Points Database

Location Guides:

: Jingmen : Capital Gate

GB-25 : Foot Shaoyang Gall Bladder 25

Classifications:
Front Mu point of the Kidneys
Trigger point (Travell & Simons, 1998, Trigger Point Manual)

Meetings:
Meeting of Gall Bladder with Gall Bladder Divergent and Liver Divergent

Location:
Below the lateral aspect of the ribcage, anterior and inferior to the free end of the 12th rib.

Needling:
Perpendicular insertion 0.5 - 1 cun

Warning:
In thin subjects deep needling may penetrate the peritoneal cavity.


TCM Actions:
Tonifies the kidneys and regulates the water passages
Fortifies the spleen and regulates the intestines
Strengthens the lumbar region

TCM Indications:
  • Borborygmus, cold or damp (dong) diarrhoea, abdominal distension, vomiting, pain of he lower abdomen, painful shan disorder.
  • Difficult urination, dark urine, swelling of the face, failure of the water passages to flow, desire to drink.
  • Chills and fever, disgruntled with inability to catch the breath.
  • Weakness of the spine, lumbar pain with inability to stand for long, pain of the lateral costal region and back, pain of the inner aspect of the shoulder blade,pain of the hip.

    Neuroanatomy:
    Superficial Innervation: Lateral cutaneous thoracic nerve from T12
    Dermatome Segment: T12

    Trigger Point Associations:
    Muscle: Latissimus dorsi (inferior) and "belch button"
    Myotome Innervation: Thoracodorsal (long scapular) nerve (C6 - C8)
    Location Notes: Inferior latissimus dosi trigger point should be located slightly superior and posterior on the latissimus dorsi muscle. "Belch button" is not consistently located on all people or found in a consistent location but below the angle of the 12th rib is the most common.
    Pain Referral Pattern:
    \nLatissimus dorsi: To subcostal region and anterior aspect of the shoulder.
    \n"Belch Button": produces belching on pressure and possibly projectile vomiting in severe cases
    Indications: Mid-thoracic backache that is unresponsive to stretching or change of movement (latissimus dorsi) or stomach upset with gas ("belch button")

    Notes:
    The Front Mu points make likely locations for application of leeches to reduce fevers according to François Broussais' (1772–1838) philosophy who believed in placing them over the diseased organs to reduce inflammation (Greenstone, 2010, The history of bloodletting, BCMJ, Vol. 52, No. 1, Pp 12-14).


    Reference Notes: (click to display)