Acupoint+GB-39+(Xuan+Zhong)

**GB39 ** ** • **  **Xuan Zhong**  •  **Gall Bladder** **39**  Suspended Bell. Hui Meeting Point for Marrow. Intersection Point of the three Yang channels of the leg.

"Xuanzhong GB-39 is the hui-meeting point for the 'marrow' which is the source of both the 'sea of marrow' (the brain) and the bone marrow. There is little evidence in classical texts of the ability of Xuanzhong GB-39 to nourish the sea of marrow, in other words to treat diseases of the head and brain, and even headache and dizziness are modern rather than traditional indications. Xuanzhong GB-39, however, has a strong action on benefiting the bone marrow, sinews and bones and is indicated for a wide range of disorders characterized by weakness, flaccidity, contraction and pain of the limbs" - **Manual of Acupuncture, Deadman**

"The gathering (Hui) points are points that have a special influence on certain tissues, organs, energy, or Blood. The Chinese character (hui) denoting these points means 'to gather' or 'to meet' and to 'collect'. **- The Foundations of Chinese Medicine, Maciocia**

**Name**
"The outer ankle bone appears like a bell hung from this point, providing the image of Suspended Bell. In ancient Cina, children often wore foot bells at the level of this point." - **Grasping The Wind, Andrew Ellis, Nigel Wiseman, Ken Boss**

"Derives it's name from it's location on the Gallbladder channel beside the fibula above the prominence of the lateral malleolus, which resembles a bell that has been suspended from this point" **-Clinical Application of Commonly Used Acupuncture Points, Li Shizhen**

"The Suspended Bell" - a designation referring partly to topology, partly to function. The name and term //zhong//, used in the Chinese designations of foramina, in keeping with the preponderant interpretation given to this term in medical texts, is here rendered by campana, 'bell'. Note should be taken, however, that this Chinese character [1st tone] has several meanings and lends itself to ambiguous interpretation. The first meaning of the term is 'cup', 'chalice' - such as were used for libations at a sacrifice:'drinking cup'. It also means to 'to collect', 'to concentrate' By contrast, the connotation of 'bell' really corresponds to a promiscuous use of this character with another zhong [4th tone] which has no other meaning than that of 'bell'. Hoever this may be, a 'bell' is an emblem of metal and of yin. Cf. with this the role metal and gongs in former Chinese warfare as signals of reunion and retreat, as opposed to the drum, the signal for attack and deployment; or, even in modern cults, where the gong (=metal) is the antagonist of the drums. A 'bell' consequently refers to a movement of the yin, to an involutive centripetal movement. it is in this direction that is found the most striking quality of the effects to be achieved by stimulating the foramen." - **Classical Acupuncture: The Standard Textbook, Porkert/Hempen** = = =Location= 3 cun above the lateral malleolus, in the depression between the posterior border of the fibula and the tendons of m. peroneus longus and brevis.

"Above the ankle joint, 3 cun superior to the prominence of the lateral malleolus, between the posterior border of fibula and the tendons of peroneus longus and brevis" **Manual of Acupuncture, Deadman**

"On the lateral surface of the leg, 3 ACI proximal to the prominence of the lateral malleolus. With the body supine and the knee semiflexed, the point lies anterior to the edge of the fibula" **- Traditional Chinese Acupuncture Volume I Meridians and Points, J.R. Worsley**

"3" superior to lateral malleolus, post. border of fibula, btw tendon & bone" **- ALHIM**

"At the pulsating vessel three inches above the outer ankle; feel for the tip of the bone" - **Grasping The Wind, Andrew Ellis, Nigel Wiseman, Ken Boss**

"3 cun proximal to the highest prominence of the lateral malleolus, on the **anterior** border of the fibula" **- Atlas of Acupuncture, Claudia Focks**

"3 cun superior to the lateral malleolus and 1 cun anterior to the fibula." - **Lectures on Tung's Acupuncture, Dr. Wei-Cheih Young**

"Three units above the lateral malleolus, in the middle of the pulstion. [This is] the connecting point of the three yanng meridian of the leg. Pressing [this] point stops the yangming pulse. This means it is the right point." **- Finding Effective Acupuncture Points, Shudo Denmei**

"Located at 3 chon above the external malleolus where the fault is palpated on the fibula" **- Korean Acupuncture, Johng Kyu Lee/ Sang Kook Bae**

