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LIV 4-Zhongfeng acupoint

LIV 4 – Chinese name: ZHONGFENG


1 cun anterior to the prominence of the medial malleolus, medial to the tendon of the tibialis anterior muscle.


Painful alterations in  the medial malleolus region. Diseases of the urogenital system. Venous insufficiency.


LIV 4, known as ZHONGFENG, is a pivotal acupuncture point on the liver meridian, instrumental in promoting the health and balance of liver Qi. This point is crucial for its role in harmonizing internal energies and addressing various physical and emotional imbalances. This article explores the intricacies of LIV 4, discussing its historical significance, health benefits, appropriate usage, and key considerations for stimulation.

History and Significance of LIV 4

LIV 4, or ZHONGFENG, has been an integral part of acupuncture therapy for centuries. Positioned on the liver meridian, it is primarily involved in maintaining the smooth flow of Qi and blood throughout the body. This point is traditionally utilized to harmonize the liver Qi, addressing issues related to the liver’s functionality and emotional disturbances.

The liver meridian’s connection with the wood element and its influence on the body’s detoxification processes and emotional regulation underscores the importance of ZHONGFENG. It serves as a critical point for balancing internal energies and ensuring the overall well-being of the body and mind.

Health Benefits of Stimulating LIV 4

Stimulating LIV 4 can provide a multitude of health benefits, focusing on liver health and emotional equilibrium:

  1. Liver Functionality: LIV 4 is instrumental in supporting liver health, aiding in conditions like liver stagnation or imbalance.
  2. Emotional Stability: The point is known for its capacity to soothe emotional distress, particularly irritability and mood swings associated with liver Qi disharmony.
  3. Musculoskeletal Relief: LIV 4 can be effective in addressing issues related to the muscles and tendons, especially in the lower body.
  4. Menstrual Comfort: Women may find relief from menstrual discomfort and related symptoms by stimulating LIV 4.
  5. Digestive Health: By harmonizing liver Qi, LIV 4 supports digestive health and can help alleviate symptoms like bloating and indigestion.

When to Use LIV 4

Understanding the appropriate scenarios for using LIV 4 is essential for effective treatment. This point is particularly beneficial in the following situations:

  • Liver Qi Stagnation: When symptoms of liver imbalance such as emotional distress or digestive discomfort appear, LIV 4 can be a vital point for treatment.
  • Menstrual Discomfort: Women facing menstrual irregularities or pain may find relief through LIV 4 stimulation.
  • Musculoskeletal Issues: For individuals experiencing muscle stiffness or tendon-related problems, especially in the lower extremities, LIV 4 can be beneficial.

When Not to Use LIV 4

While LIV 4 offers significant benefits, certain conditions warrant caution:

  • Pregnancy: Similar to other liver meridian points, pregnant women should avoid stimulating LIV 4 as it may lead to complications.
  • Severe Health Conditions: Individuals with severe or acute health conditions should consult with a healthcare professional before engaging in acupuncture treatment.

Do’s and Don’ts of LIV 4 Stimulation

To ensure the safe and effective stimulation of LIV 4, adhere to the following guidelines:


  • Consult a Professional: Always seek advice from a certified acupuncturist before stimulating LIV 4.
  • Be Gentle: Apply gentle pressure to activate the point without causing discomfort.
  • Integrate with Other Treatments: Consider using LIV 4 as part of a comprehensive treatment plan, in conjunction with other acupuncture points.


  • Don’t Self-Diagnose: Avoid using LIV 4 based solely on self-diagnosis. Accurate diagnosis and treatment planning by a professional are crucial.
  • Don’t Ignore Pain: If stimulating LIV 4 causes pain or discomfort, stop immediately and consult a professional.
  • Don’t Overstimulate: Adhere to the recommended duration and frequency of treatment to prevent adverse effects.

LIV 4 or ZHONGFENG is a potent acupuncture point with a rich history and a wide array of health benefits, particularly concerning liver functionality and emotional health. While it can be a powerful tool in maintaining balance and well-being, it’s essential to approach its use with caution, respecting the body’s limits and seeking professional guidance.

For further information and a more detailed understanding of LIV 4 – ZHONGFENG, reputable sources such as the National Center for Biotechnology Information and the American Academy of Acupuncture and Oriental Medicine can be consulted.

Meridian Points Commonly Paired with LIV 4

In acupuncture, the effectiveness of treating a specific point is often enhanced by addressing complementary points within the meridian system. LIV 4, due to its significant role in the liver meridian, is frequently paired with other points to amplify its benefits and address a broader spectrum of symptoms or health concerns.

LIV 3 (Taichong) – The Great Surge

LIV 3, located on the foot, is a key point for moving liver Qi and subduing liver Yang. It’s beneficial for treating stress, headaches, and menstrual discomfort. When used together with LIV 4, the duo can effectively address issues related to emotional distress and liver Qi stagnation.

SP 6 (Sanyinjiao) – Three Yin Intersection

SP 6, located on the inner leg above the ankle, is a versatile point used to address a wide array of issues, particularly those related to female reproductive health, digestive problems, and emotional well-being. Pairing LIV 4 with SP 6 can create a powerful synergy, especially in treatments focused on women’s health and emotional balance.

GB 34 (Yanglingquan) – Yang Mound Spring

GB 34, located on the leg, just below the knee, complements LIV 4 effectively. This point is part of the gallbladder meridian and is renowned for its ability to spread liver Qi and alleviate tension. When used with LIV 4, GB 34 can enhance the liver’s function, promote emotional release, and ensure the smooth flow of Qi throughout the body.

Pairing LIV 4 with complementary points like LIV 3, SP 6, and GB 34 allows practitioners to address a broader spectrum of issues, ensuring a more comprehensive approach to healing and well-being. As with any acupuncture treatment, it’s essential to seek the guidance of a qualified practitioner who can tailor the treatment to your specific needs and ensure the best possible outcomes.