Large Intestine meridian

LI-4 (Hégǔ, 合谷) — Union Valley

Meridian
Large Intestine (LI)
Anatomical view
anterior
Point classification
Yuan-source point of the Large Intestine channel. Command point for the face and mouth.
Depth reference
0.5–1 cun perpendicular
Moxibustion
Applicable, but avoid during pregnancy unless used by a suitably qualified clinician for a specific obstetric purpose.
Reference aliases
LI4; Hegu; 合谷; Union Valley

Anatomical location

On the back of the hand, beside the radial aspect of the midpoint of the second metacarpal bone.

Traditional actions

Releases exterior patterns; disperses wind; regulates the face and sensory openings; moves qi and relieves pain.

Recorded indications

Primary: Headache; toothache; facial pain; nasal obstruction; sore throat.

Secondary: Fever with chills; constipation; menstrual pain; delayed labour under specialist care.

How to read this reference

AcuAtlas separates anatomical location, traditional classification, recorded actions, indications, insertion-depth references, and moxibustion notes because these fields answer different study questions. The location statement is the orientation anchor. The classification and actions describe traditional reference categories, while indications summarize how checked educational sources associate the point with established teaching material. They are not a recommendation to select or stimulate the point.

Depth and moxibustion entries are reproduced as bounded reference notes rather than procedural instructions. Individual anatomy, technique, angle, clinical setting, and local professional standards can change what is appropriate. Review the cited documents and supervised training material before using any technical field. The normalized map coordinate is included only to place the point on the matching AcuAtlas body plate; it is not a substitute for palpation or anatomical assessment.

Sources

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

  1. WHO Standard Acupuncture Point Locations in the Western Pacific Region LI4
  2. Guidelines on Basic Training and Safety in Acupuncture
  3. Safety in Clinical Practice
  4. Safety Guidelines: Chinese Medicine and Acupuncture
  5. The Safety of Obstetric Acupuncture: Forbidden Points Revisited

Frequently asked questions

Where is LI-4 located?

On the back of the hand, beside the radial aspect of the midpoint of the second metacarpal bone.

What reference actions and indications are recorded for LI-4?

Releases exterior patterns; disperses wind; regulates the face and sensory openings; moves qi and relieves pain. The dataset lists these primary indications: Headache; toothache; facial pain; nasal obstruction; sore throat. Secondary indications are recorded as: Fever with chills; constipation; menstrual pain; delayed labour under specialist care.

Is LI-4 safe during pregnancy?

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.