GB4

Gallbladder Channel

Serene Jaw

颔厌Hàn Yàn

Anatomical location

In the temporal region, within the hairline, at the junction of the upper quarter and the lower three quarters of the curved line connecting ST8 (Touwei) with GB7 (Qubin).

Main function

Expels Wind-Heat, relieves headache and toothache.

  • Crossing point with the Triple Energizer and Stomach

Therapeutic indications

  • Headache
  • vertigo
  • tinnitus
  • toothache
  • eye pain
  • Migraine
  • Epilepsy
  • Neck stiffness

Name and classical tradition

Hanyan, 颔厌, is a name that can be read in more than one way, and none of the readings has support in a classical commentary. 颔 is the jaw or the cheek area. 厌 admits two meanings. In the first reading it means "to reach the limit," "to stop": the point would mark the place on the temple where the pull of the muscle stops when chewing. In the second, 厌 equals "to join," "to coincide," and the name would describe how, when chewing, the jaw and the temple move together, as if meeting at this point.

Both glosses are modern and should be treated as hypotheses. What you can feel on palpation is the relationship with chewing: the point lies on the temple, within the hairline, over the temporalis muscle that moves when you clench your teeth.

The reference works trace it to the Zhenjiu Jiayi Jing (Systematic Classic of Acupuncture and Moxibustion) and consider it a meeting point of the hand and foot Shaoyang with the foot Yangming. It opens the series of temple points on the channel, which continues with GB5 and GB6.

Location of point GB4, Serene Jaw
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View point on the 3D modelGB4 on the anatomy
Needling techniqueTransverse insertion 0.3-0.5 cun posteriorly.
Depth0.3-0.5 cun
MoxibustionApplicable (3-5 minutes, indirect moxa)
PrecautionsAvoid deep needling so as not to damage blood vessels.
Cover of the guide “Protocols for the 20 most common patterns”

Free guide · PDF

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 GB4 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.

See the Clinic