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GB-34 Yáng Mound Spring

阳陵泉 〔陽陵泉〕 yáng líng quán

Alternate names: 筋会 jīn huì, Sinews’ Meeting; 阳陵 yáng líng, Yang Mound; 阳之陵泉 yáng zhī líng quán, Yang's Mound Spring; 足少阳所入 zú shào yáng suǒ rù,

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

Modern location: An acupoint located on the lateral aspect of the lower leg, in the depression immediately anterior and inferior to the head of the fibula.

Classical location: One cùn below the knee, in the depression on the outer face of the shin. The point is found in squatting posture. From The Great Compendium of Acupuncture and Moxibustion (针灸大成 zhēn jiǔ dà chéng)

Local anatomy: The inferior lateral genicular artery and vein. Just where the common peroneal nerve bifurcates into the superficial and deep peroneal nerves.

Action: Soothes the sinews; clears gallbladder heat; expels wind from the knee and legs; courses dampness and stagnation in the channels and network vessels.

Modern indications: Rib-side pain; bitter taste in the mouth; retching and vomiting; wilting-impediment (wěi bì) of the lower limbs; leg qì (jiǎo qì, beriberi); jaundice; child fright wind.

Classical indications: Fullness in the chest and rib-side; bitter taste in the mouth; sighing; urinary incontinence; constipation; headache; wind stroke hemiplegia; swelling of the mouth, tongue, throat, head or face; sinews diseases.

Needle stimulus: Needling: 0.8‒1.2 cùn perpendicular insertion. Moxa: 5‒7 cones; pole 20‒30 min.

Point groups: Uniting () (earth) point; meeting (huì) point of the sinews; one of Mǎ Dān-Yáng’s twelve heavenly star points.

Point name meaning:

GB-34 is located in a depression next to a protuberance or mound; thus it is a mound spring. It may be that mound is also a reference to GB-34 as the earth point of the gallbladder channel, as mounds are made of earth. Located on the yáng aspect of the leg, opposite to Yīn Mound Spring (SP-9); it is therefore called Yáng Mound Spring.

GB-34 is the meeting (huì) point of the sinews and thus moistens the sinews like a spring moistens the land. While this explanation is useful, it is probably wrong. The meeting (huì) points were first discussed in the Nàn Jīng, a later text than either the Nèi Jīng or the The Systematic Classic of Acupuncture and Moxibustion (针灸甲乙经 zhēn jiǔ jiā yǐ jīng), both of which mention this name. See acupoint names: origins, meanings, and translations.

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