Point Category Point Category

Luo Points

络穴 Luò Xué · Luo-Connecting Points
Also known as: Luo Points · Connecting Points · Collateral Points · Fifteen Luo Points · 十五络穴 (Shíwǔ Luò Xué)

Luo-Connecting Points are special acupuncture points where collateral vessels (luo mai) branch off from the primary meridians to connect with their paired yin-yang meridian. These 15 points form vital links between internally-externally related channels and are used to treat both meridians simultaneously.

络穴

Luò Xué

Luo-Connecting Points

Educational content · Consult qualified TCM practitioners for diagnosis and treatment

Overview

Luo-Connecting Points (络穴, Luò Xué) are a category of special acupuncture points where smaller collateral vessels (luo mai) branch away from the main meridians. Think of them as junction points or off-ramps—they're where energy pathways split off to connect with the paired yin or yang channel. For example, the Lung channel's Luo point (LU-7 Lieque) connects to the Large Intestine channel, allowing a practitioner to influence both channels through a single point.

There are 15 Luo-Connecting Points in the standard system: one for each of the 12 primary meridians, plus one each for the Directing Vessel (Ren Mai), Governing Vessel (Du Mai), and the Great Luo of the Spleen. This network forms a web that spreads energy throughout the body, reaching areas that the main channels don't directly supply. Because each Luo point bridges two channels, there's a clinical saying: "one collateral treats two meridians" (一络治两脉).

The Luo points are particularly valuable for treating conditions where there's an imbalance between paired organs or channels, chronic stagnation conditions, and emotional disturbances. Many of the yin channel Luo points have notable effects on psychological and emotional conditions, making them frequently used in treating anxiety, depression, and stress-related disorders.

Historical Context

The Luo-Connecting Points were first systematically documented in the Líng Shū (Spiritual Pivot), specifically in Chapter 10 "Jīng Mài" (On the Channels). This ancient text, part of the foundational Huangdi Neijing (Yellow Emperor's Classic of Internal Medicine) compiled around 200-100 BCE, established the theory of the fifteen collateral vessels and their associated points. Each collateral's pathway, symptoms of excess and deficiency, and treatment point were carefully described.

Later, the Sù Wèn (Basic Questions) in the chapter "Píng Rén Qì Xiàng Lùn" (On Normal Human Qi) added a 16th collateral—the Great Luo of the Stomach (胃之大络), called "Xū Lǐ" (Empty Interior). This vessel connects to the Lungs and can be observed as a pulsation below the left breast. Some practitioners therefore refer to "16 Luo" rather than 15. The Great Compendium of Acupuncture and Moxibustion (Zhēn Jiǔ Dà Chéng) from the Ming Dynasty further elaborated specific excess and deficiency indications for each Luo point.

Comparison

LU-7 Lieque (Lung)

列缺

Location: Above wrist, 1.5 cun proximal to wrist crease. Paired channel: Large Intestine. Excess symptoms: Hot palms, wrist pain. Deficiency symptoms: Frequent yawning, urinary incontinence. Special: Also Command Point for head/neck and Confluent Point of Ren Mai.

LI-6 Pianli (Large Intestine)

偏历

Location: 3 cun above wrist crease on radial side. Paired channel: Lung. Excess symptoms: Toothache, deafness. Deficiency symptoms: Cold teeth, blocked Qi sensation. Pathway: Branch ascends to jaw and enters ear.

ST-40 Fenglong (Stomach)

丰隆

Location: 8 cun above lateral malleolus. Paired channel: Spleen. Excess symptoms: Mania, epilepsy. Deficiency symptoms: Weak legs, muscle atrophy. Special: Primary point for resolving phlegm anywhere in body; treats mental fog.

SP-4 Gongsun (Spleen)

公孙

Location: Medial foot, 1 cun behind metatarsal joint. Paired channel: Stomach. Excess symptoms: Intestinal cramping pain. Deficiency symptoms: Abdominal distension. Special: Also Confluent Point of Chong Mai; treats digestive disorders.

HT-5 Tongli (Heart)

通里

Location: 1 cun above wrist crease on radial side of tendon. Paired channel: Small Intestine. Excess symptoms: Chest fullness, distension. Deficiency symptoms: Inability to speak. Pathway: Enters heart, connects to tongue root and eyes.

SI-7 Zhizheng (Small Intestine)

支正

Location: 5 cun above wrist on ulnar side. Paired channel: Heart. Excess symptoms: Joint laxity, elbow weakness. Deficiency symptoms: Warts, skin growths.

