ST41 Jiexi (Dividing Cleft)

解谿jiě xī Jiexi

Stomach Meridian

Location of acupuncture point ST41 Jiexi (Dividing Cleft)
53
Indications
73
Protocols
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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.

Cautions

Rule out fracture, dislocation and joint instability before needling, and do not needle into an acutely swollen joint or a haemarthrosis.

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.

AgitationArthritis KneeLeg Muscle WastingBelchingBiting TongueCalm Spirit ShenConstipationCrampingDampDepression CryingSadness & DepressionDisease FebrilePsychological DisorderTurmoil DisorderAbdominal BloatingDizzinessDrop FootDrop-footEating ProblemsEpilepsyEyesight / Vision DizzyDizzy VisionFright FullnessGhost Syndrome Seeing GhostsHeat FuHeat StomachHeaviness ThighHigh Blood PressureInjury KneeInjury Toe HalluxMalariaPainAnkle Joint PainEyebrow PainHeadache Frontal PainKnee PainMouth PainPalpitationsRed EyesFacial RednessSciaticaMuscle SpasmsChannel StagnationSpontaneous Sweating SwellingFacial SwellingHead SwellingBi Arthralgia SyndromeBi / Arthralgia SyndromeBi Arthralgia Tendon Ligament SyndromeBi / Arthralgia Tendon / Ligament SyndromeWind Head

Protocols using ST41

The 50 best-sourced of 73, ranked by strength of evidence. The count above is the full figure.

