07 gall bladder.pdf

8/10/2019 07 Gall Bladder.pdf

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The Gall Bladder occupies a special place among the Yang organs because it is the only one

that does not deal with food, drink and their waste products. It stores bile, which is a refined

product. Further, it neither communicates with the exterior directly (via the mouth, rectum orurethra), nor does it receive food or transport nourishment. The Gall Bladder is an Extraordinary

Organ.

The Gall Bladder has 3 principal

functions:

Stores and Excretes BileThe GB stores bile which it receives from the Liver; it excretes bile when needed

during digestion. Excretion of bile by the Gall Bladder is an expression of the Livers

role in ensuring the smooth flow of qi, since the Liver provides the necessary qi for bile

secretion.

Controls JudgmentThe GB controls the capacity to make decisions. It also gives an individual courage and

initiative. The GB gives us the capacity to turn the KI drive and vitality into positive

and decisive action. Thus, a deficient GB will cause indecision, timidity and the person

will easily be discouraged at the slightest adversity.

Controls the Sinews

This function is almost identical to the Liver function of controlling sinews. The onlyslight difference is that the GB provides qi to the sinews to ensure their proper

movement and agility and the LR nourishes the sinews with its blood.

Point Indications and Functions: Treats disorders of the eyes, especially those due to Wind-Heat or Liver and GB heat

Treats disorders of the ear, especially those due to exterior Wind-Heat or LR and GB

channel heat

Treats headaches, especially one-sided affecting the shaoyang channel at the temple

and side of the head Treats disorders of the Liver (Rising Liver Yang, Liver Fire, Interior Wind, Liver qi

stagnation)

Treats phlegm disorders, scrofula and nodules

Clears Damp-Heat from the GB

Clears pathogenic factors from shaoyang level of 6 stages (alternating chills & fever,

bitter taste, hypochondriac pain, dryness of mouth and throat, nausea & vomiting)


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Treats disorders of the spirit and hun

Regulates Dai Mo

Nourishes the sinews and marrow


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The Main Pathway

DEADMAN

The Superficial pathway

1. The GB channel begins at the outer canthus of the eye at GB 1.

2. It crosses to the anterior portion of the ear at GB 2 and ascends

to the upper border of the zygomatic arch at GB 3.

3. It ascends to the corner of the forehead at GB 4 and descends

via points GB 5, GB 6 and GB 7 to the region above the ear

where it meets with TE 22.

4.

It curves posteriorly behind the ear to the mastoid process at

GB 12 and meets with TE 20 on the way.

5. It curves upwards across the side of the head to the corner of the

forehead at ST 8 and descends to the supraorbital region at GB 14.

6. It ascends and curves across the side of the head to GB 20.

7. It crosses the top of the shoulder via GB 21 and TE 15 to meet with GV 14

8. The channel then passes laterally via BL 11 to SI 12 and then anteriorly to enter the

supraclavicular fossa at ST 12.


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A deep branch

9. emerges behind the ear and enters the ear at TE 17.

10.It emerges in front of the ear and passes via SI 19 and ST 7 to the outer canthus and

descends to the corner of the jaw near ST 5.11.It crosses the TE channel, rises to the infraorbital region, and meets with BL 1.

12.It descends to the neck, intersects with ST 9, and rejoins the main channel in the

supraclavicular fossa.

13.It descends into the chest, meets with PC 1, and crosses the diaphragm.

14.It then connects with the Liver and reunites with the Gall Bladder.

15.It continues along the inside of the ribs to emerge in the inguinal region. It encircles the

genitals, runs superficially along the margin of the pubic hair and then enters deeply to emerge

at the sacral region where it meets the BL channel at Balioao (the four points of the sacral

foramina) and at GV 1.

16.It then emerges on the buttock at GB 30.

Another branch

17.descends from the supraclavicular fossa to the anterior aspect of the axilla, then passes through

GB 22-24.

18.It intersects with LR 13 and descends to the hip joint to meet the previous branch at GB 30

and continues down the lateral aspect of the thigh and knee.


19.descends along the lateral aspect of the lower leg to the anterior aspect of the lateral malleolus

20.It follows the dorsal surface of the foot along the groove between the 4thand 5thmetatarsals to

end on the lateral side of the tip of the 4thtoe at GB 44.

21.Another branch separates at GB 41 and runs between the 1stand 2ndmetatarsals to the

medial tip of the big toe and through the toenail to link with the LR channel.

CTA

1. The GB meridian begins superficially at the lateral canthus of the eye (GB 1) and zig-zags up

and down the lateral aspects of the face and head.

2. It descends from GB 15 to GB 20, inferior to the occiput, and GB 21 on the shoulder.

3. There are connections from GB 3 to TE 22 to ST 8 to GB 4-7 to TE 20 and back to GB

8. Some texts refer to a connection between GB 14 and BL 1.

One deep branch

4. goes from GB 1 down the cheek to the mandible, connects with ST 5.

5.

It then goes up to the inferior border of the zygomatic bone, crosses the TE meridian and joins

with SI 18, and goes down the angle of the mandible with meet ST 6.

6. It then passes on down the neck to reach ST 12 where it reconnects with the main channel.


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Another branch

7. Leaves GB 12, travels to TE 17 behind the mastoid process and enters the ear.

8. It then emerges in front of the ear at SI 19 and passes ST 7 on its way back to GB 1.

9.

At GB 21 the pathway runs posteriorly across the shoulder to GV 14, down to BL 11,laterally to SI 12, then back across the shoulder to ST 12 where the meridian becomes

superficial again.

At this point a deep pathway

10.travels through the thorax, crosses the superficial meridian at GB 24, and comes down through

the diaphragm.

11.It connects with LR 13 and then passes through the Liver and Gall Bladder organs.

12.it continues to the lower abdomen and inguinal region, passes the public area, and turns

backwards to the hip (to GB 30).

The superficial pathway13.from ST 12 passes in front of the axilla and zig-zags down the lateral aspect of the chest and

floating ribs to the greater trochanter of the femur at GB 30 (via LR 13/14 and ST 30

according to Japanese texts).

Another deep pathway

14.Meanwhile at GB 29 a deep pathway goes round the back and across to the sacrum,

connecting with BL 31-34 and then down to GV 1 and back across to GB 30.


15.runs from GB 30 down the lateral side of the leg/foot to GB 41 (where a deep pathway runs

between the 1

st

and 2

nd

metatarsals to the medial aspect of the first digit and crosses under thetoenail to connect with LR 1).

16.The GB channel continues and ends at GB 44.

Divergent Channel

This leaves the primary meridian on the thigh and crosses over the hip joint to enter the lower

abdomen in the pelvic region.

Here it links with the divergent channel of the Liver.

It then crosses between the lower ribs and connects with the Gallbladder. It diffuses through

the Liver.

It passes up to the Heart and esophagus and disperses in the face. It connects with the eye and rejoins the primary meridian at the lateral canthus.


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Luo Channel

This leaves the primary meridian at GB 37 on the lateral aspect of the lower leg and connects

with the Liver meridian.

It then passes downward to disperse over the dorsum of the foot.

Muscle Channel

This begins on the 4thdigit and binds with the lateral malleolus. It passes up the lateral aspect

of the leg and binds with the knee.

