This point is located at the juncture of L5 and S1. In the Chinese books it is the one “below the 17th vertebrae point.” Palpate for pressure pain at the exact location on the midline of the spine and in a slowly widening circle spreading out from that epicenter. The most reactive point may not be on the exact midline of the spine. Akabane (1986) recommends leaving an intra-dermal needle at the reactive josen for problems such as back pain, gynecological problems, labor pain, or hemorrhoids. We have found it can show reaction with and help conditions such as sciatica, intestinal problems, and urogenital problems. The point can also be treated with moxa instead of an intra-dermal needle. In general this point is used more on older children than younger children.

Uranaitei or “below nei ting” or “below ST-44” is located on the sole of the foot proximal to the second toe. Two methods are used to find this point. The first involves placing a dot of ink in the center of the pad of the second toe then folding the toe over until it touches the sole of the foot. Where the dot of ink touches the sole of the foot is the point. But many people don’t have flexible enough toes to do this so a second method is used. Measure the distance of the crease on the plantar surface of the foot where the digit intersects the foot. Make an equilateral triangle with that distance. The point is at the tip of that triangle when the line along the crease is the base of the triangle. This point is measured and not palpated. It is good for acute gastrointestinal problems, including food poisoning (hence one of its names the “food poisoning point”), acute gastric or intestinal distress, including vomiting, diarrhea, acute gastroenteritis, and food allergies (while allergies are a chronic problem, they have acute manifestations when the wrong foods are eaten).