GB40

Gallbladder Channel

Ankle Hill

丘墟Qiū Xū

Anatomical location

In the depression anterior and inferior to the lateral malleolus.

Main function

Regulates the Liver and Gallbladder, benefits the eyes.

  • Yuan (Source) point
  • Ryodoraku point F5 (Gallbladder)

Therapeutic indications

  • Ankle pain
  • headache
  • jaundice
  • ankle pain and swelling
  • ankle sprain
  • costal pain
  • vomiting
  • axillary pain
  • malaria
  • blurred vision
  • gallstones and biliary colic

Ryodoraku

F5Vesícula BiliarMeasurement point no. 11

Yuan-Source point of the Gallbladder, anterior to the lateral malleolus.

Name and classical tradition

Qiuxu, 丘墟, combines two words for “hill.” 丘 is a small elevation; 墟 is a larger promontory, a mound, and also the place where the ruins of a city remain. The great hill is the lateral malleolus, the bony prominence of the ankle, and the point lies in the depression in front of and below it. It is a straightforward anatomical name, like that of its neighbor on the leg, GB36, with which it shares the 丘.

The Lingshu (Spiritual Pivot), in the Ben Shu (本输) chapter, defines it this way: «过于丘墟,丘墟,外踝之前下陷者中也,为原». The Qi of the channel passes through Qiuxu; Qiuxu lies in the depression in front of and below the lateral malleolus; it is the Yuan-Source point. It is a direct, complete, verified quotation, and it makes Qiuxu the Yuan-Source point (原穴) of the Gallbladder, one of the central points of the channel in clinical practice.

Location of point GB40, Ankle Hill
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View point on the 3D modelGB40 on the anatomy
Needling techniquePerpendicular insertion 0.5-1 cun.
Depth0.5-1 cun
MoxibustionApplicable (5-10 minutes, indirect moxa)
PrecautionsAvoid deep needling so as not to damage the joint.
Cover of the guide “Protocols for the 20 most common patterns”

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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 GB40 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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