Points Database

Location Guides:

: Naokong : Brain Hollow

GB-19 : Foot Shaoyang Gall Bladder 19

Classifications:
One of the "59 piercings" for clearing Heat in Su Wen Ch. 61

Trigger point (Travell & Simons, 1998, Trigger Point Manual)

Meetings:
Meeting of Gall Bladder with Yang Wei Mai

Location:
In the occipital region, directly above Fengchi GB-20, level with Naohu Du-17 (in the depression 1.5 cun directly above Fengfu Du-16).

Needling:
Transverse insertion 0.5 - 1.5 cun in the direction of symptoms or to connect with other points.

TCM Actions:
Benefits the head and alleviates pain
Pacifies wind and clears the sense organs

TCM Indications:
  • Headache, head wind, brain wind, one-sided headache and heaviness of the head, stiffness and pain of the neck with inability to turn the head, wind dizziness.
  • Redness, swelling and pain of the eyes, deafness and tinnitus, pain of the nose, nasal congestion, nosebleed.
  • Fright palpitations, mania-depression disorder, taxation disorders with emaciation, heat in the body.

    Neuroanatomy:
    Superficial Innervation: Greater occipital nerve from C2
    Dermatome Segment: C2

    Trigger Point Associations:
    Muscle: Occipitalis
    Myotome Innervation: Posterior auricular nerve, from facial nerve (CN VII)
    Pain Referral Pattern: To parietal region and eyes with some spillover to frontal region between. Works in tandem with frontalis (between yangbai GB-14 and zanzhu Bl-2) which will radiate pain around the forehead and superiorly to the frontal region
    Indications: Pain of the head ; Inability to bear the weight of the head on the point so must sleep sideways

    Notes:
    The "59 piercings" are named in the Su Wen Ch. 61 and mentioned in Su Wen Ch. 32 for treating Heat diseases. This point along with Toulingqi GB-15, Muchuang GB-16, Zhengying GB-17 and Chengling GB-18 clear Heat from counterflow in the foot Shaoyang Gall Bladder channel.

    Ling Shu Ch. 24, On Counterflow Diseases, seems to employs this set of points in treating headache, dizziness and heaviness of the head. It advises draining from the five points on each of the five channels on the top of the head, including this point, followed by the hand Shaoyin and then foot Shaoyin.

    In Thai massage:
    Acupressure point indicated for eye ailments (Salguero & Roylance, 2011, Encyclopedia of Thai Massage)


    Reference Notes: (click to display)