Gall Bladder 40 (GB 40) Qiu Xu — Mound of Ruins

This is the Yuan-Source point of the Gall Bladder channel. It spreads Liver qi, clears damp-heat, relieves hypochondriac pain and benefits the ankle.

Gall Bladder 40 (GB 40) Qiu Xu 丘墟 — Mound of Ruins

Location

On the anterolateral aspect of the ankle, in the depression anterior and inferior to the lateral malleolus, lateral to the tendon of extensor digitorum longus.

Anatomy

Lateral to the extensor digitorum longus tendon; the lateral anterior malleolar artery; the intermediate dorsal cutaneous nerve and the superficial peroneal nerve.

Actions & Functions

  • Spreads Liver qi and resolves damp-heat
  • Relieves hypochondriac pain
  • Benefits the ankle and the lateral leg

Indications

Hypochondriac pain and fullness, bitter taste, swelling of the axilla, and pain and swelling of the ankle.

Needling

0.5-0.8 cun, perpendicular insertion.

Moxibustion Suitability

Suitable for moxibustion.

Point Combinations

With GB-34 and LV-14 for hypochondriac pain; with surrounding ankle points for the ankle.

Classical Text References

The Yuan-Source point of the Gall Bladder.

Cautions & Contraindications

None specific.

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.