Acupuncture Points Notebook

Location Guides:

谿 : Xiaxi : Clamped Stream

GB-43 : Foot Shaoyang Gall Bladder 43

Ying-Spring and Water point

Mother point of the Gall Bladder channel

Between the fourth toe and the little toe, 0.5 cun proximal to the web margin.

Perpendicular insertion 0.3 - 0.5 cun, or oblique insertion directed proximally 0.5 - 1 cun

TCM Actions:
Clears heat and benefits the head, ears and eyes
Clears damp-heat from the channel and reduces swelling

TCM Indications:
  • Headache, dizziness, visual dizziness, hypertension, redness and pain of the outer canthus, itching of the eyes, deafness, tinnitus, pain of the ears, pain and swelling of the cheek and submandibular region.
  • Fullness and pain of the chest and lateral costal region, pain of the chest with inability to turn to the side, breast abscess, discharging breast abscess.
  • Amenorrhoea, hardness and pain of the hypogastrium, swelling of the four limbs, pain of the whole body, febrile disease with absence of sweating, copious sweating, malaria, mania.
  • Wandering pain, pain of the knee and thigh, swelling and pain of the lateral aspect of the knee, redness, swelling and pain of the dorsum of the foot, heat in the soles of the feet, damp erosion and cracks between the toes, contraction of the five toes.

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

    In five element acupuncture this point, as the mother point (water point on a wood channel) is reinforced to tonify Gall Bladder deficiencies. In TCM and classical sources its actions are mainly draining Damp-Heat.


    Ling Shu Ch. 19, on the Four Seasonal Qi, advises opening the Jing-Well and Ying-Spring openings in winter, piercing deeply and retaining the needle for a while.

    Ling Shu Ch. 34, On the Five Disturbances, advises piercing this point with Zulingqi GB-41, Xiangu St-42 and Neiting St-44 after bleeding stagnant blood in the vessels to remove disturbing Qi in the limbs causing counterflow.


    In Tung acupuncture this is the location of the Liu Wan, Six Ends, point. It is indicated for traumatic injury where it is often combined with Shui Qu (1 cun proximal, at Diwushi GB-42), and Gall Bladder channel problems such as headache, migraine, tinnitus and pain (Chu, 2015).

    The Tung point Mu Dou, Wood Combat, is located at the same level as this point between the 3rd and 4th metatarsal bones and indicated Shaoyang patterns including indigestion, fatigue and poor circulation, often combined with Mu Liu, Wood Remains, 1 cun proximal (Chu, 2015).


    Medieval phlebotomy point (John de Foxton, 1408: Liber Cosmographiae,; Hans von Gersdorff, 1517: Feldtb├╝ch der Wundartzney,


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

    Reference Notes: (click to display)