Points Database

Location Guides:

: Qiuxu : Mound of Ruins

GB-40 : Foot Shaoyang Gall Bladder 40

Classifications:
Yuan-Source point
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)

Location:
At the ankle joint in the depression anterior and inferior to the lateral malleolus

Needling:
Perpendicular insertion 1 - 1.5 cun, directed towards Zhaohai Kid-6.

TCM Actions:
Spreads liver qi and clears gall bladder heat and damp-heat
Activates the channel, alleviates pain and benefits the joints
Regulates shaoyang

TCM Indications:
  • Distension and pain of the chest and lateral costal region with inability to catch the breath, sighing, swelling in the axilla, sudden shan disorder, hardness of the lower abdomen, herpes zoster.
  • One-sided headache, redness, swelling and pain of the eyes, superficial visual obstruction, poor eyesight, throat painful obstruction.
  • Vomiting, acid regurgitation, chronic malaria with cold shivering.
  • Neck pain, chills and fever with swelling of the neck, windstroke, paralysis, pain of the lumbar spine, pain of the hip, atrophy disorder and painful obstruction of the lower limb, cramping and pain of the legs, sciatica, pain of the lower leg, drop foot, flaccidity of the ankle, swelling of the lateral ankle, pain of the wrist.

    Neuroanatomy:
    Superficial Innervation: Superficial fibular (peroneal) nerve (L4 - S1)
    Dermatome Segment: L5, S1
    Deeper Structures: Superficial fibular (peroneal) nerve (L4 - S1)

    Trigger Point Associations:
    Muscle: Extensor digitorum brevis
    Myotome Innervation: Deep fibular (peroneal) nerve (L4 - S3)
    Pain Referral Pattern: Directly around the point
    Indications: Foot strain

    Notes:
    Common ashi point in cases of anterior talofibular ligament sprain.

    In Mayan medicine:
    Used to treat pain in the lower limbs (Garcia, Sierra, Balam, 1999: Wind in the Blood)

    Medieval phlebotomy point (John de Foxton, 1408: Liber Cosmographiae, maa.cam.ac.uk)

    In ayurvedic medicine:
    Kurchashira marma point
    Size: 1 angula (cun)
    Structure: Tendon
    Effect of Injury: Pain (riijakar marma)
    (Harish Johari, 1996, Ayurvedic Massage, Sanatan Society; Anupama Bhattacharya, Marma Shastra)

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

    In Thai massage:
    Acupressure point (Salguero & Roylance, 2011, Encyclopedia of Thai Massage)



    Reference Notes: (click to display)