"Lateral art of the leg: two FW above the ankle bone (exter nal malleolus); in the angle between the anterior edge of the peroneus muscle and the inferior edge of the transverse mass. Between the bone and the peroneus brevis muscle, which is just posterior to the extensor digitorum longus; in a hollow Two FW under yangfu (GB-38); three large FW above qiuxu (GB-40)" **- Chinese Acupuncture, George Soulie De Morant**

"Clasical Location: At the pulsating vessel three inches above the outer ankle; feel for the tip of the bone" **- Fundamentals of Chinese Acupuncture, Ellis/Wiseman/Boss**

"Three divisions proximal to lateral maleolus; 1/4 division lateral from vertical line dran through GB-38" **- The Book of Acupuncture Points - Dr. James Tin Yau So** =Point Summary=  //Benefits The Neck Dispels Wind Damp// //Cools Gall Bladder Fire// //Benefits The Tendons And Bones// //Activates The Channel// //Alleviates Pain// meeting point of marrow and three leg yang; marrow; meridians; bones (fractures); tonifying for marrow

=Needling=

Depth:
0.3 - 0.5 cun

Technique:
Puncture Perpendicularly

Contraindications:
None

=General Indications=

Functions
dispels wind and damp in meridian; strengthens bones

Indications
stiff neck (with GB-20 and 21 locally); distal for migraines; hemiplegia (flaccid type); sciatica; distal point for knee; any pain in lower leg GB area and pain all three yang meridians of the leg (such as resulting from hemiplegia); leg qi syndrome

Special Notes
meeting of three leg yang; influential point of bone marrow; with KI-6, SP-3, KI-3 for steaming bone disease (severe yin defic and consumptive disease); with GB-34 for ankle problems

=Diagnostic Indications:= Abdominal Distention ** • ** Abdominal Fullness ** • ** Ankle Conditions ** • ** <span style="font-family: Arial,Helvetica,sans-serif;">Body Aches General **<span style="font-family: Arial,Helvetica,sans-serif;"> • ** <span style="font-family: Arial,Helvetica,sans-serif;">Cough **<span style="font-family: Arial,Helvetica,sans-serif;"> • ** <span style="font-family: Arial,Helvetica,sans-serif;">Headache **<span style="font-family: Arial,Helvetica,sans-serif;"> • ** <span style="font-family: Arial,Helvetica,sans-serif;">Headache Migraine **<span style="font-family: Arial,Helvetica,sans-serif;"> • ** <span style="font-family: Arial,Helvetica,sans-serif;">Hemiplegia **<span style="font-family: Arial,Helvetica,sans-serif;"> • ** <span style="font-family: Arial,Helvetica,sans-serif;">Hemorrhoids **<span style="font-family: Arial,Helvetica,sans-serif;"> • ** <span style="font-family: Arial,Helvetica,sans-serif;">Hypochondriac Region Pain **<span style="font-family: Arial,Helvetica,sans-serif;"> • ** <span style="font-family: Arial,Helvetica,sans-serif;">Knee Disorders **<span style="font-family: Arial,Helvetica,sans-serif;"> • ** <span style="font-family: Arial,Helvetica,sans-serif;">Leg Muscle Atrophy **<span style="font-family: Arial,Helvetica,sans-serif;"> • ** <span style="font-family: Arial,Helvetica,sans-serif;">Leg Pain **<span style="font-family: Arial,Helvetica,sans-serif;"> • ** <span style="font-family: Arial,Helvetica,sans-serif;">Neck Stiffness **<span style="font-family: Arial,Helvetica,sans-serif;"> • ** <span style="font-family: Arial,Helvetica,sans-serif;">Nosebleed **<span style="font-family: Arial,Helvetica,sans-serif;"> • ** <span style="font-family: Arial,Helvetica,sans-serif;">Sciatica **<span style="font-family: Arial,Helvetica,sans-serif;"> • **

