GB39

Xuanzhong

Star

懸鐘 (Xuánzhōng) — Suspended Bell

Gallbladder channel · point 39

Also known as Juegu

Not yet clinically reviewed

Hui-Meeting point of the marrow

Traditionally used for

  • Dizziness
  • Ears & hearing
  • Nose & throat
  • Bowel health
  • Urinary & fluids
  • Nerves & recovery
  • Pain & joints

Location

On the fibular (lateral) aspect of the lower leg, 3 cun above the prominence of the lateral malleolus, just anterior to the fibula.

How to locate: Measure 3 cun (one hand's breadth) above the prominence of the lateral malleolus; the point is in the depression at the anterior border of the fibula, at a similar level to SP6 on the inside of the leg.

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

Body map, front: GB39 · Lower leg
Fig. — GB39 · Lower leg After Albinus, 1747
Body map, front: GB39 · Lower leg

GB39 · Lower leg · Albinus, Tabulae sceleti et musculorum, 1747

Bones of the leg — Gray's Anatomy plate
Bones of the leg Gray's Anatomy, 1918 Marker hidden while its position on this plate is re-checked.
Bones of the leg — Gray's Anatomy plate

Bones of the leg · Gray's Anatomy, 1918

3D view

3D view not available for this point: its position can't be carried onto the 3D model reliably (it failed a placement check). The 2D maps above show it.

Needling

Cited needling

  1. Perpendicular insertion — into the groove between the peroneal tendons and the fibula
    Depth 1–1.5 cun
    skindeeper

    Separate the tendons from the fibula with a finger; needle first slightly posteriorly (about 0.5 cun), then perpendicularly, avoiding the bone. Needle this point last and keep the ankle still to avoid bending the needle.

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 (1)
  1. Deadman P, Al-Khafaji M, Baker K. A Manual of Acupuncture. Hove: Journal of Chinese Medicine Publications; 1998 — p. 457 Supports: techniques (names this point)

Site notes · not cited

Depth: 0.8–1.2 cun
Angle: Perpendicular

Functions

  • Benefits the marrow, the bones and the brain
  • Expels wind-damp and relieves neck stiffness
  • Clears Gallbladder heat
  • Activates the channel and benefits the sinews

Indications

Stiff neck and torticollisdizziness and tinnitushemiplegia and stroke recoveryanaemia and marrow disordersosteoporosissciatica and leg painnosebleedhaemorrhoids

Balance Method partners

Under Dr. Tan's six systems, GB39 at the lower leg balances these channels at the regions its segment images.

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

Clinical Notes

The Hui-Meeting point of the marrow, and a systemic point in bone-marrow and cognitive disorders. Also one of the most reliable distal points for a stiff neck.

Combinations Using This Point

Similar Points

Ranked by shared patterns and conditions

Sources

  • World Health Organization. WHO Standard Acupuncture Point Locations in the Western Pacific Region. Manila: WHO Regional Office for the Western Pacific, 2008. (Location.)
  • Focks C, ed. Atlas of Acupuncture. Edinburgh: Churchill Livingstone Elsevier, 2008. (Locating method and actions.)

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