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L.

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Spleen
Heart
S. Intestine
ZUQIAOYIN GB-44 INDICATIONS
Bladderof the Foot
Yin Portals • Headache, headache with agitation, stabbing pain of
Kidney the head, dizziness, sudden deafness, tinnitus, red-
Jing-Well and Metal point of the
Pericardium ness swelling and pain of the eyes, pain of the outer
Gall Bladder
Sanjiaochannel canthus, throat painful obstruction, stiffness of the
tongue or curled tongue with dry mouth, stiffness of
Gall Bladder
LOCATION the tongue with inability to speak.
On theLiver
dorsal aspect of the 4th toe, at the • Pain of the lateral costal region, pain of the lateral costal
Conception
junction of lines drawn along the lateral border region with cough and inability to catch the breath.
of theGoverning
nail and the base of the nail, approximately • Nightmares, insomnia, somnolence, agitation and
0.1 cun from
Extra the corner of the nail.
Points heat of the hands and feet.
• Irregular menstruation, febrile disease, absence of
sweating.
• Contracted sinews, contraction of the sinews of the
four limbs, inability to raise the elbow.

COMMENTARY
The name of Zuqiaoyin GB-44 (Yin Portals of the Foot) is
said to refer to its ability to treat diseases of the sense
organs associated with the five zang, namely the eyes
(Liver), ears (Kidneys), tongue (Heart), mouth (Spleen)
and nose (Lung). In fact, classical indications appear for
all of these except the nose. In this respect, Zuqiaoyin
GB-44 on the lower body mirrors Touqiaoyin GB-11 (Yin
Portals of the Head) in the upper body.
Zuqiaoyin GB-44 is the jing-well, and therefore most
distal, point of the Gall Bladder channel. According to the
Spiritual Pivot23 “for diseases of the head select [points
from] the feet”. Zuqiaoyin GB-44 has long been cited by
numerous classical sources for disorders due to Gall
Bladder fire rising to disturb the head, or exterior wind-
heat attacking the head, giving rise to symptoms such as
headache, headache with agitation, sudden deafness, tin-
nitus, dizziness, swollen red and painful eyes and throat
painful obstruction. As the terminal, and therefore most
dynamic point of the channel, Zuqiaoyin GB-44 is espe-
cially indicated when these conditions are severe and
acute.
The Classic of Difficulties24 states that jing-well points
treat “fullness below the Heart”. Whilst the region ‘below
Zuqiaoyin GB-44
the Heart’ specifically refers to the apex of the epigas-
trium, like many of the jing-well points Zuqiaoyin GB-44
treats stagnation and fullness throughout the chest re-
gion. When Liver qi stagnates in the chest and lateral
NEEDLING costal region there can be distention and pain. Zuqiaoyin
Perpendicular or oblique insertion directed proximally GB-44 is the metal point of the Gall Bladder channel and
0.1 to 0.2 cun, or prick to bleed. its use was emphasised in classics such as the Systematic
Classic of Acupuncture and Moxibustion and the Great Com-
ACTIONS pendium of Acupuncture and Moxibustion for pain of the
Clears heat and benefits the head lateral costal region with cough and inability to catch the
Benefits the chest and lateral costal region breath. These symptoms occur when Liver qi or Liver fire
Calms the spirit invade the Lung (wood insults metal).
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Gall Point
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Bladder
Spleen
Heart
S. Intestine
The Gall Bladder divergent channel links with the Heart,
andBladder
wood is the ‘mother’ of fire. Gall Bladder fire, there-
Kidney
fore, may easily transmit to the Heart and disrupt the
spirit (disease of the mother affecting the child). In com-
Pericardium
monSanjiao
with many of the jing-well points, Zuqiaoyin GB-44
is effective to calm the spirit and like other jing-well points
Gall Bladder
of the feet (e.g. Lidui ST-45 and Yinbai SP-1) to treat
Liver of sleep such as insomnia and nightmares. In
disorders
Conception
discussing Zuqiaoyin GB-44, the Investigation into Points
Along the Channels said “[for] Gall Bladder heat somno-
Governing
lence reduce
Extra it, [for] Gall Bladder cold insomnia reinforce
Points
it”.
Finally, unlike the majority of the jing-well points of the
twelve channels, Zuqiaoyin GB-44 does not appear to be
indicated in the major classics for restoring conscious-
ness.

COMBINATIONS
• Stabbing pain of the head with inability to move:
Zuqiaoyin GB-44 and Qiangjian DU-18 (Thousand Ducat
Formulas).
• Deafness: Zuqiaoyin GB-44 and Guanchong SJ-1
(Spiritual Pivot).
• Throat painful obstruction, curled tongue and dry
mouth: Zuqiaoyin GB-44, Guanchong SJ-1 and
Shaoze SI-1 (Thousand Ducat Formulas).
• Absence of sweating: Zuqiaoyin GB-44, Fuliu KID-7,
Quze P-3, Yuji LU-10, Shaoze SI-1, Shangxing DU-23,
Ququan LIV-8, Kunlun BL-60 and Xiaxi GB-43 (Great
Compendium).
• Contraction and inability to extend the arm and el-
bow: Zuqiaoyin GB-44 and Shousanli L.I.-10
(Supplementing Life).

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