Points Database

Location Guides:

: Wushu : Five Pivots

GB-27 : Foot Shaoyang Gall Bladder 27

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

Meetings:
Meeting of Gall Bladder with Dai Mai

Location:
In the depression just anterior to the ASIS, approximately level with Guanyuan Ren-4 (3 cun below the umbilicus).

Needling:
Perpendicular insertion 1 - 1.5 cun

TCM Actions:
Regulates the Dai Mai
Regulates the lower jiao and transforms stagnation

TCM Indications:
  • Uterine prolapse, red and white leucorrhoea, irregular menstruation.
  • Lower abdominal pain, cold shan disorder in men, abdominal pain due to retraction of the testicles, constipation, tenesmus, pain of the back, lumbar region and ilium, clonic spasm.

    Neuroanatomy:
    Superficial Innervation: Iliohypogastric nerve (L1)
    Dermatome Segment: L1

    Trigger Point Associations:
    Muscle: Iliopsoas
    Myotome Innervation: Femoral nerve (L2 - L3)
    Location Notes: Diagram appears to show this point slightly superior. Palpation point only as the iliacus muscle lies deep
    Pain Referral Pattern: To lower back and anterior of thigh
    Indications: Low back pain

    Notes:
    This point is also on the 3rd trajectory of the Chong mai connecting the Chong with the Du (Yuen, 2005, The Extraoridinary Vessels).

    This point is chosen in preference over Weidao GB-28 in incidences of releasing Yang emotions being held onto in the Dai mai (Ibid.).

    The name of this point refers to the "Five Pivots" or "Axes" of the body which are three muscles that go from the front to back of the body at the major sections of upper, middle and lower: the SCM at the neck, the diaphragm under the chest and the iliopsoas at the hips, plus the the abdominals and the paravertebral muscles that mediate the body on the front and back (Ibid.).

    In Mayan medicine:
    Used to treat painful growths without abscess (Garcia, Sierra, Balam, 1999: Wind in the Blood)

    Lad and Durve (2008) in Marma Points of Ayurveda call this point Lohita and associate it with Apana Vayu, Vyana Vayu and Ranjaka Pitta.

    They give the following functions:
    - Regulates the blood
    - Enhances circulation within lower extremities
    - Benefits pelvic area
    - Relieves pelvic pain

    In Tibetan medicine:
    Moxa point (AMNH, Tibetan Medical Paintings)


    Reference Notes: (click to display)