ST04 (Earth Granary)

地倉dì cāng

Stomach Meridian

Location of acupuncture point ST04 (Earth Granary)
43
Indications
12
Protocols

Location

Lateral to the corner of the mouth directly below pupil.

Cautions

Caution with facial nerve.

Indications

Conditions for which ST04 is listed as indicated. An indication list is a reference index, not a prescription – see the protocols below for sourced treatments.

Muscle WastingContraction Facial MusclesContraction Facial MusclesFacial DroopFacial DroopDroolingEating ProblemsEating ProblemsEyesight / Vision Myopia Short SightednessMyopia Short Sightedness VisionEyesight / Vision Night BlindnessNight Blindness VisionEye Eyelid Closing StiffnessMouth Leaking Food Drink StiffnessWalking StiffnessImmobility Eye / Eyelid ClosingImmobility Mouth Leaking Food / DrinkImmobility WalkingItchiness EyeItchiness EyeNeuralgia TrigeminalNeuralgia TrigeminalFace NumbnessFace NumbnessLips NumbnessLips NumbnessPainCheek PainCheek PainToothacheToothacheRestlessness EyeballRestlessness EyeballChannel StagnationChannel StagnationLeg SwellingLeg SwellingTwitch EyelidTwitch EyelidVoice LossVoice LossWind FaceWind Face

Protocols using ST04

  • Disability Low Back, Low Back Chronic PainST04, ST36, SP13, SP14, BL23, BL24, BL25, BL37, BL40, GB12, GB26, GB30, GB34, GB41, GV03, GV04, GV05, GV24, GV26 (https://doi.org/10.1186/1471-2474-11-118)
  • Facial Pain, Neck Pain, Ear Pain, Paralysis Facial, Facial WeaknessLI04, ST04, ST06, ST07, SI18, TB17, GB14 (https://doi.org/10.1186/1745-6215-12-158)
  • Spasm FacialLI04, ST04, ST06, SI18, TB17, GB01, LV03, GV14 (陈志强张宁. 浮针透穴结合热敏灸治疗面肌痉挛的临床观察. 四川中医 ., 2023 [CNKI])
  • Paralysis Facial, Bell's Palsy, Facial WeaknessLI04, LI11, ST02, ST04, ST06, ST25, ST36, SP06, KD03, GB14, GB20, LV03 (https://doi.org/10.1007/s10103-023-03970-4)
  • Facial Paralysis, Paralysis FacialLI10, LI20, ST04, ST06, ST07, ST36, SI18, GB01, GB14 (https://doi.org/10.13702/j.1000-0607.20250433)
  • Paralysis Facial, Retroauricular PainLI04, ST02, ST04, SI18, BL02, TB17, GB14, GV20 (https://doi.org/10.13703/j.0255-2930.20231014-k0003)
  • Neuralgia Trigeminal, Facial Trigeminal Pain, Burning Pain, Electric Shock Pain, Stabbing PainLI04, ST02, ST04, ST06, ST07, SI18, TB05, GB01 (https://doi.org/10.1007/s00415-024-12433-x)
  • Facial Paralysis, Synkinesis FacialST01, ST02, ST03, ST04, ST06, GB14, CV24, GV24, GV26, XH03, XH04 (https://doi.org/10.1097/MD.0000000000049719)
  • Tic DisordersLI04, LI11, ST04, ST06, ST32, BL02, BL18, KD03, KD17, TB05, GB13, GB20, GB34, LV03, GV08, GV20, GV24 (Acupuncture Treatment in Pediatric Patients With Tic Disorders: A Prospective, Single-Center, Randomized Controlled Trial. ClinicalTrials.gov NCT07071428)
  • Paralysis Facial, Paralysis Facial Peripheral, Facial Paralysis IntractableLI04, LI20, ST04, ST06, SI18, GB14, GB20, CV24, GV26 (https://doi.org/10.3389/fneur.2025.1504089)
  • Paralysis FacialLI04, LI20, ST02, ST04, ST06, ST07, SP06, SI18, TB05, TB17, GB14, LV03 (Yang Jin-sheng et al. 44 Cases of Peripheral Facial Paralysis Treated by the SXDZ-100 Nerve and Muscle Stimulator. Journal of Traditional Chinese Medicine, 2009, 29(3): 182-185)
  • Facial Paralysis, Paralysis Facial, Bell's PalsyLI04, ST04, ST06, ST07, TB17, GB14 (https://doi.org/10.13702/j.1000-0607.20250622)