ST39 Xiajuxu (Lower Great Hollow)

Location

9 thumb widths below ST35, 1 finger breadth (middle finger) from anterior border of the tibia.

Categories

• Lower He-Sea point of the Small Intestine

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

Indications

Conditions for which ST39 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 ST39 does in the terms of Chinese medicine theory. These describe the point, not a condition.

Protocols using ST39

The 50 best-sourced of 60, ranked by strength of evidence. The count above is the full figure.

• Muscle Weakness Lower Extremity, Rehabilitation Strength – ST36, ST39 (doi:10.1089/acm.2007.6250 ↗)
• Hyperglycemia, Prediabetes, Impaired Glucose Tolerance – LI04, ST36, ST37, ST39, ST40, SP06, SP09, BL18, BL20, BL21, LV03, LV13, LV14, CV12, GV09 (doi:10.1186/s13063-017-2014-4 ↗)
• Gastric Emptying Delayed, Feeding Intolerance Enteral, Gastric Residual Volume High – ST36, ST37, ST39, SP03, PC06, TB08 (doi:10.1155/2017/1892161 ↗)
• 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 ↗)
• Loss of Consciousness, Coma, Hypoxic-ischemic Encephalopathy, Cardiac Arrest Sequelae, Covid-19 Pneumonia, Septic Shock, Respiratory Acidosis, Encephalopathy – ST34, ST39, GV20 (doi:10.1007/s10072-020-04980-8 ↗)
• Indigestion, Post-Operative Nausea, Post-Operative Vomiting, Feeding Intolerance Enteral, Gastroparesis, Feeding Intolerance – LI04, ST36, ST37, ST39, PC06 (doi:10.3390/nu13062110 ↗)
• Abdominal Distension, Gastrointestinal Dysfunction, Feeding Intolerance Enteral, Feeding Intolerance, Critical Illness – ST25, ST36, ST37, ST39, SP15, PC06, CV04, CV06, CV10, CV12, CV13 (doi:10.13702/j.1000-0607.20221172 ↗)
• Shoulder Pain, Neuropathic Pain, Upper-limb Numbness, Muscle Weakness, Paralysis Limb, Guillain-barre Syndrome, Upper-limb Weakness, Lower-limb Weakness, Polyneuropathy – LU05, LI04, LI10, LI11, LI14, LI15, ST34, ST36, ST37, ST39, SP06, SP09, SP10, HT01, KD03, PC06, GB20, GB34, LV03 (doi:10.12659/AJCR.945539 ↗)
• Vomiting, Nausea, Abdominal Distension, Abdominal Pain, Postoperative Ileus, Constipation Postoperative – LI04, ST36, ST37, ST39, LV03 (doi:10.3389/fsurg.2024.1349975 ↗)
• Lumbar Chronic Post-surgical Pain, Leg Chronic Post-surgical Pain – LI04, ST36, ST37, ST39, PC06 (doi:10.27202/d.cnki.gkmyc.2024.001596 ↗)
• Intestinal Obstruction Postoperative Inflammatory Early – ST25, ST36, ST37, ST39, SP15, BL20, BL21, BL25, PC06, TB06, LV03, CV04, CV06, CV12 (doi:10.19613/j.cnki.1671-3141.2019.76.008 ↗)
• Constipation Dry Stool – ST25, ST37, ST39, BL25, KD06, TB06, CV04 (doi:10.13633/j.cnki.zjtcm.2021.04.033 ↗)
• Depression Mild-to-moderate, Inflammatory Bowel Disease, Depression Mild-moderate – LI04, ST25, ST36, ST37, ST39, SP09, BL15, BL17, BL18, BL19, BL25, LV03, CV04, CV06, CV09, CV10, CV12, GV20, XH03 (doi:10.27044/d.cnki.ggzzu.2024.000867 ↗)
