L.

Intestine
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Gall Bladder Channel Combinations
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Point 1
Spleen
Heart
S. Intestine
ZHEJIN GB-23 INDICATIONS
FlankBladder
Sinews • Sudden fullness of the chest, pain of the lateral costal
Kidney region, dyspnoea, asthma, scrofula, pain of the shoul-
Meeting point of the Gall Bladder
Pericardium der and arm.
and Bladder
Sanjiaochannels • Sighing and tendency to sadness, insomnia, heat of
the lower abdomen.
Gall Bladder
LOCATION • Vomiting, acid regurgitation, much spittle, loss of
Below Liver
the axilla in the fifth intercostal space, 1 cun ante- use of the four limbs.
Conception
rior to Yuanye GB-22, approximately at the level of the
nipple.
Governing COMMENTARY

Extra Points According to the Great Compendium of Acupuncture and

Moxibustion this point rather than Riyue GB-24 is the
Zhejin GB-23 front-mu point of the Gall Bladder, and an alternative
name for Zhejin GB-23 given in this classic was Danmu i.e.
Yuanye GB-22 fifth intercostal space ‘Gall Bladder Mu’. In fact the classical indications for
Zhejin GB-23 and Riyue GB-24 are very similar, with a
greater emphasis on disorders of the chest in the case of
Zhejin GB-23 reflecting its higher location.
Excessive anger, frustration and resentment, especially
when not spontaneously expressed, will impair the free-
flowing function of the Liver. Qi stagnates along the
course of the Gall Bladder channel in the lateral costal
region, and binds the chest, restricting its smooth expan-
sion and contraction. Breathing is impaired leading to
fullness and pain, sighing and sadness. Zhejin GB-23 is an
important local point used in the treatment of these con-
ditions. If stagnation of qi transforms to fire it may affect
the upper jiao (Heart) giving rise to sleep disturbance, the
middle jiao leading to vomiting and acid regurgitation, or
the lower jiao giving rise to heat of the lower abdomen.

1 cun
mid-axillary line

LOCATION NOTE
See Yuanye GB-22.

NEEDLING
Transverse-oblique insertion along the intercostal space,
0.5 to 1 cun.
Caution: deep or perpendicular needling may induce a
pneumothorax.

ACTIONS
Unbinds the chest and lowers rebellion
Regulates qi in the three jiao