GB-23 Zhejin - Neglected Muscles

More Spirit Names: Sinew Seat, Spirit Light

English:	Flank Sinews
Also Known As:	Neglected Muscles

Location

1 cun anterior to GB-22 Yuanye, at the level of the nipple, in the fourth intercostal space.
On the mid-axillary line, in the fifth intercostal space, approximately 3 cun inferior to the apex of the axilla, at the level of the nipple.
Note: This is located by different sources in both the fourth and fifth intercostal spaces.
1 cun anterior to GB-22 in the fifth intercostal space.

Needling

Puncture obliquely, 0.3 to 0.5 cun.
Moxibustion is applicable.
Transverse-oblique insertion along the intercostal space 0.5 to 1 cun.
Caution: deep or perpendicular needling may induce a pneumothorax.
Slanted insertion, 0.5 to 0.8 cun.

Command Functions

Actions

Regulates Qi
Unbinds the chest
Benefits the axilla

Indications

Fullness of the chest
Hypochondriac pain
Asthma
Swelling of the axilla
Saber lumps
Inability to raise the arm
Belching

Cough
Chills and fever
Pain of the lateral costal region
Scrofula
Pain of the shoulder and arm
Pleurisy
Vomiting acid

Combinations

SJ-6
Zhigou
SJ-5
Waiguan
GB-41
Zulinqi

Saber lumps of the axilla

Contraindications

According to several classical sources, moxibustion is contraindicated on this point.

Notes

Five Elements Spirit Perspective

Spirit of the Point	Wood nourishes the ligaments and tendons that keep the muscles in place. Think of this point for atrophy or wasting, where growth, rebirth and regeneration are absent. It gives strength and security, and much more: what is involved here is strength of mind and spirit, being held together.
Worsley	Worsley names this point, together with GB-24, as an Alarm Point of the Gall Bladder. Location: In the 4th intercostal space, 1 ACI forward of GB-22. Needle depth: 5 fen Moxa: 5 cones
When to Consider	When there is no growth, rebirth or regeneration When a person needs strength and security to hold together When there is despondency and despair When a person has lost hope and cannot see anything good coming in the future When there is bitterness, withdrawal from life and a sense of oppression When there is insomnia For clumsiness of body and mind, poor coordination or disorientation; it strengthens and regenerates mind and spirit along with the muscles

Spirit of the Point

Wood nourishes the ligaments and tendons that keep the muscles in place. Think of this point for atrophy or wasting, where growth, rebirth and regeneration are absent. It gives strength and security, and much more: what is involved here is strength of mind and spirit, being held together.

Worsley

Worsley names this point, together with GB-24, as an Alarm Point of the Gall Bladder.

Location: In the 4th intercostal space, 1 ACI forward of GB-22.
Needle depth: 5 fen
Moxa: 5 cones

When to Consider

When there is no growth, rebirth or regeneration
When a person needs strength and security to hold together
When there is despondency and despair
When a person has lost hope and cannot see anything good coming in the future
When there is bitterness, withdrawal from life and a sense of oppression
When there is insomnia
For clumsiness of body and mind, poor coordination or disorientation; it strengthens and regenerates mind and spirit along with the muscles