A branch leaves the head of the fibula and ascends the thigh.

A sub-branch travels anteriorly, and binds with the thigh above ST 32.

Another sub branch travels posteriorly to bind with the sacrum.

The main channel passes upwards across the ribs to the anterior border of the axilla. It bindsfirst in the breast region and then at ST 12.

Another branch runs from the axilla across ST 12 and emerges anterior to the BL muscle

channel. It continues up posterior to the ear to the temple where it crosses to the vertex and

joins its bilateral counterpart.

A branch descends from the temple across the cheek and binds at the bridge of the nose.

A sub branch binds with the lateral canthus of the eye.


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Entry point,Reunion point 3 5

Location In the depression just lateral to the orbital rimAt the level of the lateral canthus JRW

.5 cun lateral to the lateral canthus of the eyeIn the depression on the lateral aspect of the orbit bone CTA

Needling 0needling posteriorly .2-.3 cun, or extend to connected with M-HN-9 (Taiyang)Note: According to several modern texts, this point is contraindicated to moxa.

Function Êntry point^Reunion: GB, TE, SIÊliminates wind and clears heat D,BÊxpels Wind-Heat M^Clears Fire M

^Brightens the eyes M,B^Benefits the eyes D^Courses the channels and frees qi B^Relieves pain B

Name Pupil Bone-HoleTong: pupil of the eye

Zi: noun suffix

Liao:bone-hole

Alternate Names: Hind Curve,

Greater Yang

LJ The function of GB 1 is directly related to the quality of discernment one appliestoward oneself and to the external world. The TCM functions of this point include

draining heat and wind. Heat here is the physiological by-product of an underlying

mental/emotional process predicated on frustration. Something has blocked ones

progress and the result of the emotional work done trying to move the stagnation has

caused heat. Wind is anything that moves in an unpredictable pattern. Here, one is

unable to discern a clear picture of the world; it appears as an unrelated string of

chaotic events. This external confusion undermines the clarity of ones vision and is

mirrored by the appearance of internal wind and heat.


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5 5

Forbidden Months 1+

Location On the posterior margin of the condyle of the mandibleAnterior to the inferior border of the tragus

When the mouth is open, a depression appears at this point JRW

Directly below SI 19 CTA

Needling Slightly posterior insertion, .5-1 cun.This point should be needled with the mouth wide open. The patient may close the

mouth after insertion.

Function ^Benefits the ears D,Mopens the ears B^Eliminates wind D,B,M

^Activates the channel and alleviates painD,M

^Clears heat D^Courses the LR and GB B^Moves qi B

Name Auditory ConvergenceTing: To hear, to listen

Hui: To converge, to gather; to meet, to join

Alternate Names: Hearing Laughter,

Hind Gate, Hinge

Other

This point is located on the lower border of the tragusa point the patient uses

when opening his/her mouth. It lies just below SI 19.

Use this point with Wood CF patients who have ear pain.

Its also used locally for trigeminal neuralgia.

Its good for problemsof the ear and when one has difficulty hearing.

JG: This point helps an inability to hear other perspectives.


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Reunion point X 3-5

Location Anterior to the earImmediately superior to the zygomatic arch

Superior to GB 2 JRW

Needling 90insertion, .3-.5 cun.! It is traditionally emphasized that deep needling should be avoided at this point

Function Reunion: GB, ST (+ TE acc. to D)Êliminates wind D^Benefits the ears DÔpens the portals and boosts the hearing BÂctivates the channel and alleviates pain D

Name Upper GateShang: upper, above; to rise

Guan: gate, pass; joint

Alternate Names: Guest Host Person, Guest

Host, Guest King, Generous Host, Greater

Yang

The mandibular joint is often referred to in Chinese as the gate (guan). This point,

located on the edge of the upper bone of that joint, is called Upper Gate.

The alternate names Guest-Host or Guest-Emperor indicate that the host (oremperor) channel receives the TE, LI, BL and ST channels at GB 3.


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Reunion point 2 3

Location On the temple

ACI posterior to the natural hairline1 ACI inferior to ST 8 JRW

Superior to the temple and the hairline

One quarter of the distance between ST 8 and GB 7

On the superior border of the temporalis muscle CTA

Needling 0insertion, .5-1.5 cun.Note: This point, like all hairline points, may be needled in any direction.

Direction depends on symptomatology. The needle should be inserted deep into

the subcutaneous layer, into the loose areolar tissue adjacent to the bone of the

skull, rather than more shallowly.

Function Reunion: GB, ST, TE^Eliminates Wind D,B^Clears Heat D,B^Activates the channel and alleviates pain D^Clears Fright and alleviates pain B

Name Forehead FullnessHan: corner of the forehead; chin

Yan: full, satiated

If the jaw is closed tightly, there is a swelling (fullness) at the corner of the forehead.

GB 4 is located just above that swelling; hence the name Forehead Fullness.

In rare instances, yan means to close, and can therefore be a mnemonic for

remembering that if the jaw is closed tight there is a swelling at the point.

LJ This is an ideal point for easing jaw tension associated with repressed anger. It is alsoexcellent for relieving mental tension emanating from the gallbladder official.


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Reunion point 3 3


ACI posterior to the natural hair lineOne third of the distance from GB 4 to GB 7 JRW

Superior to the temple and the hairline

At the midpoint between ST 8 and GB 7 CTA





Function Reunion: GB, ST, TE (+ LI acc. to D)^Eliminates Wind D,B^Clears Heat D^Activates the channel and alleviates pain D^Disperses swelling and relieves pain B

Name Suspended SkullXuan: to suspend, to hang

Lu: skull, cranium

Alternate Names: Marrow Hole, Marrow Center,

Rice Bite

This point is situated as if suspended on the skull between the hairline and the root of

the ear, and would furthermore serve as a convenient vantage from which to suspend

someone by their skull. Thus the point is known as Suspended Skull. Dizziness may

resemble the sensation of being hung in this way and dizziness is one indication this

point treats.


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Reunion point 2 3


ACI posterior to the natural hair lineTwo thirds of the distance from GB 4 to GB 7 JRW

Three quarters of the distance between ST 8 and GB 7 CTA





Function Reunion: GB, ST (+ TE, LI acc. to D)

^Eliminates WindD,B

^Clears Heat D^Activates the channel and alleviates pain D^Frees the portals and moves qi B

Name Suspended TuftXuan: to suspend, to hang

Li: a very small unit of

length of weight; minute

The character li was originally used to represent the breadth of an oxs hair, and by

extension came to have the more general meaning of minute. Because of its original

meaning, the character is sometimes replaced by its homophone, which means a tuft

of hair.


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Reunion point 3 3-5


ACI posterior to the natural hair lineAt the level of the apex of the pinna

Approximately 1 ACI anterior to and slightly inferior to TE 20 JRW

On the temporal bone

On a horizontal level with TE 20 and the apex of the pinna

A little posterior to the line of TE 22 CTA





Function Reunion: GB, BL acc. to D^Eliminates Wind D,Band relieves pain B^Benefits the mouth and jaw D^Clears heat and disperses swelling B

Name Temporal Hairline CurveQu: curve, bend

Bin: the hair of the temples

The location accounts for its name.


