POINT: LIV-13 (LIVER-13)

English:	Completion Gate
Also Known As:	Chapter Gate Order Gate System's Door Stationary door Gate of Document Chongpien Zaoluo

At the tip of the free end of the eleventh rib.
At the anterior end of the eleventh rib on the mid-axillary line.
On the lateral side of the abdomen, below the free end of the eleventh rib.
Directly anterior and inferior to the free end of the eleventh rib.
When the arm is bent at the elbow and held against the side, the tip of the elbow roughly corresponds to the position of the point.
To locate the free end of the eleventh rib, first place the entire hand on the upper abdomen and with gentle finger pressure palpate downwards along the costal margin until the end of the eleventh rib is located just above the level of the umbilicus.
This point usually lies on or near the mid-axillary line which is drawn vertically down from the apex of the axilla (HT-1 Jiquan).

Straight or slanted insertion, 0.8 to 1 cun. Sensation: distended feeling at the side of the abdomen, possibly extending to the posterior abdominal wall.
Caution: The right lobe of the Liver is below this point on the right side of the body. Caution must be exercised to avoid needling too deeply. Deep below this point on the left side, is the lower end of the Spleen. Excessively deep insertion on this side must also be avoided, particularly in patients with enlarged Liver or Spleen.
Puncture perpendicularly 0.5 to 0.8 cun.
Transverse or oblique insertion medially or laterally (along the line of the rib) 0.5 to 1 cun.
Moxibustion is applicable.

Mad walking
Lassitude
Intercostal neuralgia
Abdominal pain
Hypochondriac pain
Intercostal pain
Body tremors
Abdominal distention
Abdominal masses
Fatigued extremities
Hepatomegaly
Splenomegaly
Hard abdominal masses
Abdominal distention
Belching
Enteritis
Turbid, cloudy urine
Frequent urination
Lumps and distention in the chest due to accumulation of Qi
Black facial complexion
Weakness of the Spleen and Stomach
Upper and lower back pain
Excessive thirst
Pain in the flanks with dyspnea preventing lying down or sleeping
Stiffness of the spine
Difficulty lifting the hand
Focal distention
Esophageal constriction
No pleasure in eating
Emaciation
Cough
Running piglet Qi with abdominal distention
Agitation and Heat with dry mouth
Propensity to fear
Epilepsy
Lumbar pain with inability to turn and bend the waist
Pain in the renal region which prevents turning, with pain in the spine and icy Cold sensations
Diabetes with a yellow complexion and severe emaciation
Lack of energy
Icy limbs
Fever with a dry mouth and anorexia
Heart pain with vomiting
Bronchitis
Palpitations
Gastrospasm

LIV-14 Qimen M-BW-16 Pigen UB-21 Weishu	UB-20 Pishu ST-25 Tianshu ST-36 Zusanli	SP-3 Taibai KI-6 *Zhaohai*
Hepatosplenomegaly due to schistosomiasis	Chronic enteritis	Constipation
UB-23 Shenshu	UB-22 Sanjiaoshu UB-27 Xiaochangshu UB-34 Xialiao UB-49 Yishe	REN-12 Zhongwan UB-17 Geshu
Invasion by Cold Damp diarrhea containing undigested food	Borborygmus, abdominal distention and watery diarrhea	Vomiting
SP-3 Taibai KI-6 Zhaohai or SP-3 Taibai KI-6 Zhaohai SJ-6 Zhigou	UB-19 Danshu or SP-4 Gongsun SJ-6 Zhigou GB-34 Yanglingquan or SJ-6 Zhigou SJ-5 Waiguan	ST-30 Qichong KI-2 Rangu KI-14 Siman
Constipation	Pain of the lateral costal region	Moxa for stone edema of the upper abdomen
REN-5 Shimen SP-6 Sanyinjiao	ST-30 Qichong	UB-32 Ciliao
Running piglet Qi	Insomnia	Rigidity of the lumbar spine with inability to turn

This point is good to use if the mind is stuck, to initiate change or turn a chapter.
This is a major point for Liver Qi Invades the Spleen (Liver/Spleen Disharmony).