Sundance Acupuncture

Herb & Acupuncture Database

(This is my own personal database of teachers, teachings and notes that I use in my practice. I’ve decided to share it freely with anyone who would like to reference it.)

KI-4 Dazhong - Great Bell

More Spirit Names: Large Goblet, Great Goblet, Great Cup

English: Great Bell
Also Known As: Great Cup
Big Bell Clock
Big Goblet
Big Bell
Large Bell

Location

  • Posterior and inferior to the medial malleolus, in the depressionanterior to the medial side of the attachment of the achilles tendon.
  • 0.5 cun below and slightly posterior to KI-3 Taixi, between the medial margin of the calcaneus tendon and the calcaneus bone.
  • 0.5 cun directly inferior to KI-3 Taixi, on the medial bordewr of the tendocalcaneus.
  • Approximately 0.5 cun posterior to the midpoint of the line drawn between KI-3 Taixi and KI-5 Shuiquan on the anterior border of the Achilles tendon.
    Note: first locate KI-5 Shuiquan, 1 cun directly inferior to KI-3 Taixi, then locate KI-4 Dazhong halfway between and 0.5 cun posterior between these two points.

Needling

  • Puncture perpendicularly, 0.3 to 0.5 cun.
  • Moxibustion is applicable.
  • Slanted insertion, 0.3 to 0.5 cun.

Command Functions

  • Luo-Connecting point

Actions

  • Straightens the back
  • Lifts the spirit
  • Reinforces the Kidneys
  • Anchors the Qi
  • Benefits the Lungs
  • Strengthens the Will
  • Dispels fear

Indications

  • Spitting Blood
  • Asthma
  • Stiffness and pain of the lower back
  • Constipation
  • Heel pain
  • Dementia and swelling
  • Blurred vision
  • Myopia
  • Hazy vision
  • Lack of mental and physical stability
  • Very heavy depression before the period
  • Anxiety
  • Desperate fear
  • Frustration
  • Hostility
  • Malaria
  • Neurasthenia
  • Hysteria
  • Soreness in the pharynx
  • Mania
  • Hysteria with sudden laughing and crying
  • Disorientation and depression
  • Aversion to Cold
  • Hemoptysis
  • Wheezing
  • Rattling sound in the throat
  • Shortness of breath
  • Distention and oppression of the chest and abdomen
  • Mental retardation
  • Fear and unhappiness
  • Desore to close the door and remain at home
  • Malaria with much Cold and little Heat
  • Vomiting
  • Oppression of the chest
  • Suffocation
  • Swelling
  • Pain of the vertebral column and lumbar region
  • Dyspnea
  • Stiffness in the back
  • Hypersomnia
  • Heat sensation of the mouth
  • Dysphagia
  • Loss of desire to see other people
  • Dry tongue
  • Shivering
  • Fright
  • Cough
  • Nervousness
  • Urinary retention
  • Chronic fatigue
  • Hemoptysis
  • Dry mouth
  • Abdominal distention
  • Dysuria
  • Painful defecation
  • Painful throat with difficulty swalling
  • Palpitations
  • Agitation of the Heart with fullness and vomiting
  • Agitation
  • Propensity to anger
  • Fright
  • Constipation with a distended abdomen
  • Difficult urination
  • Dribbling urine
  • Irregular menstruation

Combinations

HT-9
Shaochong

PC-4
Ximen

HT-5
Tongli

Heat in the mouth

Fright

Fear of people

Spirit Qi insufficient

Weary speech

Somnolence

KI-3
Taixi
LI-13
Shouwuli
KI-6
Zhaohai
LI-2
Erjian

KI-3
Taixi

KI-18
Shiguan

Or

UB-33
Zhongliao
REN-4
Guanyuan

UB-56
Chengjin
LIV-3
Taichong
UB-57
Chengshan

KI-3
Taixi
REN-12
Zhongwan

Somnolence

Agitation of the Heart with fullness and vomiting

Difficulty defecating

Contraindications

  • This point is forbidden after the second month of pregnancy.

Notes

  • This is called the "smiling sympathy" point.
  • It is important for sight.
  • This point helps relieve the psychological blockage of someone who does not want to see.
  • This point regulates and reinforces the relationship between the Kidneys and the Lungs.
  • It has a strong effect on stabilizing the emotions.
  • Kidney Luo vessel: Starts at KI-4 behind the medial malleolus. Circles the heel and goes inside to link with the UB channel. Symptoms of the Kidney Luo: Urinary retention, lumbago, mental restlessness and a stifling sensation in the chest.

Five Elements Spirit Perspective

Spirit of the Point

Zhong is a metal container holding something, and the bell that holds the potency of sound; Da is large or great. It is often translated as Great Goblet. The Great Bell rings like an alarm point: it turns tender when something is wrong, and this point is how you answer the patient's call of distress. It lifts the spirits. When a person stays at home and makes no connections, it lets them to move outward. Think of the clarity of a bell versus muckiness. It can act like a sledgehammer, knocking down walls the patient has built for themselves, and it brings clarity and a call to unity. A vessel of resonance: once cleared of clutter it rings out crystal clear. When the water is calm and clear, it reflects one's true self and reality accurately. It can bring inner quiet, rest and recharging, and may lead a person into a deep, dark meditative place.

Worsley

Pools our core identity.

  • Not to be needled from the 3rd month of pregnancy onward

Location: On the inner ankle, over the posterior tibial artery, behind the medial malleolus prominence and 1 ACI below KI-3.
Needle depth: 3 fen
Moxa: 3-7 cones

When to Consider
  • With fright: allows a person to calm down and collect themselves
  • For mania, hysteria and insomnia
  • When a person is at home and does not make connections, to allow them to move out
  • To remove a psychological block in someone unwilling to see
  • When the point is tender and the patient's distress call needs acknowledging
  • When the spirits need lifting from exhaustion and depression
  • For fear of being watched
  • When Water is erratic and choppy, unevenly distributed, too saturated or very dry, and there is a lack of physical and mental stability
  • When the Water element is divided, bringing nervousness, insecurity, desperate fear ("What do I do?"), frustration and hostility
  • For a woman who sinks into a very heavy depression a few days before her period
Notes
  • Junction (Luo) point with the Bladder
  • All the points have a different quality; this one may be liked better than the Kidney Source point
  • Balances the Kidney and Bladder
  • As the Junction point, its image of a large goblet recalls the storing work of both the Kidney, which stores Essence, and its partner the Bladder, which holds fluids until they are released

From Class

  • KI-4 Dazhong: Bled at the luo point where veins are occluded near the inner ankle, for anemia with heat in the blood. (Yuen)
  • KI-4 Dazhong (Great Bell): Rings through the spirit when heartbreak, fear or neglect made us forget who we are — 'wake up'; Heart, Lungs and Kidneys speak again. (Lewis)
  • PC-6 Neiguan: Luo point used going from liver to heart, in heat-in-blood anemia. (Yuen)
  • LV-5 Ligou: Luo point bled for heat damaging liver blood in anemia. (Yuen)
  • Diaphragm stasis: Ren-14 + Ren-4 dispersed, LI-6 bled; or SP-17 + KI-4 bled: For CHF/exertional breathlessness (lung qi failing to move blood); LI is yang of the lungs controlling the diaphragm; broken vessels at KI-4 mean jing-level stasis. (Gioioso)

For educational reference only; not a substitute for care from a qualified practitioner.