LI4 (Hegu) vs GB20 (Fengchi) — Which Acupoint Is Right for You?

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Summary: Comparing LI4 (Hegu) and GB20 (Fengchi)! Learn their locations, benefits, and how to press them at a glance. Easily see which acupoint is better for headaches.
One-line summary: LI4 (Hegu) is located in the webbing between the thumb and index finger and is good for headaches and colds. GB20 (Fengchi) is located in the hollows below the base of the skull (both sides of the back of the neck) and is good for headaches and neck stiffness. Choose the right one for the situation!

Why Compare Hegu and Fengchi?

When a headache strikes, we usually clutch our heads. But the acupoints good for headaches are not on the head — they’re on the hand and neck! LI4 relieves headaches from the hand, and GB20 does it from the back of the neck. Both are good for headaches, but what’s the difference between them?

LI4 (Hegu) — The ‘All-Purpose Problem Solver’ in the Webbing Between Thumb and Index Finger

LI4 is located in the webbing between the thumb and index finger. It belongs to the Large Intestine meridian.

How to Find It

Open one hand wide and press the most prominent part between the thumb and index finger with the opposite thumb.

How to Press It

Press firmly with the thumb, 1–2 minutes, a slightly sore feeling is fine

Best for

  • Headache
  • Cold
  • Toothache
  • Shoulder and neck stiffness

GB20 (Fengchi) — The ‘Back-of-Head Guardian’ in the Hollows Below the Skull Base

GB20 is located in the hollows below the base of the skull, on both sides of the back of the neck. It belongs to the Gallbladder meridian.

How to Find It

There are two large muscles on both sides of the back of the head. Outside those muscles, below the skull bone, press upward with both thumbs into the hollows.

How to Press It

Press upward toward the head with both thumbs, 1–2 minutes

Best for

  • Headache
  • Neck stiffness
  • Dizziness
  • Eye fatigue

Side-by-Side Comparison!

Category LI4 (Hegu) GB20 (Fengchi)
Location Webbing between thumb and index finger Hollows below skull base, both sides of back of neck
Main benefits Headache, cold, toothache, shoulder/neck stiffness Headache, neck stiffness, dizziness, eye fatigue
Ease of finding Easy Moderate
Meridian Large Intestine meridian Gallbladder meridian
Nickname All-purpose problem solver Back-of-head guardian

Which One Is Right for You?

  • “My forehead is throbbing” → Start with LI4! Effective for frontal headaches.
  • “The back of my head feels heavy and my neck is stiff” → Start with GB20! The specialist for back-of-head and neck headaches.
  • “My eyes hurt and I have a headache from too much screen time” → GB20! It tackles eye fatigue and headaches at the same time.
  • “I have a hazy, foggy headache with cold symptoms” → LI4! It relieves cold symptoms and headaches together.
  • “I get frequent headaches” → Both! Try pressing LI4 → GB20 in sequence.

Even Better When Used Together!

Do LI4 first for 1 minute on each hand, then GB20 for 1 minute on each side — in this order, energy flows from the hand (lower) to the head (upper), and the headache becomes noticeably lighter. This combination is the best, especially for tension headaches!

Frequently Asked Questions

Can I press LI4 and GB20 together?

Of course! In fact, pressing both together gives a much better headache relief effect. It’s recommended to do LI4 first, then GB20.

Which is better for migraines?

GB20 is better suited for migraines. Releasing the muscles around GB20 improves blood circulation and reduces migraines.

Can acupressure be used instead of headache medication?

Acupressure is a supplementary method. If you get severe headaches frequently, be sure to see a doctor. It can be a great help for mild headaches!

How many times per day is recommended?

2–3 times per day for each point, 1–2 minutes per session is sufficient. You can also apply it right when a headache comes on.

Can I use this for my child when they complain of a headache?

Yes! However, press much more gently than you would for an adult, just rubbing lightly. 30 seconds to 1 minute is enough.

⚠️ Pregnancy Warning: Pregnant women should avoid pressing this acupoint as it may stimulate uterine contractions.
⚠️ Medical Disclaimer: This article is for informational purposes only and does not replace professional medical diagnosis or treatment. If symptoms persist or worsen, please consult a healthcare professional.

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