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Liver 4 Zhongfeng is an acupuncture point on the Liver channel. It is a great point for pain in the lower abdomen, especially if caused by Damp or Heat - or both (- these are syndromes in Chinese medicine!)
Note: if by mistake you strayed onto this site when looking for information about the Liver from the Western medical point of view, click Liver instead. (But before doing that, why not stay and read what Chinese medicine has said about the Liver, for well over 2000 years!)
There are a number of ways of describing Liver 4's location.
1/ At the anterior flexure of the ankle, BETWEEN the tendon tibialis anterior and the extensor hallucis longus. This is where I was originally taught to find the point, and it seemed to work just fine. That's the position shown in the picture on the right. However, most books nowadays suggest you find at the following position:
2/ 0.5 to 1.5 cun anterior to the medial malleolus in the depression formed when the foot is dorsi-flexed (ie medial to the tendon tibialis anterior)
3/ 1 cun anterior to the inferior margin of the medial malleolus, medial to the tendon tibialis anterior.
4/ Half-way between Spleen 5 and Stomach 41
If you wonder where Spleen 5 is, it is in much the same place but a little distal to Liver 4 and, I think, often needled instead of Liver 4 by mistake if using location 2, above.
However, Spleen 5, in my opinion is better described as being half-way between the medial malleolus and the navicular bone, whereas Liver 4 is needled just behind the tendon tibialis anterior which is the tendon that stands out when dorsi-flexing the big toe.
By needling Liver 4 towards Stomach 41 you from position 2. above, but close to the tendon, you actually needle the same place (ie under the tendon) as you would have if you had needled Liver 4 vertically to the skin from position 1.
Having said all that, the point is found when you get the results you intended (and it helps to get deqi too, for confirmation!)
Vertically to the skin, although can be needled obliquely either towards the big toe or underneath the tendon from position 2 above towards Stomach 41. Depth, up to 0.5 cun.
Local, distending, or towards the toes.
Up to 3 moxa. (The Japanese say up to 7, but they use much smaller moxa cones.)
To understand how this point works, you need to know the areas or functions that the Liver controls.
Of course, the point is also useful for ankle pain. If you know where the pain is, try to direct the needle towards it.
If the pain is elsewhere in the foot, try directing the needle towards the pain, even if not apparently on the Liver channel. This is because the Liver is responsible for the free flow of Qi, and pain is caused by a blockage in that free flow. So, many Liver points can be used in addition to other local points elsewhere on the body to regulate Qi.
|Liver-8||Ququan||Spring at the Bend|
|Liver-10||Zuwuli||Leg Five Miles|
If you live in the Edinburgh area of Scotland, where the author of this site (and of the books described below) works, click on Edinburgh Acupuncturist.
If you live elsewhere, click on BAcC.
All the books in the 'Chinese Medicine in English' series should be fully accessible on Kindles and Kindle apps. (Or you can buy the softback print editions, of course.)
('Western Astrology and Chinese Medicine' published 1986, was never available in a Kindle version.)
If, having read one of my books you can write a review - preferably positive - that would help others decide whether to read it.
You can put your review on Amazon or, on this site, here.
And if you think it was terrible?
Well, let me know so I can improve it for the next person. (Ideally let me know before cursing it in public!)
Here are some of the books I (Jonathan) have written.
Subscribers to Kindle Unlimited can borrow the first four for 'free'.
Published 1986 and, amazingly, still selling. Western Astrology and Chinese Medicine was apparently used back then by at least one acupuncture college to help students understand Chinese medicine!
Six Reviews so far for Yuck Phlegm. (Despite the lurid cover, it explains the five main types of phlegm and what works best for each type. I hope it's easy to read and will be much more useful than all the websites on the subject.)
3000 years of Chinese being stressed, and at last, here's a book showing how all that experience can help you!
By the author of this website, it explains in simple English how to use stress to improve and enhance your life.
NB You can also order 'Qi Stagnation - Signs of Stress' from your bookseller.
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