ACUPUNCTURE
Guan Yuan: TCM Acupoint Guide
Name
Guan Yuan (CV-4)
Location
On the midline of the lower abdomen, 3 cun inferior to the umbilicus and 2 cun superior to the pubic symphysis.
Needling
- Puncture perpendicularly 0.8 to 1.2 cun.
- Perpendicular insertion 0.5 to 1 cun, or oblique insertion directed inferiorly 1 to 1.5 cun.
- Slanted insertion, pointed downward, 1.5 to 2 cun. Sensation: local distention and soreness, sometimes extending to the genitals.
Caution: deep insertion may penetrate a full Bladder, which should therefore be emptied before treatment. Moxibustion is applicable.
Command functions
- Front-Mu point of the Small Intestine
- Intersecting point of the Liver, Spleen and Kidney channels on the REN channel
Actions
- Tonifies and nourishes the Kidneys, tonifies yuan qi and benefits jing
- Tonifies qi and blood, nourishes blood and yin, enriches yin
- Warms and fortifies the Spleen, warms Cold and warms the yang
- Stabilizes Kidney qi and raises middle qi
- Regulates the lower jiao and benefits the Bladder
- Regulates the Small Intestines and the water pathways
- Resolves Dampness and Damp-Heat, especially of the lower jiao
- Dries Dampness and Cold-Dampness
- Regulates menstruation and the uterus, and assists conception
- Drains pathogenic influences from the Heart and stabilizes the mind
- Roots the ethereal soul and stimulates the testes
- Restores collapsed yang or yin
Indications
Kidney and lower jiao deficiency
- Kidney deficiency and kidney taxation
- Kidney deficiency dyspnea and asthma due to Kidney deficiency
- Chronic consumptive disorders and deficiency consumption with cough
- Wasting and thirsting disorder, with emaciation despite much eating
- Lower jiao wasting and thirsting syndrome with frequent urination
- Weakness and lack of strength, and emaciation with lassitude
- Emaciation with constant thirst and thirst
- Weakness of the four limbs
- Weakness of the Spleen qi, with loose stool and undigested food in the stools
- Weakness of the lumbar region and legs
- Lumbar pain in the middle aged and elderly
- Pain of the bones and leg joints in the middle aged and elderly
- Tidal fever, tidal fever with hemoptysis and taxation heat
- Dizziness and vertigo due to qi and blood deficiency
- Neurasthenia, neurasthenic insomnia and forgetfulness
Urogenital and kidney disorders
- Chronic nephritis and nephritis
- Pyelonephritis and urinary tract infection
- Prostatitis
- Dysuria, difficulty urinating and urinary incontinence
- Retention of urine, and retention of urine due to fetal pressure
- Frequent urination and enuresis in the elderly
- Nocturnal emission, spermatorrhea and male sterility
- Impotence and frigidity
- Hematuria and chyluria
- Urolithiasis (stone lin) and the five types of painful urinary dysfunction (lin)
- Syrupy or qi-type painful urinary dysfunction
- Burning pain on urination
- Dark urine
- Edema that leads to pain in the lateral costal region
- Heaviness of the body like a mountain
Gynecology and men's health
- Irregular, prolonged and yin-deficient menstrual disorders
- Cold menstrual disorders
- Dysmenorrhea and amenorrhea
- Abnormal uterine bleeding and functional uterine bleeding
- Red and white leukorrhea
- Lochioschesis and persistent flow of lochia
- Postpartum hemorrhage and postpartum abdominal pain
- Bleeding during pregnancy
- Restless fetus disorder due to deficiency
- Infertility, and infertility with cold sensations in the vagina
- Uterine prolapse and uterine fibroids
- Inflamed testicles
- Prolapse of the rectum and stomach
- Running piglet qi in women, and running piglet qi rising to the Heart
Abdomen and digestion
- Lower abdominal pain and lower abdominal fullness
- Abdominal distention and pain
- Very swollen abdomen
- Cold accumulation with deficiency
- Cold qi entering the lower abdomen, giving rise to pain
- Twisting pain below the navel that gradually radiates to the genitals
- Intense heat in the hypogastrium, with heat sensation and pain there
- Diarrhea with tenesmus, dysenteric disorders and ceaseless diarrhea
- Fecal incontinence and incontinence of stool in the elderly
- Difficulty defecating
- Indigestion and belching
- White turbidity
- Sudden turmoil disorder
Mind, spirit and Wind
- Fear and fright
- A vague feeling of fear at night
- Fear leading to deficiency consumption
- Lethargy and generalized weakness
- Abandoned-type windstroke and abandoned-type coma
- Seizures
- Headache and wind dizziness
- Gradual darkening of the face
- Deep-rooted bone ulcers due to fear
Other
- Hypertension
- Collapsing syndrome with cold extremities, and shock
- Dyspnea with inability to lie down
- Pulmonary tuberculosis with chills and shortness of breath
- Roundworms in the intestinal tract
- Pelvioperitonitis
- Tremor of the hands
- Aversion to Cold in the back
- Withered ears
Combinations
| SP-1 Yinbai, SP-10 Xuehai, ST-36 Zusanli | Functional uterine bleeding |
| REN-2 Qugu (joined), ST-36 Zusanli, SP-6 Sanyinjiao | Spermatorrhea and impotence |
| SP-9 Yinlingquan, SP-6 Sanyinjiao | Urinary tract infection |
| LIV-1 Dadun | Moxa for unilateral distention of a testicle; moxa for abdominal fullness that radiates to the back |
| KI-1 Yongquan | Acute pain with inability to urinate |
| REN-6 Qihai, REN-8 Shenque | Moxa for collapse of yang |
| UB-12 Fengmen, UB-60 Kunlun, SJ-16 Tianyou, SJ-1 Guanchong | Wind dizziness and headache |
| DU-11 Shendao | Heat in the body with headache that comes and goes |
| LIV-14 Qimen, LU-11 Shaoshang | Distention of the lateral costal region |
| UB-40 Weizhong, KI-6 Zhaohai, KI-3 Taixi | Heat sensation and pain in the hypogastrium |
| REN-3 Zhongji, SP-6 Sanyinjiao, REN-5 Shimen, SP-10 Xuehai, LIV-14 Qimen | Running piglet qi in women |
| UB-54 Zhibian, REN-6 Qihai, UB-48 Yanggang | Red and hesitant urinary flow |
| REN-5 Shimen, REN-3 Zhongji, REN-2 Qugu, SP-6 Sanyinjiao | Inability to urinate |
| REN-6 Qihai, KI-3 Taixi, KI-10 Yingu, UB-23 Shenshu, UB-28 Pangguangshu | Dark urine |
| UB-25 Dachangshu | Fecal incontinence |
| KI-4 Dazhong, UB-33 Zhongliao, UB-56 Chengjin, LIV-3 Taichong, UB-57 Chengshan, KI-3 Taixi, REN-12 Zhongwan | Difficulty defecating |
| KI-3 Taixi | Ceaseless diarrhea and dysenteric disorder |
Notes
This point is a gateway to source (yuan) qi, and an extremely important point. It is one of the most powerful points to tonify qi and blood and strengthen the body and mind.
Sources and further reading
We cite classical materia medica and modern reference works. This article is health education, not medical advice.
- Shennong Bencao Jing (The Divine Farmer's Materia Medica), Han dynasty.
- Bencao Gangmu (Compendium of Materia Medica), Li Shizhen, 1578.
- Chinese Pharmacopoeia, current edition — identity, quality and safety monographs.
- NCCIH and WHO reference material on traditional medicine safety.
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