Points Database

Location Guides:

: Xiyangguan : Knee Yang Gate

GB-33 : Foot Shaoyang Gall Bladder 33

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

Location:
On the lateral side of the knee, in the depression above the lateral epicondyle of the femur, between the femur and tendon of biceps femoris.

Needling:
Perpendicular insertion 1 - 2 cun

Warning:
According to several classical texts this point is contraindicated to moxibustion


TCM Actions:
Relaxes the sinews and benefits the joints
Dispels wind-damp

TCM Indications:
  • Redness, swelling and pain of the lateral aspect of the knee joint, inability to flex and extend the knee, wind painful obstruction with numbness, painful obstruction of the lower leg, leg qi.

    Neuroanatomy:
    Superficial Innervation: Lateral cutaneous nerve of the thigh (L2 - L3)
    Dermatome Segment: L3

    Trigger Point Associations:
    Muscle: Vastus lateralis
    Myotome Innervation: Femoral nerve (L2 - L3)
    Pain Referral Pattern: Around lateral area of knee
    Indications: Strain of quadriceps ; Diseases of the knee

    Notes:
    At the end of a Gall Bladder Luo treatment this point is needled, deqi grasped and removed immediately to normalize the circulation of blood (Cecil-Sterman, 2012, Advanced Acupuncture).

    In Thai massage:
    Point along the outer Kalatharee sen line running from the lateral malleolus, up the sides of the leg, along the outer bladder channel, over the shoulder blade and down to the hands.
    Aslo point along the Sahatsarangsi (left) and Tawaree (right) sen lines ascending up the outer leg.
    (Salguero & Roylance, 2011, Encyclopedia of Thai Massage)


    Reference Notes: (click to display)