Large Intestine 4 is one of the most important and influential acupoints in the entire body. The Chinese name for Large Intestine 4 is “He Gu” meaning union valley or converging valley. The point is located on the hand in the web between the thumb and index finger, also described as the depression where the index finger and thumb bones part. This area of the hand is often described as “valley like” hence the name converging valley.

The large intestine has many important functions in the body. Connected to the Western medicine function of the large intestine, it is vital in digestion and bowel regulation, but it also has many functions above and beyond that in Chinese medicine. The large intestine is associated with the emotions of sadness and grief, it can help build immunity as it works as a paired channel to the lung meridian and has a big effect on the flow of Qi and blood in the body.

Large Intestine 4 is a strong point for building the immune system and can be used for when someone has a cold or a virus like the flu. It can be used to treat febrile illnesses, rashes from wind or heat, allergic reactions causing rhinitis, as well as sore throat and difficulty swallowing. It is the command point of the face, nose, jaw and mouth and can be used to treat many problems associated with those. Toothaches and TMJ can be painful, but Large Intestine 4 can reduce the pain without even going near the affected areas. It is one of the main points for headaches and many people instinctively press it on their hand when they have a headache, without even realizing it is an acupuncture point. If someone has suffered a stroke, this point can help with paralysis and aid in recovery.

The large intestine has a great effect on the flow of qi and blood in the body and Large Intestine 4 is a very strong point to get everything moving. Pain, according to Chinese medicine, is often described as Qi and blood being stagnant or  “stuck” and Large Intestine 4 is critical to move this stagnation, especially when coupled with another point called Liver 3. Together, this pair of points is called The Four Gates and together they are a powerhouse in getting the Qi and blood circulated. They can effectively treat pain, depression, constipation, promote labor, expel retained placenta and help alleviate menstrual disorders caused by stagnation such as endometriosis.

Large Intestine 4 is contraindicated in pregnancy because it is so powerful and moving, but it can be effectively used to induce labor. Used in conjunction with another powerhouse acupuncture point Spleen 6, these two points are commonly used together to start labor, often with electroacupuncture to stimulate the points even more than needles alone.

Once labor has started, Large Intestine 4 can be used if labor is stalled or prolonged as well as used after childbirth to expel the placenta, decrease postpartum bleeding and decrease the time between childbirth and the discharge of the placenta.

Large Intestine 4 is an exceedingly influential point and one of the most commonly used points in acupuncture treatments. It can also be effective in treating a range of emotional issues such as depression, insomnia, stress, irritability and severe PMS. This point should not be underestimated and its alternative name of Tiger’s Mouth is barely descriptive of its strength in acupuncture treatments.

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We often say in Traditional Chinese Medicine that the liver is the system most easily susceptible to stress. Stress knots the Qi (energy) and makes its flow stagnate – this happens most quickly in the liver energy system. The liver, in TCM, is in charge of the smooth flow of Qi throughout the body. This means that if Qi flow is impaired (ie, by stress), the liver system will suffer. Likewise, if the liver energy system is weak or stagnant (from lifestyle choices, diet, trauma, emotional stress, illness or genetic factors), Qi flow throughout the body may be impaired.

Common symptoms of liver Qi stagnation include irritability, anger, tension headaches, migraines, trouble sleeping, PMS, irregular menstrual cycles and just a general stagnation of feeling stuck or blocked.

Chinese herbs can be a very useful treatment for moving stuck liver Qi and helping it to flow smoothly, to reduce these sorts of symptoms. Chinese herbs are safe and effective when prescribed by a licensed practitioner. To effectively treat liver Qi stagnation, other supportive energy systems must also be moved or nourished, depending on the person. For this reason, these herbs are almost never taken alone, but rather as part of a formula targeting liver Qi stagnation as well as the backdrop on which is occurs.

Chai Hu (Bupleurum): Chai Hu is one of the most commonly used herbs to regulate the liver Qi and treat Qi stagnation, so it can be used in formulas targeting depression, stress, tension headaches and menstrual pain. It also has a function of harmonizing the liver and the spleen energy systems, for treating indigestion, bloating and flank pain. It has a rising action, so needs to be used cautiously in patients with high blood pressure, but making it ideal for patients with sinking energy causing issues such as prolapse or hemorrhoids.

Xiang Fu (Cyperus Rhizome): Xiang Fu directly spreads and regulates liver Qi, for treating symptoms such as hypochondriac pain, menstrual pain, irregular periods, epigastric pain and stress. Xiang Fu moves the Qi but is said to “move the blood within the Qi,” meaning it can move stuck blood by moving the Qi, and that it is a powerful Qi mover. It is an excellent herb for gynecological issues stemming from liver Qi stagnation.

Bo He (Field Mint): Bo He is an herb for “releasing exterior heat,” which means fighting off acute infection with symptoms such as sore throat, fever, cough and headache. However, it has a secondary function of mildly soothing the liver Qi. As such, it can be a great supportive herb for liver Qi stagnation. It can therefore be used to treat menstrual issues, emotional issues, PMS, temporal headaches or pain along the sides of the body.

Yu Jin (Turmeric Tuber): Yu Jin is an herb used to move stuck blood. It is therefore frequently used in formulas to treat pain following traumatic injury to an area. However, it also has the function of moving liver Qi, so it can be added to formulas for symptoms such as chest and flank pain, muscle pain or menstrual pain.

Fo Shou (Finger Citron Fruit, “Buddha’s Hand”): Fo Shou is another herb that directly regulates the liver Qi, specifically for symptoms such as rib pain or belching. It also strengthens the digestive system through tonifying the spleen and stomach, as well as drying dampness and transforming phlegm to treat chronic wet coughs.

For the most effective and safe treatment, consult a practitioner of Traditional Chinese Medicine.  Safe home treatments for liver Qi stagnation include mint tea, turmeric tea and exercise.

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1. You’ve noticed an increase in headaches lately, and these headaches seem to feel worse when you aren’t active. Generally these headaches tend to manifest at the vertex of your head.

2. You might begin to feel constipated or bloated. Your bowel movements might become irregular, alternating between constipation and loose stools. Hard, difficult stools that appear pebbly are also a sign of liver imbalance.

3. Your friends or coworkers are scared of you, because you are cranky, cranky, cranky. When liver energy is out of balance you might feel agitated, irritated and generally out of sorts. Sometimes irritation can expand into outright anger more easily than it would if this energy was flowing smoothly.

4. Ladies, you may notice your PMS symptoms have been worse lately. Bloating, breast tenderness, sensitivity…you can blame all of the above on your liver. If your periods are more painful or clotted, this is also due to a stagnation of liver energy.

5. Your eyes are red, itchy or irritated.

6. Your shoulders, neck or jaw are uncomfortably tight. If the liver energy is out of balance, it can flow upward. This causes everything in your body to rise up: you might grind or clench your teeth, your shoulders will levitate up around your ears, and you might experience symptoms of TMJ.

7. Your allergies are in full force, complete with itchy, red, watery eyes.

If you are suffering from any of these issues, come see me for a spring acupuncture tune-up!

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