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GB-23 Zhejin (輒筋) — Sinew Seat
GB-23
Zhejin
輒筋
Sinew Seat · Flank Sinews
Encontro Vesícula Biliar-BexigaCruzamento com canal da BexigaDangerTórax
Depth
00.5–0.8 cun3.0
Transverse insertion
Precautions
High risk of pneumothorax. Deep perpendicular insertion is strictly contraindicated.
Location (classical)
On the lateral aspect of the chest, in the fourth intercostal space, 1 cun anterior to GB-22 (at the level of the nipple).
How to find it (practical)
Seated or in lateral decubitus, with the upper limb abducted, locate the point 1 cun anterior to Yuan Ye (GB-22), in the depression between Yuan Ye (GB-22) and Tian Xi (SP-18). In men, the point is located at the level of the nipple.
Anatomy
Serratus anterior muscle, intercostal muscles. Innervated by the 4th intercostal nerve and the long thoracic nerve.
Needling
Transverse-oblique insertion along the intercostal space, 0.5–0.8 cun.
Etymology
Zhe (辄), an ancient curved cart-piece resembling a rib; Jin (筋), tendon. The point is located in the intercostal space.
CLASSICAL SOURCEJia Yi Jing
Clinical Relations
Adjacent Points on the Meridian