Atlas of Acupuncture

4 Acupuncture Points of the Twelve Primary Channels

Location

1 cun anterior to the prominence of the medial malleolus, medial

to the tendon of the tibialis anterior muscle.

How to find

Even with slight dorsiflexion of the ankle, the tendon of the tib-

ialis anterior muscle will become more pronounced on the

medial aspect of the ankle. LIV-4is located between the tendon

and the prominence of the medial malleolus, in a depression

over the palpable joint space.

➞ST-41is also located over the joint space (on the midpoint of

its anterior aspect); ➞SP-5lies only slightly distal to ➞LIV-4

at the junction of a vertical line along the anterior border and a

horizontal line along the lower border of the medial malleolus.

Needling

Vertically 0.3–0.5 cun

Actions/Indications

● Opens the channel, promotes the flow of Liver Qi, regulates

the Lower Burner

Special features

Jing-river point, Metal point.

LIV-4 Middle Seal ZHONGFENG

SP-5

SP-1

SP-2 SP-3

SP-4 KID-2

KID-6 KID-5

KID-4

KID-3

SP-6

LIV-4

KID-8

KID-7

Tibia

Trochlea

tali

Medial

malleolus Subtalar

joint

Talocrural

joint

Fibula

Lateral

malleolus

LIV-4

SP-5

Tendon of the

extensor pollicis longus

and

tibialis anterior

Prominence of the

medial malleolus

G.B.-40

G.B.-41

ST-43

G.B.-42

G.B.-43

BL-67 ST-44

G.B.-44

ST-45

LIV-1 Mi-1

LIV-3

ST-42

ST-41 LIV-4 Mi-5

Mi-4

Mi-3

Mi-2

BL-66

BL-65

BL-64

BL- 63

Ex-LIV-10(bafeng)

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