  • Ankle Pain, Sprain Ankle, Ankle SwellingLI04, 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 DeficiencyST35, ST41, ST43, SP09, SI05, BL39, GB41 (doi:10.1186/1745-6215-14-129)
  • Joint Pain, Stiffness Joint, Deformity Joint, Fluorosis Skeletal, Bi-syndromeLU05, LI04, LI11, LI15, ST35, ST40, ST41, SP06, SP10, BL10, BL17, TB04, GB29, GB30, GV03, GV14 (doi:10.1155/2013/839132)
  • Shoulder Pain, Neck PainST34, ST36, ST41 (doi:10.1155/2014/283010)
  • Hemiplegia, Ischemic Stroke, Neurological Deficit, Dysphagia, Cognitive Impairment Mild, Paralysis MotorLI04, LI10, LI11, LI15, ST34, ST36, ST40, ST41, SP06, TB05, GB34, LV03 (doi:10.1186/1745-6215-15-214)
  • Ischemic Stroke, DysphagiaLI04, 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 MildLI04, 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 ComplicationLU05, 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 DiplopiaLI04, LI11, LI14, LI15, ST36, ST38, ST41, SP06, KD03, TB05, GB34 (doi:10.7453/gahmj.2014.069)
  • Hemiplegia, Ischemic Stroke, Neurological DeficitLI04, LI10, LI11, LI15, ST34, ST36, ST40, ST41, SP06, TB05, GB34, LV03, MS06, MS07 (doi:10.1186/s12906-016-1193-y)
  • Hemiplegia, Ischemic Stroke, DysphagiaLI04, 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 StrokeLI04, 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 MusculoskeletalLI04, 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 NephropathyLU07, 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 NumbnessLI04, LI11, ST36, ST41, SP06, PC07, TB05, LV03 (doi:10.1177/1534735419836501)
  • Ankle Pain, Ankle Swelling, Sprain Ankle LateralST36, 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-strokeLI04, LI10, LI11, LI15, ST36, ST41, BL60, TB05, GB30, GB34 (doi:10.1155/2020/5094914)
  • Knee Pain, Osteoarthritis Knee, Stiffness Knee, Inflammation JointST34, 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 HemipareticLI04, LI10, LI11, LI15, ST36, ST41, BL60, TB05, GB30, GB34 (doi:10.1155/2020/3805628)
  • Ankle Pain, Ankle Swelling, Sprain Ankle Lateral, Instability AnkleST36, ST41, BL60, BL62, KD03, KD06, GB39, GB40 (doi:10.1186/s13063-021-05135-6)
  • Depression, Insomnia, Ankle Pain, Phantom Limb Pain, Phantom Limb SensationST41, BL62, KD06, LV03 (doi:10.3389/fnins.2021.713548)
  • Knee Pain, Osteoarthritis Knee, Deformity Varus Knee, Lower Limb SwellingST32, 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 NeuronLI04, 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 AnkleST41, BL40, BL60, KD06, KD09, GB39 (doi:10.12659/MSM.944157)
  • Neuropathy Peripheral Chemotherapy-induced, Extremities Numbness, Tingling ExtremitiesLI04, ST36, ST41, CV04 (doi:10.1186/s12906-024-04603-1)
  • Muscle Weakness, Muscle Atrophy, Sarcopenia, Reduced Muscle Mass, Decreased Physical PerformanceLI04, 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 CalfST41, 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 GaitLU01, 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 NauseaST36, ST41, ST44, SP04, PC06, GB34, CV12 (doi:10.1177/2164956119870444)
  • Memory Impaired, Cognitive Impairment MildST25, ST41, BL23, KD13 (doi:10.3389/fneur.2022.942682)
  • Ankle Pain, Sprain AnkleST36, ST41, SP05, GB34, GB40, LV04 (doi:10.3831/kpi.2005.8.2.011)
  • Varicose Veins, Leg Pain, Edema Leg, Venous Insufficiency, Cyanosis ToeST24, ST25, ST41, SP09, KD06, LV03 (doi:10.5606/e-cvsi.2019.702)
  • Stroke Sequelae, Stroke Post, Paralysis Ankle, Ankle Joint Problems, Ankle DysfunctionST31, 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 DysfunctionST31, 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 ProblemsST41, BL60, BL62, KD06, GB40 (doi:10.16448/j.cjtcm.2017.0181)
  • Hemiplegia Post-stroke, Foot Drop, Ankle Mobility Reduced, Lower Limb Motor DysfunctionST36, 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-strokeST36, ST41, GB34, GB39, GB40, LV03 (doi:10.13703/j.0255-2930.20240115-k0004)
  • Neuropathy Peripheral Diabetic, Liver-kidney Deficiency, Diabetes ComplicationsST36, ST41, SP06, SP09, BL18, BL20, BL23, KD01, CV04, CV06 (doi:10.19917/j.cnki.1005-0779.022190)
  • Headache MigraineLI04, ST41, BL02, GB20, GV20 (doi:10.19917/j.cnki.1005-0779.023136)
  • Stroke Sequelae, Motor Impairment, Gait Disturbance, Spasticity Lower LimbLI04, LI11, LI15, ST41, GB34, GB39, GB40 (doi:10.13703/j.0255-2930.20240411-k0001)
  • Diplopia, Paralytic StrabismusST02, ST41, GB01, GB20, LV03, XH05 (doi:10.13703/j.0255-2930.20240424-0001)
  • SarcopeniaLI04, LI10, LI11, LI14, ST32, ST34, ST36, ST41 (doi:10.1186/s12906-024-04723-8)
  • Stroke, Hemiplegia Post-stroke, Paralysis Post-stroke Motor DysfunctionLI04, LI10, LI11, LI15, ST36, ST41, SP06, TB05, GB34, LV03, GV20, XH01A, XH01B, XH01C, XH01D, MS06 (doi:10.3389/fneur.2026.1794260)
  • Ischemic Stroke, Aphasia Post-strokeST36, ST41, SP06, GB30, GB31, LV03, GV20 (doi:10.4314/ahs.v24i4.34)
  • Dysphagia, Muscle Weakness, Amyotrophic Lateral SclerosisLI10, LI11, LI14, LI15, ST31, ST32, ST34, ST35, ST36, ST41, SP06, SP10, BL36, BL37, BL40, BL57, GB20, GB30, GB31, GV20, XL05A (doi:10.1097/md.0000000000033612)
  • Phantom Limb Pain, Phantom Limb SensationST41, BL62, KD06, LV03 (doi:10.3389/fnins.2021.713548)
  • Osteoarthritis Knee, Knee Postoperative PainST32, ST34, ST40, ST41, SP06, SP10, KD03, KD06, XL02 (doi:10.1155/2022/6428759)
  • Spasticity Post-stroke, Spasticity Lower Limb Post-strokeLI04, LI11, LI15, ST36, ST40, ST41, GB34, GB39, GB40, LV03, MS06, MS08 (doi:10.13703/j.0255-2930.20240411-k0001)
  • Headache Frontal, Ischemic StrokeLI04, ST36, ST41, ST42, ST44, BL02, GV20 (doi:10.13703/j.0255-2930.2019.11.003)
  • Feeding Intolerance Enteral, Sepsis, Intolerance Enteral NutritionST25, ST36, ST37, ST41, SP08, SP15, CV12 (doi:10.13703/j.0255-2930.20190426-0003)

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 Miles51 protocols
  • GB34Yang Mound Spring37 protocols
  • LI04Junction Valley35 protocols
  • SP06Three Yin Intersection30 protocols
  • LV03Great Surge29 protocols
  • LI11Pond At The Bend25 protocols
  • ST34Ridge Mound24 protocols
  • LI15Shoulder And Clavicle20 protocols
  • ST40Abundant Bulge19 protocols
  • TB05Outer Gate19 protocols
  • GB39Suspended Bell17 protocols
  • LI10Arm Three Miles17 protocols