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Reunion point 3 3-5

Location On the head

1 ACI directly superior to TE 20

JRW

On the parietal bone

About 1.5 cun superior to the apex of the pinna

Directly superior to TE 20 CTA





Function Reunion: GB, BL^Eliminates Wind D,B^Benefits the head and alleviates pain D^Harmonizes the diaphragm and ST and alleviates vomiting D^Treats alcohol intoxication D^Settles tetany B^Relieves pain B^Removes channel obstructions M^Benefits the ears M

Name Valley Lead

Shuai: to leadGu: valley

Alternate Names:Following the Bone,

Following the Corner, Cricket Container

To find this point one bends the ear in half lengthwise and follows its straight edge

past the hairline to the depression (valley) about 1.5 cun above the tip of the ear. In

this way one is led to the valley.

Of all the valley (gu) points, GB 8 has the topmost location. Considered in this

light, the point is the lead for all the other valley points.

In Following the Corner and Following the Bone, the character shuai is rendered as

following because the names are locational. In the poetic name Cricket Container,

shuai has evolved into its homophone meaning cricket.

Other

JG: This is a mental point. Its about the way a person engages with life in their

minds. When mental activity overdominates, use this point. Use it for

overstimulation without rest. Its good for wood migraines.


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Reunion point 3 3-5

Forbidden Months 4+

Location On the head ACI posterior to GB 8

2 ACI superior to the natural hair line JRW

About .5 cun posterior to GB 8

Directly superior to the line of the posterior border of the root of the pinna CTA





Function Reunion: GB, BL^Calms the Spirit D,B,Mand pacifies fright D^Clears GB channel Heat D,B^Removes channel obstructions M^Subdues rising qi M^Eliminates interior wind M^Calms spasms M

Name Celestial HubTian: Celestial, of the heavens, sky; Nature

Chong: Surge, rush, flush; thoroughfare;a place of importance

Alternate Names:Celestial Surge,

Celestial Crossroads

GB bears the honorific celestial due to its location on the head, while hub is

indicative of its importance as a point of intersection. Tian Chong is a Star Name.

Other This point can be used as a Window. In the classics its listed as a Window. It

provides a direct route to the middle of a person.

JG: This is a mental point. Its about the way the person engages with life intheir minds. Use when mental overactivity dominates.


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Reunion point 3 3-5


Posterior and slightly superior to the ear1 ACI posterior to the natural hair line

At the level of the superior edge of the root of the ear JRW

Posterior and superior to the mastoid process

One third of the distance from GB 9 to GB 12

On the curve of the GB meridian CTA





Function Reunion: GB, BL^Clears the head and benefits the neck region D^Activates the channel and alleviates pain D^Courses and disinhibits the LR and GB B^Dissipates wind and frees the connecting vessels B

Name Floating WhiteFu: To float, to drift, to rise

Bai: White, pure

The character fu, meaning rising, is a reference to the rising of the LR and GB yang

qi, while bai, meaning white, is the color associated with metal and refers to the

points metal like function of restraining wood. The ideograph bai may be taken as a

reference to the LU, as this point is utilized in the treatment of various lung disorders

such as thoracic fullness with gasping, throat bi and counterflow cough.


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Reunion point 3 3-7


Posterior to the earMidway between GB 10 and GB 12 JRW

Posterior to the mastoid process

Two thirds of the distance from GB 9 to GB 12

On the curve of the GB meridian CTA





Function Reunion: GB, BL (+SI, TE acc. to D)^Clears the head and benefits the sense organs D^Activates the channel and alleviates pain D^Clears Heat B^Disinhibits GB channel damp-heat B^Frees the ears and disinhibits the throat B

Name Head Portal YinTou: head

Qiao: portal, orifice

Yin:yin, the complement of yangAlternate Names:Pillow Bone

The word head is included in this point to avoid confusion with another point of

the same name, Foot Portal Yin (GB44). The occipital region, where this point is

located, is considered to be the yin portion of the head. GB 11 is employed in the

treatment of diseases related to the five portals of the five viscera, i.e., the eyes (eye

pain from taxation jaundice), ears (deafness, tinnitus), mouth (bitter taste), nose

(nasal congestion) and tongue (stiffness).


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Reunion point 5 3-7


Within the angle formed by the posterior border of the mastoid process and theinferior edge of the occipital bone when the head is tilted forwards JRW

In the crevice just posterior and inferior to the mastoid process

Where it meets the temporal bone CTA

Needling 45inferior insertion, .5-1 cun.

Function Reunion: GB, BL^Eliminates wind D,B,Mand clears heat B^Benefits the head D^Rouses the brain and opens the portals B

^Calms the Spirit

D,M

^Alleviates pain D^Calms spasms M^Subdues rising qi M

Name Completion BoneWan: Completed, finished

Gu: Bone

The term wan gu is the traditional name for the mastoid process, which is the bony

protuberance just behind the ear. This point is located at the edge of that process.

Other

Consider using this point on a Wood CF if energy is stuck.


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Yang Wei Mo 3 7


ACI posterior to the natural hair lineOn a vertical line superior to the lateral canthus JRW

Two thirds of the distance from GV 24 to ST 8

.5 cun posterior to the anterior hairline

On the frontal bone CTA





Function ^Eliminates wind D,B,Mand calms the liver B^Clears and drains the Liver and Gallbladder^Resolves phlegm D^Treats epilepsy D,Band calms the Spirit B,M^Gathers essence to the head M^Clears the brain M

Name Root SpiritBen: Root, origin, source

Shen: Spirit

GB 13 is utilized in treating spirit disorders, and treating the spirit is known as

treating the source (root) of a disease. The chapter of the Spiritual Axis that

discusses this aspect of treatment is called by the same name as GB 13: Root Spirit.

LJ As wood element officials, the gallbladder and liver meridians energetically resemble atree. The location of this point on the head corresponds to the view of the highest

perspective offered by the treetop branches. This point integrates the fundamental

vision present in the roots (ben) of the tree with this higher perspective. Compare

this point with the function of LR 1.

Other Use this point and all Gall Bladder head points for the Spirit level. These points

are the very basis and foundation of Shen; they have an outgoing, direct quality.


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Yang Wei Mo 2 3

Location On the forehead

1 ACI superior to the supra-orbital notch, found in the middle of the eyebrow

JRW

1 cun superior to the eyebrow

Directly superior to the center of the pupil


Needling With the fingers of one hand, pinch up the skin over the point, and with the otherhand, needle 0in an inferior direction, .5-.8 cun, or needle to connected with

Yuyao (M-HN-6: the midpoint of the eyebrow)

Function ^Eliminates Wind D,B,Mand clears Heat B^Benefits the head and alleviates pain D

^Subdues rising qiM

^Benefits the eyes D^Brightens the eyes B

Name Yang WhiteYang: yang, the complement of yin

Bai: White, pure, clear

Because this point is situated on the head, which is associated with yang, and is

furthermore the meeting point of five yang channels, yang, is included in the name.

The character bai helps make things clear in that it is employed to treat eye diseases.

Other This point is good for Wood CFs who are in a muddle. It gives them a real kick.

