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Week 7 : Liver / Gallbladder Treating down the Gallbladder: Head/Neck Begin in the shoulder rotation position to prepare for head/neck treatment of the Gallbladder meridian. GB 1 - Just outside of the eye socket GB 2 - Just below SI 19, below the tragus between the bones. 17 18 GB 3 - Just above the zygomatic arch (cheekbone), about level with GB 1 16 GB 4-7 - Each one is a fingerwidth away from the other, following a line that bulges when you chew. 15 13 4 14 3 GB 7 is level with the top and front of the ear. 5 8 9 GB 8 Right above the highest point of the ear (ear auricle apex). GB 9 is 1 cun behind it. 6 10 7 19 11 1 2 GB 9-12 are just outside the mastoid process (the bone that surrounds the ear. They are evenly spaced from one another. 20 12 GB 12 is under the mastoid process, on the SCM muscle. GB 13: just above the hairline, level with the outside corner of the eye GB 21 GB 14: In the first forehead crease, directly above the pupil. GB 15-20 are on a continuous line running posterior from GB 14. 15 is just above the hairline, 16-18 are each 1.5 cun posterior of the previous point. GB 19 is level with the occipital protuberance inferior edge GB 20 is at the occiput the hollow between the trapezius and SCM muscles. Keep your inside hand at the shoulder as mother hand. Messenger thumb will hold each point in turn. While holding messenger as a wedge to keep the head & neck expanded, alternately compress and stretch the shoulder. GB 21 - Well in the Shoulder - halfway between Pagepoint 1 of the neck and shoulder tip, on the highest the shoulder muscles. GB 1 GB 3 GB 2 GB 7 Page 2 GB 8 GB 12 GB 13 GB 14 Page 3 GB 15-18 GB 20 Rotate the arm up overhead for treatment of GB in the torso. Page 4 Treating down the Gallbladder:Torso Navel Greater Trochanter 24 28 27 29 26 ASIS GB 30 23 22 25 Gallbladder Meridian - Decisions / Distribution GB 22-23 - In the 4th intercostal space (in between the same ribs as the nipple). Just below the armpit. GB 22 is directly below the armpit center. GB 23 is 1 cun in front of it. GB 24 - In the 7th intercostal space, vertically directly below the nipple. If you begin in the hara below the nipple and trace up onto the ribcage, the 7th intercostal is the first rib space you encounter. GB 25 - At the tip of the 12th rib. GB 26 - Vertically superior to the ASIS (tip of hip bone), level with the navel. GB 27-28 - These points are just above the hip. GB 27 is directly above the ASIS. GB 27 follows the hip line inwards 1 cun GB 29 - Halfway between the ASIS and the greater trochanter of the femur, on the tensor fascia latae (TFL) muscle. GB 30 - Jumping Pivot - large indentation in hip joint, center of buttock. Or, 1/3 of the distance from the greater trochanter to the tip of the tailbone. Page 5 GB 22-23 are pictured above. GB 24: 7th intercostal, the first rib space you reach coming up from the hara on the vertical nipple line. GB 25: Tip of the 12th rib GB 26: Vertically superior to the ASIS, level with the navel. Stretching GB 29/30 and whole side of torso. Hold the palm at GB 29/30 and hold GB 22/23 with the other hand. Elongate the ribcage, think about how they can expand all the way to their spine. Their spine should lengthen and rib spaces expand. Page 6 32 GB 31 GB 30 33 Gallbladder Meridian - Decisions / Distribution GB 30 - Jumping Pivot - large indentation in hip joint, center of buttock. Or, 1/3 of the distance from the greater trochanter to the tip of the tailbone. GB 31 - Market of Wind - On the midline of the lateral aspect of the thigh. When patient is standing erect with hands at sides, the point is at the tip of the middle finger. GB 32 - 2 cun distal to GB 31 GB 33 - just posterior to the lateral epicondyle of the femur, between the epicondyle and the biceps femoris tendon. Page 7 Move to front of receiver. Mother hand thumb holds in the front of the body to stabilize, at GB 27 (next to the ASIS) Treating down towards GB 33. Following the midline of the outside of the leg, through the IT band. Once you finish this, reposition to treat the lower leg. Page 8 lateral malleolus peak Fibula (dotted line) GB 34 35 36 39 40 37 38 41 42 43 44 Gallbladder Meridian - Decisions / Distribution GB 34 - Yang Mound Spring- Just below knee, on side of leg, in front of the head of the fibula (sidemost leg bone) GB 35 - 7 cun proximal to lateral malleolus peak, posterior to fibula GB 36 - 7 cun proximal to lateral malleolus peak, anterior to fibula GB 37 - 5 cun proximal to lateral malleolus peak, anterior to fibula GB 38 - 4 cun proximal to lateral malleolus peak, anterior to fibula GB 39 - 3 cun proximal to lateral malleolus peak, posterior to fibula GB 40 - level with the inferior and anterior (bottom and front) edges of the malleolus GB 41 - where the 4th and 5th metatarsals come together GB 42-43 - in between the 4th and 5th toe, along the 4th toe, on either side of the metatarsophalangeal joint of the 4th toe. GB 44 - At the lateral corner of the 4th toe nail. Page 9 Mother Thumb at GB 34, “Yang Mound Spring”. Treating anterior to the fibula… GB 40 (level w/ inferior and anterior edges of malleolus) Page 10 Treat between 4th and 5th toes to the lateral corner of the 4th toe nail bed. Move around behind the client’s Yin leg to treat Liver. 1 2 LV 3 LV 4 5 6 7 Dips to meet SP 6 8 9 10 11 12 Liver Meridian - Planning / Freeflow of Ki LV 1 - Directly beneath the center of the big toe nail. LV 2 - against the big toe, just in the webbing LV 3 - Great Rushing - At the junction of the 1st and 2nd metatarsals, angled against the 1st metatarsal LV 4 - Middle Seal - At the ankle joint, level with the medial malleolus tip, just medial to the tibialis anterior tendon (big tendon felt when foot is flexed) LV 5-6 - On the tibia, 5 cun and 7 cun up from the medial malleolus, respectively LV 7 - On the gastrocnemius (calf), in a vertical slit found about halfway back on the side of the calf. LV 8 - Just posterior to the femur medial epycondyle. LV 9 - 4 cun above the patella (kneecap), anterior to sartorius muscle LV 10-12 - LV 12 is just below the inguinal ligament in the groin. Lv 11 and 10 are each 1 cun distal, anterior to adductor longus, on the pectineus muscle, almost following the usual inseam of the pants. LV 13 - Distinguished Gate - (not pictured), at the tip of the 11th rib LV 14 - Gate of the Cycle - (not pictured), Directly below the nipple, in the 6th intercostal space, two rib spaces below the nipple. Page 11 Mother hand on LV 9, 4 cun above the patella (kneecap), on the inseam. Thumbs joining at LV 8, above the knee, just behind the round swell of the femur epicondyle. LV 7…in the center of the profile of the calf muscle, in a vertical slit. Continue along tibia shaft, dip down through SP6, go in front of ankle bone (medial malleolous… Here the messenger thumb goes in between the 1st and 2nd toes at LV 3. Continue on to the medial base of the big toe nail (LV 1) Page 12