07 Gall Bladder.doc

8/10/2019 07 Gall Bladder.doc

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The Gall Bladder occupies a special place among the Yang organsbecause it is the only one that does not deal with food, drink and

their waste products. It stores bile, which is a re ned product.Further, it neither communicates with the e terior directly !"iathe mouth, rectum or urethra#, nor does it recei"e food ortransport nourishment. The Gall Bladder is an $ traordinary%rgan.

The Gall Bladder has & principalfunctions'

Stores and Excretes Bile The GB stores bile which it recei"es from the (i"er) ite cretes bile when needed during digestion. $ cretion ofbile by the Gall Bladder is an e pression of the (i"er*s rolein ensuring the smooth +ow of i, since the (i"er pro"idesthe necessary i for bile secretion.

Controls Judgment The GB controls the capacity to make decisions. It alsogi"es an indi"idual courage and initiati"e. The GB gi"es usthe capacity to turn the -I dri"e and "itality into positi"eand decisi"e action. Thus, a de cient GB will causeindecision, timidity and the person will easily bediscouraged at the slightest ad"ersity.

Controls the Sinews This function is almost identical to the (i"er function ofcontrolling sinews. The only slight di erence is that the GBpro"ides i to the sinews to ensure their proper mo"ementand agility and the (/ nourishes the sinews with its blood.

0oint Indications and Functions' Treats disorders of the eyes, especially those due to 1ind23eat or (i"er and GB heat

Treats disorders of the ear, especially those due to e terior1ind23eat or (/ and GB channel heat

Treats headaches, especially one2sided a ecting theshaoyang channel at the temple and side of the head


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Treats disorders of the (i"er !/ising (i"er Yang, (i"er Fire,Interior 1ind, (i"er i stagnation#

Treats phlegm disorders, scrofula and nodules4lears 5amp23eat from the GB4lears pathogenic factors from shaoyang le"el of 6 stages!alternating chills 7 fe"er, bitter taste, hypochondriac pain,dryness of mouth and throat, nausea 7 "omiting#

Treats disorders of the spirit and hun/egulates 5ai 8o9ourishes the sinews and marrow


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C. The channel then passes laterally "ia B(


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&. There are connections from GB & to T$ == to ;T C to GB ?2A to T$ = and back to GB C. ;ome te ts refer to a connectionbetween GB


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:nother branchA. (ea"es GB


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It connects with the eye and re oins the primary meridian at thelateral canthus.


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!uo Channel This lea"es the primary meridian at GB &A on the lateral aspectof the lower leg and connects with the (i"er meridian.It then passes downward to disperse o"er the dorsum of thefoot.

Muscle Channel This begins on the ? th digit and binds with the lateral malleolus.It passes up the lateral aspect of the leg and binds with theknee.: branch lea"es the head of the bula and ascends the thigh.: sub2branch tra"els anteriorly, and binds with the thigh abo"e;T &=.:nother sub branch tra"els posteriorly to bind with the sacrum.

The main channel passes upwards across the ribs to the anteriorborder of the a illa. It binds rst in the breast region and then at;T


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Entry "oint# $eunion "oint % & '

(ocation In the depression ust lateral to the orbital rim:t the le"el of the lateral canthus H/1

.5 cun lateral to the lateral canthus of the eyeIn the depression on the lateral aspect of the orbit bone

CTA

9eedling needling posteriorly .=2.& cun, or e tend to connectedwith 82392E !Taiyang#(ote) *ccording to se eral modern texts# this "oint

is contraindicated to moxa+

Function Entry "oint $eunion) GB# TE# S, $liminates wind and clears heat 5,B

$ pels 1ind23eat 8 4lears Fire 8

Brightens the eyes 8,B

Bene ts the eyes 5

4ourses the channels and frees i B

/elie"es pain B

9ame Pu"il Bone-.oleTong) pupil of the eye/i) noun suJ!iao) bone2hole

*lternate (ames) 3ind4ur"e,

Greater Yang

(H The function of GB < is directly related to the uality ofdiscernment one applies toward oneself and to thee ternal world. The T48 functions of this point includedraining heat and wind. 3eat here is the physiological by2product of an underlying mental emotional processpredicated on frustration. ;omething has blocked one*sprogress and the result of the emotional work done tryingto mo"e the stagnation has caused heat. 1ind is anything

that mo"es in an unpredictable pattern. 3ere, one isunable to discern a clear picture of the world) it appearsas an unrelated string of chaotic e"ents. This e ternalconfusion undermines the clarity of one*s "ision and ismirrored by the appearance of internal wind and heat.


