Acupuncture Points Notebook

Location Guides:

: Shangguan : Above the Joint

GB-3 : Foot Shaoyang Gall Bladder 3

Alternative Name(s): Kezhuren
Translation: Guest Host Person

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

Meeting of Gall Bladder with San Jiao and Stomach

Anterior to the ear, in a hollow above the upper border of the zygomatic arch, directly superior to Xiaguan St-7.

Perpendicular insertion 0.3 - 0.5 cun

It is traditionally emphasised that deep needling should be avoided at this point.

TCM Actions:
Eliminates wind and benefits the ears
Activates the channel and alleviates pain

TCM Indications:
  • Deafness, tinnitus, purulent discharge from the ear, dimness of vision, pain of the face, toothache of the upper jaw, stiffness of the lips.
  • Headache, aversion to wind and cold, chills and fever, hemiplegia, deviation of the mouth and eye, lockjaw, tetany leading to bone pain, clonic spasm.

    Superficial Innervation: Auriculo-temporal nerve from posterior division of mandibular branch of trigeminal nerve (CN V3)
    Dermatome Segment: CN V3 mandibular branch of trigeminal

    Trigger Point Associations:
    Muscle: Temporalis
    Myotome Innervation: Deep temporal nerves from mandibular branch of trigeminal nerve (CN V3)
    Pain Referral Pattern: To temporal region and upper middle jaw and teeth
    Indications: Headache and toothache with no restriction in jaw opening ; Feeling teeth do not meet right

    Ling Shu, Ch. 28, On Oral Inquiry, suggests supplementing this point along with Shaoshang Lu-11 for treating noises in the ears.

    Reference Notes: (click to display)