Points Database

Location Guides:

: Ligou : Woodworm Canal

Liv-5 : Foot Jueyin Liver 5

Classifications:
Luo-Connecting point
Opening point of the Liver Divergent channel (Cecil-Sterman, 2012, Advanced Acupuncture)

Meetings:
Meeting of Liver with Liver Divergent

Location:
5 cun above the prominence of the medial malleolus, immediately posterior to the medial crest of the tibia, in the depression between the medial crest of the tibia and the gastrocnemius muscle.

Needling:
Perpendicular insertion 0.5 - 1 cun, or oblique insertion directed proximally towards the abdomen 1 - 2 cun.

TCM Actions:
Spreads the liver, regulates qi and benefits the genitals
Clears dampness and heat from the lower jiao
Regualates menstruation
Treats plumstone qi

TCM Indications:
  • Itching, swelling and pain of the genitals, sudden itching of the genitals, sudden swelling and pain of the testicles, incessant erection, shan disorder, cold shan disorder, distension and fullness of the lower abdomen, qi accumulation below the umbilicus like a stone.
  • Difficult urination, retention of urine.
  • Dysmenorrhoea, irregular menstruation, red and white leucorrhoea, prolapse of the uterus.
  • Plumstone qi (globus hystericus), depression, much belching, fright palpitations, fear and fright, worry and oppression.
  • Inflexibility of the back with inability to turn, lumbar pain, cold and pain of the feet and lower leg.

    Neuroanatomy:
    Superficial Innervation: Saphenous nerve (L3 - L4)
    Dermatome Segment: L4

    Notes:
    Mainly used for treating diseases of the genitals such as itching, burning and abnormal erection as well as depression associated with the menstrual cycle. It is thought to be especially effective if the deqi sensation travels as far up the leg as possible, even reaching the genitals themselves.

    Ling Shu Ch. 10, On Channels, describes the diseases relating to the Luo emanating from this point as:
    Repletion: Swollen testicles and persistent erection or arousal
    Depletion: A violent itch
    (Unschuld, 2016).

    Ling Shu Ch. 19, On the Four Seasonal Qi, advises using the channels and Luo vessels for diseases which occur in spring. They are pierced deeply if severe and more shallow if mild. For the other seasons:
    - in summer choose the Yang channels and Luo located in the partings between the skin and flesh
    - in autumn choose the Shu-Stream points unless the disease in the Fu organs, then use the He-Sea points
    - in winter choose Jing-Well and Ying-Spring opening and retain the needle.

    Later in this chapter it suggests using these Luo vessels if they are knotted with blood along with the big Luo of the Taiyang (Feiyang Bl-58) when the lower abdomen is swollen and there is difficulty urinating. If it reaches the stomach then Zusanli St-36 is added.

    Ling Shu Ch. 21, On Cold and Heat Diseases, repeats the advice to use Luo in spring but and adds that they can also treat diseases of the skin. For the other seasons it differs slightly from Ch. 19:
    - in summer choose the partings in skin structures which also treat the muscle and flesh
    - in autumn Taiyuan Lu-9 is chosen and can treat the sinews and vessels (this may also apply to other Shu-Stream points for this purpose, text is unclear)
    - in winter one chooses the main channel points which also treat the bones and marrow.

    In Tibetan medicine:
    Moxa point slightly anterior, on the shaft of the tibia (AMNH, Tibetan Medical Paintings)


    Reference Notes: (click to display)