In chapter two of the Lingshu titled “The Roots of the Acupuncture Points” it discusses the 5 meridian shu points. It is very interesting to note that the classical acupuncturists of times past decided to mention in their description of zhongfeng liv 4 that ‘needling this acupuncture point in counterflow to the meridian causes stasis’ & ‘needling this acupuncture point in harmony with the meridian causes draining’. It is even more interesting to note that in this description zhongfeng liv 4 is the only acupuncture point where the actions of the point are stated. No other acupuncture point has a description of its action in chapter two of the Lingshu, they are only mentioned in terms of location and order.
Thus of the 12 meridians & 60 acupuncture points mentioned in chapter 2 (lingshu), zhongfeng liv4 is the only acupuncture point with its effect mentioned. This is extremely significant, not to mention that the effect described is that of ‘draining’ when needled in harmony with the meridian. Thus it is no surprise that based on Kiiko Matsumoto’s Clinical Strategies I utilise this acupuncture point in my clinic for the amelioration of pressure pain/tightness at the abdominal reflection of oketsu (blood stagnation).
Furthermore, as the metal point on the wood channel it will come as no surprise that this acupuncture point can be used to ‘cut’ stagnation, as a metal axe does to a tree (wood). Thus, we can see that the use of zhongfeng liv 4 for the release of oketsu (stagnation) is supported by chapter 2 (lingshu) as well as classical five element philosophy.
Yesterday I was treating an individual who had been experiencing among other signs and symptoms chronic neck pain as well as chronic heart burn. Medical history showed numerous operations in the last 15 years for a range of pathologies. Upon palpation pressure pain was elicited at various reflective areas of their abdomen as well as severe nausea & discomfort elicited when the stomach region was palpated. I began treatment by needling the exact point of zhongfeng liv 4 that best released the ‘oketsu’ reflective area from pressure pain. Upon re-palpating the abdomen pressure pain was significantly diminished on the stated oketsu reflective area & interestingly all other abdominal reflective areas too. Furthermore, upon re-palpation of the stomach region no discomfort or nausea was induced. This highlights the power and importance of liv 4 in releasing the concept of oketsu, as the beneficial flow of effects can be truly systemic and far reaching.
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Giancarlo Nerini – Licensed Acupuncturist