Location
On the dorsum of the hand between 1st & 2nd metacarpal bones approximately in the middle of the 2nd metacarpal bone on the radial side.
Categories
- Yuan-Source point of the Large Intestine meridian
The classical groups this point belongs to, from Deadman, Al-Khafaji & Baker, A Manual of Acupuncture.
Cautions
Traditionally forbidden in pregnancy – these are the points used to bring on labour at term. Controlled data show no excess of preterm birth or stillbirth (Carr 2015), but in pregnancy needle only on a clear obstetric indication.
Indications
Conditions for which LI04 is listed as indicated. An indication list is a reference index, not a prescription – see the protocols below for sourced treatments.
Protocols using LI04
The 50 best-sourced of 1555, ranked by strength of evidence. The count above is the full figure.
- Facial Paralysis, Facial Paralysis, Facial Paralysis, Facial Paralysis – LI04, LI20, ST02, ST04, ST06, ST07, SP06, SI18, TB05, TB17, GB14, LV03, XH18, XH29 (doi:10.1016/S0254-6272(09)60061-3 ↗)
- Analgesia Abdominal, Anesthesia General Adjunct, Anesthesia Requirement Reduction, Analgesia Upper-abdomen – LI04, ST34, ST36, SP06 (doi:10.1213/01.ANE.0000142114.72117.E0 ↗)
- Joint Pain, Stiffness Morning, Arthritis Rheumatoid Juvenile, Stiffness Joint – LI04, ST36, BL40, GB20, GV20 (doi:10.1093/ecam/nel012 ↗)
- Carpal Tunnel Syndrome, Neuropathic Pain – LI04 (doi:10.1016/j.pain.2006.12.003 ↗)
- Labor Pain, Anxiety Labor – LI04, SP06 (doi:10.1093/ecam/nel053 ↗)
- Knee Pain, Osteoarthritis Knee, Stiffness Knee – LU06, LI04, LI10, LI15, ST34, ST36, ST40, ST44, SP05, SP06, SP09, SP10, SI08, SI10, BL23, BL40, BL60, KD03, KD07, KD10, TB14, GB33, GB34, LV03, LV07, LV08 (doi:10.1186/1472-6882-4-6 ↗)
- Arthritis Rheumatoid, Joint Pain, Stiffness Morning, Joint Swelling – LI04, LI11, ST36, TB05, GB34, GB39 (doi:10.1186/1472-6882-7-35 ↗)
- Low Back Pain, Pelvic Girdle Pain, Sacroiliac Pain, Symphysis Pain, Pregnancy Second Trimester, Pregnancy Third Trimester – LI04, ST36, SP12, BL26, BL32, BL33, BL54, BL60, KD11, GB30, GV20 (doi:10.1186/1472-6882-8-34 ↗)
- Dysmenorrhea, Menstrual Pain, Pelvic Pain – LI04, ST25, ST29, ST30, ST36, SP04, HT07, BL62, KD03, PC06, LV03, CV04, CV06 (doi:10.1093/ecam/nem020 ↗)
- Surgical Pain, Anesthesia Minor-surgery – LI04, ST36 (doi:10.1093/ecam/nem056 ↗)
- Dental Pain, Anesthesia Teeth-extraction – LI03, LI04, LI20, ST02, ST04, ST05, ST06, ST07, SI18, CV24, GV26 (doi:10.1093/ecam/nem056 ↗)
- Fatigue, Dizziness, Palpitations, Headache, Insomnia, Night Sweats, Hot Flashes Menopausal, Diaphoresis, Depression Menopausal – LI04, LI11, SP06, KD07, GB20, CV04, GV14 (doi:10.1093/ecam/nep001 ↗)
- Fatigue, Pain, Joint Pain, Rash Cutaneous, Lupus Systemic – LI04, ST36, SP06, KD07, PC05, GB20, GV14 (doi:10.1177/0961203308093921 ↗)
- Vomiting, Nausea, Photophobia, Headache Migraine, Headache Unilateral, Phonophobia – LI04, ST44, SI03, BL60, PC06, TB05, TB20, GB08, GB13, GB20, GB34, GB40, LV03, GV20, GV24 (doi:10.1186/1745-6215-10-25 ↗)
