4.12 The Liver Channel System – Foot jueyin(zu jue yin jing luo)
Location
Anterior and inferior to the free end of the 11th rib, approxi-
mately 1 cun superior to the umbilicus.
How to find
Quick method:Ask the patient to press their flexed elbow (90°)
against the lateral aspect of the thorax and the tip of the olecra-
non will be pointing to the free end of the 11th rib. LIV-13can
then be located on its anterior and inferior border. Or:Place the
hand on the upper abdomen and, with gentle pressure, palpate
along the lower border of the rib cage until you can feel the free
end of the 11th rib just superior to the umbilicus. Locate LIV-13
on its anterior and inferior border.
Located on approximately the same level (1 cun superior to the
umbilicus) are ➞Ren-9(on the midline) and ➞ST-24(2 cun lat-
eral to the midline). ➞G.B.-25is located more laterally and
inferiorly, at the free end of the 12th rib.
Needling
0.5–1 cun vertically or better obliquely in a lateral direction.
Caution: Peritoneum, hypertrophied organs (right: liver, left:
spleen).
Actions/Indications
● Harmonises the Liver and the Spleen, regulates Liver Qi
(especially in the Middle and Lower Burner), strengthens the
Spleen
● Opens the channel
Special features
Front-mupoint of the Spleen, meeting point with the dai maiand
the G.B. channel. Hui-meeting point of the zang-Organs.
Completion Gate ZHANGMEN LIV-13
11th rib
LIV-13
Tip of the olecranon
resting on the free
end of the 11th rib
Tip of the olecranon
resting on the free
end of the 11th rib
Ren-9
Umbilicus Ren-8
1 cun
18
16
18
15
25
24
(^2218)
16
17
22
8
17
12
LIV-14
G.B-24
16
Le 13
14
15
8 7 6 5 4 3 2 1
Umbilicus
1
Sternocostal
angle
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