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GB-3 Upper Gate

上关 〔上關〕shàng guān

Alternate names: 客王 kè wáng, Guest King; 客主 kè zhǔ, Guest-Host; 客主人 kè zhǔ rén, Guest-Host-Person; 容主 róng zhǔ, Generous Host; 太阳 tài yáng, Greater Yang

Channel: GB, Foot Lesser Yáng (shào yáng) Gallbladder Channel

Modern location: An acupoint located anterior to the ear, on the superior border of the zygomatic arch, directly above ST-7.

Classic location: Above the bone in front of the ear, where a hollow appears when the mouth is opened. (Zhēn Jiǔ Dà Chéng)

Local anatomy: The zygomaticoorbital artery and vein. The zygomatic branch of the facial nerve and the zygomaticofacial nerve.

Action: Frees the channels and quickens the network vessels; opens the orifices and boosts the hearing.

Modern indications: Hemilateral headache; deafness; tinnitus; toothache; deviated eyes and mouth; clenched jaw.

Classic indications: Dizzy vision; aversion to wind and cold; painful upper tooth decay; hemilateral headache; heat effusion with aversion to cold; tetany with bone pain.

Needle stimulus: Needling: 0.3 cùn perpendicular insertion. Moxa: 3 cones; pole 3‒5 min.

Warning: Needling has traditionally been contraindicated at this point. The Sù Wèn explains that puncturing of the vessels can cause internal bleeding leading to deafness. Nowadays the point is needled, but care is taken not to exceed a depth of 0.3 cùn.

Point groups: Intersection point (jiāo huì xué) of the hand and foot lesser yáng (shào yáng) (TB and GB) and stomach channels.

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