Indications

Hernia, spermatorrhea, metrorrhagia, persistent lochiorrhea, lower abdominal pain, hypochondriac pain, shin pain (medial calf pain), and postpartum abdominal pain.

Precise Location

On the medial side of the lower leg, 7 cun above the tip of the medial malleolus, at the center of the medial surface of the tibia.

Location Method

Sit upright or lie supine. Measure 7 cun (approximately 10 finger-widths) directly upward from the tip of the medial malleolus – the point is in the depression at the center of the medial tibia, where firm pressure produces a distinct sore and distending sensation.

Massage Method

① Massage: Press and knead with the thumb. ② Moxibustion: Apply mild-warm moxa stick. Press and knead Zhongdu with the thumb about 200 times, or for 3–5 minutes, to treat lower abdominal pain. Therapeutic actions: Soothes the liver and regulates qi, regulates menstruation and stops bleeding, and unblocks the collaterals and relieves pain.

Compatibility

Persistent lochiorrhea and metrorrhagia: Combine with Xuehai (SP-10) and Sanyinjiao (SP-6). Hernia: Combine with Dadun (LR-1), Guilai (ST-29), and Taichong (LR-3). Spermatorrhea: Combine with Shenshu (BL-23), Zhishi (BL-52), and Sanyinjiao (SP-6). Lower abdominal pain and hypochondriac pain: Combine with Sanyinjiao (SP-6) and Guanyuan (RN-4). Shin pain (medial calf pain): Combine with Yinlingquan (SP-9) and Sanyinjiao (SP-6).

Efficacy & Actions

This point belongs to the Foot Jueyin Liver Meridian and is the Xi-Cleft point of this meridian. It soothes the liver and regulates qi, regulates menstruation and stops bleeding, and unblocks the collaterals and relieves pain. It is a commonly used key point for treating gynecological bleeding and acute pain disorders. First documented in Zhenjiu Jiayijing. "Zhong" means middle or central; "Du" means metropolis or gathering place. Located on the medial lower leg, this point is where Liver Meridian qi converges – hence the name Zhongdu (Central Metropolis). It is also known as "Zhongxi."