L.

Intestine
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Point 1
Spleen
Heart
S. Intestine
ZULINQI GB-41 ACTIONS
Foot Bladder
Governor of Tears Spreads Liver qi
Kidney Benefits the chest, lateral costal region and breasts
Shu-Stream and Wood point of the
Pericardium Clears the head and benefits the eyes
Gall Bladder
Sanjiaochannel Transforms phlegm and dissipates nodules
Confluent point of the Girdling vessel
Gall Bladder
INDICATIONS
Liver
LOCATION • Pain of the lateral costal region, fullness of the chest
In theConception
depression distal to the junction of the 4th and 5th with inability to catch the breath, rebellious qi with
metatarsal bones, on the lateral side of the tendon of m.
Governing dyspnoea, chest painful obstruction, pain of the su-
extensor
Extra Points longus (branch to little toe).
digitorum praclavicular fossa, inversion counterflow of the four
limbs, scrofula, swelling of the axilla, enuresis, ma-
laria.
• Headache, one-sided headache, head wind, dizzi-
ness, visual dizziness, pain of the occiput, pain of the
vertex, pain of the outer canthus, redness, swelling
and pain of the eyes, lacrimation, dry eyes, deafness
and tinnitus, propensity to gnaw the tongue and
cheek, swelling of the submandibular region and
cheek, swelling of Tianyou SJ-16, toothache.
extensor digitorum longus • Distention and pain of the breast, breast abscess,
menstrual disorders, inhibited menstruation.
• Pain of the hip, pain of the lower leg, fixed painful
obstruction, wandering pain, swelling and pain of
the feet, pain and contraction of the toes, swelling
Zulinqi GB-41 and pain of the dorsum of the feet, all disorders of the
feet.
Diwuhui GB-42
COMMENTARY
Zulinqi GB-41 is an indispensable point to spread the
Liver qi, especially when qi stagnation manifests along
the course of the Gall Bladder channel, and this action
underpins all the indications of this point. Although the
primary cause of Liver qi stagnation is emotional, it may
manifest both with physical symptoms and emotional
changes. Zulinqi GB-41 predominantly treats the physical
symptoms of Liver qi stagnation, namely distention,
pressure and pain along the Gall Bladder channel in the
chest, head, eyes, breast, lateral costal region and axilla.
LOCATION NOTE The smooth flow of Liver qi assists the ascending and
Ask the patient to abduct their little toe in order to make descending of the qi of all the zangfu. If Liver qi stagnates
the branch of m. extensor digitorum longus more promi- in the chest region, therefore, it may hinder the descent of
nent. Run a finger from Xiaxi GB-43 towards the ankle, Lung qi and prevent smooth respiration. As well as full-
along the interspace between the fourth and fifth metatar- ness of the chest, chest painful obstruction and dyspnoea,
sals until it passes over this branch into the significant there may be inability to catch the breath. This symptom,
depression immediately beyond the tendon. which may be described by the patient as a kind of
breathlessness, is more an abnormal awareness of breath-
NEEDLING ing accompanied by a feeling that the Lungs cannot be
Perpendicular insertion 0.5 to 1 cun. Incorrect angle of filled adequately.
insertion will not enable the needle to pass between the If Liver qi stagnation transforms to Liver fire, or if Liver
shafts of the fourth and fifth metatarsal bones. fire subsequently consumes yin and leads to uprising of
Liver yang, the fire or yang may ascend to the head along
 L. Intestine
CONTENTS
CONTENTS
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CONTENTS
CONTENTS Points Index
Points
Points
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Points
Points
Points
Points IndexGeneral
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Index Index
General
General
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General IndexIndications
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Stomach
2 Combinations
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Gall Point
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Point Channel
Bladder
Spleen
Heart
S. Intestine
the Gall Bladder channel (occiput, temporal region and COMBINATIONS
ears)Bladder
or the Liver channel (vertex) and cause pain, dizzi- • Internal eye obstruction: Zulinqi GB-41, Jingming
Kidney
ness, tinnitus or even deafness. Although Zulinqi GB-41 is BL-1, Tongziliao GB-1 and Hegu L.I.-4 (Great Com-
much used in modern clinical practice for one-sided head-
Pericardium pendium).
ache, particularly
Sanjiao with Waiguan SJ-5 and especially for • Cold lacrimation: Zulinqi GB-41, Jingming BL-1,
headaches associated with the menstrual cycle, it is inter- Fengchi GB-20 and Wangu SI-4 (Great Compendium).
