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LR-6 Central Metropolis

中都 〔中都〕 zhōng dū

Alternate names: 大阴 dà yīn, Great Yin; 太阴 tài yīn, Supreme Yin; 中髎 zhōng xī, Central Cleft

Channel: LR, foot reverting yīn (jué yīn) liver channel

Modern location: An acupoint located on the medial aspect of the lower leg, 7 cùn superior to the tip of the medial malleolus, in a small groove or dishlike depression on the tibia.

Classical location: Seven cùn above the inner anklebone, at the midpoint of the shinbone, parallel to the lesser yīn (shào yīn). From The Great Compendium of Acupuncture and Moxibustion (针灸大成 zhēn jiǔ dà chéng)

Local anatomy: The great saphenous vein. The branch of the saphenous nerve.

Action: Frees the channels and network vessels; regulates qì and blood; relieves pain.

Modern indications: Mounting qì (shàn qì, inguinal hernia); flooding and spotting; abdominal pain; diarrhea; incessant flow of the lochia.

Classical indications: Profuse flooding and spotting; abdominal pain; persistent flow of lochia; cold in the lower leg; damp impediment (shī bì) with an inability to walk; fulminant pain of the genitalia.

Needle stimulus: Needling: 0.2‒0.5 cùn backward oblique insertion. Moxa: 5 cones; pole 5‒10 min.

Point groups: Cleft () point of the liver channel.

Point name meaning:

This point is the cleft () point of the liver channel, at which qì and blood gather just as people gather in a large metropolis (都 ). The character (zhōng), meaning center, is probably a reference to the point’s central location along the length of the shinbone, or to the fact that the point is found in the middle of a hollow. See acupoint names: origins, meanings, and translations.

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