Acupuncture Points Notebook

Location Guides:

: Fengchi : Wind Pool

GB-20 : Foot Shaoyang Gall Bladder 20

Classifications:
One of the "59 piercings" for clearing Heat in Ling Shu Ch. 23

Homeostatic point 7 (Ma, Ma & Cho, 2005, Biomedical Acupuncture for Pain Management)
Trigger point (Travell & Simons, 1998, Trigger Point Manual)

Meetings:
Meeting of Gall Bladder with San Jiao, Yang Qiao Mai and Yang Wei Mai

Location:
Below the occiput, approximately midway between Fengfu Du-16 and Wangu GB-12, in the hollow between the origins of the the sternomastoid and trapezius muscles.

Needling:
Slightly oblique inferior insertion in the direction of the channel 1 - 1.5 cun, or directed towards the tip of the nose, the contralateral eyeball or Yintang (M-HN-3) 0.5 - 1 cun, or joined by through-needling to contralateral Fengchi GB-20, 2 - 3 cun.

Warning:
When directing towards nose, contralateral eyeball or Yingtang (M-HN-3) deep needling may damage the spinal chord


TCM Actions:
Eliminates wind
Benefits the head and eyes
Clears the sense organs
Activates the channel and alleviates pain

TCM Indications:
  • Headache, head wind, one-sided and generalised headache, dizziness, visual dizziness, hypertension, hemiplegia, deviation of the mouth and eye, goitre, lockjaw.
  • Insomnia, loss of memory, epilepsy, loss of speech following windstroke.
  • Injury by cold, injury by cold with absence of sweating, chills and fever, warm febrile disease with absence of sweating, malaria, throat painful obstruction, swelling of the face, urticaria.
  • Redness and pain of the eyes, redness and pain of the inner canthus, blurred vision, lacrimation (especially on exposure to wind), night blindness, dimness of vision.
  • Nosebleed, rhinitis, nasal congestion and discharge.
  • Deafness, tinnitus, blocked ears.
  • Stiffness and pain of the neck with inability to turn the head, pain of the shoudler and upper back, pain of the lumbar spine, crooked lumbar spine leading to flaccidity and lack of strength in the sinews of the neck.

    Neuroanatomy:
    Superficial Innervation: Lesser occipital nerve, from dorsal rami of C2 and C3
    Dermatome Segment: C3

    Trigger Point Associations:
    Muscle: Suboccipital muscles
    Myotome Innervation: Suboccipital nerve (C1)
    Pain Referral Pattern: Across temporal region
    Indications: Headache ; Deep pain in upper neck ; Usually involves more superficial posterior cervical muscles too (e.g. Tianzhu Bl-10 and Bailao)

    Notes:
    One of the principle acupuncture points for all diseases of the head, brain and sense organs, especially the eyes making it the primary point for headaches and migraines.

    Ling Shu Ch. 23, On Heat Diseases, gives a different list of points for the "59 Piercings" to Su Wen Ch. 61 which includes this point.

    Shang Han Lun Ch. 1, Taiyang diseases, line 24, advises using this point and Fengfu Du-16 if the patient has taken Gui Zhi Tang and remains vexed with the exterior unresolved. These two points are needled and Gui Zhi Tang is administered again.

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

    In Thai massage:
    Acupressure points along the Itha (left) and Pingala (right) sen lines of head running from this point to the temple, Taiyang.
    Indicated for headache, hypertension, neck and shoulder pain/injury/arthritis and stress.
    (Salguero & Roylance, 2011, Encyclopedia of Thai Massage)


    Reference Notes: (click to display)