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L.

Intestine
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Spleen
Heart
S. Intestine
XIYANGGUAN GB-33 COMMENTARY
KneeBladder
Yang Gate An alternative name for Xiyangguan GB-33 is Hanfu
Kidney (Mansion of Cold). This name reflects the observation
Pericardium
LOCATION that pathogenic cold tends to concentrate at the lateral
On the lateral side of the knee, in the depression
Sanjiao side of knee, and that it may be treated by using this point.
above the lateral epicondyle of the femur, be- In clinical practice, Xiyangguan GB-33 is a valuable local
Gall Bladder
tween the femur and tendon of biceps femoris. point for pain of the lateral side of the knee which extends
Liver upwards along the thigh.
Conception
biceps femoris
Governing COMBINATIONS

Extra Points • Numbness of the lower leg: Xiyangguan GB-33,


Huantiao GB-30 and Chengjin BL-56 (Thousand Ducat
Formulas).
Xiyangguan GB-33 • Contraction of the sinews and difficulty in flexing
and extending the knee, with inability to walk:
Xiyangguan GB-33, Liangqiu ST-34 and Ququan
LIV-8 (Thousand Ducat Formulas).
Yanglingquan GB-34

LOCATION NOTE
Starting above the knee joint, run a finger down the lateral
aspect of the thigh in the groove between the femur and
the tendon of biceps femoris, until the finger falls into the
depression just proximal to the lateral epicondyle of the
femur.

NEEDLING
Perpendicular insertion 1 to 2 cun. Note: according to several
classical texts, this point is contraindicated to moxibustion.

ACTIONS
Relaxes the sinews and benefits the joints
Dispels wind-damp

INDICATIONS
• Redness, swelling and pain of the lateral aspect of the
knee joint, inability to flex and extend the knee, wind
painful obstruction with numbness, painful obstruc-
tion and numbness of the lower leg, leg qi.