmenorrhea, Menstrual Pain, Qi-blood Stagnation, Mood Changes | LI04, SP04, SP06, SP08, SP10, BL32, LV03, CV03, CV06 | 9 days | doi:10.1093/ecam/nep239 | trial | Point selection reported in a published study. |
| Ankle Pain, Sprain Ankle, Ankle Swelling | LI04, ST36, ST41, SP04, SP05, SP06, SP09, HT07, BL60, BL62, BL63, BL64, KD02, KD03, KD06, GB34, GB40, LV03 | 1 days | doi:10.1186/1745-6215-12-241 | trial | Point selection reported in a published study. |
| 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 | 28 days | doi:10.1155/2013/182528 | trial | Point selection reported in a published study. |
| Nausea, Bloating, Heartburn, Epigastric Pain, Dyspepsia Functional | LI04, ST34, ST36, SP04, SI14, PC06, GB21, LV03, CV12 | 28 days | doi:10.1186/1745-6215-15-89 | trial | Point selection reported in a published study. |
| Enuresis Nocturnal, Bedwetting | ST36, SP04, SP06, SP12, HT07, HT09, BL23, BL28, BL32, KD03, KD05, CV02, CV03, CV06, GV04, GV15, GV20 | 180 days | doi:10.1177/147323000303100611 | trial | Point selection reported in a published study. |
| Heartburn, Gastroesophageal Reflux Disease, Reflux Acid, Reflux Bile | ST36, SP04, PC06, LV03, CV12 | 42 days | doi:10.1016/s0254-6272(13)60039-4 | trial | Point selection reported in a published study. |
| Subarachnoid Hemorrhage, Vasospasm Cerebral, Neurological Deficit Delayed Ischemic | ST36, ST43, SP04, PC06 | 14 days | doi:10.1186/s13063-015-0591-7 | trial | Point selection reported in a published study. |
| Weight Loss, Diarrhea, Abdominal Pain, Crohn's Disease | ST25, ST36, ST37, SP04, SP06, KD03, LV03, CV06, CV12 | 84 days | doi:10.1155/2015/938054 | trial | Point selection reported in a published study. |
| Belching, Epigastric Pain, Abdominal Bloating, Functional Dyspepsia, Postprandial Distress | LI04, ST34, ST36, SP04, PC03, LV03, CV12 | 28 days | doi:10.1186/s13063-016-1296-2 | trial | Point selection reported in a published study. |
| Cough, Nausea, Belching, Dyspepsia, Heartburn, Hoarseness, Epigastric Pain, Regurgitation, Dysphagia, Gerd | LI04, ST36, SP04, SP09, PC06, GB34, LV03, CV10, CV13 | 42 days | doi:10.1186/s13063-016-1371-8 | trial | Point selection reported in a published study. |
| 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 | 28 days | doi:10.1186/s12884-016-1092-8 | trial | Point selection reported in a published study. |
| Nausea, Belching, Postprandial Fullness, Satiation Early, Dyspepsia Postprandial, Bloating Upper Abdominal | ST25, ST36, SP04, PC06, CV06, CV12, CV17, GV20 | 28 days | doi:10.1186/s13063-017-2285-9 | trial | Point selection reported in a published study. |
| 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 | 18 days | doi:10.1097/MD.0000000000009309 | trial | Point selection reported in a published study. |
| 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 | 116 days | doi:10.1136/bcr-2018-224725 | trial | Point selection reported in a published study. |
| 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 | 56 days | doi:10.1177/1534735418823269 | trial | Point selection reported in a published study. |
| 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 | 30 days | doi:10.1155/2020/2367610 | trial | Point selection reported in a published study. |
| Diarrhea, Abdominal Pain, Ulcerative Colitis, Blood In Stool | ST25, ST36, SP04, BL20, BL21, BL23, BL25, KD03, CV04, CV12 | 46 days | doi:10.1186/s12906-020-03101-4 | trial | Point selection reported in a published study. |
| Diarrhea, Abdominal Pain, Ulcerative Colitis, Blood In Stool | ST25, ST36, SP04, BL16, BL20, BL21, BL22, BL25, KD03, CV04, GV02, GV06 | 56 days | doi:10.1186/s12906-020-03101-4 | trial | Point selection reported in a published study. |
| Depression Post-stroke, Stroke Sequelae | LU07, SP04, SI03, BL62, KD06, PC06, TB05, GB41 | 30 days | doi:10.1186/s12906-021-03277-3 | trial | Point selection reported in a published study. |
| Fatigue, Nausea, Reflux, Loss of Appetite, Abdominal Pain, Early Satiety, Cancer Gastric Post-gastrectomy | ST36, SP04, PC06, GV20 | 63 days | doi:10.1016/j.jpainsymman.2021.09.009 | trial | Point selection reported in a published study. |
| Postprandial Fullness, Satiation Early, Functional Dyspepsia, Bloating Upper Abdominal | ST25, ST36, SP04, PC06, CV06, CV12, CV17, GV20 | 28 days | doi:10.1155/2022/1614648 | trial | Point selection reported in a published study. |
| Constipation, Vomiting, Nausea, Gastrointestinal Dysfunction Post-surgical, Ileus Post-surgical | SP04, PC06 | 5 days | doi:10.1186/s12906-024-04418-0 | trial | Point selection reported in a published study. |
| 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 | 280 days | doi:10.7759/cureus.61912 | trial | Point selection reported in a published study. |
| Anxiety, Indigestion, Nausea, Heartburn, Early Satiety, Postprandial Fullness, Vomiting Cyclic | ST25, ST36, SP04, LV03, CV10, CV12, CV13 | 56 days | doi:10.1097/MD.0000000000040830 | trial | Point selection reported in a published study. |
