POINT: UB-19 (URINARY BLADDER-19)

English:	Gall Bladder Shu
Also Known As:	Gall Bladder's Hollow Gall Bladder Back Transporting Point

1.5 cun lateral to the lower border of the spinous process of the tenth thoracic vertebra.
Note: locate at the highest visible point of the paraspinal muscles.
1.5 cun lateral to DU-7 Zhongshu, level with the lower border of the spinous process of the tenth thoracic vertebra.

Oblique insertion towards the spine, 0.5 to 1 cun.
Transverse -oblique insertion 1 to 1.5 cun.
Caution: perpendicular needling or oblique needling away from the spine carries a substantial risk of causing a pneumothorax.
Straight insertion slanted slightly toward the spine1 to 1.5 cun. Sensation: local distention and soreness, sometimes extending between the ribs.
Transverse insertion pointed downward along the muscle, 1 to 2 cun. Sensation: local distention and soreness.
Caution: care should be taken not to insert the needle too deeply, to avoid puncturing the Lung.
Puncture obliquely 0.5 to 0.8 cun.
Moxibustion is applicable.

Jaundice
Yellow eyes
Bitter taste in the mouth with a dry tongue
Distention and pain of the chest and lateral costal region with inability to turn
Vomiting
Difficult ingestion
Dry retching
Cholecystitis
Cholelithiasis
Hepatitis
Headache and chills
Sore throat
Distention and fullness in the abdomen and chest
Pain in the flanks
Sperm in the urine
Myopia
Conjunctivitis
Optic nerve atrophy
Scrofula
Afternoon fever

UB-17 Geshu (The Four Flowers)	UB-48 Yanggang or DU-17 Naohu UB-49 Yishe UB-48 Yanggang	LIV-13 Zhangmen
Steaming bone taxation-fever, deficiency taxation, tidal fever, etc.	Yellow eyes	Pain of the later costal region
REN-19 Zigong REN-16 Zhongting	LI-1 Shangyang UB-27 Xiaochangshu	UB-17 Geshu UB-43 Gaohuangshu M-BW-6 Huanmen
Difficult ingestion	Dry mouth and tongue with difficult ingestion	the hundred syndromes of Deficiency-taxation (use moxa on all points)
LI-5 Yangxi	GB-24 Riyue	DU-9 Zhiyang ST-36 Zusanli LIV-3 Taichong
Fright palpitations	Frequent indecision	Acute infectious hepatitis
GB-34 Yanglingquan PC-6 Neiguan	M-LE-23 Dannangxue	LIV-13 Zhongmen
Round worms in the bile duct	Cholecystitis	Rib pain preventing sleep