Acupuncture Points Notebook

Location Guides:

: Huantiao : Jumping Circle

GB-30 : Foot Shaoyang Gall Bladder 30

Classifications:
Ma Dan-yang Heavenly Star point
Doorway to the Earth Point
Opening point of the Gall Bladder Divergent channel (Cecil-Sterman, 2012, Advanced Acupuncture)

Homeostatic point 16 (Ma, Ma & Cho, 2005, Biomedical Acupuncture for Pain Management)

Meetings:
Meeting of Gall Bladder with Bladder and Gall Bladder Divergent

Location:
On the postero-lateral aspect of the hip joint, one third of the distance between the prominence of the greater trochanter and the sacro-coccygeal hiatus (Yaoshu Du-2). In cases of sciatica a radiating or electric sensation travelling to the foot is particularly desirable which may be better obtained by locating this point 1 cun inferior to its normal position.

Needling:
Perpendicular insertion, directed towards the genitals 2 - 3.5 cun

TCM Actions:
Activates the channel and alleviates pain
Benefits the hip joint and leg
Dispels wind-damp

TCM Indications:
  • Pain of the buttock, pain or sprain of the hip and leg, sciatica, atrophy disorder and painful obstruction of the lower limb, hemiplegia, cold-wind-damp painful obstruction, numbness of the leg, inability to flex and extend the knee, contraction and pain of the thigh and knee, pain of the lumbar region and lateral costal region, pain of the lumbar region and leg, leg qi.
  • Urticaria, eczema.

    Neuroanatomy:
    Superficial Innervation: Dorsal rami of L1 - L3
    Dermatome Segment: S2
    Deeper Structures: Inferior gluteal nerve (L4 - S1) to the gluteus maximus muscle or the sciatic nerve (L4 - S3) depending on location selected (see location note)

    Notes:
    One of the principle points for the treatment of sciatica, especially in the case of piriformis syndrome.

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    One of the 18 tender spots used in the diagnosis of fibromyalgia (Wang, Acupuncture and Traditional Chinese Medical Approaches for Fibromyalgia, Acupuncture Today, vol.6 no.3, 2005).

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    Like Jianjing GB-21 for the upper channels this point has the ability to open all the lower Jing Well points when cupped (Yuen, 2004, Divgent Channels, p.77). It may be replaced with Fengshi GB-31 if the client feels uncomfortable with cupping on their buttocks.

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    Ling Shu Ch. 24, On Counterflow Diseases, advises using this point when the patient cannot lift the feet and thighs. It warns against using the large needle, suggesting the rounded and sharp needle instead.

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    Avicenna describes venesection at this point in his treatise On Venesection:

    "Among the leg vessels is the sciatic vein (inferior gluteal), which can be venesected at the outer side of the heel or below, or above, between the hip and the heel. It should be wrapped or strapped with strong bandages. It is better to bathe before venesecting the sciatic vein. Its incision should be longitudinal. If the vein in the hidden the the branch between the two smallest toes (the fourth and the small toe) is the one to venesect. There is a great benefit in venetecting the sciatic vein in cases of sciatica as well as in gout, varicose veins, and elephantiasis. It is difficult to carry out a second venesection on the sciatic vein" (Aspects of Treatment According to General Diseases, 21st section in Abu-Asab, Amri & Micozzi, 2013, Avicenna's Medicine).

    Any point along the foot Shaoyang Gall Bladder channel from here to Xiaxi GB-43 where the vein can be accessed is acceptable.

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

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    In Thai massage:
    Point along the outer Kalatharee sen line running from the lateral malleolus, up the sides of the leg, along the outer bladder channel, over the shoulder blade and down to the hands.
    Indicated for back pain/injury/arthritis.
    (Salguero & Roylance, 2011, Encyclopedia of Thai Massage)


    Reference Notes: (click to display)