CMTH111
Session 21
• Anatomy and Jing-luo Theory 11
• Musculoskeletal anatomy review
• The Gallbladder (Foot Shao Yang)
channel, sinews and key points
Chinese Medicine Department
CMTH111 / Chinese Medicine Department / 31/01/2022 © Endeavour College of Natural Health
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CMTH111 / Chinese Medicine Department / 31/01/2022 © Endeavour College of Natural Health
The Gall Bladder (GB)
Foot Shao Yang
Channel Sinews and Key Points
CMTH111 / Chinese Medicine Department / 31/01/2022 © Endeavour College of Natural Health
Key Structures you need to know.
• Outer canthus of the eye • Free end of the 11th rib
• Intertragic notch • Free end of the 12th rib
• Condyloid process of mandible • Anterior superior iliac spine
(ASIS)
• Zygomatic arch
• Sacral hiatus
• Temporal region
• Greater trochanter
• Mastoid process
• Lateral epicondyle of the femur
• Parietal region
• Head of fibula
• Occipital region
• Lateral malleolus
• Acromion
• Metatarsal bones
• Crest of trapezius muscle
• Tendons of m. extensor
• Mid axillary line
digitorum longus
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CMTH111/ Chinese Medicine / 17-01-2023 © Endeavour College of Natural Health
Key Muscles you need to know.
• Sternocleidomastoid
• Upper trapezius
• Biceps femoris
• Peroneus longus
• Peroneus brevis
• Extensor digitorum longus
CMTH111/ Chinese Medicine / 17-01-2023 © Endeavour College of Natural Health
Figure 1. The external pathway of the Gall Bladder Channel
Note. Adapted f rom A manual of acupuncture (2nd ed., pp. 417-420), by P. Deadman, M. Al-Khaf aji, and K. Baker, 2007, Journal of Chinese Medicine Publications. Copy right 2007 by the
Journal of Chinese Medicine Publications .
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CMTH111 / Chinese Medicine Department / 31/01/2022 © Endeavour College of Natural Health
Figure 2. The external pathway of the Gall Bladder Channel
on a human model
Note. From Pictorial atlas of acupuncture (p. 51 by Y . Lian, C. Chen, M.
Hammes and B. Kolster, 2005, H.F. Ullmann. Copy right 2005 by H.F. Ullmann. 8
CMTH111 / Chinese Medicine Department / 31/01/2022 © Endeavour College of Natural Health
Figure 3. The external pathway of the Gall Bladder Channel
on the head
Note. Adapted f rom A manual of acupuncture (2nd ed., pp. 417-), by P. Deadman, M. Al-Khaf aji, and K. Baker,
2007, Journal of Chinese Medicine Publications. Copy right 2007 by the Journal of Chinese Medicine Publications.
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CMTH111 / Chinese Medicine Department / 31/01/2022 © Endeavour College of Natural Health
Figure 4. The external pathway of the Gall Bladder Channel
on the head on a human model
Note. From Pictorial atlas of acupuncture (p. 217) by Y . Lian, C. Chen, M. Hammes and B. Kolster, 2005, H.F. Ullmann. Copy right 2005 by H.F. Ullmann .
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CMTH111 / Chinese Medicine Department / 31/01/2022 © Endeavour College of Natural Health
Figure 5. The Deep Branches of the Temporal Nerves GB4-
GB7
Note. Adapted From The anatomical relationship between acupoints of the f ace and the trigeminal nerv e (p. 190), By L Meltz et al., 2020, Medical Acupuncture, 32(4) 181-193 Copy right 2020
by Mary Ann Liebert, Inc.
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CMTH111 / Chinese Medicine Department / 31/01/2022 © Endeavour College of Natural Health
Figure 6. The branching of the supraorbital nerve
occurring at GB13 - GB15
Note. Adapted From The anatomical relationship between acupoints of the f ace and the trigeminal
nerv e (p. 187), By L Meltz et al., 2020, Medical Acupuncture, 32(4) 181-193 Copy right 2020 by Mary
Ann Liebert, Inc.
