Acupuncture Points Notebook

Location Guides:

: Danshu : Gall Bladder Shu

Bl-19 : Foot Taiyang Bladder 19

Classifications:
Back-Shu of the gall bladder
Trigger point (Travell & Simons, 1998, Trigger Point Manual; Melzack, Stillwell & Fox, 1977, Trigger Points and Acupuncture Points for Pain: Correlations and Implications, Pain 3, p3-23)

Location:
1.5 cun lateral to the lower border of the spinous process of the tenth thoracic vertebra (T10).

Needling:
Oblique insertion towards the spine 0.5 - 1 cun, or transverse-oblique insertion 1 - 1.5 cun

Warning:
Perpendicular needling or oblique needling away from the spine carries a substantial risk of causing a pneumothorax.


TCM Actions:
Clears damp-heat from the liver and gall bladder
Clears pathogenic factors from the shaoyang
Tonifies and regulates gall bladder qi
Tonifies deficiency

TCM Indications:
  • Jaundice, yellow eyes, bitter taste in the mouth with a dry tongue, distension and pain of the chest and lateral costal region with inability to turn, vomiting, difficult ingestion, dry retching.
  • Fright palpitations with restless sleep, insomnia.
  • Steaming bone taxation fever, deficiency-taxation tidal fever, dryness and pain of the throat, cold shivering with absence of sweating, swelling of the axilla, headache.

    Neuroanatomy:
    Superficial Innervation: Posterior cutaneous thoracic nerves from T10
    Dermatome Segment: T10
    Deeper Structures: Dorsal rami of spinal nerves from T10

    Trigger Point Associations:
    Muscle: Longissimus thoracis
    Myotome Innervation: Posterior branches of dorsal rami from T10
    Pain Referral Pattern: Inferior to base of buttock
    Indications: Dorso lumbar pain ; Myalgia of long extensors of back

    Notes:
    In Tibetan medicine:
    Moxa point (AMNH, Tibetan Medical Paintings)


    Reference Notes: (click to display)