Sifeng Point (EX-UE10 / Four Seams)
Discover the exact location and acupressure method for Sifeng (EX-UE10 / Four Seams). Learn its benefits for infantile malnutrition, indigestion, pertussis, and ascariasis – the extraordinary point for pediatric digestion – plus classic combinations and pricking therapy techniques for comprehensive treatment.
Indications
Promotes digestion and guides stagnation, transforms phlegm and resolves accumulations, strengthens the spleen and harmonizes the stomach, clears heat and relieves restlessness. Treats infantile malnutrition (poor digestion, emaciation), summer fever in children (anorexia), pertussis, ascariasis, infantile convulsions, indigestion, and cough with wheezing.
Precise Location
At the midpoint of the transverse crease of the proximal interphalangeal joints on the palmar side of the 2nd to 5th fingers. Four points on each hand.
Location Method
Sit upright or lie supine with the hand extended. Locate the points at the midpoint of the transverse crease of the proximal interphalangeal joints on the palmar side of the index, middle, ring, and little fingers – four points on each hand, eight points in total.
Massage Method
Gently pinch and press with the thumbnail for 1–2 minutes per session, 1–2 times daily – a mild stinging sensation is optimal. Clinical practice commonly uses pricking therapy: use a three-edged needle or lancet to prick Sifeng, squeezing out a small amount of yellowish-white transparent fluid or blood – highly effective for infantile malnutrition and indigestion. Strict disinfection and professional operation are required. Therapeutic actions: Promotes digestion and guides stagnation, transforms phlegm and resolves accumulations, strengthens the spleen and harmonizes the stomach, clears heat and relieves restlessness.
Compatibility
Infantile malnutrition: Combine with Zhongwan (RN-12), Sifeng (EX-UE10), and Zusanli (ST-36). With parasitic infestation: Add Baichongwo (EX-LE4). With food stagnation: Add Xiawan (RN-10), Xuanji (RN-21), and Fujie (SP-14). Severe malnutrition: Add Shenque (RN-8), Qihai (RN-6), Feishu (BL-13), Gaohuangshu (BL-43), and Shenshu (BL-23). Pertussis: Combine with Feishu (BL-13) and Tiantu (RN-22). Infantile convulsions: Combine with Shuigou (GV-26) and Dazhui (GV-14). Cough and wheezing: Combine with Dingchuan (EX-B1) and Feishu (BL-13).
Efficacy & Actions
This is an extraordinary point located at the midpoint of the transverse crease of the proximal interphalangeal joints on the palmar side of the 2nd to 5th fingers – four points on each hand, eight points in total. It promotes digestion and guides stagnation, transforms phlegm and resolves accumulations, strengthens the spleen and harmonizes the stomach, and clears heat and relieves restlessness. It is a commonly used key point for treating infantile malnutrition and indigestion. First documented in the Great Compendium of Acupuncture and Moxibustion. "Si" refers to the four fingers; "Feng" means seams or transverse creases. Located at the finger joint creases on the palmar side – hence the name Sifeng (Four Seams). Sifeng is an experienced effective point for treating infantile malnutrition (pediatric nutritional deficiency and indigestion), and is also used for pertussis and ascariasis. Clinical practice commonly uses pricking therapy – squeezing out a small amount of yellowish-white fluid or blood – which significantly improves digestive function in children.
Contraindications
Located at finger joints – massage pressure should be moderate to avoid bruising. Strict disinfection and single-use needles are required for pricking therapy to prevent infection. Bloodletting is contraindicated in patients with bleeding disorders. Use with caution in pregnant women. Pediatric procedures should be performed by qualified professionals.