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CMTH111 / Chinese Medicine Department / 31/01/2022 © Endeavour College of Natural Health
Figure 7. The different branches of nerves on the head in
relation to the GB Channel
GB17 GB18
GB16
GB15
GB13
GB8
GB9
GB14
GB10
GB19
GB11
GB12
Note. Adapted From The surgical anatomy of the scalp (p. 187), By H. Ellis, V Mahadev an, 2014, Surgery (United Kingdom), 32(Suppl.1) e1-e5
Copy right 2013 by Elsev ier. 13
CMTH111 / Chinese Medicine Department / 31/01/2022 © Endeavour College of Natural Health
Figure 8. The Palpation of GB 20 and the target of the
deeper structure of the sub occipital nerve
GB20
Note. Adapted f rom Atlas of Human Anatomy , (7th ed plate 184), by F. Netter, 2019, Elsev ier. Copy right 2019 Elsev ier.
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CMTH111 / Chinese Medicine Department / 31/01/2022 © Endeavour College of Natural Health
Figure 9. Deep dissection of the sub occipital triangle
showing the sub occipital nerve at GB20
GB20
Note. From Sof t Tissue Dissection of Deep Suboccipital Region, by A. Cohen-Godel, 2022, Sof t Tissue Dissection of Deep Suboccipital Region
(https://www.neurosurgicalatlas.com/neuroanatomy /sof t-tissue-dissection-of-deep-suboccipital-region). Copy right 2022 Neurosurgical Atlas, Inc.
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CMTH111 / Chinese Medicine Department / 31/01/2022 © Endeavour College of Natural Health
Figure 10. Pathway of the GB Channel through the lateral
side of the body GB21-24
Note. From A manual of acupuncture (2nd ed., pp. 417, 438, 441), by P. Deadman, M. Al-Khaf aji, and K. Baker, 2007, Journal
of Chinese Medicine Publications. Copy right 2007 by the Journal of Chinese Medicine Publications. 16
CMTH111 / Chinese Medicine Department / 31/01/2022 © Endeavour College of Natural Health
Figure 11. GB21 – Motor Point of the Upper trapezius muscle
Note. Adapted From Motor point index an acupuncturist’s guide to locating and treating motor points.
(p. 42) by M. Callison, 2012, AcuSport Seminar Series LLC • Sports Medicine Acupuncture®. Copy right 2012 AcuSport Seminar Series LLC • Sports Medicine Acupuncture®
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CMTH111 / Chinese Medicine Department / 31/01/2022 © Endeavour College of Natural Health
Figure 12. The Serratus Anterior fanning out like that of a
chair or seat
Note. Adapted From Trav ell & Simons' My of ascial pain and dy sf unction: the trigger point manual. Note. Adapted From Relationship of the long thoracic nerv e to the scapular tip: An aid to prev ention
(p. 1064) by D. Simons, J. Trav ell, L. Simons, 2019, Wolters Kluwer. Copy right 2019 Wolters Kluwer. of proximal nerv e injury (p. 962), By J. Salazar et al., 1999, Journal of Thoracic and Cardiov ascular
Surgery , 116(6) Copy right 1998 by Mosby Inc.
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CMTH111 / Chinese Medicine Department / 31/01/2022 © Endeavour College of Natural Health
Figure 13. Pathway of the GB Channel through the lateral
side of the body GB25- GB30
Note. From A manual of acupuncture (2nd ed., pp. 417, 442-447), by P. Deadman, M. Al-Khaf aji, and K. Baker, 2007, Journal of Chinese Medicine Publications. Copy right 2007 by the Journal of
Chinese Medicine Publications.