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' & 'For0idden Months 12

(ocation %n the posterior margin of the condyle of the mandible:nterior to the inferior border of the tragus1hen the mouth is open, a depression appears at this

point H/1

Directly below SI 19 CTA

9eedling ;lightly posterior insertion, .@2< cun. This point should be needled with the mouth wide open. The patient may close the mouth after insertion.

Function Bene ts the ears 5,8 opens the ears B $liminates wind 5,B,8

:cti"ates the channel and alle"iates pain 5,8 4lears heat 5

4ourses the (/ and GB B

8o"es i B

9ame *uditory Con ergenceTing) To hear, to listen.ui) To con"erge, to gather) to

meet, to oin*lternate (ames) 3earing

(aughter,3ind Gate, 3inge

%ther This point is located on the lower border of the tragusKa point the patient uses when opening his hermouth. It lies ust below ;I


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$eunion "oint 3 & %-'

(ocation :nterior to the earImmediately superior to the >ygomatic arch;uperior to GB = H/1

9eedling E insertion, .&2.@ cun.4 ,t is traditionally em"hasi5ed that dee" needlingshould 0e a oided at this "oint

Function 6 $eunion) GB# ST 72 TE acc+ to D8 $liminates wind 5

Bene ts the ears 5

%pens the portals and boosts the hearing B

:cti"ates the channel and alle"iates pain 5

9ame 9""er GateShang) upper, abo"e) to riseGuan) gate, pass) oint*lternate (ames) Guest 3ost

0erson, Guest3ost, Guest -ing, Generous

3ost, Greater Yang

The mandibular oint is often referred to in 4hinese as theMgateN !guan#. This point, located on the edge of theupper bone of that oint, is called Lpper Gate.

The alternate names Guest23ost or Guest2$mperorindicate that the host !or emperor# channel recei"es the

T$, (I, B( and ;T channels at GB &.


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$eunion "oint : & %

(ocation %n the temple

O :4I posterior to the natural hairline< :4I inferior to ;T C H/1

Superior to the temple and the hairlineOne uarter of the distance between ST ! and "# $On the superior border of the temporalis muscle CTA

9eedling insertion, .@2


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$eunion "oint % & %


O :4I posterior to the natural hair line%ne third of the distance from GB ? to GB A H/1

Superior to the temple and the hairline At the midpoint between ST ! and "# $ CTA

9eedling insertion, .@2>iness may resemble thesensation of being hung in this way and di>>iness is oneindication this point treats.


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$eunion "oint : & %


O :4I posterior to the natural hair line Two thirds of the distance from GB ? to GB A H/1

Three uarters of the distance between ST ! and "# $ CTA



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$eunion "oint % & %-'


O :4I posterior to the natural hair line:t the le"el of the ape of the pinna:ppro imately < :4I anterior to and slightly inferior to T$

= H/1

On the temporal boneOn a hori%ontal le&el with T' () and the ape* of the pinna

A little posterior to the line of T' (( CTA



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(ocation %n the head

< :4I directly superior to T$ = H/1

On the parietal bone About 1.5 cun superior to the ape* of the pinnaDirectly superior to T' () CTA

9eedling insertion, .@2es the diaphragm and ;T and alle"iates"omiting 5

Treats alcohol into ication 5

;ettles tetany B

/elie"es pain B

/emo"es channel obstructions 8

Bene ts the ears 8

9ame ?alley !eadShuai) to leadGu) "alley*lternate (ames) Following

the Bone,Following the 4orner, 4ricket

4ontainer

To nd this point one bends the ear in half lengthwise andfollows its straight edge past the hairline to thedepression !"alley# about


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4ontainer, shuai has e"ol"ed into its homophone meaningcricket.

%ther HG' This is a mental point. It*s about the way a personengages with life in their minds. 1hen mental acti"ityo"erdominates, use this point. Lse it foro"erstimulation without rest. It*s good for woodmigraines.


