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2. 1.8 Liver meridian of foot-jueyin

2.1.8.1 Cyclical flowing and distribution
The liver meridian starts from the dorsal hairy region of the great toe. From there it begins to run upward along the dorsum of the foot. Passing through Zhongfeng (LR 4) and I cun in front of the medial malleolus, it ascends to an area 8 cun above the medial malleolus, where it runs across and behind the spleen meridian. Then it runs fur-ther upward to the medial side of the knees and along the medial aspect of the thigh to the pubic hair region. From there it curves around the external genitalia and goes up to the lower abdomen. It then runs upward and curves around the stomach to enter into the liver to which it per-tains to link with the gallbladder. From there it continues to ascend to pass through the diaphragm and branch out in the costal and hypochondriac region. Then it ascends along the posterior aspect of the throat to the nasopharynx and connects with the eye system. Running further up-ward, it emerges from the forehead and links with the governor vessel at the vertex.
The branch arising from the eye system runs down-ward into the cheek and curves around the inner surface of the lips.
The another branch arising from the liver passes through the diaphragm and runs into the lung to connect with the lung meridian. (see Fig. 43)




Fig.43 Flowing route of the liver meridian of foot-jueyin





Fig .44 Foot acupoints on the liver meridian of foot-jueyin

Associated viscera: Liver, gallbladder, lung and stomach.
Associated organs: Genitalia, throat, pharynx, eyes and mouth.

2.1.8.2 Indications
Liver disease, gynecological disease, genitalia disor-der and other diseases involving the areas through which the meridian flows.
2.1.8.3 Commonly used acupoints
2.1,8,3,1 Dadun (LR1)
Location. This acupoint is located on the lateral side of the dorsum of the terminal phalanx of the great toe and 0.1 cun to the nail margin (see Fig. 44).
Indications.. Apoplexy, coma, epilepsy, hernia, con-traction of genitalia, unsmooth urination, irregular men-struation, metrorrhagia and metrostaxis.
Note. Jing-Well acupoint of the liver meridian of foot-jueyin should not be moxibusted before or after labor.
2.1.8.3.2 Xingjian (LR2)
Location: This acupoint is located on the dorsum of the foot between the first and second toes, proximal to the margin of the web (see Fig. 44).
Indications: Headache, vertigo, redness and swelling pain of eyes, glaucoma, facial paralysis, hypochondriac pain, bitter taste in the mouth, jaundice, hernia, metro-rrhagia and metrostaxis, irregular menstruation, swelling and pain in the dorsum of foot and numbness of toes.
Note: Ying-Spring acupoint of the liver meridian of foot-jueyin.
2.1.8.3.3 Taichong (LR 3)
Location: This acupoint is located on the dorsum of foot, in the depression distal to the junction of the first and second metatarsal bones (see Fig. 44).
Indications: Headache, vertigo, redness and swelling pain of eyes, glaucoma, nearsightedness, facial paralysis, apoplexy, epilepsy, infantile convulsion, hernia, metro-rrhagia and metrostaxis, irregular menstruation, vomiting, hiccup, stomachache, severe lumbago and flaccidity and ob-struction syndromes of lower limbs.
Note: Shu-Stream acupoint and Yuan-Source acupoint of the liver meridian of foot-jueyin.
2.1.8.3.4 Zhongfeng (LR 4)
Location: This acupoint is located on the medial side of the medial malleolus, on the line joining Shangqiu (SP 5) and Jiexi (ST 41) and in the depression on the medial side of the tendon of m. tibialis anterior (see Fig. 44).
Indications. Hernia, seminal emission, dysuria, metro-rrhagia and metrostaxis, irregular menstruation, and jaundice.
Note: Jing-River acupoint of the liver meridian of foot-jueyin.
2.1.8.3.5 Ligou (LR 5)
Location: This acupoint is located on the medial side of the shank, 5 cun above the tip of the medial malleolus and on the medial aspect of the medial border of the tibia (see Fig. 45)



Fig.45 Lower limb acupoints on the liver meridian of foot-jueyin


Fig .46 Medial knee acupoints on the liver meridian of foot-jueyin

Indications: Irregular menstruation, prolapse of ute-rus, pudendal pruritus, hernia, unsmooth urination, se-vere lumbago and lower abdominal pain.
Note: Luo-Connecting acupoint of the liver meridian of foot-jueyin.
2.1.8.3.6 Zhongdu (LR6)
Location: This acupoint is located on the medial aspect of the shank, 7 cun above the tip of the medial malleolus and on the centre of the medial border of the tibia (see Fig. 45).
Indications: Hypochondriac pain, abdominal disten-sion and pain, metrorrhagia and metrostaxis, postpartum lochiorrhea and hernia.
Note: Xi-Cleft acupoint of the liver meridian of foot-jueyin.
2.1.8.3.7 Xiguan (LR7)
Location.. This acupoint is located on the medial aspect of the shank, posterior and inferior to the medial condyle of the tibia, 1 cun posterior to Yinlingquan (SP 9) and in the upper portion of the medial head of m. gastroc-nemius (see Fig. 45 and 46).
Indications: Swelling and pain of knee and flaccidity and obstruction syndromes of lower limbs.
2.1.8.3.8 Ququan (LR8)
Location: This acupoint is located on the medial side of the shank. When the knee is flexed, the acupoint is in the depression above the medial end of the transverse pop-liteal crease, posterior to the medial epicondyle of the femur, on the anterior part of the insertion of m. semi-membranosus and m. semitendinosus (see Fig. 46).
Indications: Irregular menstruation, dysmenorrhea, leukorrhea, seminal emission, unsmooth urination and swelling and pain of knee.
Note: He-Sea acupoint of the liver meridian of foot-jueyin.
2.1.8.3.9 Zhangmen (LR 13)
Location: This acupoint is located on the lateral side of the abdomen, below the free end of the eleventh float-ing rib. When the shoulder is put down and the elbow is flexed with the tip of the elbow against the hypochondria, the region touched by the elbow tip is the location of this acupoint. (see Fig. 47)

Fig .47 Hypochondrium and rib-side acupoints on the liver meridian of foot-jueyin

Indications. Abdominal pain, distension and mass, borborygmus, diarrhea, vomiting, hypochondriac pain and pain in the loins and spine.
Note. Front-Mu acupoint of the spleen; one of the eight confluent acupoint associating with the zang organs; crossing acupoint of the liver meridian and gallbladder me-ridian.
2.1.8.3.10 Qimen (LR 14)
Location. This acupoint is located on the chest, directly below the nipple, in the sixth intercostal space and 4 cun lateral to the front medium line (see Fig. 47).
Indications: Hypochondriac pain, bitter taste in the mouth, vomiting, hiccup and breast abscess.
Note.. Front-Mu acupoint of the liver and crossing acupoint of the liver meridian of foot-jueyin, spleen me-ridian of foot-taiyin and yin link vessel.


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