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GB-23 Sinew Seat

辄筋 〔輒筋〕 zhé jīn

Alternate names: 胆募 dǎn mù, Gallbladder Alarm; 神光 shén guāng, Spirit Light

Channel: GB, foot lesser yáng (shào yáng) gallbladder channel

Modern location: An acupoint located on the lateral aspect of the chest, 1 cùn anterior and slightly inferior to GB-22 (yuān yè).

Classical location: Three cùn down from the armpit and one cùn forward. From The Systematic Classic of Acupuncture and Moxibustion (针灸甲乙经 zhēn jiǔ jiǎ yǐ jīng)

Local anatomy: The lateral thoracic artery and vein, the 5th intercostal artery and vein. The lateral cutaneous branch of the 5th intercostal nerve.

Action: Courses the liver and rectifies qì; calms panting and downbears counterflow.

Modern indications: Fullness in the chest; rib-side pain; panting; vomiting; acid swallowing.

Classical indications: Fulminant fullness in the chest; insomnia.

Needle stimulus: Needling: 0.3‒0.5 cùn oblique insertion. Moxa: 3‒5 cones; pole 10‒20 min.

Point name meaning:

GB-23 is located below the armpit on the side of the rib cage. The shape of the rib cage is said to resemble the sides of a chariot in the area above the wheels. In fact, the intercostal muscles are sometimes called 辄筋 (zhé jīn). The point rides within these sinews as if they were the seats of a chariot, and derives its name from its location in these muscles. See acupoint names: origins, meanings, and translations.

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