Acupuncture Points Notebook

Location Guides:

: Waiqiu : Outer Hill

GB-36 : Foot Shaoyang Gall Bladder 36

Classifications:
Xi-Cleft point

Location:
On the lateral aspect of the lower leg, 7 cun superior to the prominence of the lateral malleolus, at the anterior border of the fibula.

Needling:
Perpendicular insertion 1 - 1.5 cun

TCM Actions:
Activates the channel and alleviates pain
Clears heat and detoxifies poison

TCM Indications:
  • Distension of the chest and lateral costal region, pigeon chest in children, headache, mania, abdominal pain, rabies.
  • Atrophy disorder and painful obstruction of the lower limb, pain of the skin, cold damp leg qi, cold sensation and stiffness and pain of the nape and neck, aversion to wind-cold.

    Neuroanatomy:
    Superficial Innervation: Lateral cutaneous nerve of the calf (L5 - S2)
    Dermatome Segment: L5

    Notes:
    In Tung acupuncture the San Zhong, Third Layer, point is located here. It is often combined with Er Zhong, Second Layer, 2 cun below at Xuanzhong GB-39, and Yi Zhong First Layer, 4 cun below this point Xuanzhong GB-39, all anterior to the fibula. They are all used for symptoms of the Gall Bladder channel, especially those in the neck and throat (goiter, thyroid, soreness or pain), Wind or Yang rising (Bell's Palsy, migraine, Parkinsons) and problems of the liver and spleen (Chu, 2015).

    Another group of Tung points, Wai San Guan, External Three Gates, are located relative to this location. The central point is located at the midpoint on a line between the head of the fibula and the lateral malleolus (probably around this point as its 16 cun on the outside of the leg and the head of the fibula is slightly lower than the lower border of the patella). The upper and lower points are then located on this same line halfway between the end point landmarks and this midway point. They are indicated for a number of Gall Bladder channel symptoms, especially connected with pain and movement where it is often combined with Ling Gu and Da Bai, near Sanjian LI-3 and Hegu LI-4 (Chu, 2015).


    Reference Notes: (click to display)