Large Intestine Meridian

Hegu LI4 : Nomenclature, Functions, Indications, Method

Hegu - LI4
Hegu – LI4


He: junction     gu: valley
This point lies between the first and second metacarpal bones. The location of the point is depressed as a valley.


This point is located on the dorsum of the hand, midway between the 1st and 2nd metacarpal bones, approximately in the middle of the 2nd metacarpal bone on the radial side.


Puncture perpendicularly 0.5-1.0 cun in the direction of the palm center.
If the disorder is in the thumb, puncture obliquely in the thumb.
Moxibustion is applicable.


This is one of the important and most commonly used point.This is the main point for diseases of the head, face and the five sense organs (deviate mouth and eye, conjunctival congestion, nosebleed, deafness), especially good for toothache.Also used for fever and aversion to cold with or without sweating; amenorrhea, delayed labor;paralysis of the forearm , facial paralysis, post stroke managemant,unable to move voluntarily, painful wrist and forearm.


Yuan-source point.


Prohibited in pregnancy.


Dr. Ishwar Gyawali is Consultant Acupuncturist and Ayurveda Physician from Kathmandu, Nepal. He had completed BAMS (Bachelor of Ayurveda Medicine and Surgery), a five and half year course on Ayurveda Medicine from Kirtipur Campus affiliated to Tribhuvan University ,Institute Of Medicine, Nepal under scholarship in 2011. He had completed his MD in TCM from Nanjing University Of Chinese Medicine in 2016 under scholarship of Ministry of Education, Nepal. With an experience of Serving for Government of Nepal for 2 years and private practise for more than 5 years, he has sound knowledge in Ayurveda as well as Chinese Medicine. He is a registered Doctor in NAMC (Nepal Ayurveda Medical Council ) both as a physician as well as TCM/Acupuncture Specialist.