Points Database

Location Guides:

: Juliao : Stationary Crevice

GB-29 : Foot Shaoyang Gall Bladder 29

Classifications:
Trigger point (Travell & Simons, 1998, Trigger Point Manual; Melzack, Stillwell & Fox, 1977, Trigger Points and Acupuncture Points for Pain: Correlations and Implications, Pain 3, p3-23)

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

Location:
On the lateral aspect of the hip joint, at the midpoint of a line drawn between the ASIS and the prominence of the greater trochanter

Needling:
Perpendicular insertion 1 - 2 cun, or oblique insertion inferiorly 2 - 3 cun

TCM Actions:
Activates the channel and alleviates pain
Benefits the hip joint

TCM Indications:
  • Pain of the back and leg, lumbar pain radiating to the lower abdomen, hip pain radiating to the groin, weakness and paralysis of the leg, sciatica, shan disorder, pain of the front of the shoulder radiating to the chest, inability to raise the arm.
  • Oedema, vomiting, diarrhoea.

    Neuroanatomy:
    Superficial Innervation: Lateral cutaneous nerve of the thigh (L2 - L3)
    Dermatome Segment: L1
    Deeper Structures: Superior gluteal nerve (L4 - S1) to gluteus minimus muscle

    Trigger Point Associations:
    Muscle: Gluteus minimus and tensor fasciae latae
    Myotome Innervation: Superior gluteal nerve (L4 - S1)
    Location Notes: There are several other possible trigger points for gluteus minimus located on the posteriorly on the body of this muscle between this point and zhiban Bl-54. Tensor fasciae latae trigger point is slightly superior just under the ASIS
    Pain Referral Pattern:
    \nPirformis: To the buttock and down the lateral aspect of the leg to the lateral malleolus
    \nTensor fasciae latae: Lateral side of thigh
    Indications: Diseases of the hip joint ; Degenerative conditions of lumbar spine

    Notes:
    Jeffrey Yuen (2005, The Eight Extraordinary Vessels) suggests using this point and Naoshu SI-10 to ground a person in the present as they are the meeting of Yang wei mai and Yang qiao mai.

    He also recommends cupping on these two points combined with needling Ah shi points as part of a Qiao mai treatment for unilateral chronic Bi as Qiao deals with suffering and Wei deal with issues over time.

    In ayurvedic medicine:
    Natimba marma point
    Size: 1/2 angula (cun)
    Structure: Bone
    Effect of Injury: Premature death (kalantarpranahar marma)
    (Harish Johari, 1996, Ayurvedic Massage, Sanatan Society; Anupama Bhattacharya, Marma Shastra)

    In Thai massage:
    Point along the Sahatsarangsi (left) and Tawaree (right) sen lines ascending up the outer leg to the abdomen and chest (Salguero & Roylance, 2011, Encyclopedia of Thai Massage)


    Reference Notes: (click to display)