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CMTH111 / Chinese Medicine Department / 31/01/2022 © Endeavour College of Natural Health
Figure 14. The Lateral cutaneous branch of the T12 sub
costal nerve and the Quadratus lumborum muscle
GB25
GB25
Note. From File:Gray 820.png, by H. Gray , bef ore 1858, Wikimedia (https://upload.wikimedia.org/wikipedia/commons/6/68/Gray 820.png). In the public domain
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CMTH111 / Chinese Medicine Department / 31/01/2022 © Endeavour College of Natural Health
Figure 15. The referral pattern of the quadratus lumborum
muscle relevant to Gall Bladder
Note. Adapted From Volume 2 My of ascial pain and dy sf unction the trigger point manual: the lower extremities . (p. 30) by J. Trav ell & D Simons, 1997 Lippincott Williams and Wilkins
Copy right 1997 Lippincott Williams and Wilkins 21
CMTH111 / Chinese Medicine Department / 31/01/2022 © Endeavour College of Natural Health
Figure 16. The location of GB26 and the relation to both
Internal Obliques and Transverse abdominus
Note. Adapted From Motor point index an acupuncturist’s guide to locating and treating motor points. (p. 101-2) by M. Callison, 2012, AcuSport Seminar Series LLC • Sports
Medicine Acupuncture®. Copy right 2012 AcuSport Seminar Series LLC • Sports Medicine Acupuncture®
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CMTH111 / Chinese Medicine Department / 31/01/2022 © Endeavour College of Natural Health
Figure 17. The Lateral Femoral Cutaneous Nerve in relation
to GB27
GB27
Note. Adapted From Clinical effectiveness of electroacupuncture in meralgia paraesthetica: A case series. (p. 962), By R Alexander, 2013, Acupuncture in Medicine, 31(4) 435-439,
Copy right 2013 by R. Alexander.
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CMTH111 / Chinese Medicine Department / 31/01/2022 © Endeavour College of Natural Health
Figure 18. The location of GB29 as a Motor Point of the
Tensa fascia Lata (TFL) muscle
Note. Adapted From Motor point index an acupuncturist’s guide to locating and treating motor points. (p. 118) by M. Callison, 2012, AcuSport
Seminar Series LLC • Sports Medicine Acupuncture®. Copy right 2012 AcuSport Seminar Series LLC • Sports Medicine Acupuncture®
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CMTH111 / Chinese Medicine Department / 31/01/2022 © Endeavour College of Natural Health
Figure 19. Showing the referral pattern of the Tensa Fascia
Lata (TFL) muscle relevant to GB Channel
Note. Adapted From Volume 2 My of ascial pain and dy sf unction the trigger point manual: the lower extremities . (p. 219) by J. Trav ell & D Simons, 1997 Lippincott Williams and Wilkins Copy right
1997 Lippincott Williams and Wilkins
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CMTH111 / Chinese Medicine Department / 31/01/2022 © Endeavour College of Natural Health
Figure 20. GB30 relationship to the sciatic nerve
GB30
Note. Adapted From Anatomical atlas of Chinese acupuncture points. (p. 216) by J. Chen, 1982, Shandong Note. Adapted From Interactive medical acupuncture anatomy . (p. 851) by N.
Science and Technology Press. Copy right 1982 Shandong Science and Technology Press Robinson, 2016, Teton NewMedia. Copy right 2016 by Teton NewMedia
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CMTH111 / Chinese Medicine Department / 31/01/2022 © Endeavour College of Natural Health
Figures 21. Showing some alternate structures of GB30 the
inferior gemellus and the piriformis muscles
GB30
Note. Adapted From Motor point index an acupuncturist’s guide to locating and treating motor Note. Adapted From Volume 2 My of ascial pain and dy sf unction the trigger point manual: the lower extremities .
points. (p. 125) by M. Callison, 2012, AcuSport Seminar Series LLC • Sports Medicine (p. 118) by J. Trav ell & D Simons, 1997 Lippincott Williams and Wilkins Copy right 1997 Lippincott Williams
Acupuncture®. Copy right 2012 AcuSport Seminar Series LLC • Sports Medicine Acupuncture® and Wilkins
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CMTH111 / Chinese Medicine Department / 31/01/2022 © Endeavour College of Natural Health
Figure 22. Pathway of the GB Channel through the lateral
side of the body GB31-44
GB-34
GB-35 GB-36
pos terior a nterior
Note. Adapted f rom A manual of acupuncture (2nd ed., pp. 417, 450-453), by P. Deadman, M. Al-Khaf aji, and K. Baker, 2007, Journal of Chinese Medicine Publications. Copy right 2007 by the
Journal of Chinese Medicine Publications.