- Pregnancy Post-term, Labor Induction – LI04, SP06, BL32, BL54 (doi:10.1080/14767050902906386 ↗)
- Allergic Rhinitis, Nasal Obstruction, Sneezing, Rhinitis Persistent, Rhinorrhea, Itching Nasal – LI04, LI20, ST02, ST36, GV23 (doi:10.1186/1745-6215-10-54 ↗)
- Knee Pain, Osteoarthritis Knee, Stiffness Knee – LI04, ST36, SP06, SP09, SP10, KD06, TB05, GB34, GB41, LV03, LV08 (doi:10.1186/1471-2474-10-130 ↗)
- Knee Weakness, Tremor Arm, Epigastric Pain, Fatigue Arm, Stiffness Shoulder, Anxiety Performance – LI04, LI10, LI11, LI14, ST36, HT07, TB05, GB21, GB34, GV26 (doi:10.1093/ecam/nep210 ↗)
- Neuralgia Trigeminal, Facial Trigeminal Pain – LI04, LI20, ST02, ST03, ST07, ST36, ST44, ST45, SI18, TB05, TB17, TB21, GB02, LV03, GV26 (doi:10.1590/S1807-59322009001200014 ↗)
- Heel Pain, Plantar Pain, Plantar Fasciitis, Heel Plantar Pain – LI04 (doi:10.1093/ecam/nep186 ↗)
- Osteoarthritis, Leg Pain, Hip Pain, Spinal Stenosis, Degenerative Disc Disease, Lumbar Spondylosis – LI04, ST36, GB31, LV03 (doi:10.2147/ijgm.s3670 ↗)
- Low Back Chronic Pain, Disc Degeneration, Radicular Pain – LI04 (doi:10.1016/j.jpain.2009.09.013 ↗)
- Labour Induction, Post-term Pregnancy – LI04, SP06, BL67, GV20 (doi:10.1111/j.1471-0528.2010.02647.x ↗)
- Taste Loss, Dysphagia, Xerostomia, Appetite Decreased – LI02, LI04, ST05, ST06, ST07, ST36, SP06, SP09, CV23, GV20, GV24 (doi:10.1177/1534735410378856 ↗)
- Stiffness Neck, Neck Chronic Pain, Disability Neck, Anxiety Pain-related – LI04, LI10, LI11 (doi:10.1155/2011/543291 ↗)
- Eye Pain, Dry Eye, Ocular Itching, Foreign Body Sensation, Burning, Dryness Eye, Visual Disturbance, Ocular Redness – LI04, LI11, ST01, BL02, TB23, GB14, GB20, GV23 (doi:10.1186/1745-6215-11-107 ↗)
- Paralysis Facial, Sequelae Bell's Palsy, Paresis Facial, Contracture Facial, Spasm Facial, Synkinesis Facial, Stiffness Facial – LI04, LI10, LI20, ST01, ST04, ST06, ST09, ST36, TB17, TB23, GB34 (doi:10.1186/1745-6215-12-71 ↗)
- Fatigue, Anxiety, Depression, Insomnia, Fibromyalgia, Widespread Pain – LI04, SP06, BL18, BL20, PC06, GB34, LV03 (doi:10.1186/1745-6215-12-59 ↗)
- Facial Pain, Neck Pain, Ear Pain, Paralysis Facial, Facial Weakness – LI04, ST04, ST06, ST07, SI18, TB17, GB14 (doi:10.1186/1745-6215-12-158 ↗)
- Fatigue Cancer-related, Fatigue Post-treatment, Cancer Breast – LI04, ST36, SP04, SP06, KD03, PC06 (doi:10.1186/1472-6882-11-49 ↗)
- Fatigue Cancer-related, Fatigue Post-treatment, Cancer Breast, 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, Cancer Breast, Sleep Dysfunction – LI04, ST36, SP06, HT07, BL62, KD03, KD04 (doi:10.1186/1472-6882-11-49 ↗)
- Fatigue Cancer-related, Fatigue Post-treatment, Cancer Breast, Myofascial Pain, Musculoskeletal Pain – LI04, ST36, SP06, SI03, BL62, KD03, TB05, GB20, GB29, GB30, GB40, GB43 (doi:10.1186/1472-6882-11-49 ↗)
