Large Intestine 4, He Gu
合谷, hé gǔ, "Union Valley"


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Pinyin Pronunciation:
Alternate Names:
NamePin YinChineseTranslated
Han Kouhán kǒu含口Holding Mouth
Hu Kouhǔ kǒu虎口Tiger's Mouth
Meridian
Meridian:
Large Intestine  Browse
Reference Source
Reference Source:
Location
Point Location:
  • CAM
On the dosum of the hand, between the 1st and 2nd metacarpal bones, approximately in the middle of the 2nd metacarpal bone on the radial side. Or, place in coincident position the transverse crease of the interphalageal joint of the thumb with the margin of the web between the thumb and the index finger of the other hand. The point is where the tip of the thumb touches.
  • Deadman
On the dorsum of the hand, between the first and second metacarpal bones, at the midpoint of the second metacarpal bone and close to its radial border.
How To Find It
Ask the patient to squeeze the thumb against the base of the index finger, and locate Hegu L.I.-4 at the highest point of the bulge of the muscle and approximately level with the end of the crease.
Innervation
Innervation:
The superficial ramus of the radial nerve.
Vasculature
Vasculature:
The venous network of the dorsum of the hand.
Cautions
Cautions:
Pregnancy
  • avoid use during Pregnancy
    •
Technique
Technique:
  • CAM
Puncture perpendicularly 0.5-1 inch.
  • Deadman
1. Perpendicular insertion 0.5 to 1 cun. 2. Oblique insertion directed proximally 1 to 1.5 cun.

Special Groups:
  • Face & Mouth Command Point
  • Yuan-Source Point - Large Intestine
  • Entry Point - Large Intestine

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