GB34

Yanglingquan

Star

陽陵泉 (Yánglíngquán) — Yang Mound Spring

Gallbladder channel · point 34

Not yet clinically reviewed

He-Sea pointEarth pointEarth point of the Gallbladder channelHui-Meeting point of the sinewsLower He-Sea point of the Gallbladder

Traditionally used for

  • Digestion
  • Urinary & fluids
  • Mood & calm
  • Nerves & recovery
  • Pain & joints
  • Liver & jaundice

Location

On the lateral aspect of the lower leg, in the depression anterior and inferior to the head of the fibula.

How to locate: Find the round head of the fibula below the knee on the outside of the leg; the point is in the hollow just in front of and below it.

Regional anatomy: Skin and subcutaneous tissue, then peroneus (fibularis) longus and extensor digitorum longus; the common peroneal nerve winds around the neck of the fibula just behind and below the point.

Distances are in cun, a proportional unit — how to measure.

Body map, front: GB34 · Knee
Fig. — GB34 · Knee After Albinus, 1747
Body map, front: GB34 · Knee

GB34 · Knee · Albinus, Tabulae sceleti et musculorum, 1747

The knee joint — Gray's Anatomy plate Needling hazard — see Needling safety
The knee joint Gray's Anatomy, 1918
The knee joint — Gray's Anatomy plate Needling hazard — see Needling safety

The knee joint · Gray's Anatomy, 1918

Needling

Cited needling

  • ⚠ Nerve

Techniques — the source gives these as alternatives:

  1. Perpendicular insertion
    Depth 1–1.5 cun
    skindeeper

    Sometimes through-needled to Yinlingquan SP9, in which case locate it slightly more distally.

  2. Slightly oblique insertion — posterior
    Depth 1–1.5 cun
    skindeeper

Case reports: peripheral nerve injury after needling at this point (1 case in Wu et al. 2015).

Depths describe average adult habitus in the cited population, never a single safe number for the patient in front of you. Palpate and adjust.

Sources (2)
  1. Wu J, Hu Y, Zhu Y, Yin P, Litscher G, Xu S. Systematic review of adverse effects: a further step towards modernization of acupuncture in China. Evid Based Complement Alternat Med. 2015;2015:432467 — Table 3 (Peripheral nerve injury) Supports: nerve (case report)
  2. Deadman P, Al-Khafaji M, Baker K. A Manual of Acupuncture. Hove: Journal of Chinese Medicine Publications; 1998 — p. 451 Supports: techniques (names this point)

Site notes · not cited

Depth: 1.0–1.5 cun
Angle: Perpendicular

Functions

  • Benefits the sinews and joints throughout the body
  • Spreads Liver qi and relieves constraint
  • Clears damp-heat from the Liver and Gallbladder
  • Relieves hypochondriac and lateral pain
  • Descends rebellious qi

Indications

Any sinew, tendon or muscle disorder — contracture, spasm, cramp, stiffnessknee pain and swellinghypochondriac pain and gallstonesbitter taste in the mouth and jaundicesciatica and hemiplegiairritability and constraintvomiting and acid regurgitationfrozen shoulder

Balance Method partners

Under Dr. Tan's six systems, GB34 at the knee balances these channels at the regions its segment images.

  • 1. Same Chinese name
    Triple Energiser channel
    Elbow · Mirror (arm ↔ leg)
    Elbow · Reversed mirror
    Upper abdomen, Lower back · Image, head at the hand/foot
    Chest, Upper back · Image, head toward the elbow/knee
    Solve for the Triple Energiser channel →
  • 2. Branching (Bie Jing / Zang Fu Bie Tong)
    Heart channel
    Elbow · Mirror (arm ↔ leg)
    Elbow · Reversed mirror
    Upper abdomen, Lower back · Image, head at the hand/foot
    Chest, Upper back · Image, head toward the elbow/knee
    Solve for the Heart channel →
  • 3. Interior–exterior pair
    Liver channel
    Knee, Back of knee · Same segment, opposite side
    Upper abdomen, Lower back · Image, head at the hand/foot
    Chest, Upper back · Image, head toward the elbow/knee
    Solve for the Liver channel →
  • 4. Chinese clock opposite
    Heart channel
    Elbow · Mirror (arm ↔ leg)
    Elbow · Reversed mirror
    Upper abdomen, Lower back · Image, head at the hand/foot
    Chest, Upper back · Image, head toward the elbow/knee
    Solve for the Heart channel →
  • 5. Chinese clock neighbour
    Triple Energiser channel
    Elbow · Mirror (arm ↔ leg)
    Elbow · Reversed mirror
    Upper abdomen, Lower back · Image, head at the hand/foot
    Chest, Upper back · Image, head toward the elbow/knee
    Solve for the Triple Energiser channel →
  • 6. Same channel
    Gallbladder channel
    Knee, Back of knee · Same segment, opposite side
    Upper abdomen, Lower back · Image, head at the hand/foot
    Chest, Upper back · Image, head toward the elbow/knee
    Solve for the Gallbladder channel →

Classical calendar method · 子午流注

When the tables open GB34

The hours Zi Wu Liu Zhu names this point at, by method. Times are the double-hour's start in UTC.

  • 甲辰 07:00–09:00 Na Jia Fa, 丙-day sequence · He-Sea (合)

    「甲辰陽陵泉合長」

    Next: Tue 20 Oct, 07:00

A classical reference, not a recommendation: the tables say when the method opens this point, not that it is the point to needle. Open points by the hour →

Clinical Notes

The Hui-Meeting point of the sinews, and therefore a systemic point for any tendon or muscle problem regardless of location. One of the ten or so most-used points in practice.

Combinations Using This Point

Similar Points

Sources

  • World Health Organization. WHO Standard Acupuncture Point Locations in the Western Pacific Region. Manila: WHO Regional Office for the Western Pacific, 2008. (Location.)

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