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Gall Bladder Meridian Presented by Steve Jackowicz M.Ac., L.Ac., Ph.D Gall Bladder Meridian - GB 1 Tong Zi Liao Pupil Bone Hole Location 0.5 cun lateral to the outer canthus of the eye in a depression on the lateral side of the orbit. Precautions: No Moxa Point Associations: ¤ Intersection Point of the GB, TH & SI Meridians Functions ¤ LV Yang/Heat Rising effecting the head - headache, eye problems, similar to Taiyang which is used more. ¤ Local point for manifestations of heat - pain, inflammation, etc. Gall Bladder Meridian - GB 2 Ting Hui Auditory Convergence Location Anterior to the intertragic notch at the posterior border of the condyloid process of the mandible (located with the mouth open). Functions ¤ Ear issues (along with TH 21 & SI 19) - tinnius, otitis media, deafness. ¤ Eliminate wind locally - TMJ disorder, facial paralysis, trigeminal neuralgia, toothache. Gall Bladder Meridian - GB 3 Shang Guan Upper Gate Location In a depression directly above ST 7 on the upper border of the zygomatic arch, in front of the ear. Precautions: No Deep Needle. Point Associations: ¤ Intersection Point of the GB, TH & ST Meridians Functions ¤ Local point, usually for headache. Gall Bladder Meridian - GB 4 Han Yan Forehead Fullness Location Within the hairline of the temporal region at the junction of the upper 1/4 and lower 3/4 distance between ST 8 and GB 7. Point Associations: ¤ Intersection Point o the GB, TH & ST Meridians Functions ¤ Local Point, usually for headache. Gall Bladder Meridian - GB 5 Xuan Lu Suspended Skull Location Within the hairline, midway between ST 8 and GB 7. Point Associations: ¤ Intersection Point of the GB, TH, ST & LI Meridians Functions ¤ Local Point, usually for headache. Gall Bladder Meridian - GB 6 Xuan Li Suspended Tuft Location Within the hairline at the junction of the lower 1/4 and the upper 3/4 distance between ST 8 and GB 7. Point Associations: ¤ Intersection Point of the GB, TH, ST & LI Meridians Functions ¤ Local Point, usually for headache. Gall Bladder Meridian - GB 7 Qu Bin Temporal Hairline Curve Location On the head at the crossing point of the vertical posterior border of the temple at a horizontal line through the ear apex (1 fingerbreadth anterior to TH 20). Point Associations: ¤ Intersection Point of the GB & UB Meridians Functions ¤ Local Point, usually for headache. Gall Bladder Meridian - GB 8 Shuai Gu Valley Lead Location Superior to the apex of the auricle, 1.5 cun within the hairline (1/2 ear length from the apex). Point Associations: ¤ Intersection Point of the GB & UB Meridians Functions ¤ Migraine, one-sided or unilateral headaches and associated nausea, vomiting a/or visual disturbances. ¤ Hangover, eases headache and harmonizes the middle jiao. Gall Bladder Meridian - GB 9 Tian Chong Celestial Hub Location 0.5 cun posterior to GV 8, 2 cun within the hairline, directly above the posterior border of the auricle. Precautions: No Moxa Point Associations: ¤ Intersection Point of the GB & UB Meridians Functions ¤ Local Point, usually for headache. Gall Bladder Meridian - GB 10 Fu Bai Floating White Location At the midpoint of the curve from GB 9 to GB 11, posterior and superior to the mastoid process, at the junction of the middle 1/3 and upper 1/3 of curved line connecting GB 9 to GB 12. Point Associations: ¤ Intersection Point of the GB & UB Meridians Functions ¤ Local Point, usually for headache. Gall Bladder Meridian - GB 11 Tou Qiao Yin Head Portal Yin Location Posterior and superior to the mastoid process at the junction