- Hyperactivity, Inattention, Adhd, Impulsivity – LI04, LI11, SP06, LV03, GV20 (doi:10.1186/1745-6215-12-173 ↗)
- Cough, Asthma, Allergic Rhinitis, Nasal Obstruction, Sneezing, Dyspnea, Rhinorrhea, Rhinosinusitis – LU09, LU10, LI04, LI20, SP03, HT08, GV23 (doi:10.1093/ecam/nep240 ↗)
- Anxiety, Immune Nk Cell Deficiency – LI04, LI11, ST36, SP06, HT03, HT05, SI03, BL60, KD06, PC06, TB05, GB34, GB43, LV02, CV03, CV04, CV06, CV15, GV20 (doi:10.1093/ecam/nep236 ↗)
- Pain – LI04, ST36 (doi:10.1093/ecam/nep236 ↗)
- Dysmenorrhea, Menstrual Pain, Qi-blood Stagnation, Mood Changes – LI04, SP04, SP06, SP08, SP10, BL32, LV03, CV03, CV06 (doi:10.1093/ecam/nep239 ↗)
- Infant Colic, Crying Excessive, Fussing – LI04 (doi:10.1186/1472-6882-11-93 ↗)
- Hot Flashes, Vasomotor Symptoms, Menopause Perimenopause, Menopause Postmenopause – LI04, LI11, ST36, SP06, HT07, BL15, BL18, BL20, BL23, KD03, PC06, GB34, LV03, CV06, CV17, GV14, GV20 (doi:10.1097/gme.0b013e31821f9171 ↗)
- Neuropathy Peripheral, Burning Feet Pain, Tingling Feet, Feet Numbness, Paresthesia Lower Extremity – LI04, LI11, ST40, TB05 (doi:10.1155/2011/920807 ↗)
- Xerostomia, Dry Mouth Radiation-induced, Salivary Dysfunction – LI04, ST36, SP06, CV24 (doi:10.1002/cncr.27382 ↗)
- Back Low Pain, Acute Pain, Referred Pain – LI04, BL29, BL30, BL31, BL32, BL40, BL54, BL58, BL62, KD03, GB30, LV03, GV03, GV04 (doi:10.1186/1745-6215-12-241 ↗)
- Back Low Pain, Acute Pain, Referred Pain – LI04, BL23, BL25, BL40, BL52, BL54, BL58, BL62, KD03, GB30, LV03 (doi:10.1186/1745-6215-12-241 ↗)
- Ankle Pain, Sprain Ankle, Ankle Swelling – LI04, ST36, ST41, SP04, SP05, SP06, SP09, HT07, BL60, BL62, BL63, BL64, KD02, KD03, KD06, GB34, GB40, LV03 (doi:10.1186/1745-6215-12-241 ↗)
- Headache, Vomiting, Nausea, Migraine, Head Pain – LI04, ST08, ST36, ST40, ST44, SP06, BL02, BL10, BL11, BL60, PC06, TB05, GB02, GB08, GB14, GB34, GB41, LV02, LV03, GV18, GV23 (doi:10.1186/1745-6215-12-241 ↗)
- Addiction Opiate, Withdrawal Opiate, Craving Drug – LI04, ST36, SP06, PC06 (doi:10.1155/2012/739045 ↗)
- Headache, Myofascial Pain, Temporomandibular Joint Pain, Jaw Movement Restriction – LI04, ST06, ST36, TB05, TB17, TB21, GB02, GB34 (doi:10.4317/medoral.17567 ↗)
- Dry Eye Syndrome, Ocular Discomfort, Tear Film Instability – LI04, LI11, ST01, BL02, TB23, GB14, GB20, GV23 (doi:10.1371/journal.pone.0036638 ↗)
- Hemorrhage Nasal – LU03, LI04 (doi:10.1155/2012/268237 ↗)
Most often selected alongside LI04
How many sourced protocols in the index pair each point with LI04. Corpus frequency, not a combination to use.
- ST36Leg Three Miles736 protocols
- LV03Great Surge592 protocols
- SP06Three Yin Intersection539 protocols
- LI11Pond At The Bend412 protocols
- PC06Inner Gate405 protocols
- GV20100 Convergences382 protocols
- GB20Wind Pool246 protocols
- TB05Outer Gate243 protocols
- GB34Yang Mound Spring225 protocols
- KD03Great Stream154 protocols
- HT07Spirit Gate147 protocols
- CV04Original Qi Gate136 protocols
