PC09 Zhongchong (Central Surge)

中衝zhōng chōngZhongchong

Pericardium Meridian

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Location of acupuncture point PC09 Zhongchong (Central Surge)
29
Indications
27
Protocols
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Location

In the center of the tip of the middle finger.

Categories

  • Jing-Well point of the Pericardium meridian

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

Cautions

Avoid in patients with bleeding disorders.

Indications

Conditions for which PC09 is listed as indicated. An indication list is a reference index, not a prescription – see the protocols below for sourced treatments.

AgitationAgitation HeartDepression Crying Infantile Night-timeDepression Crying (infant) Night TimeDiarrheaTurmoil DisorderFeverHeatHeat FireHeat PalmHeat PericardiumHigh Blood PressureOppressionOppression HeartLower Back PainUpper Stomach PainFacial PainHeadacheHeart PainTongue Root PainSpeech ImpairmentSpontaneous SweatingSummer Heat SyndromeSummer-heat SyndromeTinnitusTongue Body StiffLoss of ConsciousnessVomitingStroke

TCM actions

What classical sources say PC09 does in the terms of Chinese medicine theory. These describe the point, not a condition.

Benefit HeartBenefit Tongue

Protocols using PC09

  • Infant Colic – PC09 (doi:10.1155/2013/456712 ↗)
  • Fatigue, Dizziness, Tinnitus, Headache, Constipation, Depression, Insomnia, Itchiness, Edema, Palpitation, Knee Pain, Back Pain, Vision Blurred, Cervical Pain, Stiffness Shoulder, Cramp Leg, Lower-limb Pain, Upper-limb Numbness, Lower-limb Numbness, Hemodialysis Complication – LU05, LU09, LI02, LI11, ST41, ST45, SP02, SP05, HT07, HT09, SI03, SI08, BL65, BL67, KD01, KD07, PC07, PC09, TB03, TB10, GB38, GB43, LV02, LV08 (doi:10.1155/2015/802846 ↗)
  • Cerebral Infarction Acute, Ischemic Stroke, Neurological Deficit – LU11, LI01, LI04, ST45, SP01, HT09, SI01, BL67, KD01, PC08, PC09, TB01, GB20, GB44, LV01, LV03, CV24, GV20, GV26 (doi:10.1186/s13063-017-2013-5 ↗)
  • Attention Deficit, Memory Impaired, Cognitive Impairment Vascular, Executive Function Impaired – ST36, HT09, PC09, GV20, GV24 (doi:10.1016/j.clinsp.2025.100770 ↗)
  • Breast Cancer, Cancer Pain, Nausea Chemotherapy – PC02, PC05, PC06, PC07, PC08, PC09 (doi:10.1097/MD.0000000000033939 ↗)
  • Tremor, Parkinson's Disease, Cognitive Decline, Balance Impaired, Rigidity – LU10, LI04, ST36, SI03, BL60, KD03, PC06, PC09, TB05, GB34, LV03 (doi:10.22246/jikm.2023.44.1.1 ↗)
  • Vascular Dementia, Cognitive Impairment, Impaired Daily Living Ability – ST36, KD01, PC09, CV06, GV16, GV20 (doi:10.26922/d.cnki.ganzc.2023.000536 ↗)
  • Coma, Consciousness Disorder Traumatic Brain Injury – LU11, LI01, HT09, SI01, PC09, TB01 (doi:10.27368/d.cnki.gtzyy.2025.000570 ↗)
  • Arrhythmia, Cardiac Ischemia – PC06, PC07, PC08, PC09 (doi:10.13703/j.0255-2930.1996.04.019 ↗)
  • Cognitive Impairment Vascular – ST36, HT09, PC09, GV20, GV24, XH01A, XH01B, XH01C, XH01D (doi:10.1016/j.clinsp.2025.100770 ↗)
  • Hemiplegia, Ischemic Stroke, Stroke Rehabilitation – LI04, LI11, LI15, ST04, ST06, PC09, GB30, GB31, GB34, GB39, GV20, GV26 (doi:10.3389/fneur.2022.897078 ↗)
  • Mastitis – LI04, ST36, ST37, ST40, ST44, ST45, BL14, BL15, PC06, PC09, GB21, LV03, CV06 (doi:10.13703/j.0255-2930.20250211-k0004 ↗)
