Study aim: The effect of acupressure in point Qiu on the intensity of nausea, pain and physiological parameters of patients treated with extracorporeal lithotripsy is investigated. Design: Clinical trial with control group, with parallel groups, Double blind, randomized from available samples, phase 3 on 70 patients. A block method was used for randomization. Settings and conduct: Patients treated with extracorporeal lithotripsy referred to Shahid Beheshti Hospital in Hamadan were randomly divided into intervention and control groups. The patients in the intervention group lie on the opposite side of the side that has pain, and the exact location of the Qiu point is determined, and force is applied to the spine with the thumb for 3 minutes in the direction of 45 degrees. The strength of the thumb increases gradually and with a regular rhythm until the patient feels warmth in the area. Participants/Inclusion and exclusion criteria: Entry conditions: 1) extracorporeal lithotripsy candidate 2) Age range 18 to 65 years 3) Perform extracorporeal lithotripsy for the first time 4) Signing an informed consent form. No entry conditions: 1) Have previous experience or knowledge of the effects of acupressure 2) Drug addiction 4) Existence of an obstacle at the site of pressure (wounds, skin diseases, etc) Intervention groups: Study groups: Intervention group: In the intervention group, the massage intervention is performed at the Qiu acupuncture point located around the lumbocostal region for 3 minutes. The main outcome variables include the severity of nausea, pain and physiological indicators (including heart rate and blood pressure) of the patients are recorded. Control group: In the control group, massage intervention is performed in the neutral area and around the main point. Patients in both groups receive routine care. Main outcome variables: Nausea, pain and physiological parameters