Needling LI-3 to LI-4,5 (Large Intestine): Balance Method Threading Demo

This is how you clear an entire area in one move. Threading from (Large Intestine) LI-3 to LI-4,5 mirrors a whole pathway on the foot or hand for that "instant release" your patients are looking for.

Quick Stats

  • Video Duration: 29 seconds

  • Key Conditions: Foot pain, leg pain, arm pain, hand pain, belly pain, deep back pain, facial pain

  • Alternative Names: Sanjian to Hegu threading

Balance Method LI-3 to LI-4,5 Logic

Look, here's the deal: sometimes a single needle at LI-4 doesn't cover the whole "pain zone." By threading from LI-3 toward LI-4,5, you are mirroring the entire anatomical stretch. This area covers the Stomach, Kidney, Lung, and Liver channels through the 5 Systems, ensuring you don't miss a single spot.

Large Intestine Thread Through needling demo . Dr. Tan Balance Method Acupuncture.

LI-3 to LI-4 Treatment Applications (Systems 1-6)

By threading these points, you amplify the results.

(See why to use this on the Large Intestine channel in The Balance Method Notebook—grab it here for the complete breakdown.)

  • System 1: Stomach (St)

    • Treats: Opposite side foot, facial pain, belly pain, chest pain, leg pain

  • System 2: Liver (Liv)

    • Treats: Either side foot pain, belly pain, torso pain, leg pain

  • System 3: Lung (Lu)

    • Treats: Opposite side hand pain, arm pain

  • System 4: Kidney (Kid)

    • Treats: Either side foot pain, belly pain, chest pain, leg pain

  • System 5: Stomach (St)

    • Treats: Opposite side foot, facial pain, belly pain, chest pain, leg pain

  • System 6: Large Intestine (Li)

    • Treats: Either side hand pain, facial pain, arm pain


Balance Method Threading Protocol

Here's the step-by-step for this advanced "Master" move.

Location

Start at LI-3 (distal to the 2nd metacarpal head) and direct the needle proximally along the bone toward LI-4,5.

Pro Tip

Keep the needle parallel to the bone to ensure you stay within the meridian; you can put your finger along the bone to follow it.

Which Side

Always needle the opposite side of the pain (contra-lateral) if you are treating an odd (number) system.

Depth (ASS)

Follow the ASS principle:

  • Is it an area you want to cover? Use a thread through.

  • Is it a specific point or single location? Use a specific point or location.

Retention

Always leave the needles for 45 minutes.

Immediate Check

Have the patient move their foot or hand immediately. If they don't feel a 50%+ reduction, your angle or depth is off

Dr. Tan Mississippi in the Balance Method Notebook

 

What You'll See (Expected Results)

  • Immediate Results: A "release" or a significant drop in pain intensity within seconds.

  • 1-3 Sessions: Acute pain should stabilize or disappear.

  • 4-7 Sessions: The timeframe for resolving chronic, deep-seated structural pain.

FAQ?

  • Q: Why thread instead of two needles?

    • Efficiency: One needle covers the "bridge" between several points, mirroring the exact anatomy of the pain using fewer (here just one) needles.

  • Q: How fast are the results?

    • Immediate: This technique covers an area that single-point needling can't touch.

  • Q: How many sessions?

    • 1-3 sessions for acute sprains; 4-7 sessions for chronic instability.

Watch Out For (Safety & Mistakes)

  • Metacarpal Bone: Don't scrape the bone; it's painful. Stay right next to it.

  • Pregnancy: CAUTION. LI-4 (and this threading) is strongly contraindicated in pregnancy (in certain areas of the world).

  • Common Mistake: Not directing the needle far enough.

Want More?

  • Full Balance Method Notebook: Why Dr. Tan used threading techniques (link here)

Full in-depth explanation of threading techniques

New to the Balance Method?

Start with the basics in our complete guide or master the system through official training with the direct students of Dr. Tan.

To get clinical results like this every day, join our Global Community to discuss cases with experts, and grab your copy of The Balance Method Notebook to unlock every treatment combination.

Thread. Check immediately. Expect 50%+ reduction. Drop your results below in the comments!

About the Authors: Laurence & Olivier

Laurence and Olivier are specialized Balance Method practitioners based in Terneuzen, Netherlands. They trained under Dr. Delphine Armand from Si Yuan and treat up to 100 patients weekly in their practice, Acusana Acupunctuur.

  • Laurence taught and coordinated programs at Si Yuan for years. She developed the illustrated notes that are now used worldwide as the Balance Method Notebook.
  • Olivier made complex teachings digitally accessible globally through video platforms and launched this independent knowledge hub.

Through this platform, they continue to build on Dr. Tan's core philosophy: "Share everything, keep nothing, help everyone."

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How to Find the Ashi Point in Balance Method Acupuncture: Palpation, Depth & the Feedback Loop