# ST41 Jiexi (Dividing Cleft) – Stomach Meridian

解谿 · jiě xī



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.

Canonical page: https://acuiq.com/points/st41

## Indications

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

Agitation, Arthritis Knee, Arthritis Knee, Leg Muscle Wasting, Leg Muscle Wasting, Belching, Biting Tongue, Biting Tongue, Calm Spirit Shen, Calm Spirit Shen, Constipation, Cramping, Damp, Depression Crying, Depression Crying, Sadness & Depression, Sadness & Depression, Disease Febrile, Disease Febrile, Psychological Disorder, Psychological Disorder, Turmoil Disorder, Turmoil Disorder, Abdominal Bloating, Abdominal Bloating, Dizziness, Drop Foot, Drop-foot, Eating Problems, Eating Problems, Epilepsy, Eyesight / Vision Dizzy, Dizzy Vision, Fright, Fullness, Ghost Syndrome Seeing Ghosts, Ghost Syndrome Seeing Ghosts, Heat Fu, Heat Fu, Heat Stomach, Heat Stomach, Heaviness Thigh, Heaviness Thigh, High Blood Pressure, High Blood Pressure, Injury Knee, Injury Knee, Injury Toe Hallux, Injury Toe Hallux, Malaria, Pain, Ankle Joint Pain, Ankle Joint Pain, Eyebrow Pain, Eyebrow Pain, Headache Frontal Pain, Headache Frontal Pain, Knee Pain, Knee Pain, Mouth Pain, Mouth Pain, Palpitations, Red Eyes, Red Eyes, Facial Redness, Facial Redness, Sciatica, Muscle Spasms, Muscle Spasms, Channel Stagnation, Channel Stagnation, Spontaneous Sweating, Spontaneous Sweating, Swelling, Facial Swelling, Facial Swelling, Head Swelling, Head Swelling, Bi Arthralgia Syndrome, Bi / Arthralgia Syndrome, Bi Arthralgia Tendon Ligament Syndrome, Bi / Arthralgia Tendon / Ligament Syndrome, Wind Head, Wind Head

## Most often selected alongside ST41

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

- ST36 (Leg Three Miles) – 51 protocols
- GB34 (Yang Mound Spring) – 37 protocols
- LI04 (Junction Valley) – 35 protocols
- SP06 (Three Yin Intersection) – 30 protocols
- LV03 (Great Surge) – 29 protocols
- LI11 (Pond At The Bend) – 25 protocols
- ST34 (Ridge Mound) – 24 protocols
- LI15 (Shoulder And Clavicle) – 20 protocols

