KD04 Dazhong (Large Bell)

大鐘dà zhōngDazhong

Kidney Meridian

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Location of acupuncture point KD04 Dazhong (Large Bell)
41
Indications
23
Protocols
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Location

Posterior and inferior to the medial malleolus in the depression the anterior to the medial side of the attachment of the achilles tendon.

Categories

  • Luo-Connecting point of the Kidney meridian

The classical groups this point belongs to, from Deadman, Al-Khafaji & Baker, A Manual of Acupuncture.

No specific contraindications.

Indications

Conditions for which KD04 is listed as indicated. An indication list is a reference index, not a prescription – see the protocols below for sourced treatments.

AgitationAgitation HeartAgoraphobiaAngerAnxietyAsthmaCommon ColdConstipationCoughCoughing BloodDyspnoea Qi DeficiencyDementiaDepressionAbdominal BloatingChest BloatingBreathing Shortness Of Breath ProblemsUrinary ProblemsDifficulty SwallowingFright FullnessHeat MouthMalariaMental RetardationOppression AbdomenOppression ChestPainLower Back PainSore ThroatPalpitationsIrregular PeriodsPeriod / Menstruation IrregularQi WanderingExcessive SleepinessFoot Heel SwellingThroat RattlingTongue DryUrination RetentionUrination ScantyVomitingWill WeaknessWheezing

TCM actions

What classical sources say KD04 does in the terms of Chinese medicine theory. These describe the point, not a condition.

