# Acupoints for Defecation Difficulty

6 sourced protocols for Defecation Difficulty. Canonical page: https://acuiq.com/symptoms/defecation-difficulty

## Protocols

| # | Points | Dosage | Frequency | Source | Kind | Caveat |
|---|---|---|---|---|---|---|
| 1 | ST25 (Celestial Pivot), ST36 (Leg Three Miles), ST37 (Upper Great Hollow), BL25 (Large Intestine Shu Point), BL33 (Middle Bone Hole), BL34 (Lower Bone Hole), TB06 (Branch Ditch), CV04 (Original Qi Gate), CV06 (Sea Of Qi) | – | – | doi:10.1155/2015/396396 | trial | Point selection reported in a published study. |
| 2 | ST25 (Celestial Pivot), ST37 (Upper Great Hollow), SP14 (Abdominal Bind) | – | – | doi:10.1097/MD.0000000000010692 | trial | Point selection reported in a published study. |
| 3 | ST25 (Celestial Pivot), ST36 (Leg Three Miles), CV04 (Original Qi Gate), CV08 (Spirit Palace Gate), CV12 (Stomach Centre) | – | – | doi:10.1111/nmo.70207 | trial | Point selection reported in a published study. |
| 4 | ST25 (Celestial Pivot), SP15 (Great Horizontal), CV08 (Spirit Palace Gate) | – | – | doi:10.3389/fneur.2025.1580163 | trial | Point selection reported in a published study. |
| 5 | BL31 (Upper Bone Hole), BL32 (Second Bone Hole), BL33 (Middle Bone Hole), BL34 (Lower Bone Hole) | – | – | doi:10.1097/md.0000000000046143 | trial | Point selection reported in a published study. |
| 6 | BL31 (Upper Bone Hole), BL32 (Second Bone Hole), BL33 (Middle Bone Hole), BL34 (Lower Bone Hole) | – | – | doi:10.1097/MD.0000000000046143 | trial | Point selection reported in a published study. |

## Point locations

| Point | Name | Meridian | Location |
|---|---|---|---|
| ST25 | Celestial Pivot | Stomach Meridian | 2 thumb widths lateral to the center of the umbilicus. |
| ST36 | Leg Three Miles | Stomach Meridian | 3 thumb widths below ST35, 1 finger breadth (middle finger) from anterior border of the tibia. |
| ST37 | Upper Great Hollow | Stomach Meridian | 6 thumb widths below ST35, 1 finger breadth (middle finger) from anterior border of the tibia. |
| BL25 | Large Intestine Shu Point | Bladder Meridian | 1.5 thumb widths lateral to the GV03 at the level of the lower border of the spinous process of the 4th lumbar vertebra. |
| BL33 | Middle Bone Hole | Bladder Meridian | On the sacrum medial and inferior to the BL32 just at the 3rd posterior sacral foramen. |
| BL34 | Lower Bone Hole | Bladder Meridian | On the sacrum medial and inferior to the BL33 just at the 4th posterior sacral foramen. |
| TB06 | Branch Ditch | Triple Burner Meridian | 3 thumb widths proximal to the dorsal crease of the wrist on the line connecting TB04 and tip of the olecranon the between radius and ulna on the radial side of the extensor digitorum. |
| CV04 | Original Qi Gate | Conception Vessel | On the anterior midline 3 thumb widths below umbilicus. |
| CV06 | Sea Of Qi | Conception Vessel | On the anterior midline 1.5 thumb widths below umbilicus. |
| SP14 | Abdominal Bind | Spleen Meridian | 13 thumb widths below SP15, 4 thumb widths lateral to the anterior midline, on the lateral side of the rectus abdominis. |
| CV08 | Spirit Palace Gate | Conception Vessel | In the center of the umbilicus. |
| CV12 | Stomach Centre | Conception Vessel | On the anterior midline 4 thumb widths above the umbilicus. |
| SP15 | Great Horizontal | Spleen Meridian | 4 thumb widths lateral to the center of the umbilicus lateral to the rectus abdominis. |
| BL31 | Upper Bone Hole | Bladder Meridian | On the sacrum at the midpoint between posterior superior iliac spine and posterior midline just at the 1st posterior sacral foramen. |
| BL32 | Second Bone Hole | Bladder Meridian | On the sacrum medial and inferior to the posterior superior iliac spine just at the 2nd posterior sacral foramen. |

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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