## Protocols using ST41 (50 best-sourced of 73)

| Symptoms | Points | Course | Source | Kind | Caveat |
|---|---|---|---|---|---|
| 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, Stomach Deficiency | ST35, ST41, ST43, SP09, SI05, BL39, GB41 | 42 days | doi:10.1186/1745-6215-14-129 | trial | Point selection reported in a published study. |
| Joint Pain, Stiffness Joint, Deformity Joint, Fluorosis Skeletal, Bi-syndrome | LU05, LI04, LI11, LI15, ST35, ST40, ST41, SP06, SP10, BL10, BL17, TB04, GB29, GB30, GV03, GV14 | 60 days | doi:10.1155/2013/839132 | trial | Point selection reported in a published study. |
| Shoulder Pain, Neck Pain | ST34, ST36, ST41 | 1 days | doi:10.1155/2014/283010 | trial | Point selection reported in a published study. |
| Hemiplegia, Ischemic Stroke, Neurological Deficit, Dysphagia, Cognitive Impairment Mild, Paralysis Motor | LI04, LI10, LI11, LI15, ST34, ST36, ST40, ST41, SP06, TB05, GB34, LV03 | 21 days | doi:10.1186/1745-6215-15-214 | trial | Point selection reported in a published study. |
| Ischemic Stroke, Dysphagia | LI04, LI10, LI11, LI15, ST34, ST36, ST40, ST41, SP06, BL10, TB05, GB20, GB34, LV03, CV23, GV16 | 21 days | doi:10.1186/1745-6215-15-214 | trial | Point selection reported in a published study. |
| Ischemic Stroke, Cognitive Impairment Mild | LI04, LI10, LI11, LI15, ST34, ST36, ST40, ST41, SP06, TB05, GB13, GB34, LV03, GV20, GV24 | 21 days | doi:10.1186/1745-6215-15-214 | trial | Point selection reported in a published study. |
| 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 Complication | LU05, LU09, LI02, LI11, ST41, ST45, SP02, SP05, HT07, HT09, SI03, SI08, BL65, BL67, KD01, KD07, PC07, PC09, TB03, TB10, GB38, GB43, LV02, LV08 | 8 days | doi:10.1155/2015/802846 | trial | Point selection reported in a published study. |
| Fatigue, Constipation, Numbness, Insomnia, Speech Slurred, Cognitive Impairment, Paralysis Hemiplegia, Paresthesia, Balance Impaired, Traumatic Brain Injury Severe, Tremor Pill-rolling, Vision Diplopia | LI04, LI11, LI14, LI15, ST36, ST38, ST41, SP06, KD03, TB05, GB34 | 399 days | doi:10.7453/gahmj.2014.069 | trial | Point selection reported in a published study. |
| Hemiplegia, Ischemic Stroke, Neurological Deficit | LI04, LI10, LI11, LI15, ST34, ST36, ST40, ST41, SP06, TB05, GB34, LV03, MS06, MS07 | 21 days | doi:10.1186/s12906-016-1193-y | trial | Point selection reported in a published study. |
| Hemiplegia, Ischemic Stroke, Dysphagia | LI04, LI10, LI11, LI15, ST34, ST36, ST40, ST41, SP06, BL10, TB05, GB20, GB34, LV03, CV23, GV16, MS06, MS07 | 21 days | doi:10.1186/s12906-016-1193-y | trial | Point selection reported in a published study. |
| Hemiplegia, Cognitive Impairment, Ischemic Stroke | LI04, LI10, LI11, LI15, ST34, ST36, ST40, ST41, SP06, TB05, GB13, GB34, LV03, GV20, GV24, MS06, MS07 | 21 days | doi:10.1186/s12906-016-1193-y | trial | Point selection reported in a published study. |
| Knee Pain, Osteoarthritis Knee, Stiffness Morning, Disability Musculoskeletal | LI04, ST34, ST35, ST36, ST40, ST41, SP06, SP09, SP10, BL60, KD03, GB31, GB33, GB34, GB36, GB39, GB41, LV03, LV08 | 56 days | doi:10.1136/bmjopen-2016-013830 | 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. |
| Neuropathic Pain, Tingling Feet, Neuropathy Peripheral Chemotherapy-induced, Tingling Hands, Extremities Numbness | LI04, LI11, ST36, ST41, SP06, PC07, TB05, LV03 | 56 days | doi:10.1177/1534735419836501 | trial | Point selection reported in a published study. |
| Ankle Pain, Ankle Swelling, Sprain Ankle Lateral | ST36, ST41, BL60, BL62, KD03, KD06, GB39, GB40 | 5 days | doi:10.1186/s13063-020-4111-z | trial | Point selection reported in a published study. |
