Acupuncture Points Notebook

Location Guides:

: Jiache : Jaw Bone

St-6 : Foot Yangming Stomach 6

Alternative Name(s): Guilin, Guichuang
Translation: Ghost Forest, Ghost Bed

Classifications:
Sun Si-miao Ghost point (3rd trinity)
Trigger point (Travell & Simons, 1998, Trigger Point Manual)

Location:
Approximately 1 fingerbreadth anterior and superior to the angle of the jaw at the prominence of the masseter muscle.

Needling:
Perpendicular insertion 0.5 cun Transverse insertion to join with such points as Dicang ST-4, Daying ST-5, Xiaguan ST-7, etc Transverse insertion towards te upper or lower jaw for toothache

TCM Actions:
Eliminates wind and benefits the jaw and teeth
Activates the channal and alleviates pain

TCM Indications:
  • Deviation of the mouth and eye, swelling of the cheek, toothache, gum disorders, lockjaw, tension and pain of the jaw, inability to chew, inability to open the mouth following windstroke.
  • Stiffness and pain of the neck, mumps, loss of voice.

    Neuroanatomy:
    Superficial Innervation: Mandibular branch of trigeminal nerve (CN V3)
    Dermatome Segment: CN V3 mandibular branch of trigeminal

    Trigger Point Associations:
    Muscle: Masseter
    Myotome Innervation: Mandibular branch of trigerminal nerve (CN V3)
    Pain Referral Pattern: To lower jaw and molars and possibly to eyebrow
    Indications: Facial myalgia ; Toothache ; Headache ; Tempero-mandibular joint pain

    Notes:
    Ling Shu Ch. 26, On Miscellaneous Diseases, advises the abounding vessels at this point are bled for pain in the cheeks. Later it suggests that if this does end the pain then press on Renying St-9.

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    Ghost Point:
    The third trinity of Ghost Points, consisting of this point, Chengjiang Ren-24 and Laogong Pc-8, is mainly concerned with extreme isolation as the body attempts to deprive itself of any stimulation in order move into a state of suicidal ideation. It generally refers to institutionalised situations, including catatonic states. In a modern clinical setting this trinity is probably better represented by depression with social isolation, loss of appetite, tension in the jaw and extreme rumination.

    The name of this point, Guichuang, Ghost Bed, refers to the tendency to isolate oneself in bed and its location on the jaw reflects their inability to process ("chew") new information as the pure Yang of the Stomach fails to ascend to nourish the senses. They may grind their teeth a lot, bring up froth or dry heave as this attempts to break through. There may also starve themselves of food literally too and the neck and jaw will be very rigid.

    This point is generally treated with moxa to release the Cold rigidity (Yuen, 2005, 3 Spirits & 7 Souls).

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    Lad and Durve (2008) in Marma Points of Ayurveda locate a point superior to this, on the anterior border of the masseter muscle, called Kapola Madhya and associate it with Bodhaka Kapha, Apana Vayu, Samana Vayu, Kledaka Kapha and Pachaka Pitta.

    They give the following functions:
    - Regulates salivary secretion
    - Enkindles agni
    - Promotes digestion of carbohydrates
    - Improves absorption and assimilation in the colon
    - Stimulates the parotid glad
    - Benefits face, relieves local pain
    - Improves colour complexion


    Reference Notes: (click to display)