of the middle 1/3 and lower 1/3 of a curved line connecting GB 9 to 12. Point Associations: ¤ Intersection Point of the GB, UB, SI & TH Meridians Functions ¤ Local Point, usually for headache. Gall Bladder Meridian - GB 12 Wan Gu Completion Bone Location In a depression posterior and inferior to the mastoid process. Point Associations: ¤ Intersection Point of the GB & UB Meridians Functions ¤ Dispel exterior & interior wind from the head - tinnitus, tremors in the head, occipital headache, neck rotation ROM issues. ¤ Regulates and calms the spirit - insomnia. Gall Bladder Meridian - GB 13 Ben Shen Root Spirit Location 0.5 cun within the hairline of the forehead, 3 cun lateral to GV 24 (junction of medial 2/3 and lateral 1/3 distance from GV 24 to ST 8). Point Associations: ¤ Intersection Point of the GB & Yang Wei Meridians Functions ¤ Local Point, usually for headache. Gall Bladder Meridian - GB 14 Yang Bai Yang White Location On the forehead, directly above the pupil, 1 cun above the midpoint of the eyebrow. Point Associations: ¤ Intersection Point of the GB, ST, TH, LI & Yang Wei Meridians Functions ¤ Frontal/temporal (ST/TH area) headaches. ¤ Eye issues (direct needle towards eye) - redness, swelling, itching, twitching, etc. Gall Bladder Meridian - GB 15 Tou Lin Qi Head Overlooking Tears Location On the head, directly above the pupil, 0.5 cun above the anterior hairline at the midpoint of a line connecting GV 24 to ST 8 (directly above GB 14). Functions ¤ Excessive tearing from internal or external wind effecting the eyes. ¤ Sinus issues (with GV 23, Yintang a/or LI 20) - sinusitis, rhinitis. Gall Bladder Meridian - GB 16 Mu Chuang Eye Windows Location On the head, 1.5 cun posterior to GB 15, 2 cun above the anterior hairline and 2.25 cun lateral to the midline of the head. Functions ¤ Local Point. Gall Bladder Meridian - GB 17 Zheng Ying Upright Construction Location On the head, 3.5 cun above the anterior hairline and 2.25 cun lateral to the midline of the head (1.5 cun posterior to GB 16). Functions ¤ Local Point. Gall Bladder Meridian - GB 18 Cheng Ling Spirit Support Location On the head, 5 cun above the anterior hairline and 2.25 cun lateral to the midline of the head (1.5 cun posterior to GB 17). Functions ¤ Local Point. Gall Bladder Meridian - GB 19 Nao Kong Brain Hollow Location On the head and level with the upper border of the external occipital protruberance or GV 17, 2.25 cun lateral to the midline of the head (directly above GB 20, level with GV 17). Functions ¤ Local Point. Gall Bladder Meridian - GB 20 Feng Chi Wind Pool Location In a depression between the upper portion of the sternocleidomastoid muscle and the trapezius, level with GV 16. Point Associations: ¤ Intersection Point of the GB, TH, Yang Qiao & Yang Wei Meridians Functions ¤ Dispel Exterior or Interior Wind - (exterior) - fever/chills, stiff neck; (internal) - paralysis, twitching, tremors, numbness, dizziness, vertigo. ¤ All issues of the head, brain (seizures, memory, mental/neurological disorders), face, throat and sense organs (eyes, ears, nose, tongue), headache, especially occipital. ¤ Issues of the neck, shoulders a/or upper back - pain, weakness, stiffness. ¤ Hypertension, especially with LV Yang Rising. Gall Bladder Meridian - GB 21 Jian Jing Shoulder Well Location On the shoulder directly above the nipple at the midpoint of a line connecting GV 14 and the acromion at the highest point of the shoulder. Precautions: No Needle During Pregnancy, No Needle in Patients with a History of Heart Disease. Point Associations: ¤ Intersection Point