Its good for a patient who has already made a decision but needs it to be

solidified.

GB 14 & 15 are good for headaches and eye problems.


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Reunion point,Yang Wei Mo 3 X


ACI posterior to the natural hair lineOn a vertical line superior to the middle of the pupil

when the eye is looking straight ahead JRW

At the mid point of the distance from GV 24 to ST 8

2 cun lateral to the anterior median line

cun posterior to the anterior hairline

Directly superior to GB 14



Direction depends on symptomatology. The needle should be inserted deep intothe subcutaneous layer, into the loose areolar tissue adjacent to the bone of the


Function Reunion: GB, BL, Yang Wei Mo acc. to D^Eliminates wind D^Benefits the head D^Alleviates pain D^Clears the brain B ^Brightens the eyes B^Frees the nose B ^Regulates the Mind M^Balances the emotions M ^Benefits the nose and eyes D

Name Head Overlooking TearsTou: Head

Lin: To overlook, to face towards;

to arrive at

Qi: Tear

Because GB 15 overlooks the eye, the place that tears come from, it may be

called Head Overlooking Tears. It also overlooks in that it treats diseases of the

eye. Lin also has an extended meaning of supervision, or as in this case, treatment.

This is especially meaningful in light of the line from the Ode of a Hundred Patterns:

[If there is] tearing, needle Overlooking Tears (GB15) and Head Corner (ST 8).

Other This point is good for the mental level when a patient is uptight and tense within

himself/herself. It can be used with Foot Above Tears (GB 41). It is a

powerful point.

JG: This point calms the mind, eases agitation and brings clarity. See VII 41 for

combination suggestion.


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Yang Wei Mo 3 5


1 ACI posterior to GB 15

JRW

1.5 cun posterior to the anterior hairline

1 cun posterior to GB 15

On the coronal structure

Note:The origin of the locations of GB 16/17/18 at 2/3/4.5 ACI posterior to

the hairline is unknown. Dr. Wu Wei-Ping has them at 1/2/3.5 behind GB 15,

which is 1.5 cun before the parieto-frontal suture. Dr. H. Voisins locations are

similar to G. Solulie de Morant, following a completely different pathway and

numbering system. CTA

Needling 0insertion, .5-1.5 cun.

Note: This point, like all hairline points, may be needled in any direction.Direction depends on symptomatology. The needle should be inserted deep into



Function ^Benefits the eyes D^Eliminates Wind and alleviates pain D^Clears the head and brightens the eyes B

Name Eye WindowMu: Eye

Chuang: WindowAlternate Names:Arriving at Splendor

The name reflects the points function and location.

LJ This point empowers one to release judgments against self and others. Further, thispoint may allow one to bring past events into perspective.

Other

This eye Window enables the Official to really see clearly before making

decisions and judgments. When you can see what the problem is, you can make

a sensible decision and judgment. Remember what the Official and Elementdothey are concerned with decisions and judgments. To do this we need to

see clearly where we are going with the mind and Spirit.

This point clears blocks between the mind and Spirit. It helps the patient to see

himself/herself and the process of change as treatment begins to show rebirth.


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Yang Wei Mo 3 5



JRW

2.5 cun posterior to the anterior hairline












Function ^Benefits the head and alleviates pain D^Pacifies the Stomach D^Clears heat and drains the GB B^Soothes the sinews and quickens the connecting vessels B

Name Upright ConstructionZheng: Right, upright, true, straight

Ying: The former half of construction-blood,

nourishment; to manage, to regulate

The character zheng refers to the points location right at the top of the head, while

ying may be considered as an indication of the points ability to reach construction-

blood (ying xue) and thereby nourish the eyes and spirit.

In geographical nomenclature ying refers to the lines that demarcate the east-west, i.e.

horizontal direction. GB 17 is located on the horizontal line that crosses exactly at

the top of the head.

Zheng ying also can mean fear or solicitude. This name may therefore be indicative of

the use of GB 17 for quieting the spirit and easing palpitations.

Other

The destiny of Wood is benevolence and human kindness.


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Yang Wei Mo X 5



JRW

4 cun posterior to the anterior hairline

1.5 cun posterior to GB 17











Function ^Benefits the head and alleviates pain D^Benefits the nose & descends LU qi DDiffuses the LU & frees the portals B^Calms the Mind M^Clears the brain M^Clears the GB and drains heat B

Name Spirit SupportCheng: To support; to contain; to receive

Ling: Spirit; Ingenious

GB 17 is located at the place the ancient Chinese termed the cover of the celestial

spirit. Whether the name should be translated as Support Spirit, Receive Spirit or

Contain Spirit is not entirely clear. Cheng, in this case, means to support in most

Chinese sources.

Other This point is good for the Spiritual connection of the inside Spirit with the

outside Spirit. Its for the Ling Spirit, ones deepest internal Spiritualnature.

It lends sensitivity and awareness, subtle and receiving.


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Yang Wei Mo 3 5


Lateral to the external occipital protuberance1 ACI superior to GB 20 JRW

On the level of the upper border of the external occipital protuberance of the

occiput (and GV 17)

1.5 cun superior to GB 20 CTA





Function ^Benefits the head and alleviates pain D^Pacifies Wind and clears the sense organs D^Clears the GB and drains Fire B^Soothes the sinews and quickens the connecting vessels B^Rouses the brain and frees the portals B

Name Brain HollowNao: Brain

Kong: Empty, spacious

Alternate Names:Temple Region

The fact that GB 19 is called Brain Hollow and GB 18 is called Spirit Support

shows that the ancient Chinese realized the relationship of the brain to what they

termed disorders of the spirit. Many points on the GV, GB and BL channels are

used to treat psychiatric (i.e., spirit) disorders because these three channels traverse

the head.


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Reunion point, 6 7-10

Yang Wei Mo, Yang Qiao Mo

Location Inferior to the occipital boneIn the center of the depression between the external occipital protuberance

and the mastoid process

Superior to the natural hair line and lateral to the border of the trapezius JRW

2.25 cun lateral to the posterior median line

In the large hollow between the trapezius and sternocleidomastoid muscles

1 cun superior to the natural hairline

Level with GV 16 and inferior to the occiput CTA

Needling (1) Slightly 45inferior insertion in the direction of the channel, 1-1.5 cun(2) Directed towards the tip of the nose, the contralateral eyeball or Yintang (M-

HN-3), .5-1 cun! Deeper needling may damage the spinal cord !

Function Reunion: GB, TE, Yin Qiao Mo, Yang Wei Mo acc. to D^Eliminates Wind D,Band clears Heat B^Benefits the head and eyes D^Clears the sense organs D,Band the Head B^Brightens the eyes and sharpens the hearing B^Harmonizes Qi and Blood B^Activates the channel and alleviates pain D,B

Name Wind PoolFeng: WindQi: Pool, Pond

Alternate Names:Heat Mansion

Other This point is good for any optic nerve disorder and symptoms brought on by

Wind. Its symptomatic for migraines and is good for headaches in the back of

the neck.

This point works on a mental level on clarity issues; its good for people who

have an inability to see or to form judgments.

Its a very powerful pointuse it with caution.


