GB43

Gallbladder Channel

Narrow Ravine

侠溪Xiá Xī

Anatomical location

On the dorsum of the foot, proximal to the web margin between the 4th and 5th toes.

Main function

Regulates the Liver, benefits the eyes.

  • Ying-Spring Point (Water)
  • Tonification Point

Therapeutic indications

  • Foot pain
  • headache
  • tinnitus
  • migraine
  • eye pain
  • deafness
  • costal pain
  • mastitis
  • fever
  • pain on the dorsum of the foot

Ryodoraku

  • Tonification of Gallbladder

Name and classical tradition

Xiaxi, 侠溪, is the “narrow stream” or “flanked stream.” 侠 is a variant of 夹, “to squeeze between two,” “to flank,” the same character that appears in LU4; 溪 is a stream, a ravine, and in point nomenclature it designates the narrow clefts between toes or between bones. The point lies in the web between the fourth and fifth toes, squeezed between the two. The image is precise.

The Lingshu (Spiritual Pivot), Ben Shu (本输) chapter, devotes a full sentence to it: «胆溜于侠溪。侠溪,足小指次指之间也。为荥». The Qi of the Gallbladder flows to Xiaxi; Xiaxi is between the fourth and fifth toes; it is the Ying-Spring point (荥穴). On the yang channels, the Ying-Spring point corresponds to Water. The verb 溜, “to flow,” “to slide,” describes the Qi that begins to run after gushing out at the previous point, GB44, like a stream that has just left its well.

Location of point GB43, Narrow Ravine
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View point on the 3D modelGB43 on the anatomy
Needling techniquePerpendicular insertion 0.3-0.5 cun.
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”

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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 GB43 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