LR-4 - Middle Seal

中封 - Zhōng fēng

Point Region: Ankle

LR

Liver Meridian

足厥阴肝经 - Zú Juéyīn Gān Jīng

Location & How to Find

Anatomical Location: At the front and inner side of the ankle, in the hollow just inside the tibialis anterior tendon (the strong tendon at the front of the ankle), in front of the inner ankle bone. It lies midway between SP-5 and ST-41.

How to Locate:

  1. Pull your toes up so the strong tendon at the front of the ankle stands out
  2. Find the inner ankle bone
  3. The point is in the hollow between the front of the inner ankle bone and that tendon
LR-4 (Middle Seal) acupressure point location: At the front and inner side of the ankle, in the hollow just inside the tibialis anterior tendon (the strong tendon at the front of the ankle), in front of the inner ankle bone.

How to Apply Pressure

After identifying LR-4, relax your foot and rest a fingertip in the hollow with gentle, comfortable pressure rather than pushing against the ankle tendon. Avoid it after recent ankle surgery, a severe ankle injury, or an acute sprain.

Traditional Indications

In TCM, this point is traditionally used for:

  • Genital pain
  • Ankle swelling
  • Urinary problems
  • Reproductive issues
  • Ankle pain
  • Groin pain

Select a point to see its location, how to find it, and its traditional uses.

Important Precautions

Avoid this point with:

  • Recent ankle surgery
  • Severe ankle injury
  • Acute ankle sprain