• Paralysis Facial, Paralysis Facial Peripheral, Paralysis Facial Peripheral Refractory – ST04, ST36, ST37, ST39, GB14, GV14, GV20, XH03 (doi:10.13703/j.0255-2930.20230824-k0004 ↗)
• Stroke, Facial Pain, Neuralgia Trigeminal – LU05, LI04, ST36, ST37, ST39, SP06, SP09, BL02, BL03, BL04, TB23, GB13, GB14, GB15, GB41, LV03, GV20, XH01A, XH01B, XH01C, XH01D, XH03, XH04 (doi:10.1186/s13256-026-05957-5 ↗)
• Hemiplegia, Ischemic Stroke, Gastrointestinal Dysfunction, Hemiplegia Post-stroke, Gastrointestinal Problems – ST25, ST36, ST37, ST39, CV04, CV12, MS06 (doi:10.13703/j.0255-2930.20231109-k0009 ↗)
• Ileus Postoperative, Postoperative Pain, Cancer Colorectal, Gastrointestinal Dysfunction Postoperative, Constipation Postoperative – LI11, ST25, ST36, ST37, ST39, CV06, CV12 (doi:10.13703/j.0255-2930.20250221-k0003 ↗)
• Ileus Postoperative, Post-Operative Nausea, Post-Operative Vomiting, Abdominal Bloating, Gastrointestinal Postoperative Problems, Cancer Colorectal – LI04, ST36, ST37, ST39, SP06, PC06 (doi:10.2174/0113862073255619231102112544 ↗)
• Constipation, Constipation Functional – ST25, ST36, ST37, ST39, CV04, CV12 (doi:10.13703/j.0255-2930.20240222-k0006 ↗)
• Obesity – LI11, ST25, ST28, ST36, ST37, ST39, ST40, CV12 (doi:10.1016/s0254-6272(08)60033-3 ↗)
• Ileus Postoperative, Gastrointestinal Dysfunction Postoperative, Constipation Postoperative – ST36, ST37, ST39, SP06, PC06 (doi:10.13703/j.0255-2930.20200327-k0003 ↗)
• Prediabetes – LI04, ST36, ST37, ST39, ST40, SP06, SP09, BL18, BL20, BL21, LV03, LV13, LV14, CV12, GV09 (doi:10.12669/pjms.41.6.12153 ↗)
• Ischemic Stroke – LU05, LI04, LI10, ST36, ST39, ST40, BL02, KD01, TB17, GV20 (doi:10.1186/s13741-024-00470-z ↗)
• Ischemic Stroke, Stroke Ischemic Acute – ST25, ST36, ST37, ST39, CV04, CV12, MS06 (doi:10.13703/j.0255-2930.20210821-k0004 ↗)
• Ileus Postoperative, Bowel Dysfunction Postoperative, Recovery Postoperative – LI04, ST36, ST37, ST39, PC06 (doi:10.13703/j.0255-2930.20220505-0002 ↗)
• Gastric Emptying Delayed, Gastroparesis Postoperative – ST36, ST37, ST39, SP04, SP06 (doi:10.13703/j.0255-2930.20220507-0007 ↗)
• Vertigo, Trigeminal Neuralgia, Facial Pain – LU05, LI04, ST36, ST37, ST39, SP06, SP09, BL02, BL03, BL04, TB23, GB13, GB14, GB15, GB41, LV03, GV20, XH01A, XH01B, XH01C, XH01D, XH03, XH04 (doi:10.1186/s13256-026-05957-5 ↗)
• Anxiety, Depression, Angina Unstable – ST39, PC06, PC07 (doi:10.3389/fcvm.2024.1173080 ↗)
• Postoperative Ileus – ST36, ST37, ST39 (doi:10.13703/j.0255-2930.2017.05.008 ↗)
• Postoperative Ileus – ST25, ST36, ST37, ST39, CV12 (doi:10.13703/j.0255-2930.2017.05.008 ↗)
• Spasticity Post-stroke – LI10, LI11, LI14, LI15, ST32, ST34, ST36, ST37, ST39, SP06, SP09, SP10, KD03, TB05, TB14, LV03 (doi:10.13703/j.0255-2930.2017.09.005 ↗)
• Diarrhea Chronic, Edema Lower Limb, Protein-Losing Enteropathy – ST25, ST36, ST37, ST39, CV04, CV12 (doi:10.1016/j.wjam.2019.08.008 ↗)
