Gall Bladder 23 (GB 23) Zhe Jin — Sinew Seat

This point, on the lateral chest, unbinds the chest, descends rebellious qi and benefits the costal region.

Gall Bladder 23 (GB 23) Zhe Jin 輒筋 — Sinew Seat

Location

On the lateral chest, in the fourth intercostal space, 1 cun anterior to GB-22, on the mid-axillary line region.

Anatomy

On the serratus anterior; the thoraco-epigastric vein and the lateral thoracic artery; the lateral cutaneous branch of the fourth intercostal nerve.

Actions & Functions

  • Unbinds the chest and descends rebellious qi
  • Harmonises the Stomach

Indications

Fullness and pain of the chest and costal region, asthma, acid regurgitation, and vomiting.

Needling

0.3-0.5 cun, oblique or transverse insertion.

Moxibustion Suitability

Suitable for moxibustion.

Point Combinations

With LV-14 for hypochondriac pain.

Classical Text References

Used for fullness of the chest.

Cautions & Contraindications

Deep perpendicular insertion risks pneumothorax; needle obliquely or transversely.

Latest Research

Latest peer-reviewed research on this point will be summarised here, with citations linked to PubMed, via our research integration.

About Attilio

Doctor of Chinese medicine, acupuncture expert and author of My Fertility Guide and My Pregnancy Guide.

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PubMed research

Acupuncture Shows Sustained Benefits for Chronic Daily Headache Prevention in Adults, Meta-Analysis Finds

Research summary (Acupuncture): Utility of Acupuncture Therapy for Adult Chronic Daily Headache Prophylaxis: A Systematic Review and Meta-Analysis. - Medical science monitor : international medical journal of experimental and clinical research, 2026.