BL-58 Feiyang (Bladder)

飞扬

Location: 7 cun above lateral malleolus. Paired channel: Kidney. Excess symptoms: Nasal congestion, head/back pain. Deficiency symptoms: Runny nose, nosebleeds. Modern use: Sciatica, lower limb pain.

KI-4 Dazhong (Kidney)

大钟

Location: Behind medial malleolus, below attachment of Achilles. Paired channel: Bladder. Excess symptoms: Urinary/bowel retention. Deficiency symptoms: Low back pain. Pathway: Deep branch reaches heart and lumbar spine.

PC-6 Neiguan (Pericardium)

内关

Location: 2 cun above wrist crease, between tendons. Paired channel: San Jiao. Excess symptoms: Sudden heart pain. Deficiency symptoms: Stiff neck/head. Special: Major point for calming Shen, nausea, cardiac conditions; Confluent Point of Yin Wei Mai.

SJ-5 Waiguan (San Jiao)

外关

Location: 2 cun above wrist crease, between radius and ulna. Paired channel: Pericardium. Classic indication: Chest tightness. Special: Confluent Point of Yang Wei Mai; treats exterior conditions, fever, headache.

GB-37 Guangming (Gallbladder)

光明

Location: 5 cun above lateral malleolus on fibula. Paired channel: Liver. Special indication: Eye disorders (name means 'Bright Light'). Also treats lateral leg pain and breast disorders.

LR-5 Ligou (Liver)

蠡沟

Location: 5 cun above medial malleolus on tibia. Paired channel: Gallbladder. Excess symptoms: Persistent erection. Deficiency symptoms: Genital itching. Notable: Only Liver channel point with significant classical psycho-emotional indications.

REN-15 Jiuwei (Directing Vessel)

鸠尾

Location: 1 cun below xiphoid process. Function: Disperses Qi throughout abdomen. Treats: Chest fullness, epigastric conditions, abdominal disorders.

DU-1 Changqiang (Governing Vessel)

长强

Location: Midpoint between coccyx tip and anus. Function: Spreads Qi up the back to the head; connects with Bladder channel. Treats: Hemorrhoids, mental disorders, spinal conditions.

SP-21 Dabao (Great Luo of Spleen)

大包

Location: Mid-axillary line, 6th intercostal space. Function: Networks the entire body; spreads through chest and ribs. Excess symptoms: Whole body pain. Deficiency symptoms: Generalized weakness, loose joints. Name means 'Great Wrapping.'

Connection Between Paired Channels

联络表里经

Each Luo point creates a bridge between interior-exterior paired meridians. For example, the Lung (yin) channel's Luo point connects to the Large Intestine (yang) channel. This allows practitioners to treat both channels through one point—if someone has both lung issues and digestive problems, using LU-7 Lieque can address both simultaneously.

Excess and Deficiency Manifestations

虚实病证

Each Luo point has specific symptoms associated with excess (fullness, heat, pain) and deficiency (weakness, cold, limpness) of its collateral vessel. For instance, when the Heart's collateral is in excess, there's chest fullness; when deficient, the person may have difficulty speaking. Knowing these patterns helps practitioners select the right Luo point for treatment.

Host-Guest Method

主客配穴法

This clinical technique pairs Luo points with Yuan (Source) points for enhanced therapeutic effect. When one channel is deficient, you tonify its Yuan point while dispersing the Luo point of the paired channel. When one channel is in excess, you disperse its Yuan point and tonify the paired channel's Luo point. This method balances energy flow between paired organs.

Superficial and Deep Distribution

浮络孙络

The Luo collaterals operate at both superficial and deep levels. The superficial network (floating collaterals and grandchild collaterals) lies just beneath the skin, carries defensive Qi (Wei Qi), and is visible as small blood vessels during inflammation. The deeper network reaches into organs. This is why techniques like bloodletting, cupping, and gua sha work through the Luo system.

Psycho-Emotional Functions

治神志病

Many Luo points, especially those on yin channels, have significant effects on mental and emotional states. HT-5 Tongli, PC-6 Neiguan, and LR-5 Ligou are particularly noted for treating anxiety, depression, insomnia, and emotional disorders—making the Luo system valuable for modern stress-related conditions.

Practical Application

Yuan-Luo Combination Method: The most common clinical application pairs a Luo point with the Yuan (Source) point of its paired channel. For example, if a patient has Large Intestine pathology (constipation, skin issues), combine LI-4 Hegu (the Large Intestine Yuan point) with LU-7 Lieque (the Lung Luo point). This enhances the therapeutic effect by engaging both channels of the pair. The technique is particularly useful after an acute illness has passed but an imbalance remains between paired channels.