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CMTH111 / Chinese Medicine Department / 31/01/2022 © Endeavour College of Natural Health
Figure 23. The location of GB36 and the peroneus brevis
Motor Point
GB36
Note. Adapted From Sports medicine acupuncture an integrated approach combining sports medicine and traditional Chinese medicine (p. 899) by M Callison, 2019 Matt Callison/
Acusport Seminar Series Inc.,
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CMTH111 / Chinese Medicine Department / 31/01/2022 © Endeavour College of Natural Health
Figure 24. The location of GB39 and the Peroneus Tertias
Motor Point
GB39
Note. Adapted From Sports medicine acupuncture an integrated approach combining sports medicine and traditional Chinese medicine (p. 899) by M Callison, 2019 Matt Callison/
Acusport Seminar Series Inc.,
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CMTH111 / Chinese Medicine Department / 31/01/2022 © Endeavour College of Natural Health
Figure 25. The location of GB40 and GB44
GB-44
Note. Adapted f rom A manual of acupuncture (2nd ed., pp. 458, 464) by P. Deadman, M. Al-Khaf aji, and K. Baker, 2007, Journal of Chinese Medicine Publications. Copy right 2007 by the Journal of
Chinese Medicine Publications.
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CMTH111 / Chinese Medicine Department / 31/01/2022 © Endeavour College of Natural Health
Figure 26. The locations of GB38- GB44 on a human model
Note. From Pictorial atlas of acupuncture (p. #) by Y . Lian,, C. Chen, M. Hammes and B. Kolster,, 2005, H.F. Ullmann. Copy right 2005 H.F. Ullmann .
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CMTH111 / Chinese Medicine Department / 31/01/2022 © Endeavour College of Natural Health
Figure 27. The Sensory articular branches of the deep
peroneal nerve at GB40
GB40
Note. Adapted From Innervation of the sinus tarsi and implications for treating anterolateral ankle pain. (p. 501), By M Rab et al., 2001, Annals of Plastic Surgery , 47(5) 500-504
Copy right 2001 by Lippincott Williams & Wilkins, Inc.
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CMTH111 / Chinese Medicine Department / 31/01/2022 © Endeavour College of Natural Health
Figure 28. The Points GB41- GB44 over the dorsum of the
foot
GB41
GB42
GB43
GB44
Note. Adapted From Nerv e and tendon laceration about the ankle
(p. 190), By D Thordarson, 2005, Journal of American Academy of
Orthopedic Surgeons, 13 186-196 Copy right 2005 by Journal of American
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Academy of Orthopedic Surgeons
CMTH111 / Chinese Medicine Department / 31/01/2022 © Endeavour College of Natural Health
Figure 29. Gall Bladder Channel Sinews from Kendall 2001
Note. From The dao of Chinese medicine understanding an ancient healing art
(p.224), by D. Kendall, 2001, Oxford University Press. Copyright 2001 by Oxford
University Press.
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CMTH111 / Chinese Medicine Department / 31/01/2022 © Endeavour College of Natural Health
Figure 30. The Lateral Line of Myers in relation to the GB
sinew Channel
Note. From Anatomy trains myofascial meridians for manual and movement therapists (p. 72), by T. Myers, 2021, Elsevier. Copyright 2021 by Elsevier. 36
CMTH111 / Chinese Medicine Department / 31/01/2022 © Endeavour College of Natural Health
Tutorial
• Discuss workbook question 12
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Figure 31. Practical Demonstration of the Gall Bladder
Channel
Note. Adapted f rom A manual of acupuncture (2nd ed., pp. 417-420), by P. Deadman, M. Al-Khaf aji, and K. Baker, 2007, Journal of Chinese Medicine Publications. Copy right 2007 by the
Journal of Chinese Medicine Publications .
