KI4

Dazhong

Star

大鐘 (Dàzhōng) — Large Goblet

Kidney channel · point 4

Not yet clinically reviewed

Luo-Connecting point

Traditionally used for

  • Cough & breathing
  • Bowel health
  • Urinary & fluids

Location

On the medial side of the foot, posterior and inferior to the medial malleolus, above the calcaneus, in the depression anterior to the medial attachment of the Achilles tendon.

How to locate: From the most prominent point of the medial malleolus, move straight back to the Achilles tendon (KI3), then about 0.5 cun down. The point is in the depression in front of the tendon, just above its attachment to the calcaneus, slightly behind the midpoint between KI3 and KI5.

Distances are in cun, a proportional unit — how to measure.

Body map, front: KI4 · Heel
Fig. — KI4 · Heel After Albinus, 1747
Body map, front: KI4 · Heel

KI4 · Heel · Albinus, Tabulae sceleti et musculorum, 1747

Bones of the foot, dorsal — Gray's Anatomy plate
Bones of the foot, dorsal Gray's Anatomy, 1918
Bones of the foot, dorsal — Gray's Anatomy plate

Bones of the foot, dorsal · Gray's Anatomy, 1918

3D view

3D view not available for this point: its position can't be carried onto the 3D model reliably (it failed a placement check). The 2D maps above show it.

Needling

Cited needling

  1. Perpendicular-oblique insertion — directed anteriorly
    Depth 0.5–0.5 cun
    skindeeper

Depths describe average adult habitus in the cited population, never a single safe number for the patient in front of you. Palpate and adjust.

Sources (1)
  1. Deadman P, Al-Khafaji M, Baker K. A Manual of Acupuncture. Hove: Journal of Chinese Medicine Publications; 1998 — p. 342 Supports: techniques (names this point)

Site notes · not cited

Depth: 0.3–0.5 cun
Angle: Perpendicular

Functions

  • Strengthens the Kidney and cools deficiency heat
  • Firms Kidney qi so the Kidney grasps the qi, and supports the Lung
  • Fortifies the will and dispels fear
  • Descends rebellious qi
  • Regulates urination

Indications

Heel painasthma and shortness of breathretention of urine and enuresisconstipationtimidity, fearfulness and lack of resolvedementia

Balance Method partners

Under Dr. Tan's six systems, KI4 at the heel balances these channels at the regions its segment images.

  • 1. Same Chinese name
    Heart channel
    Wrist · Mirror (arm ↔ leg)
    Shoulder · Reversed mirror
    Front of neck, Nape of neck · Image, head at the hand/foot
    Lower abdomen, Sacrum · Image, head toward the elbow/knee
    Solve for the Heart channel →
  • 2. Branching (Bie Jing / Zang Fu Bie Tong)
    Triple Energiser channel
    Wrist · Mirror (arm ↔ leg)
    Shoulder · Reversed mirror
    Front of neck, Nape of neck · Image, head at the hand/foot
    Lower abdomen, Sacrum · Image, head toward the elbow/knee
    Solve for the Triple Energiser channel →
  • 3. Interior–exterior pair
    Bladder channel
    Ankle, Heel · Same segment, opposite side
    Front of neck, Nape of neck · Image, head at the hand/foot
    Lower abdomen, Sacrum · Image, head toward the elbow/knee
    Solve for the Bladder channel →
  • 4. Chinese clock opposite
    Large Intestine channel
    Wrist · Mirror (arm ↔ leg)
    Shoulder · Reversed mirror
    Front of neck, Nape of neck · Image, head at the hand/foot
    Lower abdomen, Sacrum · Image, head toward the elbow/knee
    Solve for the Large Intestine channel →
  • 5. Chinese clock neighbour
    Pericardium channel
    Wrist · Mirror (arm ↔ leg)
    Shoulder · Reversed mirror
    Front of neck, Nape of neck · Image, head at the hand/foot
    Lower abdomen, Sacrum · Image, head toward the elbow/knee
    Solve for the Pericardium channel →
  • 6. Same channel
    Kidney channel
    Ankle, Heel · Same segment, opposite side
    Front of neck, Nape of neck · Image, head at the hand/foot
    Lower abdomen, Sacrum · Image, head toward the elbow/knee
    Solve for the Kidney channel →

Clinical Notes

Classically indicated for the patient who is fearful and lacks the will to act — the Luo point of the Kidney addressing a Kidney-spirit disturbance.

Sources

  • World Health Organization. WHO Standard Acupuncture Point Locations in the Western Pacific Region. Manila: WHO Regional Office for the Western Pacific, 2008. (Location.)
  • Focks C, ed. Atlas of Acupuncture. Edinburgh: Churchill Livingstone Elsevier, 2008. (Locating method and actions.)

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