Acupuncture Points Notebook

Location Guides:

: Zulinqi : Foot Governor of Tears

GB-41 : Foot Shaoyang Gall Bladder 41

Classifications:
Shu-Stream and Wood point

Confluent point of the Dai Mai, coupled with Waiguan SJ-5
Horary point of the Gall Bladder channel

Location:
In the depression distal to the junction of the 4th and 5th metatarsal bones, on the lateral side of the tendon of m. extensor digitorum longus branch to the little toe.

Needling:
Perpendicular insertion 0.5 - 1 cun

Warning:
Incorrect angle will not enable the needle to pass between the shafts of the forth and fifth metatarsal bones.


TCM Actions:
Spreads liver qi
Benefits the chest, lateral costal region and breasts
Clears the head and benefits the eyes
Transforms phlegm and dissipates nodules

TCM Indications:
  • Pain of the lateral costal region, fullness of the chest with inability to catch the breath, rebellious qi with dyspnoea, chest painful obstruction, pain of the supraclavicular fossa, inversion counterflow of the four limbs, scrofula, swelling of the axilla, enuresis, malaria.
  • Headache, one-sided headache, head wind, dizziness, visual dizziness, pain of the occiput, pain of the vertex, pain of the outer canthus, redness, swelling and pain of the eyes, lacrimation, dry eyes, deafness and tinnitus, propensity to gnaw the tongue and cheek, swelling of the submandibular region and cheek, swelling of Tianyou SJ-16, toothache.
  • Distension and pain of the breast, breast abscess, menstrual disorders, inhibited menstruation.
  • Pain of the hip, pain of the lower leg, fixed painful obstruction, wandering pain, swelling and pain of the feet, pain and contraction of the toes, swelling and pain of the dorsum of the feet, all disorder of the feet.

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

    Notes:
    Mainly used for physical symptoms of Liver qi stagnation, especially pressure and pain along the Gall Bladder channel.

    Ling Shu Ch. 19, on the Four Seasonal Qi, advises using the Shu-Stream points, unless the diseases are in the Fu organs, in which case the He-Sea points are chosen.

    Ling Shu Ch. 34, On the Five Disturbances, advises piercing this point with Xianxi GB-43, Xiangu St-42 and Neiting St-44 after bleeding stagnant blood in the vessels to remove disturbing Qi in the limbs causing counterflow.

    Yuen (2005, The Eight Extraordinary Vessels) notes that this point, along with Houxi SI-3, is a Shu-Stream point instead of an Luo point like all the other extraordinary vessels because Dai mai pathology is concerned with releasing accumulation that we have stored internally back out into the world, while the other extraordinary vessels are about absorbing from the outside world.

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



    Reference Notes: (click to display)