Acupressure

Acupressure Points for Headache

The points

LI-4 · Hégǔ Union Valley Avoid in pregnancy

Where it is: On the back of the hand, beside the radial aspect of the midpoint of the second metacarpal bone.

Traditionally referenced for: Headache; toothache; facial pain; nasal obstruction; sore throat.

Caution: Pregnancy: traditionally avoided except for a specific obstetric indication under qualified clinical care; current evidence does not establish that LI-4 reliably induces labour or miscarriage.

Where it is: Below the occipital bone, in the hollow between the upper attachments of sternocleidomastoid and trapezius, level with GV-16.

Traditionally referenced for: Occipital headache; dizziness or vertigo; stiff neck; eye or ear symptoms.

Caution: GB-20 has been involved in reports of subarachnoid haemorrhage, with excessively deep posterior-neck insertion suspected in serious injuries. Use only controlled, anatomy-specific direction and depth by a trained practitioner.

GV-20 · Bǎihuì Hundred Meetings

Where it is: At the vertex, 5 B-cun above the anterior hairline on the midline, at the midpoint of the line connecting the two auricular apices.

Traditionally referenced for: Reference uses include vertex headache, dizziness, poor concentration, insomnia, and prolapse patterns.

Where it is: On the dorsum of the foot between the first and second metatarsals, in the hollow just distal to their bases and over the dorsalis pedis artery.

Traditionally referenced for: Headache; dizziness; irritability; menstrual pain; hypochondriac discomfort.

Caution: LV-3 overlies the dorsalis pedis artery, which must be palpated and avoided. WHO also identifies LV-3 as a point that may provoke hypotension or fainting; first-time or vulnerable patients should be treated lying down with gentle stimulation and monitoring.

How to apply pressure

  1. Find the location described above. Most points sit in a small hollow, and the spot usually feels more tender than the tissue beside it.
  2. Press with the pad of the thumb or index finger, straight into the point, firmly enough to feel a dull ache — not sharp pain.
  3. Hold for 30 to 60 seconds, or use small circles at the same depth of pressure.
  4. Release slowly. Repeat on the other side of the body, since these points are bilateral unless they lie on the midline.
  5. Stop immediately if you feel sharp pain, numbness, tingling, or if the area is bruised, broken, swollen, or infected.

When to see a doctor instead

Acupressure is a self-care tradition, not a substitute for assessment. Seek medical care rather than pressing points if any of the following apply:

  • A sudden, severe headache that peaks within seconds
  • Headache with fever, stiff neck, rash, or confusion
  • Headache after a head injury
  • A new headache pattern after age 50, or one that wakes you from sleep

Frequently asked questions

Which acupressure points are used for headache?

LI-4 (Hégǔ), GB-20 (Fēngchí), GV-20 (Bǎihuì), LV-3 (Tàichōng). Each point below links to its full reference page with the anatomical location and cited sources.

How long should I hold each point?

A common approach is firm but comfortable thumb pressure for 30 to 60 seconds per point, repeated a few times. Stop if pressure causes sharp pain, numbness, or tingling.

Is acupressure the same as acupuncture?

No. Acupressure uses finger pressure on the same point locations; acupuncture inserts needles and requires qualified training. This page describes pressure only and is not needling instruction.

Can I use these points during pregnancy?

No — not without qualified supervision. This combination includes points traditionally avoided in pregnancy because they are associated with uterine activity. Ask a qualified practitioner or your midwife or doctor first.

Does acupressure replace medical care?

No. It is a self-care tradition, not a diagnosis or a treatment. Any symptom that is severe, persistent, or unusual for you needs medical assessment.

Sources

References displayed on this page were recorded with the point dataset.

  1. Acupuncture-related adverse events: a systematic review of the Chinese literature GB20 and deep posterior-neck needling in subarachnoid haemorrhage reports
  2. Acupuncture.com Acupuncture Point Reference Du 20: English name, classification, functions, indications and needling sections
  3. Acupuncture.Com Acupuncture Point Reference Gall Bladder 20: English translation, classification, indications, functions and needling
  4. Acupuncture.Com Acupuncture Point Reference Liver 3: English translation, classification, indications, functions and needling
  5. American Dragon Acupuncture Point Reference DU-20: English name, command functions, actions, indications and needling and moxibustion sections
  6. Chinese Medicine Council of New Zealand, Safety in Clinical Practice Guidance Moxibustion burn and hirsute-area precautions, pp. 19–20
  7. Council of Colleges of Acupuncture and Herbal Medicine, Clean Needle Technique Manual, 7th ed. Major vessel and direct/scarring moxibustion precautions, pp. 4–5 and Appendix C
  8. Guidelines on Basic Training and Safety in Acupuncture
  9. Safety Guidelines: Chinese Medicine and Acupuncture
  10. Safety in Clinical Practice
  11. Safety of different acupuncture manipulations for posterior circulation ischemia with vertigo GB20 safety discussion and needling method
  12. The Safety of Obstetric Acupuncture: Forbidden Points Revisited
  13. WHO Guidelines on Basic Training and Safety in Acupuncture Section II, 3.3, 3.9 and 5.2: LR3 fainting, direct moxa over vessels and circulatory precautions, pp. 21, 23, 25
  14. WHO Standard Acupuncture Point Locations in the Western Pacific Region LR3, p. 197
  15. WHO Standard Acupuncture Point Locations in the Western Pacific Region (2008) GV20, p. 213