| Hemiplegia, Limb Weakness, Motor Dysfunction Upper Limb, Motor Dysfunction Lower Limb, Paralysis Post-stroke | LI04, LI10, LI11, LI15, ST36, ST41, BL60, TB05, GB30, GB34 | 6 days | doi:10.1155/2020/5094914 | trial | Point selection reported in a published study. |
| Knee Pain, Osteoarthritis Knee, Stiffness Knee, Inflammation Joint | ST34, ST35, ST36, ST40, ST41, SP06, SP09, SP10, BL60, KD03, GB31, GB33, GB34, GB36, GB39, GB41, LV03, LV07, LV08 | 56 days | doi:10.2147/JPR.S256950 | trial | Point selection reported in a published study. |
| Paralysis Lower Limb, Motor Dysfunction Lower Limb, Stroke Hemiplegia, Spasm Extensor, Gait Hemiparetic | LI04, LI10, LI11, LI15, ST36, ST41, BL60, TB05, GB30, GB34 | 6 days | doi:10.1155/2020/3805628 | trial | Point selection reported in a published study. |
| Ankle Pain, Ankle Swelling, Sprain Ankle Lateral, Instability Ankle | ST36, ST41, BL60, BL62, KD03, KD06, GB39, GB40 | 5 days | doi:10.1186/s13063-021-05135-6 | trial | Point selection reported in a published study. |
| Depression, Insomnia, Ankle Pain, Phantom Limb Pain, Phantom Limb Sensation | ST41, BL62, KD06, LV03 | 3 days | doi:10.3389/fnins.2021.713548 | trial | Point selection reported in a published study. |
| Knee Pain, Osteoarthritis Knee, Deformity Varus Knee, Lower Limb Swelling | ST32, ST34, ST40, ST41, SP06, SP10, KD03, KD06 | 14 days | doi:10.1155/2022/6428759 | trial | Point selection reported in a published study. |
| Fatigue, Depression, Insomnia, Poor Appetite, Lower Limb Weakness, Upper Limb Weakness, Muscle Atrophy Progressive, Paralysis Motor Neuron | LI04, 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 | trial | Point selection reported in a published study. |
| Ankle Pain, Sprain Ankle, Ankle Swelling, Sprain Ankle Acute, Bruising Ankle, Functional Impairment Ankle | ST41, BL40, BL60, KD06, KD09, GB39 | 12 days | doi:10.12659/MSM.944157 | trial | Point selection reported in a published study. |
| Neuropathy Peripheral Chemotherapy-induced, Extremities Numbness, Tingling Extremities | LI04, ST36, ST41, CV04 | 42 days | doi:10.1186/s12906-024-04603-1 | trial | Point selection reported in a published study. |
| Muscle Weakness, Muscle Atrophy, Sarcopenia, Reduced Muscle Mass, Decreased Physical Performance | LI04, LI10, LI11, LI14, ST32, ST34, ST36, ST41 | 24 days | doi:10.1186/s12906-024-04723-8 | 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. |
| Contracture Knee, Brachial Plexus Injury, Muscle Atrophy, Paralysis Upper Extremity, Paralysis Lower Extremity, Contracture Ankle, Contracture Shoulder, Contracture Elbow, Scoliosis, Neuromotor Impairment, Steppage Gait | LU01, 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 | 10 days | doi:10.3831/KPI.2013.16.009 | 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. |
| Memory Impaired, Cognitive Impairment Mild | ST25, ST41, BL23, KD13 | 28 days | doi:10.3389/fneur.2022.942682 | trial | Point selection reported in a published study. |
| Ankle Pain, Sprain Ankle | ST36, ST41, SP05, GB34, GB40, LV04 | 7 days | doi:10.3831/kpi.2005.8.2.011 | trial | Point selection reported in a published study. |
| Varicose Veins, Leg Pain, Edema Leg, Venous Insufficiency, Cyanosis Toe | ST24, ST25, ST41, SP09, KD06, LV03 | – | doi:10.5606/e-cvsi.2019.702 | trial | Point selection reported in a published study. |
| Stroke Sequelae, Stroke Post, Paralysis Ankle, Ankle Joint Problems, Ankle Dysfunction | ST31, ST34, ST36, ST37, ST40, ST41, SP10, KD06, GB34, GB39, GB40, LV03 | 21 days | doi:10.27127/d.cnki.ghlzu.2024.000593 | trial | Point selection reported in a published study. |