Treating Both Meridians: Because each Luo point connects two channels, needling it can address conditions along either pathway. LU-7 Lieque can treat both Lung symptoms (cough, breathing issues) and Large Intestine symptoms (toothache, jaw pain). This makes Luo points efficient choices when a patient presents with symptoms involving both paired organs.

Bloodletting Technique: For acute heat or inflammation conditions, pricking the Luo point or nearby visible blood vessels to release a few drops of blood can quickly clear heat and reduce swelling. ST-40 Fenglong is particularly used for phlegm conditions, while SP-4 Gongsun addresses acute digestive disorders.

Emotional Conditions: The yin channel Luo points are frequently selected for anxiety, depression, and insomnia. PC-6 Neiguan is essential for calming the mind and treating palpitations; HT-5 Tongli addresses speech problems and emotional disturbances related to the Heart; LR-5 Ligou is notably the only Liver channel point with significant classical indications for psychological symptoms.

Clinical Relevance

Channel Pair Imbalances: When symptoms suggest disorder in both paired organs (for example, respiratory issues with digestive symptoms, suggesting Lung-Large Intestine imbalance), Luo points offer an efficient treatment strategy. The practitioner can needle the Luo point of one channel to influence both.

Chronic Stagnation: Long-standing conditions often lodge in the Luo network, appearing as spider veins, persistent dull pain, or skin changes. These "Blood level" conditions require different treatment approaches than acute problems—Luo points, bloodletting, and techniques working on the superficial network become essential.

Transfer of Pathology: Luo points can move therapeutic effects from one side of the body to the other. For pain or pathology on the right side, needling the corresponding Luo point on the left can be effective—particularly useful when the affected area can't be needled directly due to injury or sensitivity.

Specific Clinical Applications: ST-40 Fenglong is one of the most important points for resolving phlegm anywhere in the body. SP-4 Gongsun, also an Extraordinary Vessel confluent point, treats digestive disorders and connects to the Chong Mai. PC-6 Neiguan is essential for nausea, anxiety, and cardiac conditions. BL-58 Feiyang is used for sciatica and lower limb pain. LU-7 Lieque, a Four Command Point, treats head, neck, and respiratory conditions.

Common Misconceptions

"Luo points only treat collateral problems": While Luo points do address collateral vessel pathology, their primary clinical value lies in connecting paired channels. They're not limited to treating superficial vessel issues—they effectively treat internal organ disorders through the channel connection principle.

"There are only 15 Luo points": The standard system describes 15 Luo points, but classical texts also mention the "Great Luo of the Stomach" (Xu Li), bringing the total to 16. Additionally, four "Group Luo" points (TH-8, PC-5, GB-39, SP-6) are sometimes mentioned as treating three channels at once, though these are better understood as meeting points of multiple channels rather than true Luo points.

Confusing Luo points with other point categories: Luo points are sometimes confused with Meeting points (Hui Xue) or Xi-Cleft points (Xi Xue). The key distinction: Luo points specifically connect to the paired channel, while Xi-Cleft points are where Qi accumulates deeply (used for acute conditions), and Meeting points are where multiple channels intersect.

"Bloodletting is outdated": While bloodletting has fallen out of favor in some Western acupuncture contexts, pricking Luo points or visible superficial vessels remains a clinically effective technique for acute heat, inflammation, and blood stagnation. It's still widely practiced in East Asia and has documented therapeutic effects.

Organizing Principle

The Luo-Connecting Points are unified by their function as junction points where collateral vessels branch off from the primary meridians. Each of the 12 main channels has exactly one Luo point, located between the wrist/ankle and elbow/knee joints—always on the limbs. The Ren Mai (Directing Vessel), Du Mai (Governing Vessel), and the Great Luo of the Spleen add three more points on the trunk, bringing the total to 15.

Clinically, the Luo points serve as a treatment method when there's imbalance between paired yin-yang channels, chronic stagnation affecting the collateral network, or conditions where symptoms appear on both sides of the body. The classic "Yuan-Luo" combination pairs the Source point of one channel with the Luo point of its paired channel to regulate flow between them. Additionally, Luo points can treat the opposite side of the body—needling a Luo point on the left can address pathology on the right.

