# KD04 Dazhong (Large Bell) – Kidney Meridian

大鐘 · dà zhōng

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

Cautions: No specific contraindications.

Canonical page: https://acuiq.com/points/kd04

## Indications

An indication list is a reference index, not a prescription – see the protocols below for sourced treatments.

Agitation, Agitation Heart, Agitation Heart, Agoraphobia, Anger, Anxiety, Asthma, Benefit Kidneys, Benefit Kidneys, Benefit Lung, Benefit Lung, Common Cold, Constipation, Cough, Coughing Blood, Coughing Blood, Dyspnoea Qi Deficiency, Dyspnoea Qi Deficiency, Dementia, Depression, Abdominal Bloating, Abdominal Bloating, Chest Bloating, Chest Bloating, Breathing Shortness Of Breath Problems, Breathing Shortness Of Breath Problems, Urinary Problems, Urinary Problems, Difficulty Swallowing, Difficulty Swallowing, Fright, Fullness, Heat Mouth, Heat Mouth, Malaria, Mental Retardation, Oppression Abdomen, Oppression Abdomen, Oppression Chest, Oppression Chest, Pain, Lower Back Pain, Lower Back Pain, Sore Throat, Sore Throat, Palpitations, Irregular Periods, Period / Menstruation Irregular, Qi Wandering, Qi Wandering, Excessive Sleepiness, Foot Heel Swelling, Foot Heel Swelling, Throat Rattling, Throat Rattling, Tongue Dry, Tongue Dry, Urination Retention, Urination Retention, Urination Scanty, Urination Scanty, Vomiting, Will Weakness, Will Weakness, Wheezing

## Most often selected alongside KD04

Sourced protocols in the index pairing each point with this one. Corpus frequency, not a combination to use.

- HT07 (Spirit Gate) – 11 protocols
- GV20 (100 Convergences) – 10 protocols
- KD03 (Great Stream) – 10 protocols
- PC06 (Inner Gate) – 8 protocols
- BL63 (Golden Gate) – 6 protocols
- GB39 (Suspended Bell) – 4 protocols
- LI04 (Junction Valley) – 4 protocols
- SP06 (Three Yin Intersection) – 4 protocols

## Protocols using KD04

| Symptoms | Points | Course | Source | Kind | Caveat |
|---|---|---|---|---|---|
| Fatigue Cancer-related, Fatigue Post-treatment, Cancer Breast, Mood Emotional-disturbance | LU07, LI04, ST36, SP06, KD03, KD04, LV03, GV20 | 56 days | doi:10.1186/1472-6882-11-49 | trial | Point selection reported in a published study. |
| Insomnia, Fatigue Cancer-related, Fatigue Post-treatment, Cancer Breast, Sleep Dysfunction | LI04, ST36, SP06, HT07, BL62, KD03, KD04 | 56 days | doi:10.1186/1472-6882-11-49 | trial | Point selection reported in a published study. |
| Memory Loss, Cognitive Impairment, Dementia Alzheimer | KD04, GV16, GV20, GV24 | 84 days | doi:10.1186/s13063-017-2052-y | trial | Point selection reported in a published study. |
| Insomnia, Sleep Disturbance, Insomnia Cancer-related | HT07, BL63, KD04, PC06, GV20 | 28 days | doi:10.1136/bmjopen-2017-016269 | trial | Point selection reported in a published study. |
| Memory Loss, Attention Deficit, Cognitive Impairment Chemotherapy-related, Cognitive Decline Cancer | ST36, KD03, KD04, GB39, GV20, GV24 | 56 days | doi:10.12659/MSM.909712 | trial | Point selection reported in a published study. |
| 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 | 5 days | doi:10.1016/s0254-6272(17)30006-7 | trial | Point selection reported in a published study. |
| Insomnia, Fatigue Cancer-related, Insomnia Cancer-related | HT07, BL63, KD04, PC06, GV20 | 28 days | doi:10.1186/s12906-022-03561-w | trial | Point selection reported in a published study. |
| 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 | 10 days | doi:10.3831/KPI.2013.16.009 | trial | Point selection reported in a published study. |
| 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 | 28 days | doi:10.1016/j.jaim.2024.101080 | trial | Point selection reported in a published study. |
| Dementia Vascular, Cognitive Impairment, Decreased Daily Living Ability | HT05, KD04 | – | doi:10.13460/j.issn.1005-0957.2022.12.1166 | trial | Point selection reported in a published study. |
| Insomnia, Insomnia Chronic | HT07, BL63, KD04, PC06, GV20, XH03 | – | doi:10.2147/NSS.S582813 | trial | Point selection reported in a published study. |
| Constipation, Yin Deficiency, Yin Deficiency, Constipation Functional | ST25, ST37, KD03, KD04, KD06 | 56 days | doi:10.13703/j.0255-2930.20241111-k0005 | trial | Point selection reported in a published study. |
| Insomnia, Insomnia Cancer-related | HT07, BL63, KD04, PC06, GV20, XH03 | 28 days | doi:10.1186/s12906-022-03561-w | trial | Point selection reported in a published study. |
| Fear | BL23, BL52, KD04 | 7 days | Deadman, Al-Khafaji & Baker, A Manual of Acupuncture – point group actions | text | Point selection recorded in a clinical text or case report. |
| Heart Yin Deficiency, Heart Yin Deficiency | ST27, ST45, HT06, HT07, BL14, BL15, KD04, XB02T4, XB02T5 | 7 days | Yang Yong-Xuan, clinical point-selection notes | text | Point selection recorded in a clinical text or case report. |
| Benefit Regulate Shen, Benefit Regulate Shen | ST27, SI19, BL03, BL08, BL10, KD04, KD09 | 7 days | Yang Yong-Xuan, clinical point-selection notes | text | Point selection recorded in a clinical text or case report. |
| Autism, Developmental Delay, Communication Impaired, Behavior Repetitive | KD03, KD04, TB15, LV04 | 90 days | ZHANG Jun. A Review of Autism Spectrum Disorders (ASD) from A Perspective of Classical Chinese Medicine (CCM). Journal of Traditional Chinese Medicine, 2010, 30(1): 53-58 | text | Point selection recorded in a clinical text or case report. |
| 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 | 20 days | 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 | text | Point selection recorded in a clinical text or case report. |
| Dementia, Memory Loss, Cognitive Decline | SP06, HT07, BL10, KD04, PC06, GB39, GV14, GV20, GV26 | 10 days | WANG Zhen-long. Acupuncture treatment of senile dementia. Journal of Traditional Chinese Medicine, 2009, 29(3): 224-236 | text | Point selection recorded in a clinical text or case report. |
| Dementia Senile | SP06, HT07, BL10, KD04, PC06, GB39, GV14, GV20, GV26 | 10 days | CHENG Hai-ying, CHENG Dong-qi. Progress in Research on Acupuncture Treatment of Senile Dementia. Journal of Traditional Chinese Medicine, 2009, 29(3): 224-233. | text | Point selection recorded in a clinical text or case report. |
| Dementia Senile | HT07, KD03, KD04, GB20, GB39, GV14, GV20, GV24 | 28 days | CHENG Hai-ying, CHENG Dong-qi. Progress in Research on Acupuncture Treatment of Senile Dementia. Journal of Traditional Chinese Medicine, 2009, 29(3): 224-233. | text | Point selection recorded in a clinical text or case report. |

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