Thumb pressing He Gu LI4 in the fleshy webbing between the thumb and index finger on the hand dorsum

Bites · Everyday TCM · Pain & Injuries · Acupoint · About 2 minutes

Find He Gu (LI4) in the hand webbing

合谷 · Joining Valley sits on the Large Intestine meridian, on the dorsum of the hand beside the second metacarpal. A classic home press when frontal or flu-season headache gathers.

In brief

He Gu (合谷, LI4 / Hegu) sits on the back of the hand, between the first and second metacarpal bones, at the midpoint of the radial side of the second metacarpal. Soft-fist either hand, locate the tender hollow, then gently massage with the other thumb until the ache eases. Repeat on both sides. Home press is often used for frontal headache and headache after a cold or flu. Skip He Gu in pregnancy. Stop if pain sharpens.

  • Locate He Gu (合谷, LI4) between the thumb and index finger

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Point guide

Find & press

  1. Soft fist, find the hollow

    Place one hand in a soft half-clench so the webbing between thumb and index finger lifts. On the back of that hand, feel for the tender hollow beside the second metacarpal at mid-shaft, between the first and second metacarpal bones. Simple cue: rest the other thumb's crease on the web margin; the tip marks the point. Chinese: 一手半握拳。在手背,第二掌骨桡侧中点处。简便取穴:以一手拇指指间横纹搭在另一手拇食指间指蹼缘上,拇指尖下是穴。

  2. Thumb-massage to dull soreness

    With the other thumb, gently massage the point until you feel a dull soreness (酸胀). Keep the press kind. Sharp shooting pain means ease off and relocate the hollow, not hard bone. Chinese: 以另一手拇指按揉合谷穴直至有酸胀感。

  3. Continue until easier, both hands

    Keep massaging until the headache eases, or for about one to two minutes per side. Then switch hands and repeat. Both sides are usual for frontal or post-flu head pain. Chinese: 按揉直至症状改善。两手交替重复。

  4. Stop cues

    Ease off if the press feels sharp, numb, or wrong. Mild ache that eases on release is common; sharp pain is a stop signal. Sudden worst-ever headache, fever with stiff neck, vision loss, or headache after trauma need urgent care, not self-press.

Try today Soft-fist either hand, find He Gu beside the second metacarpal, and thumb-massage until the ache eases, then switch sides.

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Self-press tips are educational, not personal medical advice. Book a consult for headaches that keep returning, or if pain changes character.

FAQs

Quick questions

Where is the He Gu (LI4) acupuncture point?

On the dorsum of the hand, between the first and second metacarpal bones, at the midpoint of the radial side of the second metacarpal. Soft-fist the hand, then feel for the tender hollow in the webbing line. Simple locate: rest one thumb's crease on the other hand's thumb-index web margin; the tip marks the point. Chinese: 在手背,第二掌骨桡侧中点处。

合谷穴位置在哪里?

在手背,第二掌骨桡侧中点处。简便取穴:以一手拇指指间横纹搭在另一手拇食指间指蹼缘上,拇指尖下是穴。左右手皆可。

How do I press He Gu for frontal or flu headache?

Soft-fist one hand, locate the hollow beside the second metacarpal, then gently thumb-massage with the other hand until a dull soreness, and keep going until the ache eases. Switch hands and repeat. Sharp pain means ease off. Skip this point in pregnancy.

Can I press He Gu (LI4) in pregnancy?

No. If there's any chance of pregnancy, don't use this. He Gu is a classical strong-moving point and is not suitable for pregnant women. Ask a physician about safer options for headache in pregnancy.

How long should I press LI4, and should it hurt?

About one to two minutes per side, or until symptoms ease, is the usual educational habit. A dull ache (酸胀) is the cue. Sharp pain, shooting tingling, or numbness means ease off.

Is LI4 the same as Hegu or He Gu?

Yes. LI4, He Gu, and Hegu all name 合谷 on the Large Intestine channel. Same landmark on the hand dorsum beside the second metacarpal.

What is He Gu used for at home?

Home press often targets frontal (forehead) headache and headache after a cold or flu. It is also a common distal point for face and head patterns. Self-press is a short habit between visits, not care for sudden worst-ever headache, fever with stiff neck, or headache after trauma.

References

Page credit

  1. Original article author: Physician Shi Lei.

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