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Reunion point, YangWei Mo 4-6 7-15

Location Midway between GV 14 and the lateral tip of the clavicle

Upon the anterior border of the trapeziusIn line with TE 15 and SI 13 JRW

(traditionally at the highest point of the shoulder) CTA

Needling Posterior 45insertion, .5-1 cun! 90 insertion, especially in thin patients, brings a big risk of Pneumothorax !

! Contraindicated during pregnancy !

Function Reunion: GB, TE, (+ ST, Yang Wei Mo acc. to D^Regulates qi D^Activates the channel and alleviates pain D,B

^Transforms and lowers phlegm

D,B

^Dissipates nodules D^Benefits the breasts Dpromotes lactation M^Expedites delivery D,M^Relaxes the sinews M

Name Shoulder WellJian: Shoulder

Jing: A well

Alternate Names:Shoulder Well (Bo Jing)

This points name is a result of its location.

Other This is a powerful spirit point.

Its located below the neck and at the top of the shoulderswhere Heaven

meets Earth.

This is a reunion point for the Triple Burner and the Gall Bladder.

Working on a physical and spirit level, it unites Heaven and Earth, God and

man.

Its a meeting point to use when the patient is disconnected from her/her higher

self.

Its good for when the spirit is shining out but the body is locked, depleted or

vice versa.

Its good for the tendons and stiffness on a mental, physical and spirit level.

Its good for the shoulders, neck and general chest problems.

The Triple Burner brings in heavenly aspects of Fire and warmth.

You can use this point with Eye Window when youre not getting enough Qi

through to enable the patient to see.


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4 X

Location In the 4thintercostal space

On the mid-axillary line

JRW

Needling 20insertion along the intercostal space, .5-1 cun! 90

or Deep insertion may induce a Pneumothorax !

! According to several classical texts, this point is contraindicated for moxa !

Function ^Regulates qi D,B^Unbinds the chest D,B^Benefits the axilla D^Relaxes the sinews B

Name Armpit AbyssYuan: Abyss, deep poolYe: Armpit

Alternate Names:Abyss Humor, Humor

Abyss, Armpit Gate, Humor Gate, Spring

Armpit, Spring Humor

The point is called Armpit Abyss due to its location.


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Reunion point,GB Alarm point 5 5

Location In the 4thintercostal space

1 ACI medial/anterior to GB 22

JRW

Needling 20insertion along the intercostal space, .5-1 cun! 90

or Deep insertion may induce a Pneumothorax !

Function ^Reunion: GB, BL acc. to D^GB Alarm point, acc. to some sources (inc. JRW)^Regulates qi in the 3 jiao D^Unbinds the chest D^Lowers rebellion D,B^Courses the LR and rectifies qi B

^Calms dyspnea

B

Name Sinew SeatZhe: The two seats of an ancient chariot; the

sides of the chariot just above the wheels

Jin: Sinew

GB 23 is located below the armpit on the side of the rib cage. The shape of the rib

cage is said to resemble the sides of a chariot in the area above the wheels. In fact,

the intercostal muscles are sometimes called Zhe jin. The point rides within these

sinews as if they were the seats of a chariot.

Other

Wood feeds the ligaments and tendons that hold the muscles in place. Look to

this point when there is atrophy or wasting no growth, rebirth or regeneration

of the muscles.

This point gives strength and security.

The strength of mind and spirit are held together here.


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GB Alarm point,Reunion point 5 5-7

Location On the thorax in the 7thintercostal spaceOn the paramedian nipple line

Needling 20insertion along the intercostal space, .5-1 cun! 90 or Deep insertion may induce a Pneumothorax !

Function ^GB Alarm point ^Reunion: GB, SP (+ Yang Wei Mo acc. to D)^Benefits the GB D,M ^Courses GB qi B^Spreads LR qi D ^Benefits the Liver M^Lowers rebellion D ^Harmonizes the middle jiao D,B^Resolves damp-heat D,B,M

Name Sun and MoonRi: Sun; day

Yue: Moon; month

Alternate Names:Spirit Light, Gallbladder Mu

The Sun represents yang and the Moon yin. The Chinese word for clear is ming, which is a

composite made of the characters for Sun and Moon. Thus, just as the sun and moon make

things clear on earth, this point can help makes things clear in the mind.

LJ Together, these two characters may be rendered as illumination. It is the vision of things thatcreates the phenomenal universe. The two eyes are emblematic of the fall from the unity of the

one in which all things are interpenetrating, to the two where distinctions arise between good

and bad and, ultimately, between the self and Dao. The character ming, meaning illumination,

has two halves. The left half is the sun and represents outer illumination; the vision that brings

things into the world. It is the vision of creation that proceeds from the opening of the

senses that allows us to perceive the phenomenal world. The right half of the character

represents the moon; the quality of light at night which blends all things into one. This inner

illumination is the vision that results from shutting off the senses, allowing us to see the depth

of things. The sun and moon are symbols for the left and right eyes and provide a connection

between vision, the wood element, and the unity of opposites. It is the faculty of

discrimination that breaks the unity of the uncarved wood into the ten thousands things. The

sense of vision, based on two eyes, is only capable of seeing duality in the world. He who

turns his gaze outward loses the vision of unity present at his depth. Acupuncture point GB

24 (the sun and moon (ming)) can address this vision and help return the vision of the sage,

which rolls the ten thousand things back into one.

Other

This is a point you wouldnt use very early on, but its extremely valuable somewhere

along the line.

The name implies that its day and night, yin and yang, sun and moon, male and female,

the light and the darkits the balance. Anyone who is going to make decisions and

judgments must make them in a balanced way, not in a biased way. This is a great point

to bring that balance of the mind.

This point is about the whole nature of the Gall Bladder Official decision making. It

harmonizes opposites and brings about clarity.


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Use it on dogmatic people who see in black and white with no grey areas. This is how

it s and thats that. It softens a hardened or rigid wood.


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KI Alarm point 7 7-12

Location Anterior to the tip of the 12thrib JRW

Needling 90insertion .5-1 cun! In thin patients, deep needling may penetrate the peritoneal cavity !

Function ^Kidney Alarm point^Benefits the KI D^Warms KI cold B^Regulates the water passages D,B^Resolves water-damp B^Fortifies the Spleen D^Regulates the intestines D^Benefits the lumbar region D^Downbears ST counterflow B

Name Capital GateJing: Capital city; hill

Men: Gate, door

Alternate Names:Qi Mansion, Qi Shu,

Kidney Mu

A capital is an important gathering place, as is an alarm point. In Selected

Explanations of Points names, jing is said to include the meaning of yuan, source, in

ancient Chinese. Because the point name is the root of prenatal source qi, the point

name could be translated as Source Gate, indicating GB 25 is a gate to the bodyssource qi.

Other

This is a powerful physical point. Use it to treat the Gall Bladder itself.

Its often used with Liver 13.

The point itself is not very deep; it gets to the deep level superficially.

It is used to get things moving.


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Dai Mo 8 5-15

Location On the lateral surface of the abdomen

At the intersection of the vertical line passing through the anterior tip of 11

th

riband a horizontal line passing through the center of the umbilicus JRW

On the line from GB 25-27

Inferior to the tip of the 11thrib (and LR 13)

4 cun lateral to the anterior median line CTA

Needling 90insertion .5-1 cun! In thin patients, deep needling may penetrate the peritoneal cavity !

