Lower He Xu (ST39) Acupoint — Complete Guide to Precise Location and Acupressure Technique

What is Xiajushu?

Xiajushu (ST39) is an acupoint belonging to the Stomach Meridian of Foot-Yangming. The name ‘Xiajushu (下巨)’ means ‘large area below,’ and it has been widely used to treat digestive system disorders and lower body pain. It is an important acupoint that has long been used in traditional medicine to treat diarrhea, abdominal pain, and lower back pain.

How to Find the Exact Location

Step 1: First, locate the Zusanli (ST36) acupoint, which is found below the outer side of the knee, at the lower part of the tibia (shinbone).
Step 2: From Zusanli, approximately 6 cun (about four finger widths or 18cm) down the leg is Xiajushu.
Step 3: You can find it by following the outer edge of the tibia downward. It is located in the hollow space between the bone and muscle.

Acupressure Method

Preparation: Sit or lie in a comfortable position and relax your legs.
Step 1: Locate the Xiajushu acupoint using your thumb or index finger.
Step 2: Apply pressure vertically with your fingertip, maintaining moderate pressure that is neither too light nor too strong.
Step 3: Press for about 3-5 seconds and slowly release.
Step 4: Repeat this 10-15 times. It is important to proceed with a gentle and consistent rhythm.

Key Effects

• Diarrhea Relief: Effective in improving chronic diarrhea by normalizing digestive function.
• Abdominal Pain and Discomfort Relief: Alleviates stomach pain by strengthening stomach function and promoting digestion.
• Lower Back Pain Relief: Reduces lower back pain (lumbar pain) by improving blood circulation in the lower body.

When is it Good to Apply Acupressure?

Optimal Time: Morning after waking up or evening before bed are good times. In particular, midday when digestion is active or 30 minutes after meals is appropriate. If you have acute abdominal pain or diarrhea symptoms, it is effective to apply acupressure as soon as possible after symptoms appear. For chronic symptoms, regular daily acupressure (1-2 times per day) is recommended.

Precautions

Situations to Avoid: Avoid immediately after eating or when overeating. Refrain if you have an acute infectious disease or high fever. If you are pregnant or have a serious condition, consult with a professional before proceeding. Avoid the area if there are wounds or inflammation on the skin. If excessive pain persists after acupressure or symptoms worsen, seek medical attention from a healthcare professional.