Classical / meridian acupuncture / Classical TCM / 14 meridians / classical points · Large Intestine channel
LI4合谷Hegu

Joining Valley

هِه‌گوHe Gu · هوگو · Hoku · Gokoku
free

Location

On the dorsum of the hand, radial to the midpoint of the second metacarpal bone.

Anatomy

First dorsal interosseous muscle; branches of the radial nerve.

How to find it

With the thumb and index finger adducted, the point is at the highest spot of the muscle bulge, pressed toward the second metacarpal.

Functions

Regulates wei qi, expels wind, releases the exterior, relieves pain, benefits the face and mouth, induces labour.

Peter Deadman (2007) A Manual of Acupuncture S3D — traditional/empirical

Indications

Headache, facial and tooth pain, common cold, sweating disorders, pain anywhere (general analgesic point).

Peter Deadman (2007) A Manual of Acupuncture S3D — traditional/empirical→ Headache

Toothache and facial pain

Peter Deadman (2007) A Manual of Acupuncture S3D — traditional/empirical→ Facial and dental pain

Chronic pain (general analgesia)

Contraindications & precautions

Critical Contraindicated in pregnancy (strong stimulation may induce labour).

Technique

Perpendicular 0.5–1 cun; strong de qi.

Related points · The same point in other schools

Anatomically near T22.05 Linggu — Linggu lies proximal to LI4 in the angle of the two metacarpals.

Anatomically near T22.04 Dabai — Dabai lies a short distance from LI4 against the second metacarpal; identity and use differ between the schools.

Functionally similar LR3 Great Rushing — The "Four Gates" combination: together they move qi and blood through the whole body.

Protocols using this point

Sources of this point