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$eunion "oint % & %-'For0idden Months @2

(ocation %n the headO :4I posterior to GB C= :4I superior to the natural hair line H/1

About .5 cun posterior to "# !Directly superior to the line of the posterior border of the

root of the pinna CTA



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0osterior and slightly superior to the ear< :4I posterior to the natural hair line:t the le"el of the superior edge of the root of the ear H/1

+osterior and superior to the mastoid processOne third of the distance from "# 9 to "# 1(On the cur&e of the "# meridian CTA

9eedling insertion, .@2ed in the treatment of "arious lung disorders such asthoracic fullness with gasping, throat bi and counter+owcough.


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$eunion "oint % & %-


0osterior to the ear8idway between GB < and GB


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$eunion "oint ' & %-


1ithin the angle formed by the posterior border of themastoid process and theinferior edge of the occipital bone when the head is tilted

forwards H/1

In the cre&ice ,ust posterior and inferior to the mastoid process

-here it meets the temporal bone CTA

9eedling ?@ inferior insertion, .@2< cun.

Function 6 $eunion) GB# B! $liminates wind 5,B,8 and clears heat B

Bene ts the head5

/ouses the brain and opens the portals B

4alms the ;pirit 5,8

:lle"iates pain 5

4alms spasms 8

;ubdues rising i 8

9ame Com"letion Bone

Aan) 4ompleted, nishedGu) Bone

The term wan gu is the traditional name for the mastoidprocess, which is the bony protuberance ust behind theear. This point is located at the edge of that process.

%ther4onsider using this point on a 1ood 4F if energy isstuck.


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=ang Aei Mo % &


O :4I posterior to the natural hair line%n a "ertical line superior to the lateral canthus H/1

Two thirds of the distance from " (/ to ST !.5 cun posterior to the anterior hairlineOn the frontal bone CTA



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foundation of ;hen) they ha"e an outgoing, directuality.


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=ang Aei Mo : & %

(ocation %n the forehead

< :4I superior to the supra2orbital notch, found in themiddle of the eyebrow H/1

1 cun superior to the eyebrowDirectly superior to the center of the pupilOn the frontal bone CTA

9eedling 1ith the ngers of one hand, pinch up the skin o"er thepoint, and with the other hand, needle in an inferiordirection, [email protected] cun, or needle to connected with Yuyao !823926' the midpoint of the eyebrow#

Function $liminates 1ind 5,B,8 and clears 3eat B

Bene ts the head and alle"iates pain 5 ;ubdues rising i 8

Bene ts the eyes 5 Brightens the eyes B

9ame =ang Ahite

=ang) yang, the complement of yin

Bai) 1hite, pure, clear

Because this point is situated on the head, which isassociated with yang, and is furthermore the meetingpoint of "e yang channels, yang, is included in the name.

The character bai helps make things clear in that it isemployed to treat eye diseases.

%ther This point is good for 1ood 4Fs who are in a muddle. Itgi"es them a real kick.It*s good for a patient who has already made adecision but needs it to be solidi ed.GB


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$eunion "oint# =ang Aei Mo % & 3


O :4I posterior to the natural hair line%n a "ertical line superior to the middle of the pupilwhen the eye is looking straight ahead H/1

At the mid point of the distance from " (/ to ST !( 0 cun lateral to the anterior median line cun posterior to the anterior hairlineDirectly superior to "# 1/On the frontal bone CTA

9eedling insertion, .@2i) Tear

Because GB


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This point is good for the mental le"el when a patientis uptight and tense within himself herself. It can beused with Foot :bo"e Tears !GB ?


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This point clears blocks between the mind and ;pirit. Ithelps the patient to see himself herself and theprocess of change as treatment begins to show rebirth.


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=ang Aei Mo % & '


< :4I posterior to GB heng refers to the point*s location right atthe top of the head, while ying may be considered as anindication of the point*s ability to reach construction2blood!ying ue# and thereby nourish the eyes and spirit.

In geographical nomenclature ying refers to the lines thatdemarcate the east2west, i.e. hori>ontal direction. GB ontal line that crosses e actly at thetop of the head.


