Zhongkui Point (EX-UE4 / Middle Chief)
Discover the exact location and acupressure method for Zhongkui (EX-UE4 / Middle Chief). Learn its benefits for dysphagia, vomiting, and nausea – the extraordinary point for harmonizing the stomach – plus classic combinations for comprehensive treatment.
Indications
Descends rebellious qi and stops vomiting, harmonizes the stomach and benefits the diaphragm, regulates qi and relieves dysphagia. Treats the five types of dysphagia (qi, worry, food, overwork, and thought-related), vomiting with regurgitation, nausea and vomiting, hiccups, and esophageal obstruction.
Precise Location
At the midpoint of the proximal interphalangeal joint on the dorsal side of the middle finger.
Location Method
Sit upright or lie supine with the hand extended. Locate the point at the midpoint of the transverse crease of the proximal interphalangeal joint (the second joint) on the dorsal side of the middle finger.
Massage Method
Press and knead with the thumb pad for 3–5 minutes per session, 1–2 times daily – a local sore-distending sensation is optimal. Pinch and knead the joint with the thumb and index finger in opposition, coordinating with deep breathing for enhanced effect. Therapeutic actions: Descends rebellious qi and stops vomiting, harmonizes the stomach and benefits the diaphragm, regulates qi and relieves dysphagia.
Compatibility
Vomiting with regurgitation: Combine with Neiguan (PC-6) and Zhongwan (RN-12). Five types of dysphagia: Combine with Zusanli (ST-36), Tiantu (RN-22), and Geshu (BL-17). Vomiting and hiccups: Combine with Neiguan (PC-6) and Gongsun (SP-4). Dysphagia: Combine with Tanzhong (RN-17), Tiantu (RN-22), and Shangwan (RN-13).
Efficacy & Actions
This is an extraordinary point located at the midpoint of the proximal interphalangeal joint on the dorsal side of the middle finger. It descends rebellious qi and stops vomiting, harmonizes the stomach and benefits the diaphragm, and regulates qi and relieves dysphagia. It is an experienced effective point for treating nausea, vomiting, and dysphagia. First documented in the Great Compendium of Acupuncture and Moxibustion. "Zhong" refers to the middle finger; "Kui" means chief or leader. Located at the joint on the dorsal middle finger, this point is a key point for treating dysphagia and vomiting – hence the name Zhongkui (Middle Chief). Zhongkui is an experienced effective point for treating vomiting, nausea, and dysphagia caused by stomach qi counterflow. It is often combined with Neiguan (PC-6), Zhongwan (RN-12), and Zusanli (ST-36).
Contraindications
Located at the finger joint – massage pressure should be moderate to avoid joint injury. Needling should be superficial or oblique, generally 0.1–0.2 cun, or pricking for bleeding, avoiding deep insertion. Moxibustion is permissible but caution is needed to prevent burns. Use with caution in pregnant women.