Gall Bladder
esting to note that all major classical references are to • Lacrimation: Zulinqi GB-41, Baihui DU-20, Yemen
Liver pain and pain of the vertex.
occipital SJ-2, Houxi SI-3, Qiangu SI-2 and Ganshu BL-18
InConception
the Ode of the Obstructed River the use of Zulinqi GB-41 (Great Compendium).
is referred to as one of ‘the eight therapeutic methods’. In
Governing • Deafness: Zulinqi GB-41, Jinmen BL-63 and Hegu
thisExtra
description
Points of the application of the eight confluent L.I.-4 (Song of Points).
points of the extraordinary vessels to affect specific symp- • Grinding of the teeth: Zulinqi GB-41 and Guangming
toms and areas of the body, Zulinqi GB-41 is indicated for GB-37 (Thousand Ducat Formulas).
disorders of the eyes. The Liver ‘opens’ into the eyes, and • Swelling of the axilla: Zulinqi GB-41, Yangfu GB-38,
the Liver, Gall Bladder and Gall Bladder divergent chan- Diwuhui GB-42, Weiyang BL-39, Shenmai BL-62 and
nels all connect with the eye. When Liver fire or Liver Tianchi P-1 (Thousand Ducat Formulas).
yang rise to disturb the eyes, or exterior wind-heat enters • Swelling of the axilla: Zulinqi GB-41, Qiuxu GB-40
the Liver channel, there may be lacrimation or dry eyes, and Yangfu GB-38 (Great Compendium).
redness, swelling and pain of the eyes, especially at the • Sabre lumps of the axilla: Zulinqi GB-41, Yuanye
outer canthus, or visual dizziness. Zulinqi GB-41, as the GB-22, Zhigou SJ-6 and Waiguan SJ-5 (Illustrated Sup-
name (Foot Governor of Tears) implies, is an important plement).
point to adjust the fluid in the eye and treat these condi- • Scrofula: Zulinqi GB-41, Shaohai HE-3, Tianchi P-1,
tions. Zhangmen LIV-13, Zhigou SJ-6, Yangfu GB-38,
Zulinqi GB-41 is the confluent point of the Girdling Jianjing GB-21 and Shousanli L.I.-10 (Great Compen-
vessel which encircles the waist and binds the Penetrating dium).
and Conception vessels and the Kidney, Liver and Spleen • Swelling of the supraclavicular fossa [Quepen ST-12]:
channels, all of which channels influence the menstrual Zulinqi GB-41, Shangyang L.I.-1 and Taixi KID-3
cycle. Furthermore, the Gall Bladder primary channel (Great Compendium).
descends through the chest region, the Gall Bladder sinew • Heart pain: Zulinqi GB-41, Jueyinshu BL-14 and
channel links with the breast, and the nipples are ascribed Shenmen HE-7 (Supplementing Life).
to the jueyin Liver channel. Zulinqi GB-41 is particularly • Chest painful obstruction and Heart pain: Zulinqi
used therefore in situations where Liver qi stagnation GB-41 and Tianjing SJ-10 (Supplementing Life).
impairs the regularity of the menstrual cycle, and more • Fullness of the chest: Zulinqi GB-41 and Yangjiao
especially for symptoms of stagnant qi such as distention GB-35 (Supplementing Life).
and pain of the breast and headache which precede the • Fullness of the abdomen and lateral costal region:
menstrual period. Zulinqi GB-41 is also indicated for Zulinqi GB-41, Yanglingquan GB-34 and Shanglian
breast abscess and is combined in a modern prescription L.I.-9 (Great Compendium).
with Guangming GB-37 to stop lactation. After needling, • Swelling of the breasts in women: Zulinqi GB-41 and
moxibustion is applied to the points for ten minutes. Shaoze SI-1 (Divine Moxibustion).
Liver qi stagnation may impair the smooth circulation • Breast abscess: Zulinqi GB-41, Xiajuxu ST-39, Zusanli
of fluids resulting in their condensation into phlegm, or ST-36, Xiaxi GB-43, Yuji LU-10, Weizhong BL-40 and
may transform into fire which scorches and condenses the Shaoze SI-1 (Great Compendium).
body fluids leading to the formation of phlegm. Zulinqi • Inhibited menstruation: Zulinqi GB-41, Sanyinjiao
GB-41 is indicated when phlegm and stagnant qi combine SP-6 and Zhongji REN-3 (Great Compendium).
to form swelling and nodules in the neck, breast and • Pain of the hip with difficulty in walking and pain of
axilla. the skin of the lateral aspect of the leg: Zulinqi GB-41
Finally, Zulinqi GB-41 is used for swelling and pain of and Sanyinjiao SP-6 (Thousand Ducat Formulas).
the feet (especially the dorsum) and pain and contraction • To stop lactation: Zulinqi GB-41 and Guangming
of the toes. According to Investigation into Points Along the GB-37.
Channels Zulinqi GB-41 is suitable for “all disorders of the
feet”.