If you’ve ever experienced the discomfort of constipation, you know how it can disrupt your daily life. Many people turn to over-the-counter medications, which often come with a list of side effects and contraindications.
Traditional Chinese medicine (TCM) provides a time-tested, holistic approach to regulating the function of the intestines. The Branching Ditch acupoint (Zhi Gou, TE6) has been used for centuries to regulate bowel movements and promote overall digestive health. Whether due to stress, dietary habits, or other imbalances, this point offers a natural way to support your body’s internal flow.
Ancient Wisdom Behind Zhi Gou
Zhi Gou was first documented in the “Ling Shu (Spiritual Pivot),” one of the foundational texts of acupuncture. It is classified as a Jing River point on the Triple Energizer meridian. Jing River points are known as locations on the body where the flow of qi, or vital energy, intensifies, creating a strong and powerful current.
The Triple Energizer’s primary function is to regulate the movement of fluids and qi within the body. Zhi Gou is particularly valued for its ability to clear excess heat from the Triple Energizer meridian, which directly affects the lower jiao (the lower energizer) responsible for fluid movement in the lower abdomen. When heat obstructs fluid circulation, it can lead to issues such as constipation. By stimulating Zhi Gou, practitioners aim to restore balance of fluids, improve energy circulation, and relieve digestive distress.
What Modern Science Says
While TCM has long recognized the benefits of Zhi Gou, modern research is shedding light on its effectiveness in clinical practice.
A clinical study investigated the impact of electroacupuncture at Zhi Gou on severe acute pancreatitis and paralytic ileus—a condition in which the intestines temporarily lose function. The study involved 140 patients, with one group receiving standard medical treatment and the other receiving additional electroacupuncture at specific points, including Zhi Gou.
The results showed that the group receiving electroacupuncture experienced significant reductions in abdominal pain and bloating, though there was no difference in the need for surgery or ICU admission. This suggests that acupoint stimulation can effectively manage abdominal discomfort and improve digestive motility.
Another study focused on constipation caused by poor circulation of qi or deficiency. Patients were randomly assigned to receive electroacupuncture at either Zhi Gou or a non-acupoint for four weeks. The findings revealed that 94.4 percent of patients treated at Zhi Gou experienced symptom relief, compared to only 61.3 percent in the control group. Additionally, colon transit time improved, and the need for laxatives decreased significantly. These results support TCM’s long-standing claim that Zhi Gou promotes smoother bowel movements and digestive health.
How to Locate and Stimulate Zhi Gou
The name Branching Ditch offers a clue about its location—it lies between the two bones of the forearm, similar to how a small stream runs through a ditch. To locate this acupoint:
- Look at the back of your forearm and bend your hand upwards.
- Find the midpoint of your wrist crease.
- Measure four finger widths up from this point.
- Feel around for a tender spot between the two forearm bones. The tender or sore sensation indicates that you’ve found the right spot.
Activating this acupoint is simple and can be done anywhere:
- Acupressure: Press firmly for five to six seconds, relax for three seconds, and repeat for one to three minutes on each arm.
- Massage: Use your index finger or thumb to massage the point in circular motions for one to three minutes per side.
- Herbal Patches: Apply overnight for prolonged benefits and convenience.
- Advanced Techniques: For a deeper activation, consider seeking acupuncture or moxibustion (a gentle heat therapy with dried mugwort) treatment from a qualified TCM professional.
Important Considerations
- Avoid stimulating this point if you have injuries or skin irritation in the area.
- If using herbal patches, choose natural ingredients and avoid aggressive artificial additives, especially if you have sensitive skin.
Supporting Digestive Health With TCM
The modern diet often lacks the fiber and hydration needed for optimal digestion. Over time, unresolved constipation can lead to significant discomfort and even long-term health concerns. Adding Zhi Gou to your self-care routine offers a natural way to support your body’s rhythm and restore balance. Whether used as a preventive measure or to address occasional digestive sluggishness, this helpful acupoint provides a simple yet effective tool for better health.
TCM expert Shihhsiang Hung reviewed this article to ensure its accuracy.
Originally published in Epoch Times on 7 Apr 2025
