laoxinglin 老杏林

The Point Map 穴位

Pressure Points for Nausea 止呕

“One point on the wrist has been studied more than most herbs in my cabinet. When the stomach argues, this is where my thumb goes first — and Cochrane agrees.” — Lao Xinglin

The star: PC6 — Neiguan (内关)

Turn your palm up. Lay three fingers of the other hand across the wrist crease; where the third finger lands, in the valley between the two central tendons, is Neiguan — "the inner pass." Press firmly with a thumb, a slow ache rather than a stab, for a minute or two, and repeat on the other wrist.

This is the best-evidenced patch of skin in the tradition: a Cochrane review spanning dozens of randomized trials found PC6 stimulation reduces postoperative nausea and vomiting compared with sham — cutting nausea by roughly a third — with effectiveness comparable to standard antiemetic drugs, and only minor, passing side effects[2]. Motion- sickness wrist bands ("sea-bands") are simply this point wearing elastic; trials of those ride the same literature.

The backup: ST36 — Zusanli (足三里)

Four finger-widths below the kneecap's lower edge, one finger-width toward the outside of the shin: the tradition's great stomach-settler and all-purpose fortifier[1]. Its nausea evidence is thinner than PC6's, but as a second station it costs nothing.

The pairing that helps

The cabinet's own answer rides along nicely: fresh ginger is the herb with real nausea evidence — a cup of ginger tea while the thumb works the wrist is the tradition's full protocol for a rough morning.

When to stop pressing and call someone

Nausea with chest pain, head injury, severe abdominal pain, signs of dehydration, or that simply won't quit is a clinic matter. Pregnant readers: PC6 is the point midwives actually recommend — it's LI4 on the hand that tradition avoids in pregnancy, not this one[1].

References

  1. Kaptchuk, The Web That Has No Weaver: Understanding Chinese Medicine, 2nd ed., McGraw-Hill, 2000.
  2. Lee A, et al. Stimulation of the wrist acupuncture point PC6 for preventing postoperative nausea and vomiting: a network meta-analysis. Cochrane Database of Systematic Reviews, 2025, CD003281. https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD003281.pub5/full

Lao Xinglin seal Reviewed 2026-08-26