"Stiffness and pain in the neck, atrophy disorder, chronic painful obstruction, wind-taxation with heaviness of body, injury by cold pathogen leading to taxation, deficiency-taxation, contracted sinews and pain of the bones, hip pain, numbness and pain of the knee and lower leg, sciatica, leg qi, sprain of the ankle joint, flaccidity of the foot. Hemiplegia, headache, dizziness, throat painful obstruction, nosebleed, dryness of the nose Distention and fullness of the chest and abdomen, counterflow qi and cough, soreness and pain of the lateral costal region, swelling of the axilla. Fullness in the abdomen of children with inability to eat or drink, Fullness and distention of the Heart and abdomen, heat in the Stomach, no pleasure in eating, watery diarrhea. Injury by cold leading to heat with persistent fever, hemorrhoids, aitation and fullness, mania, anxiety, indignation and anger, the five types of painful urinary dysfunction." -**Manual of Acupuncture**

<span style="font-family: Arial,Helvetica,sans-serif;">"hyper xcited indignation, rage, apoplexy, hyperexcited worries; fears or exhaustion, anxiety; sorrowful thoughts. Special point for bone marrow. This is a very important point reunion point for the lower leg which acts directly on Bone Marrow, Kidney Jing. Used for drawing Qi from upper body to lower body i.e., in multiple sclerosis. Use with LV-6 to draw energy down to the legs. Nourishes marrow, Promotes Qi and Blood circulation. Tonifies Jing and Marrow, immune enhancement, muscle, joint and bone problems, degeneration of joints and bones, stiffness and inflammation of joints. Tonification increases the number of polynuclear leukocytes (White Blood Cells). Leukocytes act as scavengers, helping to combat bacterial infection. Increased production of leukocytes helps to fight infections; inflammation of the mucosa, the respiratory passages, the digestive tract; abscess, septicemia, appendicitis, influenza; prolonged fever. Inflammation of the respiratory tract, nasal congestion, acute coryza; tonsilitis; prolonged bronchitis; pneumonia; pleurisy. Swollen chest and abdomen; abdominal fullness, distention of the stomach; heat of stomach, cannot eat; anorexia; babies without appetite, not eating, beriberi. Intestiinal inflammation, liquid diarrhea; painful defectation, hemorrhoids, anal fistul;as. Kidney inflammation, pyuria (puss in urine), profuse urine, painful urination. All trouble of the bones: contraction of the muscles and pain in the bones; bone disorders, severe arthritis, rheumatism; anemia, fractures - speeds healing, reduces inflammation and pain, (with SP-5). Jing deficiencies: chronic ear problems, gradually increasing tinnitus or loss of hearing; mental slowness and confusion. Windstroke; cerebral hemorrhage; hemiplegia; stiff and painful neck; migraine" **-ALHIM "Ain Soph Alhim: An interpretation of the Psycho-Spiritual and Physical Functions of Acupuncture points" by Jeffery Goodman L.AC. copyright 1998**

"As a sea of marrow, GB-39 is an important point for nourishing the yang aspect of the nervous system and for strengthening the bones" - **The Clinical Practice of Chinese Medicine, Lonny Jarrett**

"GB39 is used for the treatment of glaucoma, pain behind the eyeballs, facial paralysis and any synptoms arising from scoliosis. Master Nagano mentioned that GB39 is important for clinical presentations associated with lack of blood to the cerebellum. According to Master Hukaya, GB39 should be treated together with SP6 for chronic or acute bladder infections and inflammations. GB39 is indicated for the treatment of a Wiry pulse associated with Parkinson's disease, stroke, pain behind the eye or glaucoma. To change a wiry pulse, GB39 should be treated with SP10. **- Kiiko Matsumoto's Clinical Strategies Vol.1, Kiiko Matsumoto**

Hemiplegia, neck rigidity, fullness of the chest, distention of the abdomen, pain in the hypochondriac region, knee and leg, beriberi - **Essentials of Chinese Acupuncture - Beijing College of Traditional Chinese Medicine**

"Opens the channel, benefits the tendons and bones; Benefits the marrow, clears Wind-Dampness; Clears Heat for the Gall Bladder" **- Atlas of Acupuncture**

Apoplexy, hemiplegia, pain of the neck, abdominal distention, pain in the hypochondriac region, muscular atrophy of thhe lower limbs, spastic pain in the leg, beriberi." **- CAM**

"Pain in the knee, the ankle and the lower chest; stiff neck; hemiplegia; sciatic neuralgia" **-Anatomical Atlas of Chinese Acupuncture**

