4 Acupuncture Points of the Twelve Primary ChannelsLocation
In the depression distal to the base of the 1st metatarsal bone, on
the border of the red and white skin.How to find
When palpating along the border of the red and white skin
(sole/dorsum of the foot) on the medial aspect of the midfoot
from proximal towards medial, the base of the 1st metatarsal
bone (➞2.6.2) forms a distinct bony prominence. SP-4is
located in the depression distal to this prominence, at the junc-
tion of the shaft and the base of the bone.
➞SP-3is located slightly more distally at the junction of the
head and the shaft of the 1st metatarsal bone. ➞BL-64is
located in a comparable position on the lateral aspect of the mid-
section of the foot (at the junction of the shaft and the base of the
5th metatarsal bone).Needling
0.5–1 cun vertically or obliquely from medial towards lateral.
Caution: Needling may be painful.Actions/Indications
● Strengthens and regulates the Spleen Qi, eliminates Dampness
● Calms the shen
● Benefits the Heart and chest
● Regulates the chong mai
● Local point, for example for metatarsalgiaSpecial features
Luo-connecting point, opening (master) point of the chong mai.
Important point for distension and pain in the upper and lower
abdomen caused by Qi stagnation, Blood stasis or obstruction
due to Dampness.SP-4 Grandfather Grandson GONGSUN
Navicular
Medial cuneiform
Metatarsal bonesProximal
phalangesMedial
Distal phalanges
phalangesCalcaneus
Navicular
tuberosityBase of the
1st metatarsal
boneBL-64 BL-63SP-3Base of metatarsal IBorder‘red/white skin’SP-4Tibialis anteriorKID-3 15
cunSP-1
SP-4 KID-2SP-5Highest
prominence
of the medial
malleolus14G.B.-40G.B.-41ST-43G.B.-42G.B.-43BL-67 ST-44G.B.-44ST-45LIV-1 SP-1LIV-3ST-42LIV-4ST-41 SP-5SP-4SP-3SP-2BL-66BL-65BL-64BL-63Ex-LE-10
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