KI4

Kidney Channel

Great Bell

大钟Dàzhōng

Anatomical location

0.5 cun posteroinferior to KI3, in the depression medial to the insertion of the Achilles tendon on the calcaneus.

Main function

Regulates Kidney Qi, strengthens the lumbar region, benefits the Lower Jiao, calms the Shen, and treats throat disorders.

  • Luo (Connecting) point
  • Crossing Point with the Bladder

Therapeutic indications

  • Low back pain
  • leg weakness
  • enuresis
  • urinary incontinence
  • dysuria
  • sore throat
  • loss of voice
  • anxiety
  • insomnia
  • urinary retention
  • constipation
  • heel pain
  • asthma
  • hemoptysis
  • memory impairment
  • fear
  • somnolence

Name and classical tradition

Dazhong, 大钟, is the “great bell.” 大 is great; 钟 (鍾) is the bell. Some also read it as 踵, the heel, which is pronounced the same and fits better with its location, next to the insertion of the Achilles tendon. The sources consulted don't develop the analysis further, and neither reading has an ancient author behind it.

As a Luo-Connecting point (絡穴), Dazhong does not appear in the Ben Shu chapter but in the Jing Mai (經脈) chapter of the Lingshu (Spiritual Pivot), the one that lists the collaterals: “足少陰之別,名曰大鍾,當踝後繞跟,別走太陽”. The collateral of the foot Shaoyin is called Dazhong; it lies behind the ankle, encircles the heel, and diverges toward the Taiyang. The phrase “繞跟,” encircles the heel, lends some support to reading 鍾 as 踵. Dazhong is the point that connects the Kidney channel with the Bladder channel, its paired channel.

Location of point KI4, Great Bell
CC BY-ND 4.0 (opens in a new tab)
View point on the 3D modelKI4 on the anatomy
Needling techniquePerpendicular insertion 0.3-0.5 cun. Moxibustion applicable with caution (indirect moxa, 3-5 minutes). Combine with throat points for loss of voice.
Depth0.3-0.5 cun
MoxibustionCan be used with caution (3-5 minutes, indirect moxa)
Cover of the guide “Protocols for the 20 most common patterns”

Free guide · PDF

Protocols for the 20 patterns you see most in practice

Each pattern with its tongue, its pulse, the treatment principle and the points to tonify and disperse. Made for the treatment table, not the bookshelf.

Do you use KI4 with your patients?

In the Clinic you record it in the patient's file, next to the tongue, the pulse and the measurements, so at the next session you know exactly what you used. The Atlas is built in.

See the Clinic