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POINT: GB-40 (GALL BLADDER-40)  

NAME: QIUXU

English: Mound of Ruins
Also Known As: Mound Ruins
Mound Village
Hilly City
Wilderness Mound
Hill's Ruins

LOCATION:

  • Anterior and inferior to the external malleolus, in the depression on the lateral side of the tendon of the m. extensor digitorum longus.
  • In the hollow just below and slightly anterior to the lateral malleolus of the ankle.
    Note: locate at the junction of the lines drawn along the anterior and inferior borders of the lateral malleolus.

NEEDLING:

  • Puncture perpendicularly 0.5 to 0.8 cun.
  • Moxibustion is applicable.
  • Straight insertion toward the inferior margin of the medial malleolus, 1 to 1.5 cun. Sensation: local distention and soreness.
  • Perpendicular insertion, 1 to 1.5 cun, directed toward KI-6 Zhaohai.

COMMAND FUNCTIONS:

  • Yuan-Source point

ACTIONS:

  • Spreads Liver Qi
  • Benefits the Gall Bladder
  • Clears the channels
  • Clears Gall Bladder Heat and Damp-Heat
  • Alleviates pain
  • Benefits the joints
  • Regulates the Shao Yang

INDICATIONS:

  • Hypochondriac pain and distention
  • Frequent sighing
  • Neck pain
  • Swelling of the axillary region
  • Vomiting
  • Acid regurgitation
  • Muscular atrophy of the lower limbs
  • Pain and swelling of the external malleolus
  • Malaria
  • Cholecystitis
  • Tidal fever
  • Intercostal neuralgia
  • Lower back pain
  • Thigh pain
  • Bi pain of the lower extremities
  • Colic
  • Rib pain
  • Soreness of the leg due to twisted muscles
  • Lower abdominal distention
  • Nebulae
  • Pain and distention in the chest and lateral costal region with inability to catch the breath
  • Sudden Shan disorder
  • Hardness of the lower abdomen
  • Herpes zoster
  • Chronic malaria with cold shivering
  • Paralysis
  • Pain of the lumbar spine
  • Cramping and pain of the legs
  • Wrist pain
  • Pain in the chest
  • Dyspnea
  • Atrophy of the legs
  • Pain in the subaxilla
  • Pain in the hip
  • Lassitude of the limbs
  • Cramps
  • Diseases of Shang Han
  • Pain in the lower abdomen
  • Axillary lymphadenoma
  • Scrofula
  • Goiter
  • Pain, swelling and weakness of the lateral ankle joint
  • Sciatica
  • Diseases of the ankle and surrounding soft tissue
  • Pain and distention in the chest and sides
  • Shan Qi
  • Hernia
  • Liver Qi Attacks the Stomach
  • One-sided headache
  • Redness, swelling and pain of the eyes
  • Superficial visual obstruction
  • Poor eyesight
  • Throat Bi
  • Chills and fever with swelling of the neck
  • Windstroke
  • Pain of the lower leg
  • Drop foot
  • Flaccidity of the ankle

COMBINATIONS:

SJ-8
Sanyangluo

GB-32
Zhongdu

GB-29
Juliao
GB-30
 Huantiao
GB-34
Yanglingquan

Intercostal neuralgia

Rib pain

Disorders of the lower limb

GB-1
Tongziliao

GB-43
Xiaxi
ST-39
Xiajuxu
UB-23
Shenshu

ST-40
Fenglong

Superficial visual obstruction

Fullness in the chest and lateral costal region radiating to the abdomen

Stabbing pain in the chest

LU-8
Jingqu

UB-62
Shenmai

GB-38
Yangfu
GB-41
Zulinqi

Tension of the chest and back with a swollen sensation of the chest

Swelling of the axilla

Chills and fever

Swelling of the neck

Swelling of the axilla

ST-39
Xiajuxu

UB-63
Jinmen

GB-30
Huantiao
GB-34
Yanglingquan

Manic raving

Cramping of the sinews

Hip pain

GB-34
Yanglingquan
ST-42
Chongyang
LIV-3
Taichong

GB-39
Xuanzhong
UB-60
Kunlun

SJ-3
Zhongzhu
LI-1
Shangyang

Flaccidity of the legs

Pain of the ankle and heel

Malaria

CONTRAINDICATIONS:

NOTES:

  • This point can be used to strengthen character in order to tackle difficult tasks.
  • This point is particularly good for the mental aspect of the Gall bladder such as decision making and lack of clarity.
  • This point is indicated when there is Heat and Stagnant Qi in various portions of the Gall Bladder channel.