LIV-13 Zhangmen - Chapter Gate
More Spirit Names: Camphorwood Gate, Elbow Gate, Order Gate
| English: | Completion Gate |
| Also Known As: | Chapter Gate Order Gate System's Door Stationary door Gate of Document Chongpien Zaoluo Camphorwood Gate |
Location
- At the tip of the free end of the eleventh rib.
- At the anterior end of the eleventh rib on the mid-axillary line.
- On the lateral side of the abdomen, below the free end of the eleventh rib.
- Directly anterior and inferior to the free end of the eleventh rib.
- When the arm is bent at the elbow and held against the side, the tip of the elbow roughly corresponds to the position of the point.
- To locate the free end of the eleventh rib, first place the entire hand on the upper abdomen and with gentle finger pressure palpate downwards along the costal margin until the end of the eleventh rib is located just above the level of the umbilicus.
- This point usually lies on or near the mid-axillary line which is drawn vertically down from the apex of the axilla (HT-1 Jiquan).
Needling
- Straight or slanted insertion, 0.8 to 1 cun. Sensation: distended feeling at the side of the abdomen, possibly extending to the posterior abdominal wall.
- Caution: The right lobe of the Liver is below this point on the right side of the body. Caution must be exercised to avoid needling too deeply. Deep below this point on the left side, is the lower end of the Spleen. Excessively deep insertion on this side must also be avoided, particularly in patients with enlarged Liver or Spleen.
- Puncture perpendicularly 0.5 to 0.8 cun.
- Transverse or oblique insertion medially or laterally (along the line of the rib) 0.5 to 1 cun.
- Moxibustion is applicable.
Command Functions
- Front-Mu point of the Spleen
- Influential point of the Yin organs
- Intersecting point of the Gallbladder channel on the Liver channel
- Origin point of the Dai Mai
Actions
- Harmonizes the Liver and Spleen
- Regulates and tonifies the Spleen (especially Qi)
- Promotes the Spleen's transforming and transporting functions
- Reduces digestive Stagnation
- Relieves Food Stagnation
- Regulates the Stomach
- Regulates the Middle and Lower Jiaos
- Transforms Dampness
- Transforms Damp-Heat
- Transforms Phlegm
- Warms Cold
- Regulates the Liver (Qi, Blood and Yin)
- Spreads Liver Qi
- Regulates Qi and Blood
- Invigorates the Blood
- Softens hard masses
Indications
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Combinations
Hepatosplenomegaly due to schistosomiasis | Chronic enteritis | Constipation |
UB-23 | UB-22 | |
Invasion by Cold Damp diarrhea containing undigested food | Borborygmus, abdominal distention and watery diarrhea | Vomiting |
| Or | UB-19 Or SP-4 | |
Constipation | Pain of the lateral costal region | Moxa for stone edema of the upper abdomen |
ST-30 | UB-32 | |
Running piglet Qi | Insomnia | Rigidity of the lumbar spine with inability to turn |
Contraindications
Notes
- This point is good to use if the mind is stuck, to initiate change or turn a chapter.
- This is a major point for Liver Qi Invades the Spleen (Liver/Spleen Disharmony).
Five Elements Spirit Perspective
| Spirit of the Point | Chapter Gate asks, 'Where am I going, and what am I doing?' It gives a clear vision of the next step of where a person is going, going from one chapter to another when they can't see where they're going next. For a stuck mind, this gate of quality starts change and turns a chapter. Picture the planner, the one who sows the seeds, seeing where we are going, seeing a way through and out of the darkness, and seeing the joy and the beauty to come: the seed as it grows and the harvest it may bring. Something new can emerge from it: a fresh start, beginning again. It closes the old and opens the new: a new step, a new chapter in life, a new transition. |
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| Worsley | Location: At the front tip of the 11th rib. |
| When to Consider |
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From Class
- LV-13 Zhangmen added to Dai Mai (Li Shizhen): Li Shizhen added LV-13 to the Dai Mai (originally GB-26–28) and KI-2 Rangu to the Yin Qiao; you can add to channels yourself from realization. (Yuen)
- LV-13 Zhangmen on the Dai (Li Shizhen's addition): Li Shizhen added LV-13 to the Dai, making it a prime way to affect the Liver–Spleen relationship in blood sugar/diabetes; LV-13 is hui point of the zang. (Rabinowitz)
- Du-20 + Ren-12 + KI-1 (acclimating to dry weather): 'Three treasures' variant (Du-20, Ren-12, KI-1) helps acclimate to dry climates so the body hydrates better; add LU-1 and LV-13 for external pathways. (Yuen)
- Dai Mai for diabetes: Opening the Dai reduces visceral fat and accesses the pancreas (LV-13, GB-26–28); Li Shizhen: moxa Ren-6, then GB-26, and Du-20 to raise yang. (Rabinowitz)
- Petitgrain or patchouli: Oil that resonates with LV-13 Zhangmen; apply a drop on the point. (Yuen)
- Earth School 'three triangles' for early diabetes: In the insulin-resistance/damp-phlegm stage: upper triangle clears heat; lower triangle (ST-36, Ren-12) broadly applicable; add SP-6, LV-13, GB-25, SP-13. (Rabinowitz)