| Menorrhagia, Bleeding Uterine, Menstruation Irregular, Bleeding Menstrual Excessive, Bleeding Menstrual Prolonged, Cycle Menstrual Irregular, Stasis Liver Blood | SP04, SP10, KD14, PC06, LV01, CV06 | 6 days | doi:10.1089/acu.2024.0053 | trial | Point selection reported in a published study. |
| 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 | 84 days | doi:10.7759/cureus.74385 | trial | Point selection reported in a published study. |
| Ankle Pain, Ankle Swelling, Skin Redness, Erysipelas Lower Limb, Calf Swelling, Edema Calf | ST41, SP04, SP05, SP06, KD03, KD06 | 6 days | doi:10.1097/MD.0000000000042413 | trial | Point selection reported in a published study. |
| Tremor, Parkinson's Disease, Bradykinesia, Postural Instability, Balance Impaired, Gait Impaired, Rigidity Muscular | ST34, SP04, HT03, HT07, KD03, KD07 | 28 days | doi:10.1016/j.prdoa.2025.100324 | trial | Point selection reported in a published study. |
| Hiccups Persistent, Cancer Stomach Metastatic | ST36, SP04, BL17, PC06, LV03, CV12 | 1 days | doi:10.1097/MD.0000000000044036 | trial | Point selection reported in a published study. |
| Hiccups Persistent, Cancer Lung Metastatic | ST36, SP04, BL17, PC06, LV03, CV12 | 1 days | doi:10.1097/MD.0000000000044036 | trial | Point selection reported in a published study. |
| Dysmenorrhea, Dysmenorrhea Primary, Menstrual Pain, Autonomic Dysfunction | SP04, SP06, SP10, PC06, CV04, CV06 | 90 days | doi:10.1155/prm/3494216 | trial | Point selection reported in a published study. |
| Surgery Thoracoscopic Lung Cancer, Arrhythmia Postoperative Supraventricular, Sleep Disturbance Postoperative | SP04, PC06 | 2 days | doi:10.3389/fneur.2025.1580759 | trial | Point selection reported in a published study. |
| 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 | 168 days | doi:10.1097/MD.0000000000042537 | trial | Point selection reported in a published study. |
| Vomiting, Nausea, Chemotherapy Nausea, Vomiting Chemotherapy-induced | ST36, SP04, PC06, CV12 | 30 days | doi:10.1177/2164956119870444 | trial | Point selection reported in a published study. |
| Vomiting, Nausea, Heat Stomach, Chemotherapy Nausea | ST36, ST41, ST44, SP04, PC06, GB34, CV12 | 30 days | doi:10.1177/2164956119870444 | trial | Point selection reported in a published study. |
| Vomiting, Nausea, Chemotherapy Nausea, Spleen-qi Deficiency | ST25, ST36, SP04, BL20, PC06, CV06, CV12 | 30 days | doi:10.1177/2164956119870444 | trial | Point selection reported in a published study. |
| Vomiting, Nausea, Chemotherapy Nausea, Stomach Yin Deficiency | ST36, SP04, BL21, KD06, PC06, CV04, CV12 | 30 days | doi:10.1177/2164956119870444 | trial | Point selection reported in a published study. |
| Fatigue, Blood Deficiency | ST36, SP04, SP06, HT07, BL17, BL18, LV08, GV20 | 30 days | doi:10.1177/2164956119870444 | trial | Point selection reported in a published study. |
| Dysmenorrhea, Menstrual Cramping Pain | SP04, SP06 | 84 days | doi:10.2147/JPR.S498184 | trial | Point selection reported in a published study. |
| 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 | 28 days | doi:10.1016/j.jaim.2024.101080 | trial | Point selection reported in a published study. |
| Fatigue, Dizziness, Headache, Vomiting, Nausea, Diarrhea, Dysmenorrhea Primary, Abdominal Pain, Menstrual Pain | ST29, SP04, SP06, SP08, BL32, CV03 | 21 days | doi:10.2147/JPR.S537971 | trial | Point selection reported in a published study. |
| Nausea, Bloating, Epigastric Pain, Dyspepsia Functional | ST25, ST36, ST44, SP04, SP09, BL20, BL21, PC06, LV03, CV12 | – | doi:10.1016/j.dcmed.2024.01.001 | trial | Point selection reported in a published study. |
| Locked-in Syndrome, Quadriplegia, Stroke Pontine Infarction | LU10, LI04, LI11, SP03, SP04, SP06, SP08, SP09, KD02, LV03, GV20 | 63 days | doi:10.13045/jar.24.0058 | trial | Point selection reported in a published study. |
| Epigastric Pain | ST36, SP04, BL20, BL21, PC06, CV12, CV13 | – | doi:10.13703/j.0255-2930.20240904-k0002 | trial | Point selection reported in a published study. |
| Infertility Female, Diminished Ovarian Reserve | LU07, ST30, SP04, KD06, KD12, KD14, KD16, KD18, PC06, CV04, CV06 | 84 days | doi:10.19879/j.cnki.1005-5304.202211467 | trial | Point selection reported in a published study. |
| 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 | trial | Point selection reported in a published study. |
| Gerd, Acid Reflux | SP04, HT09, GB23, GB24, CV22 | – | doi:10.19621/j.cnki.11-3555/r.2019.0156 | trial | Point selection reported in a published study. |

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AcuiQ-authored prose (symptom and meridian descriptions, the wiki, the auricular crosswalk) is licensed CC-BY-4.0: https://creativecommons.org/licenses/by/4.0/. The assembled protocol compilation is not: build on it with attribution, but do not redistribute it whole as a dataset – https://acuiq.com/terms. The underlying findings are the cited sources' claims – each entry carries its citation; verify against the source before relying on it. Not medical advice: https://acuiq.com/terms