Benefit KidneysBenefit Lung

Protocols using KD04

  • Autism, Developmental Delay, Communication Impaired, Behavior Repetitive – KD03, KD04, TB15, LV04 (doi:10.1016/s0254-6272(10)60014-3 ↗)
  • Dementia, Memory Loss, Cognitive Decline, Dementia Senile – SP06, HT07, BL10, KD04, PC06, GB39, GV14, GV20, GV26 (doi:10.1016/s0254-6272(09)60071-6 ↗)
  • Fatigue Cancer-related, Fatigue Post-treatment, Breast Cancer, Mood Emotional-disturbance – LU07, LI04, ST36, SP06, KD03, KD04, LV03, GV20 (doi:10.1186/1472-6882-11-49 ↗)
  • Insomnia, Fatigue Cancer-related, Fatigue Post-treatment, Breast Cancer, Sleep Dysfunction – LI04, ST36, SP06, HT07, BL62, KD03, KD04 (doi:10.1186/1472-6882-11-49 ↗)
  • Memory Loss, Cognitive Impairment, Dementia Alzheimer – KD04, GV16, GV20, GV24 (doi:10.1186/s13063-017-2052-y ↗)
  • Insomnia, Sleep Disturbance, Insomnia Cancer-related – HT07, BL63, KD04, PC06, GV20 (doi:10.1136/bmjopen-2017-016269 ↗)
  • Memory Loss, Attention Deficit, Cognitive Impairment Chemotherapy-related, Cognitive Decline Cancer – ST36, KD03, KD04, GB39, GV20, GV24 (doi:10.12659/MSM.909712 ↗)
  • Cough, Headache, Common Cold, Sore Throat, Nasal Discharge, Nasal Obstruction, Sneezing, Malaise, Chilliness – LU06, LU07, LI06, LI07, ST40, ST42, SP02, SP08, HT05, HT07, SI06, BL58, BL63, KD03, KD04, PC06, PC07, TB05, TB07, GB37, LV03 (doi:10.1016/s0254-6272(17)30006-7 ↗)
  • Insomnia, Fatigue Cancer-related, Insomnia Cancer-related – HT07, BL63, KD04, PC06, GV20 (doi:10.1186/s12906-022-03561-w ↗)
  • Contracture Knee, Brachial Plexus Injury, Muscle Atrophy, Paralysis Upper Extremity, Paralysis Lower Extremity, Contracture Ankle, Contracture Shoulder, Contracture Elbow, Scoliosis, Neuromotor Impairment, Steppage Gait – LU01, LI04, LI05, LI11, LI14, ST34, ST36, ST41, SP09, SP10, SI05, SI06, SI07, SI09, BL11, BL12, BL22, BL23, BL24, BL25, BL26, BL36, BL37, BL39, BL55, BL56, BL57, BL58, BL60, BL61, BL62, KD03, KD04, KD05, KD06, TB09, GB20, GB21, GB40 (doi:10.3831/KPI.2013.16.009 ↗)
  • Joint Pain, Abdominal Pain, Bleeding Rectal, Inflammatory Bowel Disease, Diarrhea Chronic – LI04, ST23, ST24, ST25, ST26, ST27, ST28, SP03, SP04, SP05, KD02, KD03, KD04, KD05 (doi:10.1016/j.jaim.2024.101080 ↗)
  • Dementia Vascular, Cognitive Impairment, Decreased Daily Living Ability – HT05, KD04 (doi:10.13460/j.issn.1005-0957.2022.12.1166 ↗)
  • Insomnia, Insomnia Chronic – HT07, BL63, KD04, PC06, GV20, XH03 (doi:10.2147/NSS.S582813 ↗)
  • Constipation, Yin Deficiency, Yin Deficiency, Constipation Functional – ST25, ST37, KD03, KD04, KD06 (doi:10.13703/j.0255-2930.20241111-k0005 ↗)
  • Dementia Senile – HT07, KD03, KD04, GB20, GB39, GV14, GV20, GV24 (doi:10.1016/s0254-6272(09)60071-6 ↗)
  • Insomnia, Insomnia Cancer-related – HT07, BL63, KD04, PC06, GV20, XH03 (doi:10.1186/s12906-022-03561-w ↗)
  • Tendinopathy Achilles – BL60, BL61, KD03, KD04 (doi:10.1089/acu.2017.1232 ↗)
  • Osteoporosis – BL67, KD03, KD04, KD07, KD10 (doi:10.13703/j.0255-2930.2017.04.002 ↗)
  • Unilateral Spatial Neglect Post-stroke – HT05, HT07, KD03, KD04, PC06, PC07, GB13, GV20, GV24, XH01A, XH01B, XH01C, XH01D (doi:10.13703/j.0255-2930.2017.09.001 ↗)
  • Fear – BL23, BL52, KD04 (Deadman, Al-Khafaji & Baker, A Manual of Acupuncture – point group actions)
  • Heart Yin Deficiency, Heart Yin Deficiency – ST27, ST45, HT06, HT07, BL14, BL15, KD04, XB02T4, XB02T5 (Yang Yong-Xuan, clinical point-selection notes)
  • Benefit Regulate Shen, Benefit Regulate Shen – ST27, SI19, BL03, BL08, BL10, KD04, KD09 (Yang Yong-Xuan, clinical point-selection notes)
  • Cough, Headache, Nasal Discharge, Nasal Obstruction, Sneezing, Throat Sore, Malaise, Chilliness – LU06, LU07, LI06, LI07, ST40, ST42, SP02, SP08, HT05, HT07, SI06, BL58, BL63, KD03, KD04, PC06, PC07, TB05, TB07, GB37, LV03 (Heo JS, Yang SY, Lim SA, Lee JM, Kang JY, Sun SH, Kim HG, Kang W, Cho JH. A manual acupuncture treatment attenuates common cold and its symptoms: a case series report from South Korea. J Tradit Chin Med 2016; 36(6): 724-729)

Most often selected alongside KD04

How many sourced protocols in the index pair each point with KD04. Corpus frequency, not a combination to use.

  • KD03Great Stream13 protocols
  • HT07Spirit Gate11 protocols
  • GV20100 Convergences10 protocols
  • PC06Inner Gate8 protocols
  • BL63Golden Gate6 protocols
  • GV24Spirit Court4 protocols
  • HT05Inward Connection4 protocols
  • LI04Junction Valley4 protocols
  • ST36Leg Three Miles4 protocols
  • BL58Taking Flight3 protocols
  • GB39Suspended Bell3 protocols
  • LU07Interrupted Sequence3 protocols