of the GB, TH, ST & Yang Wei Meridians Functions ¤ Local point for occipital headache, tight trapezius muscles and/or neck/shoulder pain. ¤ Phlegm related issues of the head and neck - embolic stroke, neck lumps, swollen lymph nodes, tumors. ¤ Phlegm related issues of the breast and chest - mastitis, breast abscess, asthma, dyspnea. ¤ Stongly influence Qi downward - useful for rebellious Qi, cough. ¤ Contraindicated in Pregnancy, useful for difficult labor, retained placenta. Gall Bladder Meridian - GB 22 Yuan Ye Armpit Abyss Location On the midaxillary line when the arm is raised below the axilla in the 5th ICS (directly below HT 1). Precautions: No Moxa. Functions ¤ Local Point. Gall Bladder Meridian - GB 23 Zhe Jin Sinew Seat Location 1 cun anterior to GB 22, level with the nipple in the 5th ICS. Functions ¤ Local Point. ¤ The Great Compendium indicates GB 23 as the GB Front Mu. Gall Bladder Meridian - GB 24 Ri Yue Sun and Moon Location Directly below the nipple in the 7th ICS, 4 cun lateral to the AML. Point Associations: ¤ GB Front Mu ¤ Intersection Point of the GB, SP & Yang Wei Meridians Functions ¤ LV & GB issues, especially involving heat and stagnation - gallstones, hepatitis, jaundice. ¤ LV/GB attacking the SP - nausea, vomiting, sour belching, bitter taste, acid reflux. ¤ GB related emotional imbalances - fearfullness, shyness, indecisiveness, timidity, sighing. ¤ The Ling Shu indicates GB 24 (GB Front Mu) & UB 19 (GB Back Shu) for frequent indecisiveness. Gall Bladder Meridian - GB 25 Jing Men Capital Gate Location On the lateral side of the abdomen on the lower border of the free end of the 12th rib. Point Associations: ¤ KD Front Mu Functions ¤ Local point for pain in the lumbar a/or lateral costal region especially when presenting with a KD deficiency. ¤ KD/SP Issues involving dampness - diarrhea (esp. watery/cold), bloating, abdominal distention. ¤ Diuretic point - urinary retention, difficult urination, edema. ¤ Uterine stones - assists passage. Gall Bladder Meridian - GB 26 Dai Mai Girdling Vessel Location Directly below LV 13 at the crossing point of a vertical line through the free end of the 11th rib and a horizontal line through the umbilicus (level with CV 8). Point Associations: ¤ Intersection Point of the GB & Dai Mai Meridians Functions ¤ GB 26, GB 27 & GB 28 are all useful points on the Dai Mai meridian which influences the GB, KD, Chong Mai, CV & GV Meridians. ¤ GB 26 is most useful for women's issues - leukorrhea from any etiology, gynecological disorders, prolapses, infertility. ¤ Menstrual related pains, cramping, bloating a/or migraines. ¤ Local point for the lower back and waist. Gall Bladder Meridian - GB 27 Wu Shu Fifth Pivot Location On the lateral side of the abdomen, anterior to the ASIS, 3 cun below the level of the umbilicus (lateral to CV 4). Point Associations: ¤ Intersection Point of the GB & Dai Mai Meridians Functions ¤ GB 26, GB 27 & GB 28 are all useful points on the Dai Mai meridian which influences the GB, KD, Chong Mai, CV & GV Meridians. ¤ GB 27 is more useful for male issues - testicular pain a/or retraction, lower abdominal pain, shan disorder. Gall Bladder Meridian - GB 28 Wei Dao Linking Path Location Anterior and Inferior to the ASIS, 0.5 cun anterior and inferior to GB 27. Point Associations: ¤ Intersection Point of the GB & Dai Mai Meridians Functions ¤ GB 26, GB 27 & GB 28 are all useful points on the Dai Mai meridian which influences the GB, KD, Chong Mai, CV & GV Meridians. Gall Bladder Meridian - GB 29 Ju Liao Squatting Bone Hole Location In a depression at the