Points Database

Location Guides:

: Zhejin : Flank Sinews

GB-23 : Foot Shaoyang Gall Bladder 23

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

Meetings:
Meeting of Gall Bladder with Bladder

Location:
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.

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

Warning:
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.

    Neuroanatomy:
    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)