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Rheng ying also can mean fear or solicitude. This namemay therefore be indicati"e of the use of GB


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=ang Aei Mo 3 & '



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=ang Aei Mo % & '


(ateral to the e ternal occipital protuberance


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$eunion "oint# & -1 =ang Aei Mo# =ang >iao Mo

(ocation Inferior to the occipital boneIn the center of the depression between the e ternaloccipital protuberance

and the mastoid process;uperior to the natural hair line and lateral to the border

of the trape>ius H/1

(.(5 cun lateral to the posterior median lineIn the lar2e hollow between the trape%ius and

sternocleidomastoid muscles1 cun superior to the natural hairline?e&el with " 13 and inferior to the occiput CTA

9eedling !i) 0ool, 0ond *lternate (ames) 3eat

8ansion

%ther This point is good for any optic ner"e disorder and

symptoms brought on by 1ind. It*s symptomatic formigraines and is good for headaches in the back of theneck.

This point works on a mental le"el on clarity issues) it*sgood for people who ha"e an inability to see or to form

udgments.It*s a "ery powerful pointKuse it with caution.


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$eunion "oint# =ang Aei Mo @- & -1'

(ocation 8idway between GD


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The Triple Burner brings in hea"enly aspects of Fireand warmth.

You can use this point with $ye 1indow when you*renot getting enough Si through to enable the patient tosee.


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@ & 3

(ocation In the ? th intercostal space

%n the mid2a illary line H/1

9eedling = insertion along the intercostal space, .@2< cun4 or Dee" insertion may induce a Pneumothorax44 *ccording to se eral classical texts# this "oint iscontraindicated for moxa 4

Function /egulates i 5,B Lnbinds the chest 5,B

Bene ts the a illa 5

/ela es the sinews B

9ame *rm"it *0yss

=uan) :byss, deep pool =e) :rmpit*lternate (ames) :byss

3umor, 3umor:byss, :rmpit Gate, 3umor

Gate, ;pring:rmpit, ;pring 3umor

The point is called :rmpit :byss due to its location.


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$eunion "oint# GB *larm "oint ' & '

(ocation In the ? th intercostal space

< :4I medial anterior to GB == H/1

9eedling = insertion along the intercostal space, .@2< cun4 or Dee" insertion may induce a Pneumothorax4

Function $eunion) GB# B! acc+ to DGB *larm "oint# acc+ to some sources 7inc+ J$A8

/egulates i in the & iao 5

Lnbinds the chest 5

(owers rebellion 5,B

4ourses the (/ and recti es i B

4alms dyspnea B

9ame Sinew Seat/he) The two seats of an

ancient chariot) thesides of the chariot ust abo"e

the wheels Jin) ;inew

GB =& is located below the armpit on the side of the ribcage. The shape of the rib cage is said to resemble thesides of a chariot in the area abo"e the wheels. In fact,the intercostal muscles are sometimes called Rhe in. Thepoint rides within these sinews as if they were the seats of a chariot.

%ther

1ood feeds the ligaments and tendons that hold themuscles in place. (ook to this point when there isatrophy or wasting no growth, rebirth or regenerationof the muscles.

This point gi"es strength and security.

The strength of mind and spirit are held together here.


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This is a point you wouldn*t use "ery early on, but it*se tremely "aluable somewhere along the line.

The name implies that it*s day and night, yin and yang, sunand moon, male and female, the light and the darkKit*s the

balance. :nyone who is going to make decisions and udgments must make them in a balanced way, not in abiased way. This is a great point to bring that balance of themind.

This point is about the whole nature of the Gall Bladder%JcialKdecision making. It harmoni>es opposites andbrings about clarity.Lse it on dogmatic people who see in black and white withno grey areas. MThis is how it s and that*s that.N It softens ahardened or rigid wood.


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Dai Mo H & '-1'

(ocation %n the lateral surface of the abdomen

:t the intersection of the "ertical line passing through theanterior tip of ontal line passing through the center of the

umbilicus H/1

On the line from "# (57($Inferior to the tip of the 11 th rib =and ?@ 1 >/ cun lateral to the anterior median line CTA

9eedling E insertion .@2< cun4 ,n thin "atients# dee" needling may "enetrate the"eritoneal ca ity 4

Function /egulates 5ai 8o5,8

/egulates menstruation and stops leucorrhea 5,B

/egulates the uterus 8

4lears and disinhibits damp2heat B,8

5rains dampness 5


9ame Girdling ?essel

Dai) Girdle, belt) to lead, take inone*s charge)

to carryMai) "essel !of blood and i#)

pulse

This point is so named because it is a ma or point on thegirdling "essel and is utili>ed in treating diseases of that"essel. The girdling "essel itself is so named because itencircles the body like a belt and takes charge of theconception, go"erning and penetrating "essels.


