LV04 Zhongfeng (Mound Centre)

Location

Anterior to the medial malleolus midway between SP05 and ST41 in the depression on the medial side of the tendon of the tibialis anterior.

Categories

• Jing-River point of the Liver meridian

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

Indications

Conditions for which LV04 is listed as indicated. An indication list is a reference index, not a prescription – see the protocols below for sourced treatments.

TCM actions

What classical sources say LV04 does in the terms of Chinese medicine theory. These describe the point, not a condition.

Protocols using LV04

• Autism, Developmental Delay, Communication Impaired, Behavior Repetitive – ST36, SP03, LV04, LV07, LV10, CV12 (doi:10.1016/s0254-6272(10)60014-3 ↗)
• Autism, Developmental Delay, Communication Impaired, Behavior Repetitive – KD03, KD04, TB15, LV04 (doi:10.1016/s0254-6272(10)60014-3 ↗)
• Tremor, Parkinson's Disease, Motor Disorder, Bradykinesia, Rigidity Cogwheel, Balance Disturbance – LU05, LI05, LI11, LI15, ST41, SP09, HT03, SI06, SI09, BL36, BL40, KD03, PC02, PC03, PC07, TB02, TB04, TB14, GB30, GB34, LV04 (doi:10.1016/s0254-6272(09)60004-2 ↗)
• Carpal Tunnel Syndrome, Wrist Pain, Paresthesia Hand – SP06, LV04 (doi:10.1155/2013/795906 ↗)
• Palpitations, Knee Pain, Tremor Hand, Tremor Essential, Tremor Jaw – LU08, HT03, LV02, LV04, CV17, CV23 (doi:10.3831/KPI.2013.16.022 ↗)
• Tremor Hand, Tremor Essential, Tremor Jaw – LU08, HT03, LV02, LV04, CV17, CV23 (doi:10.3831/KPI.2013.16.022 ↗)
• Headache, Nausea, Tremor Essential, Tremor Jaw – LU08, HT03, LV02, LV04, CV17, CV23 (doi:10.3831/KPI.2013.16.022 ↗)
• Anxiety, Palpitations, Depression, Insomnia, Dyspepsia, Fatigue Post-covid – LU08, LU11, LI05, ST25, ST36, HT08, SI05, GB20, LV02, LV04, CV04 (doi:10.1097/MD.0000000000039121 ↗)
• Anxiety, Tinnitus, Headache, Dysmenorrhea, Insomnia, Neck Pain, Premenstrual Syndrome, Eye Twitching – SI11, SI12, SI13, BL54, BL60, TB17, TB18, TB19, TB20, GB30, GB34, LV04 (doi:10.12998/wjcc.v13.i21.103200 ↗)
• Dyspepsia Functional – LU08, LI01, SP05, SP09, BL66, KD10, GB43, GB44, LV04, LV08 (doi:10.3389/fmed.2025.1545687 ↗)
• Ankle Pain, Sprain Ankle – ST36, ST41, SP05, GB34, GB40, LV04 (doi:10.3831/kpi.2005.8.2.011 ↗)
• Impotence, Erectile Dysfunction – LU10, SI05, KD02, LV02, LV03, LV04, GV04 (doi:10.13703/j.0255-2930.20200519-0008 ↗)
• Urolithiasis, Renal Colic Pain, Abdomen Left Pain – KD05, TB06, GB34, LV04, LV08 (doi:10.13633/j.cnki.zjtcm.2023.05.034 ↗)
• Anxiety, Depression, Insomnia, Dyspepsia, Long Covid, Adjustment Disorder – LU08, LU11, LI05, ST25, ST36, HT08, SI05, GB20, LV02, LV04, CV04 (doi:10.1097/MD.0000000000039121 ↗)