For acute inflammation or blood stagnation in the superficial vessels, bloodletting at the Luo point or nearby visible vessels is a traditional technique that remains clinically effective. The Luo system is also the theoretical basis for skin-level treatments like plum-blossom needling, cupping, and gua sha.

Points in this Category

Lieque LU-7
LU-7

Lieque

Lung channel Luo point; connects to LI channel; treats respiratory disorders, thumb/wrist pain; also a Command Point and Confluent Point of Ren Mai

Pianli LI-6
LI-6

Pianli

Large Intestine channel Luo point; connects to LU channel; treats toothache, deafness, edema

Fenglong ST-40
ST-40

Fenglong

Stomach channel Luo point; connects to SP channel; primary point for resolving phlegm anywhere in body; treats mental fog, mania

Gongsun SP-4
SP-4

Gongsun

Spleen channel Luo point; connects to ST channel; treats digestive disorders; also Confluent Point of Chong Mai

Tongli HT-5
HT-5

Tongli

Heart channel Luo point; connects to SI channel; treats speech disorders, palpitations, emotional disturbances; connects to tongue root and eyes

Zhizheng SI-7
SI-7

Zhizheng

Small Intestine channel Luo point; connects to HT channel; treats joint laxity, warts, elbow problems

Feiyang BL-58
BL-58

Feiyang

Bladder channel Luo point; connects to KI channel; treats sciatica, lower limb pain, nasal disorders; name means 'Soaring Upwards'

Dazhong KI-4
KI-4

Dazhong

Kidney channel Luo point; connects to BL channel; treats urinary problems, lower back pain; branch reaches heart and lumbar region

Neiguan PC-6
PC-6

Neiguan

Pericardium channel Luo point; connects to SJ channel; major point for calming Shen, treating nausea, cardiac conditions; also Confluent Point of Yin Wei Mai

Waiguan SJ-5
SJ-5

Waiguan

San Jiao channel Luo point; connects to PC channel; treats headache, fever, ear disorders; also Confluent Point of Yang Wei Mai

Guangming GB-37
GB-37

Guangming

Gallbladder channel Luo point; connects to LR channel; treats eye disorders (name means 'Bright Light'), leg pain

Ligou LR-5
LR-5

Ligou

Liver channel Luo point; connects to GB channel; treats genital disorders, psycho-emotional conditions; notably the only LR point with significant classical emotional indications

Jiuwei REN-15
REN-15

Jiuwei

Directing Vessel (Ren Mai) Luo point; disperses over the abdomen; treats chest and abdominal conditions

Changqiang Du-1
Du-1

Changqiang

Governing Vessel (Du Mai) Luo point; spreads over the back up to head; connects with Bladder channel; treats spinal and mental conditions

Dabao SP-21
SP-21

Dabao

Great Luo of the Spleen; spreads through chest and ribs; treats whole-body pain (excess) or generalized weakness (deficiency); networks the entire body

Classical Sources

Líng Shū (Spiritual Pivot)

Chapter 10: Jīng Mài (On the Channels)

手太阴之别,名曰列缺,起于腕上分间...

This foundational chapter systematically describes all 15 Luo collaterals, their pathways, their branching points (Luo points), and their specific excess and deficiency symptoms and treatments.

Sù Wèn (Basic Questions)

Píng Rén Qì Xiàng Lùn (On Normal Human Qi)

胃之大络,名曰虚里,贯膈络肺,出于左乳下,其动应衣,脉宗气也

"The Great Luo of the Stomach, called Xu Li (Empty Interior), penetrates the diaphragm and connects to the Lungs, emerging below the left breast. Its pulsation can be seen through clothing—this is the vessel of Gathering Qi." This passage adds a 16th collateral to the system.

Zhēn Jiǔ Dà Chéng (Great Compendium of Acupuncture)

Various chapters on point indications

Various excess and deficiency indications for each Luo point

This Ming Dynasty text provides detailed clinical indications for excess and deficiency of each Luo connecting channel, expanding the practical application of Luo point theory.

Modern References

A Manual of Acupuncture

Peter Deadman (2001)

Comprehensive reference with detailed information on each Luo point including classical and modern indications, needling techniques, and clinical applications

The Channels of Acupuncture: Clinical Use of the Secondary Channels and Eight Extraordinary Vessels

Giovanni Maciocia (2006)

In-depth exploration of the Luo connecting channels and their clinical applications in modern practice

The Foundations of Chinese Medicine

Giovanni Maciocia (2015)

Standard textbook covering Luo point theory within the broader context of TCM meridian theory