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Dai Mo & %-1

(ocation %n the hip

Inferior and slightly posterior to the :nterior ;uperior Iliac;pine H/1

.5 cun anterior to the anterior superior iliac spine cun inferior to the le&el of the umbilicus?e&el with C / CTA

9eedling E insertion


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=ang >iao Mo H & '-

(ocation 8idway between the anterior superior iliac spine and

the prominence of the greater trochanter of the femur H/1

cun posterior to "# (!=Traditionally described in the anterior fossa of the

femur8s 2reater trochanter.> CTA

9eedling E insertion


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$eunion "oint# First *id "oint 1 -1' & -:

(ocation %n the lateral surface of the hip

0osterior to the prominence of the greater trochanter H/1

To locate GB 30 on one side, have the patient in alateral recumbent position,

with that lower leg extended and the thigh fexed On the lateral side of the thi2hOne third of the distance between the prominenceof the 2reater trochanter of the femur and the sacral

hiatus?e&el with the inferomedial border of the 2luteus

ma*imus muscleand the interior border of the piriformis muscle CTA

9eedling E

insertion directed towards the genitals, =2&.@ cun(ote) * radiating or electric sensation may tra elto the foot+ Since this manifestation of deIi is"articularly indicated in cases of sciatica# it may 0emore readily induced 0y locating GB % one cuninferior to its normal "osition

Function 6 $eunion) GB# B! 6 First *id) Fractures# S"rains6 ne of Ma Dan-yang s 1: .ea enly Star "oints :cti"ates the channel and alle"iates pain 5,8 5ispels 1ind25amp 5,B

Bene ts the hip and leg oint5

disinhibits the lumbusand hip B

;trengthens the lumbus and legs B

Toni es i and blood 8

5ispels 5amp2heat 8

9ame Jum"ing $ound.uan) /ing, circle) to encircle)

turnTiao) To ump, to leap

*lternate (ames) /oundDalley, 5i"ided

4enter, 3ip Hoint, Buttocks0ressing, -nee2

The part of the body where 4ap, 3ip Bone,0i"ot 4enter, 0i"ot Lnion

This point is found is pi"otal for 4enter Humping and turning mo"ements. 1hen a person s uats

down in preparation for a


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ump, a semi2circular !round# depression appears at thispoint) hence the name

Humping /ound.

%ther This point is good for hips pain on a 1ood 4F. Go in e&ertthe foot.

To e*pose the e*tensor di2itorum lon2us dorsi e* thean6le CTA

9eedling E iu) 3ill, mound

%ther This point is mainly used for the physical and mentalle"el.It*s a place where yin and yang come together andbalance each other.

You can reach an abundance of energy here.Lse it to reach a brittle or rigid person with no truesense of identity, not center or someone who*s lackinga sense of worth and uality.It*s also for intense dislike of the wind.


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!uo "oint &

(ocation %n the lateral surface of the leg

@ :4I pro imal to the prominence of the (81ith the body supine and the knee semi +e ed The point lies anterior to the edge of the bula H/1

#etween the peroneus lon2us and e*tensor di2itorumlon2us muscles

To e*pose the peroneal muscles =lon2us and bre&is> e&ertthe foot.


9eedling E


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HG' This point nourishes "ision and the eyes beautifully.It*s great when a person has a plan and is not clearabout the rst step to take. It sharpens "isual acuityand focus.


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Fire "oint# Sedation "oint# $i er "oint & '-1'


? :4I pro imal to the prominence of the (81ith the body supine and the knee semi +e ed The point lies anterior to the edge of the bula H/1

#etween the peroneus lon2us and e*tensor di2itorumlon2us muscles

To e*pose the peroneal muscles =lon2us and bre&is> e&ertthe foot.


