Liver 4 (LV 4) Zhong Feng — Middle Seal

This is the Jing-River and Metal point of the Liver channel. It spreads Liver qi, clears the lower burner and benefits the genitals.

Liver 4 (LV 4) Zhong Feng 中封 — Middle Seal

Location

On the anterior aspect of the ankle, anterior to the medial malleolus, in the depression on the medial side of the tibialis anterior tendon.

Anatomy

Medial to the tibialis anterior tendon; the medial malleolar branches and the great saphenous vein; the medial branch of the superficial peroneal nerve and the saphenous nerve.

Actions & Functions

  • Spreads Liver qi and clears the lower burner
  • Benefits the genitals and treats hernia
  • Regulates urination

Indications

Hernia, genital pain and retracted testicles, difficult or painful urination, jaundice, and pain of the ankle.

Needling

0.3-0.5 cun, perpendicular insertion.

Moxibustion Suitability

Suitable for moxibustion.

Point Combinations

With LV-1 and REN-6 for hernia; with LV-3 to spread Liver qi.

Classical Text References

The Jing-River (Metal) point of the Liver.

Cautions & Contraindications

Avoid the great saphenous vein.

Latest Research

Latest peer-reviewed research on this point will be summarised here, with citations linked to PubMed, via our research integration.

About Attilio

Doctor of Chinese medicine, acupuncture expert and author of My Fertility Guide and My Pregnancy Guide.

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PubMed research

Traditional Chinese Medicine Improves Nutritional Status in Maintenance Haemodialysis Patients, Meta-Analysis Finds

Research summary (Traditional Chinese Medicine): Efficacy of traditional Chinese medicine in improving nutritional status among Chinese maintenance hemodialysis patients: a meta-analysis of - Frontiers in nutrition, 2026.