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KI-4 Large Goblet

大钟 〔大鐘〕 dà zhōng

Alternate names: 太钟 tài zhōng, Great Goblet

Channel: KI, foot lesser yīn (shào yīn) kidney channel

Modern location: An acupoint located on the medial aspect of the heel, in the angle formed by the anterior edge of the Achilles tendon (t. calcaneus) and the superior edge of the calcaneum.

Classical location: At the back of the heel, between the two sinews above the large bone. From The Great Compendium of Acupuncture and Moxibustion (针灸大成 zhēn jiǔ dà chéng)

Local anatomy: The medial calcaneal branch of the posterior tibial artery. The medial crural cutaneous nerve, on the course of the medial calcaneal ramus derived from the tibial nerve.

Action: Regulates the kidney and harmonizes the blood; supplements essence-spirit.

Modern indications: Dribbling urinary block; enuresis; constipation; coughing of blood; panting; feeble-mindedness; heel pain.

Classical indications: Urinary block; constipation; lumbar pain; feeble-mindedness; hypersomnia; abdominal fullness; susceptibility to fright or anger; heat in the mouth; vexation and oppression; bleeding from the root of the tongue; insufficiency of spirit qì; painful pharynx; malarial disease.

Needle stimulus: Needling: 0.3 cùn oblique or perpendicular insertion. Moxa: 3 cones; pole 5‒20 min.

Point groups: Network point (luò xué).

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