Acupoint · LU-7

Lieque

列缺 liè quē also known as Tongxuan (童玄), Wanlao (腕劳), Broken Sequence, Narrow Defile, Lieh Ch'üeh (Wade-Giles)

4Actions
4Classical
Lung Meridian (Hand Taiyin)forearm and wristDescends and diffuses the Lung QiExpels Wind from the ExteriorOpens the Directing Vessel

What Lieque does

Lieque is treated here as a practical point rather than a curiosity: where it sits, how it is needled, what the tradition says it does, and the skin conditions in this database that name it.

Actions

  • Descends and diffuses the Lung Qi
  • Expels Wind from the Exterior
  • Opens the Directing Vessel
  • Opens water passages and benefits the Bladder

Location

One and a half cun measured from the landmark shown in the diagram and the location text, above the styloid process of the radius, about 1.

How to find it

Find the bony landmark first, then feel for the hollow or tender spot the location describes. The point is usually sensitive when pressed. Cross the index fingers and thumbs of both hands so one index finger rests on the styloid process of the radius of the other wrist; the point sits in the depression directly under the tip of that finger, so the hand itself acts as the measuring tool.

Deqi

De qi at this point is felt as local distension, heaviness or aching, and may travel a short way along the channel.

A cun is a proportional body measurement, not a fixed length: one cun is about the width of the thumb at the knuckle, 1.5 cun about two finger widths, and 3 cun about the width of four fingers. On an average adult one cun is roughly one inch, but it scales with the person, which is why the texts measure in cun rather than centimetres.


Technique

Needling

Angle: 45 degrees, oblique Depth: Standard depth half a to half a cun. Direction: Needle in the direction the location describes.

Moxibustion

Moxibustion is used where the pattern is cold or deficient, in short sessions.


Skin uses

Lieque is the Luo-connecting point of the Lung channel, recorded to descend and diffuse Lung Qi, expel Wind from the exterior and open the Directing vessel. The Lung channel and the exterior are traditionally paired, so the recorded action of releasing the surface is the basis for an indirect skin reading where a superficial, Wind-led picture is described. The point lies above the styloid process of the radius, and its classical indications are largely respiratory and febrile. Because no skin-specific classical indication is recorded for the point, the connection above is an indirect rationale, not trial evidence.

No skin-specific classical indication is recorded for this point. The rationale above is an indirect, traditional reading of the point, not a promise of benefit.


Point classifications

ClassificationValue
Classical groupsLuo-Connecting Point Ma Dan Yang Heavenly Star Exit Point

Classical record

The Hand Taiyin diverges at Lieque, going to Yangming. It separates at 1.5 cun above the wrist.

Classical citation for this point.

Febrile disease starting with spasms of the arm, lips contracting, nose flaring, eyes rolling upward, sweating like rolling pearls, hardness 2 cun below the breasts, fullness of the ribs, palpitations - Lieque governs these.

Classical citation for this point.

Febrile disease starting with spasms of the arm, lips contracting, nose flaring, eyes rolling upward, sweating like rolling pearls, hardness two cun below the breasts, fullness of the ribs and palpitations: Lieque governs these.

Zhen Jiu Jia Yi Jing (Systematic Classic of Acupuncture)

For the head and neck, seek Lieque.

Si Zong Xue Ge (Song of the Four Command Points)

Safety

Who should treat this point

Acupuncture and moxibustion are practitioner procedures. This page is educational and is not a guide to self-treatment.

Caution

No special hazard is recorded for this point; use standard care for the region and adjust depth to the patient.

Deficiency and constitution

In a depleted patient the point is worked gently and briefly.

Before treatment

Educational reference only. Skin that is spreading, painful, blistering or accompanied by fever needs medical assessment.


Modern evidence and safety

Traditional use

General references for acupuncture safety and skin evidence. They are not specific to this point, and they are not a claim that needling it treats any condition.

Evidence note

No controlled trial of this treatment in skin conditions was identified for this entry. What is described here rests on the classical and later materia medica record and on traditional clinical use, not on controlled trial evidence, and it is not a prediction of benefit. Where skin-specific research does exist it is linked above.

Common questions

What does Lieque do in skin practice?

It is used where the skin picture includes the conditions it is used with, always as part of a combination chosen for the pattern.

How is it needled?

45° (Oblique) / 10-15° (Transverse). Standard depth 0.3 - 0.5 cun. De qi: Soreness and distension locally at the wrist. Sensation often radiates proximally toward the elbow and shoulder, or along the Luo-connecting channel toward LI-4 (Hegu) on the dorsum of the hand. Some patients experience a tingling or electric sensation traveling up the arm.

Why is the point needled on the opposite side for shoulder pain?

The Luo-connecting point links the Lung channel with its paired Large Intestine channel, so when a shoulder problem follows the Large Intestine channel the practitioner may needle the opposite side's LU-7 as a distal point, letting the channel connection do the work rather than the local area.

Is Lieque used for dry skin as well as colds?

Yes. The Lungs disperse fluids to the skin and control the pores, so when they are not diffusing properly the skin can become dry. In skin practice LU-7 is chosen when dryness or itching travels with a scratchy throat, blocked nose, shallow breathing or a history of worry, and it is combined with points that nourish Blood or clear the rash.