SP4 Grandfather Grandson

Reviewed by · Licensed Acupuncturist & TCM Physician · Last reviewed June 2026

SP4 (Gōngsūn, “Grandfather Grandson”) is the Luo-connecting point of the Spleen Channel Meridian. It is located on the medial side of the foot, in the depression distal and inferior to the base of the first metatarsal bone. It strengthens the Spleen, regulates qi, harmonizes the Chong Mai.

Location

On the medial side of the foot, in the depression distal and inferior to the base of the first metatarsal bone.

Needling

Perpendicular insertion 0.8-1.2 cun.

TCM functions

Strengthens the Spleen, regulates qi, harmonizes the Chong Mai.

Indications

Gastric pain, abdominal distention, diarrhea, dysentery, irregular menstruation.

Luo-connectingConfluent of Chongmai

Clinical notes

As the Luo-connecting point of the Spleen and the Confluent point of the Chong Mai, SP4 has a unique and powerful influence on both the Spleen and the Penetrating Vessel. It is a command point for abdominal disorders, effectively treating pain, distention, and digestive issues like nausea, vomiting, and diarrhea. Its connection to the Chong Mai makes it invaluable for gynecological problems such as irregular menstruation, dysmenorrhea, and infertility, especially when related to qi stagnation or blood stasis. It is classically paired with PC6 to regulate the Middle Jiao and treat stomachache.

On the Spleen Channel channel

SP4 is one of 21 points on the Spleen Channel Meridian. Nearby points:

Frequently asked questions

Where is SP4 located?

SP4 (Gōngsūn) is located on the medial side of the foot, in the depression distal and inferior to the base of the first metatarsal bone.

What is SP4 used for?

SP4 strengthens the Spleen, regulates qi, harmonizes the Chong Mai. Common clinical indications include gastric pain, abdominal distention, diarrhea, dysentery, irregular menstruation.

How is SP4 needled?

Perpendicular insertion 0.8-1.2 cun.

Which meridian is SP4 on?

SP4 is a point on the Spleen Channel Meridian (Zú Tài Yīn Pí Jīng).

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⚠️ This page is for general education and is not medical advice. Acupuncture is a traditional practice; evidence varies by condition and study quality, and individual results differ. It does not replace diagnosis or treatment by a licensed professional. Always consult a qualified acupuncturist or physician.