"Energetics: 1. Benefits Essence chronic interior wind with KI-Yin deficiency 2. Nourishes Marrow and Bone see above 3. Eliminates wind helps prevent wind stroke, stiff neck 4. Malnutrition for children Indications: Weak bone and marrow, increases immune system, hemiplagia, neck pain, abdominal distention, pain in hypochondria, muscular atrophy of lower limbs." - **The Acupuncturist's Clinical Handbook, Jeffery H Jacob D.OM., L.Ac; Integrative wellness Inc. New York, New York copyright 2003**

"I use GB-39 to treat imbalances in the Gallbladder meridian, that is to say, I look for a reactive point between GB-34 and -40 for this urpose. When I want to disperse the Gallbladder meridian, I locate and needle the most reactive point along this line." **- Finding Effective Acupuncture Points, Shudo Denmei**

"hypertension, Beri-beri, Hemiplegia, Foot Joint Torsion, Neck Pain, Throat numbness, Polio" **- Korean Acupuncture, Johng Kyu Lee/ Sang Kook Bae**

1. The meridian course: pain in the chest and hypochondrium, hemiplegia, stiffness of the neck, lumbrosacral pain, pain in the lateral side of the lower limbs 2.Head and Sense organs: Inflammation of the throat, migraine, epistaxis, pain and dryness of the nasal cavity 3. Digestive: Sensation of heat in the Stomach, poor appetite, constipation. 4. Urinary: Dysuria, stranguria 5. Respiratory: Cough - **Advanced Modern Chinese Acupuncture Therapy, Ganglin Yin/Zhenghua Liu**

"powerfully deploying the qi especially in the middle and upper caloria, thus dispelling ventus-heteropathies of all kinds, checking the yang, transforming pituita, draining humor. 1. Calor affecting the centre: tension, glut, oppressive feeling in the centre of the body an the abdomen, absence of appetite, constrictive feeling in the centre an depressed, dispairful mood; contravections, hiccup, diarrhea or constipation, irregular micturition (enuresis, sparing, intermittent excretion of urine);dry mouth and nose, nosebleed; bleeding hemorrhoids, cough accompanied by pain in the chest. 2. Ventus or ventic humor-symptoms: Occlusion of the throat with oppressive feeling, difficulties in swallowing; stiff and painful muscles of the neck; cold of the nose, also running nose or clogged nose; veto percussio with hemiplegia, presis, impaired sensitivity; also irritation and madness" **- Classical Acupuncture: The Standard Textbook, Porkert/Hempen**

"When tonified: Tonifies the Gallbladder, stomach, bladder, kidneys, posterior frontal lobes, bone marrow opposite side, polynuclear leukocytes Disperses the heart, liver, lungs Dispersing acts in the opposite way.

Direct effects: Hyperexcited indignation sufficient to cause apoplexy; r exhaustion, cold Blood: Tonifying puts a large number of polynuclear leukocytes into the blood (always numerous in inflammation, particularly streptococcal, of the blood, mucus, tissues) In cases of infection, causes high fever coming just at nightfall with a decrease and convalescence the next day. Septicemia. Abscess: If the white spot has not yet appeared, it will be reabsorbed within twenty-four hours. If the pus is already formed, causes evacuation and begins the rapid cicatrization from the root. Abscesses (furunculosis) will not recur. Abscess in the brain; thick blood, atherosclerosis; influenza; prolonged fever. Indignaton, rage sufficient to cause apoplexy; anxiety, hyperexcited worries. Slow cicatrization, or emptiness, exhaustion, cold (acts on the conjunctive tissue, which cicatrizes?). Reunion point of the bone marrw. All troublbes of the bones. Fracture: the suture is obtained in half or one third of the usual time and pain and inflammation stops. (Add sha gqiu, SP-5, against periostitis) Inflammation of all the mucosa. Inflammation of the digestive tract; heat in the stomach, cannot eat; babies without appetite, not eating, abdominal fullness, distention of the stomach; aerogastria; intestines: inflammation, liquid diarrhea; anus: fistulas; beriberi Inflammation of the respiratory passages: nose: inflammation of the mucosa; nose congested, blocked, acute cryza, nosebleeds, dry nose, cough causing pain in the back or above the eyebrows; tonsillitis; prolonged bronchitis, bronchopneumonia, pleurisy, non-congestive tuberculosis. Parts of the Body: Skin: itching (pruritis) of the lateral part of half of the body opposite side (excess uria). lateral part of the half-body opposite: flaccidity or contarcture. The four limbs cannot be lifted, difficulty in moving the feet, flaccid. Contraction of the muscles and pain in the bones Lateral part of neck, opposite: pain Upper part of the back opposite side: pain (levator scapulae f the scapula, iliocostal muscle). Hand: dorsum of wrist and radial side:pain Knee, lower leg, opposite foot: rheumatism from humidity; five toes: acute ain; medial side of great toe" **- Chinese Acupuncture, George Soulie De Morant**