• Hypothyroidism – LI04, ST12, ST36, ST40, SP06, SP09, SP10, SI17, BL20, KD03, LV03, LV04, CV04, GV04 (doi:10.51507/j.jams.2021.14.5.200 ↗)
• Fatigue, Anxiety, Depression, Adjustment Disorder – LU08, LU11, LI05, ST25, ST36, HT08, SI05, GB20, LV02, LV04, CV04 (doi:10.1097/MD.0000000000039121 ↗)
• Headache, Tinnitus Chronic, Neck Pain – SI11, SI12, SI13, BL54, BL60, TB17, TB18, TB19, TB20, GB30, GB34, LV04, XB02C3, XB02C4, XB02C5, XB02T3, XB02T4, XB02T5 (doi:10.12998/wjcc.v13.i21.103200 ↗)
• Tremor Essential – LU08, HT03, LV02, LV04, CV17, CV23 (doi:10.3831/KPI.2013.16.022 ↗)
• Neuropathy Peripheral – LU05, LI04, LI11, ST36, ST41, SP06, SP09, KD01, KD03, KD27, TB05, GB34, LV03, LV04, XL10A, XL10B, XL10C, XL10D, XL10E, XL10F, XL10G, XL10H (doi:10.1089/acu.2017.1242 ↗)
• Carpal Tunnel Syndrome – LU10, LI04, PC06, PC07, PC08, LV03, LV04 (doi:10.13703/j.0255-2930.2017.05.007 ↗)
• Ankle Pain, Sprain Ankle – ST41, SP05, BL62, KD06, GB40, LV04 (doi:10.13703/j.0255-2930.2018.06.004 ↗)
• Anxiety, Depression, Cancer Pain – LI04, SP06, HT07, PC06, LV04 (doi:10.1007/s00520-025-09754-6 ↗)
• Jaundice, Convulsions, Stroke, Edema, Abdominal Pain, Lumbar Pain, Bi Syndrome, Chest Bi, Hemorrhagic Disorders, Consumptive Disease – LI04, ST36, SP06, BL60, KD06, GB39, LV01, LV02, LV03, LV04, GV20 (王文琴张永臣贾红玲. 太冲穴古代文献应用分析. 针灸临床杂志 ., 2013 [CNKI])
• Ascites, Edema, Cirrhosis, Abdominal Bloating – ST36, SP06, BL18, BL20, BL23, BL28, LV04, CV03, CV06, CV09 (Chen Jirui, Nissi Wang (eds). Acupuncture Case Histories from China. Seattle: Eastland Press, 1988)
• Sequellae Poliomyelitis – ST31, ST32, ST36, ST41, ST44, BL23, BL36, BL43, BL54, KD01, GB30, GB31, GB40, LV03, LV04, XL10A, XL10B, XL10C, XL10D, XL10E, XL10F, XL10G, XL10H, XL25 (Henry C. Lu. Clinical Cases of Acupuncture)
• Dizziness, Headache, Vomiting, Hydrocephalus – BL10, PC06, GB12, GB20, LV03, LV04 (Zhang Dengbu. Acupuncture Cases from China: A Digest of Difficult and Complicated Case Histories. Edinburgh: Churchill Livingstone, 1994)
• Hernia, Testis Pain – ST29, SP06, BL18, BL23, LV01, LV03, LV04, LV08, CV04, GV20 (Zhu Bing, Wang Hongcai (eds). Case Studies from the Medical Records of Leading Chinese Acupuncture Experts. London: Singing Dragon, 2011)

Most often selected alongside LV04

How many sourced protocols in the index pair each point with LV04. Corpus frequency, not a combination to use.

• ST36Leg Three Miles10 protocols
• LV02Passing Between9 protocols
• LU08Channels Ditch8 protocols
• LV03Great Surge8 protocols
• SP06Three Yin Intersection7 protocols
• GB34Yang Mound Spring6 protocols
• CV04Original Qi Gate5 protocols
• HT03Lesser Sea5 protocols
• LI04Junction Valley5 protocols
• ST41Dividing Cleft5 protocols
• CV17Chest Centre4 protocols
• CV23Clean Spring4 protocols

Other points on the Liver Meridian