midpoint between the prominence of the greater trochanter and the ASIS. Point Associations: ¤ Intersection Point of the GB & Yang Qiao Meridians Functions ¤ Hip pain, especially with pain radiating from the hips, sciatica. ¤ Shoulder pain, using the opposite joints needling method. Gall Bladder Meridian - GB 30 Huan Tiao Jumping Round Location At the junction of the lateral 1/3 and medial 2/3 distance between the prominence of the greater trochanter and the hiatus of the sacrum (GV 2), (located with the patient in a lateral recumbent position with thigh flexed). Functions ¤ Sciatica, pain, numbness, atrophy of lower back, hip, buttocks a/or lower limbs. ¤ Bi (painful obstruction) or Wei (flaccidity, weakness) of the leg. ¤ Urticaria, red, itchy skin issues from wind. Gall Bladder Meridian - GB 31 Feng Shi Wind Market Location On the midline of the lateral aspect of the thigh, 7 cun above the transverse popliteal crease, when patient is standing erect with hands close to sides the point is at the tip of their middle finger. Functions ¤ Lateral and posterior leg issues - sciatica, weakness, numbness, post-stroke symptoms of lower limbs. ¤ Red, itchy, skin disorders from wind a/or dampness anywhere on the body. Gall Bladder Meridian - GB 32 Zhong Du Central River Location On the lateral aspect of the thigh, 5 cun above the popliteal crease, 2 cun below GB 31, between the tendons of vastus lateralis and biceps femoris. Functions ¤ Local Point. Gall Bladder Meridian - GB 33 Xi Yang Guan Knee Yang Joint Location 3 cun above GB 34, lateral to the knee joint, in a depression above the external epicondyle of the femur, between the femur and the tendon of biceps femoris. Precautions: No Moxa Functions ¤ Local Point. Gall Bladder Meridian - GB 34 Yang Ling Quan Yang Mound Spring Location In a depression anterior and inferior to the head of the fibula. Point Associations: ¤ He Sea Point ¤ Earth Point ¤ Hui Meeting of the Sinews ¤ Lower He Sea of the GB Functions ¤ Hui Meeting of the Sinews - useful for treating soft tissue anywhere in the body, contracture, cramping, pain, spasm, weakness, numbness, paralysis. ¤ Sciatica and issues with the low back, hip, a/or lower limbs, knees. ¤ All disorders of the lateral regions of the body. ¤ Lower He Sea of the GB - effects GB organ, usually with GB Damp-Heat conditions, cholecystitis, hepatitis, jaundice, nausea, vomiting, bitter taste in mouth, gallstones. ¤ Shao Yang level diseases presenting with alternating chills/fevers, costal pain, bitter taste in mouth. ¤ LV attacking SP - counterflow Qi, nausea, vomiting, indigestion. Gall Bladder Meridian - GB 35 Yang Jiao Yang Intersection Location 7 cun above the tip of the external malleolus on the posterior border of the fibula, level with GB 36 & UB 58. Point Associations: ¤ Xi Cleft of the Yang Wei Mai ¤ Intersection Point of the GB & Yang Wei Meridians Functions ¤ Local Point. Gall Bladder Meridian - GB 36 Wai Qiu Outer Hill Location 7 cun above the tip of the external malleolus on the anterior border of the fibula. Point Associations: ¤ Xi Cleft Point Functions ¤ Acute cholecystitis. ¤ Acute painful skin conditions. Gall Bladder Meridian - GB 37 Guang Ming Bright Light Location 5 cun above the tip of the external malleolus on the anterior border of the fibula. Point Associations: ¤ Luo Connecting Functions ¤ Eye issues, especially LV related - redness, itching, blurry vision, night blindness, optic nerve atrophy, cataracts. ¤ Lower leg, calf a/or foot problems - dropped foot, edema, atrophy, obstruction. ¤ Headaches effecting the region around the