Points Database

Location Guides:

: Tongziliao : Pupil Crevice

GB-1 : Foot Shaoyang Gall Bladder 1

Classifications:
Confluent/Master point of the Liver and Gall Bladder Divergent Meridians (Chace, The Merging of Ways; Cecil-Sterman, 2012, Advanced Acupuncture)

Meetings:
Meeting of Gall Bladder with Small Intestine, San Jiao, Gall Bladder Divergent and Liver Divergent

Location:
In the hollow on the lateral side of the orbital margin, approximately 0.5 cun lateral to the outer canthus.

Needling:
Transverse insertion posteriorly 0.2 - 0.3 cun, or extend to connect with Taiyang (M-HN-9)

Warning:
According to several modern texts this point is contraindicated to moxibustion.


TCM Actions:
Benefits the eyes, eliminates wind and clears heat

TCM Indications:
  • Eye pain, redness, swelling and pain of the eyes, lacrimation on exposure to wind, itching of the eyes, redness and itching of the inner and outer canthus, short sightedness, superficial visual obstruction, dimness of vision, night blindness.
  • Deviation of the mouth and eye, throat painful obstruction, headache, pain of the supraorbital ridge.

    Neuroanatomy:
    Superficial Innervation: Ophthalamic branch of trigeminal nerve (CN V1)
    Dermatome Segment: CN V1 ophthalamic branch of trigeminal

    Notes:
    When used as part of a Divergent Meridian treatment is paired with the He Sea point, or less commonly with the Yuan Source or Luo Connecting point of the channels (Chace, The Merging of Ways).

    In ayurvedic medicine:
    Apanga marma point
    Size: 1/2 angula (cun)
    Structure: Blood vessels
    Effect of Injury: Disability (vaikalyakar marma); Loss of sight
    (Harish Johari, 1996, Ayurvedic Massage, Sanatan Society; Anupama Bhattacharya, Marma Shastra)

    Lad and Durve (2008) in Marma Points of Ayurveda call this point Kaninaka and associate it with Alochaka Pitta, Udana Vayu, Apana Vayu and Tarpaka Kapha.

    They give the following actions:
    - Benefits the yes, improves vision
    - Relieves headaches
    - Enhances circulation of aqueous and vitrous humor
    Opens nasolacrimal duct, relieves nasal congestion
    - Relieves stress and tension behind the eyes
    - Pacifies pitta dosha
    - Can help to control lacrimation in patients with Bell's palsy

    Sieler (2015, Lethal Spots, Vital Secrets, p.127) describes this point in Siddha medicine and martial arts as natcattirakkalam, "star vital spot", one fingerbreadth from the exterior corner of both eyes, best attacked using the snake mudra. Only 1/4 a mattirai of pressure should be used as more can cause death. Striking the point causes the victim to start sweating profusely, the eyes turn yellow and the ability to see and hear diminishes. To counter these effects a point on the side of the forehead are pressed or the kumpuvarmam "bud vital spot" on the breast is pressed also using 1/4 a mattirai of pressure. Later (p.162) he describes the same point on the opposite side to the one injured as a remedy to an injury here.

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


    Reference Notes: (click to display)