# LV04 Zhongfeng (Mound Centre) – Liver Meridian

中封 · zhōng fēng

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.

Cautions: No specific contraindications.

Canonical page: https://acuiq.com/points/lv04

## Indications

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

Loss of Appetite, Loss of Appetite, Benefit Regulate Jiao Lower, Benefit Regulate Qi Liver, Complexion Green, Complexion Green, Counterflow Inversion Cold Feet, Counterflow Inversion Cold Feet, Qi Deficiency, Qi Deficiency, Shan Disorder, Shan Disorder, Shan Cold Disorder, Shan Cold Disorder, Dreaming, Dry Throat, Dry Throat, Defecation Problems, Defecation Problems, Urinary Problems, Urinary Problems, Fever Low Grade, Fever Low Grade, Goiter, Heaviness, Tendon Ligament Contraction Stiffness, Immobility Tendon / Ligament Contraction, Jaundice, Malaria, Numbness, Pain, Abdomen Post Prandial Pain, Abdomen Post-prandial Pain, Lower Back Pain, Lower Back Pain, Lower Abdominal Pain, Lower Abdominal Pain, Knee Medial Pain, Knee Medial Pain, Pain Around Navel, Pain Around Navel, Regulate Jiao Lower, Regulate Qi Liver, Urinary Retention, Urinary Retention, Retraction Genitals, Retraction Genitals, Seminal Emission, Sighing Excessive, Sighing Excessive, Liver Heat Stagnation, Liver Heat Stagnation, Abdomen Inferior Swelling, Abdomen Inferior Swelling, Ankle Malleolus Medial Swelling, Ankle Malleolus Medial Swelling, Deficiency Taxation Syndrome, Deficiency-taxation Syndrome, Urination Dysfunction Five Types, Urination Dysfunction Five Types, Painful Urination, Painful Urination

## Most often selected alongside LV04

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

- LU08 (Channels Ditch) – 8 protocols
- LV02 (Passing Between) – 8 protocols
- ST36 (Leg Three Miles) – 7 protocols
- GB34 (Yang Mound Spring) – 5 protocols
- CV04 (Original Qi Gate) – 4 protocols
- HT03 (Lesser Sea) – 4 protocols
- LI05 (Yang Stream) – 4 protocols
- SI05 (Yang Valley) – 4 protocols

## Protocols using LV04

| Symptoms | Points | Course | Source | Kind | Caveat |
|---|---|---|---|---|---|
| Knee Pain, Osteoarthritis Knee, Liver Deficiency | LU08, ST35, SP09, BL39, KD10, LV04, LV08 | 42 days | doi:10.1186/1745-6215-14-129 | trial | Point selection reported in a published study. |
| Carpal Tunnel Syndrome, Wrist Pain, Paresthesia Hand | SP06, LV04 | 1 days | doi:10.1155/2013/795906 | trial | Point selection reported in a published study. |
| Palpitations, Knee Pain, Tremor Hand, Tremor Essential, Tremor Jaw | LU08, HT03, LV02, LV04, CV17, CV23 | 29 days | doi:10.3831/KPI.2013.16.022 | trial | Point selection reported in a published study. |
| Tremor Hand, Tremor Essential, Tremor Jaw | LU08, HT03, LV02, LV04, CV17, CV23 | 18 days | doi:10.3831/KPI.2013.16.022 | trial | Point selection reported in a published study. |
| Headache, Nausea, Tremor Essential, Tremor Jaw | LU08, HT03, LV02, LV04, CV17, CV23 | 3 days | doi:10.3831/KPI.2013.16.022 | trial | Point selection reported in a published study. |
| Anxiety, Palpitations, Depression, Insomnia, Dyspepsia, Fatigue Post-covid | LU08, LU11, LI05, ST25, ST36, HT08, SI05, GB20, LV02, LV04, CV04 | 10 days | doi:10.1097/MD.0000000000039121 | trial | Point selection reported in a published study. |
| Anxiety, Tinnitus, Headache, Dysmenorrhea, Insomnia, Neck Pain, Premenstrual Syndrome, Eye Twitching | SI11, SI12, SI13, BL54, BL60, TB17, TB18, TB19, TB20, GB30, GB34, LV04 | 30 days | doi:10.12998/wjcc.v13.i21.103200 | trial | Point selection reported in a published study. |
| Dyspepsia Functional | LU08, LI01, SP05, SP09, BL66, KD10, GB43, GB44, LV04, LV08 | – | doi:10.3389/fmed.2025.1545687 | trial | Point selection reported in a published study. |
| Ankle Pain, Sprain Ankle | ST36, ST41, SP05, GB34, GB40, LV04 | 7 days | doi:10.3831/kpi.2005.8.2.011 | trial | Point selection reported in a published study. |
| Impotence, Erectile Dysfunction | LU10, SI05, KD02, LV02, LV03, LV04, GV04 | – | doi:10.13703/j.0255-2930.20200519-0008 | trial | Point selection reported in a published study. |
| Urolithiasis, Renal Colic Pain, Abdomen Left Pain | KD05, TB06, GB34, LV04, LV08 | 1 days | doi:10.13633/j.cnki.zjtcm.2023.05.034 | trial | Point selection reported in a published study. |
| Anxiety, Depression, Insomnia, Dyspepsia, Long Covid, Adjustment Disorder | LU08, LU11, LI05, ST25, ST36, HT08, SI05, GB20, LV02, LV04, CV04 | 28 days | doi:10.1097/MD.0000000000039121 | trial | Point selection reported in a published study. |
| Hypothyroidism | LI04, ST12, ST36, ST40, SP06, SP09, SP10, SI17, BL20, KD03, LV03, LV04, CV04, GV04 | 90 days | doi:10.51507/j.jams.2021.14.5.200 | trial | Point selection reported in a published study. |
| Fatigue, Anxiety, Depression, Adjustment Disorder | LU08, LU11, LI05, ST25, ST36, HT08, SI05, GB20, LV02, LV04, CV04 | 30 days | doi:10.1097/MD.0000000000039121 | trial | Point selection reported in a published study. |
| Headache, Tinnitus Chronic, Neck Pain | SI11, SI12, SI13, BL54, BL60, TB17, TB18, TB19, TB20, GB30, GB34, LV04, XB02C3, XB02C4, XB02C5, XB02T3, XB02T4, XB02T5 | 11 days | doi:10.12998/wjcc.v13.i21.103200 | trial | Point selection reported in a published study. |
| Autism, Developmental Delay, Communication Impaired, Behavior Repetitive | ST36, SP03, LV04, LV07, LV10, CV12 | 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. |
| 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. |
| 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 | 20 days | REN Xiao-ming. Fifty Cases of Parkinson's Disease Treated by Acupuncture Combined with Madopar. Journal of Traditional Chinese Medicine, 2008, 28(4): 255-257 | text | Point selection recorded in a clinical text or case report. |
| 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] | text | Point selection recorded in a clinical text or case report. |

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AcuiQ-authored prose (symptom and meridian descriptions, the wiki, the auricular crosswalk) is licensed CC-BY-4.0: https://creativecommons.org/licenses/by/4.0/. The assembled protocol compilation is not: build on it with attribution, but do not redistribute it whole as a dataset – https://acuiq.com/terms. The underlying findings are the cited sources' claims – each entry carries its citation; verify against the source before relying on it. Not medical advice: https://acuiq.com/terms