Function ^Regulates Dai Mo D,M^Regulates menstruation and stops leucorrhea D,B^Regulates the uterus M^Clears and disinhibits damp-heat B,M^Drains dampness D^Activates the channel and alleviates pain D

Name Girdling VesselDai: Girdle, belt; to lead, take in ones

charge;

to carry

Mai: vessel (of blood and qi); pulse

This point is so named because it is a major point on the girdling vessel and is utilized

in treating diseases of that vessel. The girdling vessel itself is so named because it

encircles the body like a belt and takes charge of the conception, governing and

penetrating vessels.


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Dai Mo 7 3-10

Location On the hip

Inferior and slightly posterior to the Anterior Superior Iliac Spine

JRW

.5 cun anterior to the anterior superior iliac spine

3 cun inferior to the level of the umbilicus

Level with CV 4 CTA

Needling 90insertion 1-1.5 cun

Function ^Regulates Dai Mo D^Regulates the lower jiao and transforms stagnation D^Strengthens the lumbus and boosts the kidney B^Courses the liver and rectifies qi B^Treats vaginal discharge B

Name Fifth PivotWu: Five, fifth

Shu: pivot, axis, central point; indispensable,

Cardinal

Each of the five postions has a number associated with it. Five is the number

associated with the center.

GB 27 can be considered the central point of the abdominal points on the GB

channel and is also located at a level central to the body as a whole. Shu, meaning

pivot, refers to the fact that the body turns or pivots at this point. Since shu also hasmeanings of indispensable or central, it reinforces the connotations of wu, five.

GB 27 is a reunion point of the GB channel and Dai mo. Since Dai mo wraps

around the center of the body, and a place of intersection is in fact a pivot of sorts,

the points name makes sense.


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Dai Mo 8 5-7

Location On the hip

Midway between GB 27 and GB 29

JRW

.5 cun medial and inferior to GB 27

Note:The origin of the location of GB 28 at the midpoint between GB 27 & 29

is unknown, but G. Soulie de Morant has GB 28 two FW. Under GB 27 and

three under GB 30, with GB 29 one FW above GB 30. CTA

Needling 90insertion 1-1.5 cun

Function ^Regulates Dai Mo D^Leashes Dai Mo B^Regulates the lower jiao and transforms stagnation D

^Courses stagnant qi

B

^Rectifies the two intestines B

Name Linking PathWei: To link, to hold together; to protect

Dao: road, way, path; to lead, to guide,

Alternate Name:Outer Pivot (wai shu)

Other This point is good for Wood CFs with difficult periods and uterine problems. This point helps prevent sidetracking. It helps keep a person on path.


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Yang Qiao Mo 8 5-7

Location Midway between the anterior superior iliac spine and

the prominence of the greater trochanter of the femur

JRW


(Traditionally described in the anterior fossa of the femurs greater trochanter.) CTA

Needling 90insertion 1-2 cun, or 45insertion inferiorly 2-3 cun

Function ^Activates the channel and alleviates pain D,M^Benefits the hip joint D^Soothes the sinews and quickens the connecting vessels B^Strengthens the lumbus and the legs B

Name Squatting Bone-HoleJu: To sit, to squat; to reside, to dwell

Liao: bone-hole

Other This does the same things as the fire point of Gall Bladder.

Gall Bladder 29 & 30 used with moxa on the needle can bring heat right into

the joint and warm up the energy.

Dont use these points on their ownuse them with command points.


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Reunion point,First Aid point 10-15 7-20

Location On the lateral surface of the hip

Posterior to the prominence of the greater trochanter

JRW

To locate GB 30 on one side, have the patient in a lateral recumbent position,

with that lower leg extended and the thigh flexed

On the lateral side of the thigh

One third of the distance between the prominence

of the greater trochanter of the femur and the sacral hiatus

Level with the inferomedial border of the gluteus maximus muscle

and the interior border of the piriformis muscle CTA

Needling 90insertion directed towards the genitals, 2-3.5 cunNote: A radiating or electric sensation may travel to the foot. Since this

manifestation of deqi is particularly indicated in cases of sciatica, it may be morereadily induced by locating GB 30 one cun inferior to its normal position

Function Reunion: GB, BLFirst Aid: Fractures, Sprains

One of Ma Dan-yangs 12 Heavenly Star points

^Activates the channel and alleviates pain D,M^Dispels Wind-Damp D,B^Benefits the hip and leg joint Ddisinhibits the lumbus and hip B^Strengthens the lumbus and legs B^Tonifies qi and blood M^Dispels Damp-heat M

Name Jumping RoundHuan: Ring, circle; to encircle; turn

Tiao: To jump, to leap

Alternate Names:Round Valley, Divided

Center, Hip Joint, Buttocks Pressing, Knee-

The part of the body where Cap, Hip Bone, Pivot Center, Pivot Union

This point is found is pivotal for Center

Jumping and turning movements. When a person squats down in preparation for a

jump, a semi-circular (round) depression appears at this point; hence the name

Jumping Round.

Other

This point is good for hips pain on a Wood CF. Go in 10 to 15 fen. Its good

with moxa and a moxa needle.


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5 5

Location On the lateral surface of the thigh

6 ACI proximal to the flexure of the kneeBetween the vastus lateralis and the biceps femoris JRW

7 cun proximal to the popliteral crease

On the lateral thigh

Note: Dr. Wu Wei-Ping gives the location of GB 31 as 6 cun above the flexure,

and GB 33 as above the head of the femur. Dr. J. Lavier illustrates GB 21/32/33

at 6/5/1 cun, with 13 cun as the total measurement of the thigh. CTA

Needling (1) 90or slightly 45insertion posteriorly 1-2 cun(2) 45insertion, directed proximally or distally, 1.5-2.5 cun

Function Êliminates Wind

D,B,M

Âlleviates itching D,M^Strengthens the bones B,M^Strengthens the sinews B^Relaxes the sinews MÂctivates the channel and alleviates pain D^Dissipates cold B^Regulates qi and blood B

Name Wind MarketFeng: Wind

Shi: Market, fair, city

Wind disorders can be treated with this point. Furthermore, wind qi may gather in

this area like people gathering at a market or fair. Thus the point is known as Wind

Market.


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5 5-7

Location On the lateral surface of the thigh

5 ACI proximal to the flexure of the kneeBetween the vastus lateralis and the biceps femoris JRW




Needling (1) 90or slightly posterior 45insertion 1-2 cun(2) 45insertion, directed proximally or distally, 1.5-2.5 cun

Function ^Expels Wind, Damp and Cold D,B^Activates the channel and alleviates pain D

^Soothes the sinews and quickens the connecting vessels

B

Name Central RiverZhong: Central, center

Du: River, ditch, drain

Qi flows in the channels like water in a river. The GB channel is in a central position

relative to the other two yang channels on the lower limbs. The name Central River

can be seen to represent the GB channels as a whole. Or, GB 32 may be so named

because the GB channel communicates with the TE channel (shaoyang). The TE is

referred to in the Spiritual Axis as Zhong du, the central river. Because this point is

located in the center of a groove in the muscles that resembles a ditch, the point

name could also be rendered as Central Ditch.