eyes - temporal, infra/supraorbital, migraines. ¤ Breast issues from stagnant LV Qi - pain, insufficient lactation. Gall Bladder Meridian - GB 38 Yang Fu Yang Assistance Location 4 cun above the tip of the external malleolus, slightly anterior to the anterior border of the fibula between extensor digitorum longus and peroneous brevis. Point Associations: ¤ Jing River Point ¤ Fire Point Functions ¤ Moving point for GB channel issues - pain, heat, stagnation along the channel. ¤ Fire Point - useful for treating the fever period of Shao Yang stage diseases (alternating fever and chills). Gall Bladder Meridian - GB 39 Jue Gu Suspended Bell Location 3 cun above the tip of the external malleolus in a depression between the posterior border of the fibula and the tendons of peroneous longus and brevis. Point Associations: ¤ Hui Meeting of the Marrow Functions ¤ Hui Meeting of the Marrow - excess or deficiency conditions effecting the bone marrow, ligaments, tendons, muscles a/or bones - pain, spasms, numbness, weakness. ¤ Chronic Bi or Wei syndromes especially with KD Deficiency - thought to strenghthen immunity. ¤ Neck issues, stiffness, arthritis, strain, sprain, whiplash, headache. ¤ Descends rising LV/GB heat - dizziness, tinnitus. Gall Bladder Meridian - GB 40 Qiu Xu Hill Ruins Location Anterior and inferior to the external malleolus in a depression on the lateral side of the tendon of extensor digitorum longus. Point Associations: ¤ Yuan Source Point Functions ¤ Local point for issues of the lower limbs a/or ankles - weakness, paralysis, atrophy. ¤ Wrist issues using the cross joints needling method. ¤ Chronic malaria where chills are predominant. Gall Bladder Meridian - GB 41 Zu Lin Qi Foot Overlooking Tears Location Posterior to the 4th metatarsophalangeal joint in a depression lateral to the tendon of extensor digiti minimi. Point Associations: ¤ Shu Stream Point ¤ Wood Point ¤ Master Point of the Dai Mai coupled with TH 5(Yang Wei Mai Master) Functions ¤ Moves LV Qi - menstrual/breast disorders, distal point for headaches (lateral or migraines - classical mentioned for occipital or vertex). ¤ As the name indicates - "foot overlooking tears," useful for eye problems, redness, swelling and lacrimation issues, tearing, excessive lacrimation. ¤ Local point for lateral foot issues - pain, cramping. Gall Bladder Meridian - GB 42 Di Wu Hui Earth Fivefold Convergence Location Posterior to the 4th metatarsophalangeal joint between the 4th and 5th metatarsals on the medial side of the tendon of extensor digiti minimi. Precautions: No Moxa Functions ¤ Local Point. Gall Bladder Meridian - GB 43 Xia Xi Pinched Ravine Location On the dorsum of the foot between the 4th and 5th toes, proximal to the margin of the web at the junction of the red and white skin. Point Associations: ¤ Ying Spring Point ¤ Water Point Functions ¤ Ying Spring Point - clears heat from the entire channel. ¤ Effects opposite end of the channel - headaches, dizziness, tinnitus, eye a/or ear pain. ¤ GB Damp Heat stag. in the channel - swelling in axillary region, lateral costal pain, breast abscesses, knee pain. Gall Bladder Meridian - GB 44 Zu Qiao Yin Foot Portal Yin Location 0.1 cun posterior to the corner of the nail on the lateral side of the 4th toe. Point Associations: ¤ Jing Well Point ¤ Metal Point Functions ¤ Insomnia especially with nightmares - LV/GB heat rising to effect the HT (fullness below the heart). ¤ Issues with the sense organs (eyes, ears, nose, mouth, tongue) related to excesses a/or stagnation - pain, inflammation, speech disorders, stiff tongue.