  • Urinary Retention Post-stroke – LU11, LI01, ST45, SP01, HT09, SI01, BL67, KD01, PC09, TB01, GB44, LV01 (doi:10.13703/j.0255-2930.2017.10.004 ↗)
  • Coma – LU11, LI01, ST45, SP01, HT09, SI01, BL67, KD01, PC09, TB01, GB44, LV01, GV26 (Deadman, Al-Khafaji & Baker, A Manual of Acupuncture – point group actions)
  • Fainting, Consciousness Loss, Consciousness Loss – LI04, ST36, KD01, PC09, CV04, GV20, GV26 (Deadman, Al-Khafaji & Baker, A Manual of Acupuncture – point group actions)
  • Hysteria – LU11, LI01, LI04, ST45, SP01, HT07, HT09, SI01, SI03, BL67, KD01, PC06, PC09, TB01, GB44, LV01, LV03, GV26 (Deadman, Al-Khafaji & Baker, A Manual of Acupuncture – point group actions)
  • Wind Interior, Wind Interior – LU11, LI01, ST45, SP01, HT09, SI01, BL18, BL67, KD01, PC09, TB01, GB20, GB44, LV01, LV03, GV16, GV20 (Deadman, Al-Khafaji & Baker, A Manual of Acupuncture – point group actions)
  • Consciousness Loss, Consciousness Loss – LU11, LI01, ST45, SP01, HT09, SI01, BL67, KD01, PC09, TB01, GB44, LV01, GV26 (Deadman, Al-Khafaji & Baker, A Manual of Acupuncture – point group actions)
  • Depression Post-stroke, Neurological Deficit, Stroke Sequelae – LU11, LI01, HT09, PC09, TB01 (WANG Ning et al.. Clinical Effects of Acupuncture at Jing-Well Acupoints Combined with Scalp Acupuncture and Conventional Acupuncture on Patients with Post-Stroke Depression. SHILAP Revista de lepidopterología, 2026)
  • Depression Post-stroke, Neurological Deficit Stroke – LU11, LI01, HT09, PC09, TB01 (王宁周海纯 刘景隆. 针刺井穴联合头针与常规针刺对脑卒中后抑郁患者的影响. 康复学报 ., 2026 [CNKI])
  • Consciousness Loss – LU11, LI01, ST45, SP01, HT09, SI01, BL67, KD01, PC09, TB01, GB44, LV01, GV26 (Deadman, Al-Khafaji & Baker, A Manual of Acupuncture – point group actions)
  • Qi Stagnation, Blood Stagnation, Pathogens, Heat Stomach, Erysipelas, Damp Spleen, Damp Stomach, Heat Spleen, Qi Stagnation, Blood Stagnation, Heat Stomach, Damp Spleen, Damp Stomach, Heat Spleen – LU11, LI01, LI04, LI11, SP10, HT09, SI01, BL40, PC03, PC09, TB01 (sacredlotus.com ↗)
  • Pathogens, Convulsions (infant), Convulsions (infant) – LU11, LI01, LI11, HT09, SI01, PC09, TB01, LV03, GV14, GV26, XH03 (sacredlotus.com ↗)
  • Pathogens, Fever High, Mumps, Parotitis Acute, Fever High, Parotitis Acute – LU11, LI01, LI04, LI11, ST06, HT09, SI01, PC09, TB01, TB05, TB17, GV14 (sacredlotus.com ↗)
  • Stroke, Attack Zang Fu Organs, Bi Closed, Attack Zang Fu Organs, Bi Closed – LU11, LI01, ST40, HT09, SI01, KD01, PC09, TB01, LV03, GV20, GV26 (sacredlotus.com ↗)
  • Hysteria, Syncope, Fainting, Hypotension Postural, Hypoglycemia, Hypotension Postural – LI04, KD01, PC08, PC09, LV03, GV26 (sacredlotus.com ↗)
  • Delirium, Malaria, Fever High, Psychological Confusion Disorder – LU11, LI01, ST45, SP01, HT09, SI01, SI03, BL67, KD01, PC05, PC09, TB01, TB02, GB41, GB44, LV01, GV13, GV14 (sacredlotus.com ↗)

Most often selected alongside PC09

How many sourced protocols in the index pair each point with PC09. Corpus frequency, not a combination to use.

  • HT09Lesser Surge18 protocols
  • LI01Metal Yang15 protocols
  • LU11Lesser Metal15 protocols
  • TB01Surge Gate15 protocols
  • KD01Bubbling Spring13 protocols
  • SI01Lesser Marsh13 protocols
  • GV26Philtrum10 protocols
  • ST45Running Point10 protocols
  • BL67Reaching Yin9 protocols
  • LI04Junction Valley9 protocols
  • GB44Foot Opening To Yin8 protocols
  • GV20100 Convergences8 protocols

Other points on the Pericardium Meridian