9eedling E .A2< cun

Function Fire "oint Sedation "oint$i er "oint

4lears GB channel heat 5,B,8

3armoni>es ;haoyang 5,B

/esol"es 5amp23eat 8

5issipates cold B

;ubdues (i"er Yang 8

;oothes the (i"er and resol"es depression B

Suickens the connecting "essels and relie"es pain B Bene ts the sinews and bones 5


9ame =ang *ssistance =ang) yang, the complement of

yinFu) to assist, to support) pole

attached to acart to keep it from upsetting*lternate (ames) ;e"eredBone, 0arting of the Flesh,0arting ;pace

%therLse this point for e treme coldness in the Body 8ind)it may be necessary to use mo a rst.Lse this point only when the patient is ready to recei"ethe sunshine.It*s good for when there is not future, plans, or aims)it*s also good for e cessi"e sighing.


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,nKuential "oint# $eunion "oint % & '-1'


& :4I pro imal to the prominence of the (81ith the body supine and the knee semi +e ed The point lies anterior to the edge of the bula H/1

cun pro*imal to the prominence of the lateral malleolus#etween the posterior border of the Fbula and the tendon

of the peroneus lon2usmuscle i.e. on the Fbula CTA

9eedling E


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is located. In fact, this whole area of the leg is called uegu.

%ther This is the reunion point of the & lower yang meridians.Lse it to draw i from the upper body to the lowerbody, e.g. in 8;.Lse it with (i"er 6 to draw energy down into the legs.


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Source "oint# First *id "oint ' & %-

(ocation :nterior and distal to the lateral malleolus

0osterior to the tendon of the e tensor digitorum longus H/1

To e*pose the point dorsi e* and e&ert the foot CTA

9eedling E


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It*s a classic point to use after surgery to encouragefaster healing.


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%ther This point is the birth of growth, the beginning ofmo"ement. It shows people where they are and whatdecisions need to be made.It helps to make a fresh start, gi"ing e pansi"e "ision.It helps a person to cope when he she is close to tears.


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: & 3

(ocation %n the dorsal surface of the foot

Between the ?th

and @th

metatarsals Hust pro imal to the head of the ? th metatarsal H/1

+ro*imal to the fourth metatarso7phalan2eal ,oint At the are of the head of the fourth metatarsal;edial to the tendon of the e*tensor di2iti minimi muscle

CTA

9eedling E [email protected] cun. Incorrect angle of insertion will inhibit theneedle from passing between the shafts of the fourth andfth metatarsals.(ote) Classics all say that this "oint should not 0etreated with moxa or emaciation and death willfollow within % years+ .owe er# modern sourcesagree that there are no contraindications to moxa+

Function ;preads (i"er i 5 4lears GB 3eat 5

4lears the (i"er and drains the GB B

Brightens the eyes and sharpens the hearing B

9ame Earth Fi efoldCon ergence

Di) earth, groundAu) "e, fth .ui) to con"erge, tomeet


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Aater "oint# ToniLcation "oint# S"ring "oint %& %-'

(ocation %n the dorsal surface of the footBetween the ? th and @ th toes Hust distal to the base of the pro imal phalan of the ? th

toe H/1

Distal to the fourth metatarso7phalan2eal ,oint Eust distal to the are of the base of the pro*imal phalan* +ro*imal to the web mar2in CTA

9eedling !


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Metal "oint# Aell "oint 1 & %-'

(ocation (ateral nail point of the ? th toe H/1 About .1 cun pro*imal to the corner of the nail

Eust distal to the are of the distal phalan*CTA

9eedling E or ?@ insertion directed pro imally .iao) portal, ori ce

=in) Yin, the complementof yang

(H This is the metal point on the gallbladder meridian. Themetal element controls the wood element across the kecycle. The resolution of anger !a "irtue of the woodelement# is often found in one*s ability to let go !a "irtueempowered by metal#. The gallbladder is a yang oJcial.:s such, the ualities of metal come to it e ternally. 3ere,the presence of metal may be likened to pruning a plantone aspect of good pruning is to eliminate that which isnot essential so that growth may proceed in a focusedmanner. (ike all points, GB ?? harmoni>es a continuum ofunbalanced e pression. %ne*s uality of growth may

emulate a tree that sends out branches in manydirections, yet ne"er grows tall. 3ere, GB ?? may pruneaway unnecessary growth so that one can better focus ona speci c goal, as opposed to many !the unprunedbranches#. :lso, when the gallbladder is out of balanceone may feel that e"ery time one initiates an action one isMcut down.N 3ence, this point may also address thetimidity and fear that pre"ents a person from taking


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07 Gall Bladder.doc