Traditional Indications: Nosebleed, throat blockage, coughing, fullness in the chest and abdomen, stiff neck, hemiplegia due to stroke, leg Qi" - **Acupuncture: A comprehensive Text, Shanghai College of Traditional Medicine**

Discharges Gallbladder fire; clears marrow heat; expel wind damp from the channels and connecting vessels. Indications: Hemiplegia; stiffness; abdominothoracic distention and fullness; lateral costal pain; pain in the knee and thigh; foot qi Supplementary Indications: Heat in the stomach; dry nose; nosebleed; throat bi; stiffneck; counterflow coug; hypertonicity of the sinews; the five stranguries; saber lumps; axillary swelling; generalized heaviness due to wind taxation; inability to lif the limbs; anxiety and anger." **- Fundamentals of Chinese Acupuncture, Ellis/Wiseman/Boss**

"Swollen chest and abdomen; hot sensations in the stomach; patient anorexic; sorrowful thoughts; chest painful when coughing; throat numb; stiff neck; epistaxis; nostrils dry; beri-beri; hemiplegia following stroke; lumbago; shin pain; leg and foot cramping; drop foot; dysuria and difficulty defecating; piles" **- The Book of Acupuncture Points - Dr. James Tin Yau So**

Migraine, deep source nasal congestion, rigidity and pain in the neck, stiff neck, scrofula, pain in the hypochondrium Wei Syndrome, sciatica, cartilage disorders, leg qi, Bi Syndrome Talipes varus, talipes valgus, foot drop complicated by talipes varus, thromboangiitis obliterans (Buerger's disease), shank sores" **-Clinical Application of Commonly Used Acupuncture Points, Li Shizhen**


 * Needling

"0.4-0.5" Perpendicular insertion" -ALHIM**

"Puncture Perpendicularly 0.3-0.5 inch. Moxibustion is applicable." **- CAM**

"Perpendicular insertion 1 to 1.5 cun. The practitioner should use the index finger of one hand to separate the peroneus tendons from the fibula, to emphasize the groove. Needle into the groove, slightly posteriorly for 0.5 cun and the perpendicularly, to avoid hitting the fibula. Movement of the patient's ankle after needling can result in a bent needle. For this reason, this point should be needled last and the patient instructed not to move the leg after needling. - **Manual of Acupuncture**

Use a vertical, shallow insertion. I usually do not retain the needle. - **- Finding Effective Acupuncture Points, Shudo Denmei**

"Acupuncture: 0.4-0.6 inches. Moxibustion: 3-7 iF or T:5-12 minutes." **- Classical Acupuncture: The Standard Textbook, Porkert/Hempen**

"Straight insertion, 1-2 units, may be joined to SP-6 (sanyinjiao). Sensation: local distention and soreness possibly extending to the sole of the foot." - **Acupuncture: A comprehensive Text, Shanghai College of Traditional Medicine**

"0.4-0.5" perpendicular insertion. Moxa: 3-5 cones; pole 5-20 minutes" **- Fundamentals of Chinese Acupuncture, Ellis/Wiseman/Boss**

Needle: 3/4 to 1 and 1/4 inches (perpendicular to shin) Moxa: 5 times **- The Book of Acupuncture Points - Dr. James Tin Yau So**

"this name is a reference to the prominence at the distal end of the fibula where the point is located. In fact the whole area of the leg is called [Severed Bone"] - **Grasping The Wind, Andrew Ellis, Nigel Wiseman, Ken Boss**
 * Alternate Names**
 * Jue Gu** - "Broken Bone" (Jarrett) "Severed Bone" (Ellis)

Sui Hui- "Marrow Meeting"(Jarret), "Marrow Convergence" (Ellis) Hyeon Jong [Korean] - <span style="font-family: Arial,Helvetica,sans-serif;">