GB40

Qiuxu

Star

丘墟 (Qiūxū) — Mound of Ruins

Gallbladder channel · point 40

Not yet clinically reviewed

Yuan-Source point

Traditionally used for

  • Headaches
  • Digestion
  • Urinary & fluids
  • Pain & joints
  • Heart & circulation

Location

On the lateral side of the ankle, in the depression anterior and inferior to the lateral malleolus, lateral to the tendon of extensor digitorum longus.

How to locate: Hold the ankle at about 90 degrees and lift the toes to raise the extensor digitorum longus tendons; slide from the lateral malleolus into the well-defined hollow in front of and below it, lateral to those tendons, where lines along the front and lower borders of the malleolus meet.

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

Body map, front: GB40 · Ankle
Fig. — GB40 · Ankle After Albinus, 1747
Body map, front: GB40 · Ankle

GB40 · Ankle · Albinus, Tabulae sceleti et musculorum, 1747

Bones of the foot, dorsal — Gray's Anatomy plate
Bones of the foot, dorsal Gray's Anatomy, 1918
Bones of the foot, dorsal — Gray's Anatomy plate

Bones of the foot, dorsal · 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 — directed towards Zhaohai KI6
    Depth 1–1.5 cun
    skindeeper

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. 458 Supports: techniques (names this point)

Site notes · not cited

Depth: 0.5–0.8 cun
Angle: Perpendicular

Functions

  • Spreads Liver qi and clears heat and damp from the Gallbladder
  • Relieves hypochondriac pain
  • Benefits the ankle and activates the channel

Indications

Hypochondriac and chest painbitter taste in the mouth and vomiting of bileankle pain, sprain and swellingmigrainemalarial disordersswelling of the axilla

Balance Method partners

Under Dr. Tan's six systems, GB40 at the ankle balances these channels at the regions its segment images.

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

Classical calendar method · 子午流注

When the tables open GB40

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

  • 戊寅 03:00–05:00 Na Jia Fa, 甲-day sequence · Yuan-Source (原), returning to the source

    「返本丘墟木在寅」

    Next: Sun 18 Oct, 04:00

  • 丑 01:00–03:00 Na Zi Fa, GB channel · reinforce (補)

    「丘墟為原,皆取之」

    Next: Fri 16 Oct, 02:00

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 Yuan-Source of the Gallbladder and the local point of first choice for a lateral ankle sprain.

Combinations Using This Point

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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