• Asthma, Obesity – LU02, LU06, LI04, LI11, ST37, ST39, BL13, BL25, CV17, XB01B (doi:10.3389/fmed.2026.1861336 ↗)
• Gastric Emptying Delayed – ST36, ST37, ST39, SP03, PC06, TB08 (doi:10.1155/2017/1892161 ↗)
• Obesity, Weight Gain – LI11, ST36, ST37, ST39, ST40 (pubmed.ncbi.nlm.nih.gov ↗)
• Dysphagia Post-stroke – ST37, ST39, SP04, BL11, PC06 (pubmed.ncbi.nlm.nih.gov ↗)
• Persistent Hiccups – ST36, ST37, ST39, CV10, CV12 (pubmed.ncbi.nlm.nih.gov ↗)
• Gastrointestinal Dysfunction, Sepsis – ST25, ST36, ST37, ST39 (pubmed.ncbi.nlm.nih.gov ↗)
• Infertility Recurrent Implantation Failure – ST25, ST34, ST36, ST37, ST39, CV03, CV04, CV12, XC01 (doi:10.13703/j.0255-2930.2017.08.009 ↗)
• Obesity – LI02, LI11, ST25, ST36, ST37, ST39, ST40, ST44, SI02 (doi:10.13703/j.0255-2930.2016.09.001 ↗)
• Intestinal Obstruction – ST36, ST37, ST39, TB04, CV04, CV06, CV12 (doi:10.13703/j.0255-2930.2018.07.006 ↗)
• Gastrointestinal Dysfunction Postoperative – ST25, ST36, ST37, ST39, PC06, CV12 (doi:10.13702/j.1000-0607.170381 ↗)
• Foot Drop – ST35, ST36, ST37, ST39, ST40, ST41, BL57, GB39, GB40, LV03 (doi:10.13702/j.1000-0607.180725 ↗)
• Gastrointestinal Dysfunction Postoperative – ST36, ST37, ST39 (doi:10.1007/s11655-019-3048-0 ↗)
• Gastrointestinal Dysfunction Postoperative – ST36, ST37, ST39, SP06 (doi:10.13702/j.1000-0607.1901256 ↗)
• Traumatic Brain Injury, Gastrointestinal Injury Acute – ST25, ST36, ST37, ST39, CV12 (doi:10.3760/cma.j.cn121430-20200804-00562 ↗)
• Traumatic Brain Injury, Gastrointestinal Injury Acute – ST25, ST36, ST37, ST39, CV12 (doi:10.1007/s11655-022-3670-0 ↗)
• Ileus Postoperative, Gastrointestinal Dysfunction Postoperative – LI04, ST36, ST37, ST39, SP04, PC06, LV03 (doi:10.12998/wjcc.v10.i31.11427 ↗)
• Post-stroke Depression – LU04, LI04, LI06, LI07, LI10, LI11, LI12, LI13, LI15, ST02, ST32, ST33, ST34, ST36, ST37, ST39, ST40, ST44, SP06, SP10, SP11, HT05, BL15, BL20, BL23, BL61, BL64, KD02, KD03, PC02, PC03, PC06, TB03, TB06, TB07, TB09, TB12, TB14, GB20, GB31, GB33, GB43, LV02, LV03, LV05, LV14, GV20, GV23, GV26 (Acupuncture for Ischemic Post-stroke Depression. ClinicalTrials.gov NCT02472613)
• Gastrointestinal Dysfunction Postoperative, Bowel Motility Disorder – ST25, ST36, ST37, ST39, SP06, PC06, GB34, LV03, CV06, CV08, CV10, CV12 (柳瑞. 中西医结合治疗腹部术后胃肠功能紊乱62例临床研究. 中国中西医结合消化杂志 ., 2016 [CNKI])

Most often selected alongside ST39

How many sourced protocols in the index pair each point with ST39. Corpus frequency, not a combination to use.

• ST37Upper Great Hollow55 protocols
• ST36Leg Three Miles49 protocols
• CV12Stomach Centre23 protocols
• ST25Celestial Pivot22 protocols
• LV03Great Surge18 protocols
• PC06Inner Gate18 protocols
• SP06Three Yin Intersection17 protocols
• LI04Junction Valley16 protocols
• CV04Original Qi Gate15 protocols
• CV06Sea Of Qi11 protocols
• LI11Pond At The Bend10 protocols
• SP09Yin Mound Spring9 protocols

Other points on the Stomach Meridian