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5 X

Location On the lateral surface of the leg

Between the lateral condyle of the femur and the lateral condyle of the tibia

JRW

1 cun proximal to the popliteal crease




Needling (1) 901-2 cunNote: According to several classical texts, this point is contraindicated to moxa.

Function ^Relaxes the sinews and benefits the joints D,B^Dispels Wind-Damp D

^Dispels Wind and dissipates Cold

B

^Quickens the connecting vessels and relieves pain B

Name Knee Yang JointXi: Knee

Yang: Yang, the complement of yin

Guan:Gate; passage; joint


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Earth,Sea,Influential point, Lower Uniting point 6 7-10

Forbidden Months 2+

Location In the hollow anterior and just distal to the head of the fibula14 ACI proximal to the prominence of the lateral malleolus JRW

The relationship to the bone takes priority over the cun measurement.

This will be on a level with SP 9

(on the inferior border of the medial condyle of the tibia). CTA

Needling 90or slightly 45posterior insertion 1-2 cunThis point is sometimes through needled to SP 9, in which case it should be located

in a more distal position.

Function Earth point

Sea pointInfluential point: Sinews

One of Ma Dan-yangs 12 Heavenly Star points

^Relaxes the sinews M,BBenefits the sinews and joints D^Activates the channel and alleviates pain D,M^Spreads Liver qi D,M^Clears LR and GB damp-heat D,M^Clears GB Heat B^Benefits the lateral costal region D^Expels wind from the knee and legs B^Courses damp and stagnation in the channels and connecting vessels B

^Harmonizes ShaoyangD

^Subdues rebellious qi M

Name Yang Mound SpringYang: Yang, the complement of yin

Ling:Mound, burial mound

Quan:Spring, fountain

Other

This is a very powerful point, although not particularly for the spirit level.

Its the assembling point for the tendons. Symptomatically, its used a lot for

ligament type illness or cartilage trouble, particularly in the leg and foot.

Its good for arthritic legs and sprained ankles.

It brings stability and rigidity with flexibility.

JG: This point brings new birth from resentment and complaint. Use this when

the person cant hear that there is another way to view the situation. This point

broadens perspective and plants a new seed.


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Yang Wei Mo-Xi Cleft 6 3-7


7 ACI proximal to the prominence of the LMPosterior to the edge of the fibula

ACI posterior to GB 36 JRW

Approximately 1 ACI posterior to GB 36 CTA

Needling 901-1.5 cun

Function ^Activates the channel and alleviates pain D,M^Regulates GB qi and calms the Spirit D,B^Relaxes the sinews M,B^Alleviates pain M,B

^Quickens the blood

B

Name Yang IntersectionYang: Yang, the complement of yin

Jiao:to intersect, to meet; to hand over

Other This point is not particularly powerful. It enhances the meridian in a general way.


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Xi Cleft point 4 3


7 ACI proximal to the prominence of the LMWith the body supine and the knee semi flexed

The point lies anterior to the edge of the fibula JRW

Between the peroneus longus and extensor digitorum longus muscles

To expose the peroneal muscles (longus and brevis) evert the foot.

To expose the extensor digitorum longus, dorsiflex the ankle CTA


Function ^Xi Cleft point^Activates the channel and alleviates pain D,M

^Clears Heat and detoxifies poisonD,B

^Disinhibits the LR and GB B^Dispels Wind B^Alleviates pain M

Name Outer HillWai: Outer, outside

Qiu:Hill, mound

Other

This point is mainly used for the physical and mental level. Its a place where yin and yang come together and balance each other.

You can reach an abundance of energy here.

Use it to reach a brittle or rigid person with no true sense of identity, not center

or someone whos lacking a sense of worth and quality.

Its also for intense dislikeof the wind.


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Luo point 6 7








Function ^Luo point^Dispels Wind-damp D

^Dispels WindB,M

^Disinhibits Damp B^Brightens the eyes B,M^Benefits the eyes D^Regulates the Liver B^Clears Heat M^Conducts Fire downwards M^Activates the channel and alleviates pain D

Name Bright LightGuang: Light, brightness

Ming:Clear, bright; acute (of eyesight)

Other

Its particularly good for the mental level and has window like properties.

Judgments and decisions need to be made with clarity; this point is about seeing

the fruits and rewards of making judgments and decisions. It gives a clear, all

encompassing vision.

The Gall Bladder is the only official that deals with pure energy. If it is not pure,

then treat here first.

This point brings stability and better muscle coordination (i.e. use it for muscle

spasms, an inability to stand for long periods, muscular rigidity, paralysis).

Its good for people who have had an excessive intake of drugs.

JG: This point nourishes vision and the eyes beautifully. Its great when a person

has a plan and is not clear about the first step to take. It sharpens visual acuity

and focus.


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Fire point, Sedation point, River point 6 5-15







Needling 90.7-1 cun

Function ^Fire point^Sedation point

^River point^ Clears GB channel heat D,B,M^ Harmonizes Shaoyang D,B^ Resolves Damp-Heat M^ Dissipates cold B^ Subdues Liver Yang M^ Soothes the Liver and resolves depression B^Quickens the connecting vessels and relieves pain B^ Benefits the sinews and bones D^ Activates the channel and alleviates pain D

Name Yang AssistanceYang: yang, the complement of yinFu:to assist, to support; pole attached to a

cart to keep it from upsetting

Alternate Names:Severed Bone, Parting of

the Flesh, Parting Space

Other Use this point for extreme coldness in the Body/Mind; it may be necessary to

use moxa first.

Use this point only when the patient is ready to receive the sunshine.

Its good for when there is not future, plans, or aims; its also good for excessivesighing.


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Influential point,Reunion point 3 5-15




3 cun proximal to the prominence of the lateral malleolus

Between the posterior border of the fibula and the tendon of the peroneus longus

muscle, i.e. on the fibula CTA

Needling 901-1.5 cunThe practitioner should use the index finger of one hand to separate the peroneal

tendons from the fibula, to emphasize the groove. Needle into the groove, first

slightly posteriorly for .5 cun and then 90, to avoid hitting the fibula. Movement of

the patients ankle after needling can result in a bent needle.

Function ^Influential point: Marrow^Reunion: GB, ST, BL (no reunion acc. to D)^ Benefits Jing M^ Nourishes Marrow M^ Benefits the sinews and bones D^ Clears Marrow Heat B^ Dispels Wind-Damp D,B^ Eliminates Wind M^ Benefits the neck D

^ Clears GB Fire

D,B

^ Activates the channel and alleviates pain D

Name Suspended BellXuan: To suspend; to hang

Zhong:bell; clock; handleless cup

Alternate Names:Severed Bone, Marrow

Convergence

The outer anklebone appears like a bell hung from this point, providing the image of

Suspended Bell. In ancient China, children often wore foot bells at the level of this

point. The other name, of equally common usage, is jue gu, Severed Bone. This name

is a reference to the prominence at the distal end of the fibula where the point is

located. In fact, this whole area of the leg is called jue gu.

Other This is the reunion point of the 3 lower yang meridians. Use it to draw qi from

the upper body to the lower body, e.g. in MS.

