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Zusanli
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Zusanli (Chinese: 足三里, ST36) is an acupoint, a point of the skin that is stimulated, with various techniques, in the practice of acupuncture. It is located below the knee, on the tibialis anterior muscle, along the stomach meridian.

A Japanese diagram explaining how to find the zusanli acupoint, which is located 4 fingers below the tibialis anterior muscle

Therapeutic uses and scientific validation

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Acupuncture of Zusanli induces local serotonin release.[1] Furthermore, the stimulation of this acupoint is shown to decrease inflammation, as evidenced by decreased cytokines (including interleukin 6) and inhibition of edema in a rat model of inflammation involving carrageenan injection.[2] Zusanli activation also improves insulin sensitivity [3] and cerebral blood flow (an effect mediated by nitric oxide),[4] while it decreases sympathetic nerve activity and arterial pressure.[5] An analgesic effect, mediated in part by nitric oxide as well, through the upregulation of inducible nitric oxide synthase (iNOS),[6] an increase in endogenous opiates,[7][8] muscarinic cholinergic receptors and serotonin receptors 5-HT1a and 5-HT3, was repeatedly evidenced.

The stimulation of Zusanli decreases the locomotor activity elicited by nicotine administration and decreases Fos-like immunoreactivity in the basal ganglia (e.g., the striatum, particularly the nucleus accumbens) in a rat model of nicotine sensitisation.[9] Those changes in the basal ganglia also improve the alcohol withdrawal syndrome in similar experimental conditions.[10]

See also

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References

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