Acupuncture Points Notebook

Location Guides:

: Zhejin : Flank Sinews

GB-23 : Foot Shaoyang Gall Bladder 23

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

Meeting of Gall Bladder with Bladder

Below the axilla in the fifth intercostal space, 1 cun anterior to Yuanye GB-22, aproximately at the level of the nipple. Some sources locate this point in the fourth intercostal space.

Transverse-oblique insertion along the intercostal space 0.5 - 1 cun

Deep or perpendicular needling mayb induce a pneuomothorax.

TCM Actions:
Unbinds the chest and lowers rebellion
Regulates qi in the three jiao

TCM Indications:
  • Sudden fullness of the chest, pain of the lateral costal region, dyspnoea, asthma, scrofula, pain of the shoulder and arm.
  • Sighing and tendency to sadness, insomnia, heat of the lower abdomen.
  • Vomiting, acid regurgitation, much spittle, loss of use of the four limbs.

    Superficial Innervation: Lateral cutaneous thoracic nerve from T6
    Dermatome Segment: T6

    Trigger Point Associations:
    Muscle: Intercostals
    Myotome Innervation: Intercostal nerve from T5
    Location Notes: Intercostals can produce trigger points anywhere in the intercostal space
    Pain Referral Pattern: Locally and towards the sternum. The more posterior the point the stronger its tendency to radiate pain to the front
    Indications: Aching pain exacerbated by deep inhalation and activities such as sneezing and coughing

    Reference Notes: (click to display)