Indications

Relaxes the sinews and unblocks the collaterals, dispels wind and relieves pain, unblocks the meridians and benefits the joints. Treats lower toothache, medial calf spasms, ankle joint pain, and tibial-foot pain.

Precise Location

On the medial side of the foot, at the prominence of the medial malleolus.

Location Method

Sit upright or lie supine. Locate the point at the highest prominence of the medial malleolus on the medial ankle.

Massage Method

Press and knead with the thumb pad for 3–5 minutes per session, 1–2 times daily – a local sore-distending sensation is optimal. Mild-warm moxa may also be applied for 10–15 minutes per point. Therapeutic actions: Relaxes the sinews and unblocks the collaterals, dispels wind and relieves pain, unblocks the meridians and benefits the joints.

Compatibility

Lower toothache: Combine with Jiache (ST-6) and Hegu (LI-4). Medial calf spasms: Combine with Chengshan (BL-57) and Zhaohai (KI-6). Ankle joint pain: Combine with Jiexi (ST-41), Kunlun (BL-60), and Qiuxu (GB-40). Tibial-foot pain: Combine with Zusanli (ST-36) and Xuanzhong (GB-39).

Efficacy & Actions

This is an extraordinary point located at the prominence of the medial malleolus on the medial side of the foot. It relaxes the sinews and unblocks the collaterals, dispels wind and relieves pain, and unblocks the meridians and benefits the joints. It is an experienced effective point for treating toothache and ankle-foot disorders. First documented in the Beiji Qianjin Yaofang (Emergency Thousand-Gold Formulas). "Nei" refers to the medial side; "Huai" refers to the ankle; "Jian" means tip or prominence. Located at the highest prominence of the medial malleolus – hence the name Neihuaijian (Medial Malleolus Tip). Neihuaijian is an experienced effective point for treating toothache and ankle-foot pain, especially effective for lower toothache and medial calf spasms. It is often combined with Jiache (ST-6), Hegu (LI-4), and Chengshan (BL-57). This point is close to the Kidney Meridian, which courses along the throat and connects to the root of the tongue – thus treating lower toothache.

Contraindications

Located on a bony prominence – needling should be superficial or pricking, generally 0.1–0.2 cun, avoiding deep insertion to prevent periosteal injury. Moxibustion is commonly used. Use with caution in pregnant women.