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CMTH111 / Chinese Medicine Department / 31/01/2022 © Endeavour College of Natural Health
References
Alexander, R. E. (2013). Clinical effectiveness of electroacupuncture in meralgia paraesthetica: A case series. Acupuncture in Medicine, 31(4), 435–439.
https://doi.org/10.1136/acupmed-2013-010395
Callison, M. (2012). Motor Point Index – An Acupuncturist’s Guide to Locating and Treating Motor Points. AcuSport Seminar Series LLC Sports Medicine
Acupuncture. http://amazon.com
Chen, J. (1982). Anatomical atlas of Chinese acupuncture points. Shandong Science and Technology Press.
Cohen-Godel, A. (2022). Soft Tissue Dissection of Deep Suboccipital Region. The Neurosurgical Atlas, Inc.
https://www.neurosurgicalatlas.com/neuroanatomy/soft -tissue-dissection-of-deep-suboccipital-region
Deadman, P. (2007). A manual of acupuncture (Second). Journal of Chinese Medicine Publications.
Ellis, H., & Mahadevan, V. (2014). The surgical anatomy of the scalp. Surgery (United Kingdom), 32(SUPPL. 1), e1–e5.
https://doi.org/10.1016/j.mpsur.2013.04.024 Gray. H. (before 1858). File:Gray820.png [Photograph]. Wikimedia.
https://commons.wikimedia.org/wiki/File:Gray820.png
Gray. H. (before 1858). File:Gray820.png [Photograph]. Wikimedia. https://upload.wikimedia.org/wikipedia/commons/6/68/Gray820.png
Kendall, D. (2002). The dao of Chinese medicine understanding an ancient healing art. Oxford University Press.
Kikuta, S., Yalcin, B., Iwanaga, J., Watanabe, K., Kusukawa, J., & Tubbs, S. S. (2020). The supraorbital and supratrochlear nerves for ipsilateral corneal
neurotization: Anatomical study. Anatomy and Cell Biology, 53(1), 2–7. https://doi.org/10.5115/acb.19.147
Lian, Y, Chen, C, Hammes, M, Kolster, B. (2011). Pictorial atlas of acupuncture: an illustrated manual of acupuncture Points . h.f. Ullmann.
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CMTH111 / Chinese Medicine Department / 31/01/2022 © Endeavour College of Natural Health
References
Meltz, L., Ortiz, D., & Chiang, P. (2020). The anatomical relationship between acupoints of the face and the trigeminal nerve. Medical Acupuncture, 32(4),
181–193. https://doi.org/10.1089/acu.2020.1413
Myers, T. (2021). Anatomy trains: myofascial meridians for manual therapists and movement professionals (4th ed.). Elsevier Limited.
Netter, F. (2019). Atlas of human anatomy (7th ed.). Elsevier.
Robinson, N. (2016). Interactive medical acupuncture anatomy. Teton NewMedia.
Simons, D., Travell, J. , Simons, L. (2019). Travell, Simons & Simons’ myofascial pain and dysfunction: the trigger point manual (J. Donnelly, J.,
Fernandez de las Penas, C., Finnegan, M., Freeman (ed.); Third). Wolters Kluwer.
Thordarson, D. B., & Shean, C. J. (2005). Nerve and tendon lacerations about the foot and ankle. The Journal of the American Academy of Orthopaedic
Surgeons, 13(3), 186–196. https://doi.org/10.5435/00124635-200505000-00005
Travell, J, Simons, D. (1997). Volume 2 Myofascial pain and dysfunction the trigger point manual: the lower extremeties (second). Lippincott Williams and
Wilkins.
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CMTH111 / Chinese Medicine Department / 31/01/2022 © Endeavour College of Natural Health
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