: Fengchi : Wind Pool

GB-20 : Foot Shaoyang Gall Bladder 20

Location Guides:

Classifications:

One of the "59 piercings" for clearing Heat in Ling Shu Ch. 23
Binding point of the hand Taiyang Sinews

Homeostatic point 7 (Ma, Ma & Cho, 2005, Biomedical Acupuncture for Pain Management)
Trigger point (Travell & Simons, 1998, Trigger Point Manual)

Meetings:

Meeting of Gall Bladder with San Jiao, Yang Qiao Mai and Yang Wei Mai


Location:

Below the occiput, approximately midway between Fengfu Du-16 and Wangu GB-12, in the hollow between the origins of the the sternomastoid and trapezius muscles.


Needling:

Slightly oblique inferior insertion in the direction of the channel 1 - 1.5 cun, or directed towards the tip of the nose, the contralateral eyeball or Yintang (M-HN-3) 0.5 - 1 cun, or joined by through-needling to contralateral Fengchi GB-20, 2 - 3 cun.


Warnings:

When directing towards nose, contralateral eyeball or Yingtang (M-HN-3) deep needling may damage the spinal chord


Classical Needling:

"The Shaoyang usually has little Blood and much Qi" (Su Wen 素問 ch. 24) implying this channel should normally be needled.
"The foot Shaoyang is to be pierced 4 fen deep and remain inserted for five exhalations" (Ling Shu 靈樞 ch. 12).
"It is needled to a depth of three fen, (the needle) is retained for a duration of three exhalations, and it is moxaed with three cones" (Huangfu Mi 皇甫謐, 3rd Century, Zhenjiu Jiayi Jing 針灸甲乙經).


TCM Actions:

Eliminates Wind
Benefits the head and eyes
Clears the sense organs
Activates the channel and alleviates pain

TCM Indications:


Neuroanatomy:

Superficial Innervation: Lesser occipital nerve, from dorsal rami of C2 and C3

Dermatome Segment: C3


Trigger Point Associations:

Muscle:
Suboccipital muscles

Myotome Innervation:
Suboccipital nerve (C1)

Pain Referral Pattern:
Across temporal region

Indications:
Headache ; Deep pain in upper neck ; Usually involves more superficial posterior cervical muscles too (e.g. Tianzhu Bl-10 and Bailao)


Martial Applications & Effects of Injury:

See Montaigue, Dim Mak Locations, Taijiworld.com for explanation of effects.


Major Combinations:



Notes:

One of the principle acupuncture points for all diseases of the head, brain and sense organs, especially the eyes making it the primary point for headaches and migraines.



Ling Shu Ch. 23, On Heat Diseases, gives a different list of points for the "59 Piercings" to Su Wen Ch. 61 which includes this point.



Shang Han Lun Ch. 1, Taiyang diseases, line 24, advises using this point and Fengfu Du-16 if the patient has taken Gui Zhi Tang and remains vexed with the exterior unresolved. These two points are needled and Gui Zhi Tang is administered again. This is presumably due to their being on the Yang Wei Mai which is connected with inability to send Yang to protect the exterior.



The combination of Fengchi GB-20 and Fengfu Du-16 is sometimes referred to as the "Three Winds" (Dong, 2020).



The importance of this point in releasing Wind from the Exterior makes it a suitable candidate for a head-Shu for the Yang Wei Mai.



Avicenna describes cupping at this point in his treatise On Cupping:

"Cupping on the occiput and the top of the head is beneficial in mental confusion and dizziness, and it is said that it slows down the advancement of hair greying; however it should be checked because it varies among different bodies and in most cases it accelerates it. It is also beneficial in eye diseases, which is where it is most effective since it helps in the recovery from trachoma and pustules; however its side effects include senility, loss of memory, mental confusion, and some chronic diseases, and it is harmful to people with glaucoma unless used at the proper time." (Aspects of Treatment According to General Diseases, 22nd section in Abu-Asab, Amri & Micozzi, 2013, Avicenna's Medicine)



In ayurvedic medicine:
Krikatikas marma point
Size: 1/2 angula (cun)
Structure: Joint
Effect of Injury: Disability (vaikalyakar marma)
(Harish Johari, 1996, Ayurvedic Massage, Sanatan Society; Anupama Bhattacharya, n.d. Marma Shastra)



In Thai massage:
Acupressure points along the Itha (left) and Pingala (right) sen lines of head running from this point to the temple, Taiyang.
Indicated for headache, hypertension, neck and shoulder pain/injury/arthritis and stress.
(Salguero & Roylance, 2011, Encyclopedia of Thai Massage)



Reference Notes:

Basic information on location, needle depth, TCM actions, indications and combinations is taken from Deadman et al (2001): A Manual of Acupuncture with additional anatomical information researched by reference to Gray's Anatomy (38th Ed., 1995) unless otherwise referenced. Images were found on acupunctureschoolonline.com and can be traced back to Claudia Focks (2008) Atlas of Acupuncture originally. I cannot claim any credit or rights over them. Other sources should be quoted in the text.

For some of the more unusual terms I have created a glossary here