LR1

Liver Channel

Great Mound

大敦Dà Dūn

Anatomical location

On the big toe, 0.1 cun proximal to the lateral corner of the nail, at the junction of the dorsal and plantar skin.

Main function

Jing-Well point (Wood), regulates the Liver, calms Internal Wind, benefits the genitals and the uterus, restores consciousness.

  • Jing-Well point (Wood)
  • Exit Point

Therapeutic indications

  • Genital pain
  • dysmenorrhea
  • metrorrhagia
  • uterine prolapse
  • leukorrhea
  • epilepsy
  • headache
  • vertigo
  • Inguinal hernia
  • Testicular pain and retraction
  • Enuresis
  • Dysuria
  • Uterine bleeding

Name and classical tradition

Dadun (大敦) is the first point of the Liver channel, on the big toe. 大 is great; 敦, in this context, means thick, swollen, a mound. The accepted reading ties it to the fleshy swelling of the big toe where the point lies: the “great mound.” The character 敦 also has the sense of honest, sincere, and more abstract translations come from that, but the basis of the name appears to be anatomical.

The Lingshu (Spiritual Pivot), in the chapter Ben Shu (本輸), describes the five transport points of the channel in a single passage, which begins here: “肝出於大敦,大敦者,足大指之端及三毛之中也,為井木”. The Qi of the Liver emerges at Dadun, at the tip of the big toe, among the “three hairs”; it is the Jing-Well point, Wood in nature. The “three hairs” are the hair that grows over the joint of the toe, an anatomical reference very typical of the period. In this case, the Wood of the point matches that of the Liver itself.

The reference works record the alternative name 三毛, “three hairs,” which may be a real alias or simply the Lingshu's description turned into a name.

Location of point LR1, Great Mound
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View point on the 3D modelLR1 on the anatomy
Needling techniqueOblique insertion 0.1-0.2 cun proximally, or bleeding with a three-edged needle.
Depth0.1-0.2 cun
MoxibustionUse with caution (1-3 cones or 3-5 minutes)
PrecautionsPainful point. Avoid in late pregnancy.
Cover of the guide “Protocols for the 20 most common patterns”

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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 LR1 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.

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