GB23

Gallbladder Channel

Flanking Sinew

辄筋Zhé Jīn

Anatomical location

1 cun anterior to GB22, in the 4th intercostal space.

Main function

Regulates Liver Qi, relieves chest pain.

Therapeutic indications

  • Chest pain
  • cough
  • rib pain
  • costal pain
  • asthma
  • vomiting
  • acid reflux
  • chest fullness

Name and classical tradition

Zhejin, 辄筋, takes its name from the carpentry of chariots. 辄 designated, on ancient chariots, the side boards that protected against the mud thrown up by the wheels; 筋 means sinews and muscles, the tissue that Five Phases (Five Elements) theory associates with the Liver and Gallbladder, that is, with Wood. The point lies on the lateral border of the thorax, between the muscles covering the ribs, and the comparison with those boards shielding the side of the chariot is the reading the reference works offer.

The term 辄 in this technical sense is documented in the classical character dictionaries, so the basis of the etymology is solid, although no ancient commentator vouches for its application to the point. Secondary sources trace the point to the Zhenjiu Jiayi Jing (Systematic Classic of Acupuncture and Moxibustion). Its immediate neighbor, GB24, is the Mu point of the Gallbladder.

Location of point GB23, Flanking Sinew
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View point on the 3D modelGB23 on the anatomy
Needling techniqueOblique insertion 0.5-0.8 cun toward the back.
Depth0.5-0.8 cun
MoxibustionCan be used with caution (3-5 minutes, indirect moxa)
PrecautionsAvoid deep needling so as not to injure the pleura.
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Protocols for the 20 patterns you see most in practice

Each pattern with its tongue, its pulse, the treatment principle and the points to tonify and disperse. Made for the treatment table, not the bookshelf.

Do you use GB23 with your patients?

In the Clinic you record it in the patient's file, next to the tongue, the pulse and the measurements, so at the next session you know exactly what you used. The Atlas is built in.

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