| Stroke Sequelae, Stroke Post, Paralysis Ankle, Ankle Joint Problems, Ankle Dysfunction | ST31, ST34, ST36, ST37, ST40, ST41, SP10, BL39, KD06, GB34, GB39, GB40, LV03 | 21 days | doi:10.27127/d.cnki.ghlzu.2024.000593 | trial | Point selection reported in a published study. |
| Ankle Pain, Sprain Ankle Chronic, Ankle Problems | ST41, BL60, BL62, KD06, GB40 | 20 days | doi:10.16448/j.cjtcm.2017.0181 | trial | Point selection reported in a published study. |
| Hemiplegia Post-stroke, Foot Drop, Ankle Mobility Reduced, Lower Limb Motor Dysfunction | ST36, ST37, ST41, SP06, GB20, GB34, GB39, GB40, GV20 | 56 days | doi:10.27465/d.cnki.gzzyc.2020.000412 | trial | Point selection reported in a published study. |
| Paralysis Lower Limb, Stroke Sequelae, Gait Impairment, Gait Disturbance, Foot Drop, Gait Dysfunction Post-stroke | ST36, ST41, GB34, GB39, GB40, LV03 | 14 days | doi:10.13703/j.0255-2930.20240115-k0004 | trial | Point selection reported in a published study. |
| Neuropathy Peripheral Diabetic, Liver-kidney Deficiency, Diabetes Complications | ST36, ST41, SP06, SP09, BL18, BL20, BL23, KD01, CV04, CV06 | – | doi:10.19917/j.cnki.1005-0779.022190 | trial | Point selection reported in a published study. |
| Headache Migraine | LI04, ST41, BL02, GB20, GV20 | – | doi:10.19917/j.cnki.1005-0779.023136 | trial | Point selection reported in a published study. |
| Stroke Sequelae, Motor Impairment, Gait Disturbance, Spasticity Lower Limb | LI04, LI11, LI15, ST41, GB34, GB39, GB40 | 24 days | doi:10.13703/j.0255-2930.20240411-k0001 | trial | Point selection reported in a published study. |
| Diplopia, Paralytic Strabismus | ST02, ST41, GB01, GB20, LV03, XH05 | 60 days | doi:10.13703/j.0255-2930.20240424-0001 | trial | Point selection reported in a published study. |
| Sarcopenia | LI04, LI10, LI11, LI14, ST32, ST34, ST36, ST41 | 56 days | doi:10.1186/s12906-024-04723-8 | trial | Point selection reported in a published study. |
| Stroke, Hemiplegia Post-stroke, Paralysis Post-stroke Motor Dysfunction | LI04, LI10, LI11, LI15, ST36, ST41, SP06, TB05, GB34, LV03, GV20, XH01A, XH01B, XH01C, XH01D, MS06 | 28 days | doi:10.3389/fneur.2026.1794260 | trial | Point selection reported in a published study. |
| Ischemic Stroke, Aphasia Post-stroke | ST36, ST41, SP06, GB30, GB31, LV03, GV20 | 28 days | doi:10.4314/ahs.v24i4.34 | trial | Point selection reported in a published study. |
| Dysphagia, Muscle Weakness, Amyotrophic Lateral Sclerosis | LI10, LI11, LI14, LI15, ST31, ST32, ST34, ST35, ST36, ST41, SP06, SP10, BL36, BL37, BL40, BL57, GB20, GB30, GB31, GV20, XL05A | 30 days | doi:10.1097/md.0000000000033612 | trial | Point selection reported in a published study. |
| Phantom Limb Pain, Phantom Limb Sensation | ST41, BL62, KD06, LV03 | – | doi:10.3389/fnins.2021.713548 | trial | Point selection reported in a published study. |
| Osteoarthritis Knee, Knee Postoperative Pain | ST32, ST34, ST40, ST41, SP06, SP10, KD03, KD06, XL02 | – | doi:10.1155/2022/6428759 | trial | Point selection reported in a published study. |
| Spasticity Post-stroke, Spasticity Lower Limb Post-stroke | LI04, LI11, LI15, ST36, ST40, ST41, GB34, GB39, GB40, LV03, MS06, MS08 | 24 days | doi:10.13703/j.0255-2930.20240411-k0001 | trial | Point selection reported in a published study. |
| Headache Frontal, Ischemic Stroke | LI04, ST36, ST41, ST42, ST44, BL02, GV20 | 14 days | doi:10.13703/j.0255-2930.2019.11.003 | trial | Point selection reported in a published study. |
| Feeding Intolerance Enteral, Sepsis, Intolerance Enteral Nutrition | ST25, ST36, ST37, ST41, SP08, SP15, CV12 | – | doi:10.13703/j.0255-2930.20190426-0003 | 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