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GB43

Xiaxi

Star

俠谿 (Xiáxī) — Pinched Ravine

Gallbladder channel · point 43

Not yet clinically reviewed

Ying-Spring pointWater pointWater point of the Gallbladder channelTonification (mother) point

Traditionally used for

  • Headaches
  • Dizziness
  • Eye health
  • Ears & hearing
  • Colds & fever
  • Urinary & fluids

Location

On the dorsum of the foot, between the fourth and fifth toes, just proximal to the web margin, at the border between red and white flesh.

How to locate: Find the web between the fourth and fifth toes; the point is just proximal to its margin, at the junction of the red and white skin.

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

Body map, front: GB43 · Foot
Fig. — GB43 · Foot After Albinus, 1747
Body map, front: GB43 · Foot

GB43 · Foot · Albinus, Tabulae sceleti et musculorum, 1747

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

Techniques — the source gives these as alternatives:

  1. Perpendicular insertion
    Depth 0.3–0.5 cun
    skindeeper
  2. Oblique insertion — directed proximally
    Depth 0.5–1 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. 462 Supports: techniques (names this point)

Site notes · not cited

Depth: 0.3–0.5 cun
Angle: Perpendicular or oblique proximally

Functions

  • Clears heat, damp-heat and wind from the Gallbladder channel
  • Subdues Liver yang
  • Benefits the ears and eyes
  • Relieves lateral headache

Indications

Migraine and temporal headachetinnitus and deafnessred, painful and swollen eyeshypochondriac painbreast distensiondizzinessfebrile disease

Balance Method partners

Under Dr. Tan's six systems, GB43 at the foot balances these channels at the regions its segment images.

Classical calendar method · 子午流注

When the tables open GB43

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, 壬-day sequence · Ying-Spring (滎)

    「甲辰膽脈俠谿滎」

    Next: Thu 15 Oct, 07:00

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

    「補用丑時，俠谿，為滎水」

    Next: Thu 15 Oct, 01:00

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 Water point of the Gallbladder and its principal heat-clearing distal point — the choice for a hot, throbbing one-sided headache.

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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