L.

Intestine
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Gall Bladder Channel Combinations
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Point 1
Spleen
Heart
S. Intestine
ZHONGDU GB-32 ACTIONS
Bladder
Middle Ditch Expels wind, damp and cold
Kidney Activates the channel and alleviates pain
Pericardium
LOCATION
On the lateral aspect of the thigh, 2 cun
Sanjiao INDICATIONS
inferior to Fengshi GB-31. • Atrophy disorder and painful obstruction of the
Gall Bladder
lower limb, sinew painful obstruction with numb-
Liver ness, numbness, hemiplegia, sciatica, pain of the back
Conception and hip, cold qi residing in the muscles and sinews.
Governing • Urticaria.
prominence of
Extra Points greater trochanter
COMMENTARY
Both the Systematic Classic of Acupuncture and Moxibustion
and the Great Compendium of Acupuncture and Moxibustion
12 cun

recommend Zhongdu GB-32 for cold pathogenic qi which

lodges in the muscles and sinews. This indication reflects
the two principal ways of understanding and classifying
painful obstruction that were discussed in the Yellow
Emperor’s Inner Classic. The first is according to the type of
Fengshi GB-31
pathogen that predominates, i.e. cold, wind or damp. The
Zhongdu GB-32 second is according to the depth of penetration of the
7 cun

pathogen. In this method of differentiation, the most

superficial level of invasion is the skin, followed by the
muscles, vessels, sinews and bones. Each of these levels
popliteal crease
corresponds to one of the zang (the Lung, Spleen, Heart,
Liver and Kidneys respectively) and an unresolved patho-
gen at any level might injure its related zang.

COMBINATIONS
• Atrophy disorder: needle Zhongdu GB-32 and
Huantiao GB-30, moxa Zusanli ST-36 and Feishu
BL-13 (Glorious Anthology).

LOCATION NOTE
i. First locate Fengshi GB-31 (see above) and then locate
Zhongdu GB-32, 2 cun inferior to it; ii. The distance
between the prominence of the greater trochanter and the
popliteal crease is 19 cun, thus Zhongdu GB-32 is located
at the tender point just proximal to the junction of the
upper three quarters and the lower quarter of this line.

NEEDLING
i. Perpendicular or slightly posteriorly oblique insertion 1
to 2 cun; ii. Oblique insertion, directed proximally or
distally, 1.5 to 2.5 cun.