ST 45 — Lì Duì (厉兑) — Strict Exchange
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1. Overview
ST 45 — Lì Duì (厉兑) — is an acupuncture point on the Stomach meridian. Its English name, Strict Exchange, reflects the point’s classical character and location. It is used in acupuncture practice as part of channel-balancing prescriptions for a range of conditions.
I am Dr (TCM) Attilio D’Alberto, a member of the British Acupuncture Council with over 25 years of clinical experience. I use ST 45 as part of individually tailored acupuncture prescriptions at my clinic in Wokingham, Berkshire.
2. Location
About 0.1 cun from the lateral corner of the second toenail.
3. Actions
- Clears Heat from the Stomach channel
- Clears Heat
- Calms the Shen
- Restores consciousness
- Brightens the eyes
- Clears the Heart
- Relieves Food Retention
4. Indications
- Swelling of the face
- Heat in the head
- Epistaxis
- Yellow nasal discharge
- Rhinitis with nosebleed
- Toothache
- Lockjaw
- Throat Bi
- Cracked lips
5. Needling
Perpendicular or oblique insertion directed proximally 0.1 to 0.2 cun, or prick to bleed.
Important: Acupuncture should only be performed by a fully qualified practitioner. Never attempt self-needling. All needles I use are sterile, single-use and disposed of immediately after treatment in a clinical sharps container.
6. Clinical notes
ST 45 Lì Duì (Strict Exchange) is classified as: Jing-Well point; Metal point; Sedation point. These classifications inform how the point is used in clinical practice. The point is typically combined with other channel points to form a balanced prescription based on the patient’s individual TCM diagnosis.
7. Treatment at my clinic
I use ST 45 as part of tailored acupuncture prescriptions for conditions including Insomnia, Depression, Bell's palsy. Each treatment is individually designed following a full TCM assessment.
I see patients in person at my clinic in Wokingham, Berkshire. Visit the prices page for consultation fees. Return to the acupuncture points directory or the acupuncture main page.
