-IBIS-1.5.0-
rx
point
Lv-4: VIII-4: zhong feng
acupuncture

definition

zhong feng = middle seal
; mound center
Jing River and Metal point
of the Foot Jue Yin (Liver) channel
location: In the depression on the medial aspect of the tibialis anterior tendon, or between the tibialis and hallus longus, 1 cun anterior to the malleolus between Shang Qiu (Sp-5) and Je Xi (St-41).
actions: dissipates Heat and Fire in the Liver; dispels Dampness; spreads Liver Qi; opens the bile tract; frees the channels and facilitates flow of channel Qi
indications: contralateral carpal tunnel/wrist pain; malaria; anorexia; jaundice; hepatitis; periumbilical pain; tympanites; lower abdominal pain and swelling; hernia; Liver Xu (Deficiency) (Matsumoto); retention of urine; strangury; urethritis; impotence; spermatorrhea; nocturnal emissions; genital pain; Liver Qi Stagnation following vasectomy (Matsumoto); vaginal pain; muscular atony, esp. of the feet; feet and legs cold; diseases of ankle and surrounding soft tissues.
needle technique: perpendicular insertion, 0.3 - 0.4 cun, or oblique insertion, 0.5 - 0.8 cun, producing a local sensation of soreness and distension
moxa: 3 - 5 cones of direct moxa; 5 - 10 minutes of indirect moxa with a pole
combinations:
» with UB-17, UB-18, UB-19, CV-6, St-39 and St-45 for "anorexia" (Mann, p. 96)
» with Lv-3 for difficulty in walking (Shanghai, p. 292);
» with GB-39 strengthens the tendons; builds up the bone (Finkelstein, p. 74);
» with SI-16, TW-17 and SI-19 for catarrhal tinnitus; also consider: Lu-11, LI-4, Kd-3 and St-36; TW-5, GB-2, TW-21, GV-20, GV-19 and TW-18; SI-3, SI-5, SI-19 and SI-16 (Mann, p. 139)
» with UB-18 and yi ming for acute infectious hepatitis (Shanghai, p. 292);
» with PC-7 and Kd-7 for jaundice; also consider: Lv-8 and Kd-4 (listed as "Kd-5"); GB-21 and SI-14; UB-44/49, St-44, LI-4 and CV-12; LI-2 and LI-13 (Mann, p. 106)
» with GB-39, GB-44, TW-5, St-36, TW-6, Lv-13, GB-34, Lv-2, Lv-14, GB-40 and Kd-1 for subcostal pain (Lee and Cheung, p. 224)
» with St-36 Sp-6, CV-9, CV-6, CV-3, UB-18 and UB-28 for gastroenteritis with abdominal distention due to Stagnant Liver Qi with Liver Xue (Blood) and Qi Xu (Deficiency) (Jirui and Wang, p. 25)
» with Sp-4 for "tummy ache"; also consider: St-37, CV-9 and St-22; UB-57, PC-6 and LI-8; St-25, Sp-6, CV-12 and Lv-13 (Mann, p. 104)
» with Kd-14 for "drumlike abdomen" (Shanghai, p. 292);
» with Kd-10, Kd-2 and Lv-1 for impotence; also consider: St-30, Sp-6 and CV-6; GV-4, Kd-3 and Lu-7; Kd-12 and CV-2 (Mann, p. 134);
» with Lv-3 opens Qi Stagnation in the genitals (Finkelstein);
» with Sp-12, St-30, LI-4, Sp-6 and GB-21 for difficult labor (Shanghai, p. 677; Lee and Cheung, p. 336).


footnotes