Use it with Liver 6 to draw energy down into the legs.


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Source point,First Aid point 5 3-7

Location Anterior and distal to the lateral malleolus

Posterior to the tendon of the extensor digitorum longusJRW

To expose the point, dorsiflex and evert the foot CTA

Needling 901-1.5 cun, directed towards KI 6

Function ^Source point^ First Aid point: Food poisoning, Poison^ Spreads Liver qi D,M^ Clears GB heat and damp-heat D^ Transforms Damp-Heat B^ Regulates Shao Yang D

^ Dispels Shaoyang level pathogensB

^ Clears the Liver and Gall Bladder B^ Courses inversion qi B^ Activates the channel and alleviates pain D^ Benefits the joints D

Name Hill RuinsQiu: hill, hillock, mound

Xu:old burial grounds; ruins; wasteland

LJ As the source point, GB 40 embodies the function of every acupoint on thegallbladder meridian, but in a more general manner. The virtue of this point is its

empowerment in the broadening of ones perspective. The function of this point may

be likened to assisting a person lost in the wilderness so that they may reach the top

of a hill in order to see where they are going. This point is ideal for one who cant

see the forest for the trees.

Other The mound was a place where Ancestors were buried; here we can gain the

richness of their wisdom, tap into their knowledge.

Balanced decision-making and clear judgments are extremely vital. If someone is

imbalanced in this capacity, you may find that he/she is in a wilderness. This is considered the unshakeable calm point because it brings a lot of

stability for confusion and it resolves a lack of clarity.

Its good with moxa for warming up the Gall Bladder.

Its a classic point to use after surgery to encourage faster healing.


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Wood, Horary, Stream,Exit,First Aid 3 5

Dai Mo MP, Yang Wei CP

Location On the dorsal surface of the footIn the angle between the 4thand 5thmetatarsal bones JRW

Distal to the junction of the 4thand 5thmetatarsal bones

Just distal to the flare at the base of the fourth metatarsal

Lateral to the tendon of the extensor digiti minimi muscle

To expose this tendon, dorsiflex the foot and especially the fifth digit CTA

Needling 905-1 cun. Incorrect angle of insertion will inhibit the needle from passingbetween the shafts of the fourth and fifth metatarsals.

Function ^Wood point

^ Horary point (11p-1a, 12a-2a DST)^ Stream point^ Exit point^ First Aid point: Hemorrhage^ Dai Mo Master point, Yang Wei Mo Couple point^ Spreads Liver qi D,M^ Courses Liver and GB qi stagnation B^ Benefits the chest, lateral costal region and breasts D^ Clears the head and benefits the eyes D^ Transforms phlegm and dissipates nodules D^ Transforms obstructing phlegm-heat B

^ Resolves Damp-HeatM

^ Clears Fire & extinguishes windB

^ Brightens the eyes & sharpens the hearing B ^ Regulates Dai Mo M

Name Foot Overlooking TearsZu: foot

Lin:to overlook, to face toward; to

arrive at;

Qi:tears; to weep (silent tears)

LJ As the horary point, GB 41 may empower all the virtues of the gallbladder official.

This point may allow one who is fighting back tears of frustration to express his or heranger. In this way anger and resentment, predicated upon the persons frustration,

may be resolved.

Other

This point is the birth of growth, the beginning of movement. It shows people

where they are and what decisions need to be made.

It helps to make a fresh start, giving expansive vision.


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It helps a person to cope when he/she is close to tears.


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2 X

Location On the dorsal surface of the foot

Between the 4th

and 5th

metatarsalsJust proximal to the head of the 4thmetatarsal JRW

Proximal to the fourth metatarso-phalangeal joint

At the flare of the head of the fourth metatarsal

Medial to the tendon of the extensor digiti minimi muscle CTA

Needling 90.5-.8 cun. Incorrect angle of insertion will inhibit the needle from passingbetween the shafts of the fourth and fifth metatarsals.

Note: Classics all say that this point should not be treated with moxa or emaciation

and death will follow within 3 years. However, modern sources agree that there

are no contraindications to moxa.

Function ^ Spreads Liver qi D^ Clears GB Heat D^ Clears the Liver and drains the GB B^ Brightens the eyes and sharpens the hearing B

Name Earth Fivefold ConvergenceDi: earth, ground

Wu:five, fifth

Hui:to converge, to meet


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Water point, Tonification point, Spring point 3 3-5

Location On the dorsal surface of the foot

Between the 4th

and 5th

toesJust distal to the base of the proximal phalanx of the 4thtoe JRW

Distal to the fourth metatarso-phalangeal joint

Just distal to the flare of the base of the proximal phalanx

Proximal to the web margin CTA

Needling (1) 90insertion .3-.5 cun(2) 45insertion directed proximally, .5-1 cun

Function Water pointTonification point

Spring point^ Clears heat D,B^ Benefits the head, ears and eyes D,M^ Clears damp-heat from the channel and reduces swelling D,M^ Extinguishes wind B^ Relieves pain B^ Subdues Liver Yang M

Name Pinched RavineXia: bold, generous

Xi:ravine, mountain stream gully

Other

Use this point when a person is thirsty for growth/birth; it can be very powerful

with good changes.

Its good for cooling down anger.

JG: If a person is afraid to make a decision, this point brings strength and

courage into the official. It bring moisture and flexibility if wood is too rigid.


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Metal point,Well point 1 3-5

Location Lateral nail point of the 4thtoe JRW

About .1 cun proximal to the corner of the nailJust distal to the flare of the distal phalanx CTA

Needling 90or 45insertion directed proximally .1-.2 cun, or prick to bleed

Function Metal pointWell point

^ Clears heat D,B^ Calms the Spirit D,M^ Benefits the head D^ Benefits the eyes M

^ Benefits the chest and lateral costal regionD

^ Subdues Liver Yang M^ Extinguishes Wind B^ Courses the Liver and Gall Bladder B^ Drains Fire B

Name Foot Portal YinXu: foot, leg

Qiao:portal, orifice

Yin:Yin, the complement of yang

LJ This is the metal point on the gallbladder meridian. The metal element controls thewood element across the ke cycle. The resolution of anger (a virtue of the wood

element) is often found in ones ability to let go (a virtue empowered by metal). The

gallbladder is a yang official. As such, the qualities of metal come to it externally.

Here, the presence of metal may be likened to pruning a plantone aspect of good

pruning is to eliminate that which is not essential so that growth may proceed in a

focused manner. Like all points, GB 44 harmonizes a continuum of unbalanced

expression. Ones quality of growth may emulate a tree that sends out b ranches in

many directions, yet never grows tall. Here, GB 44 may prune away unnecessary

growth so that one can better focus on a specific goal, as opposed to many (the

unpruned branches). Also, when the gallbladder is out of balance one may feel thatevery time one initiates an action one is cut down. Hence, this point may also

address the timidity and fear that prevents a person from taking action. In this sense,

GB 44 inhibits the control of metal upon woods inclination to grow.

Other This point is not commonly used because its not very powerful. Its about the

quality of growth.


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This point replaces vital trace minerals within wood. Its very similar to GB 40.

07 gall bladder.pdf

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