Yibian
 Shen Yaozi 
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acupointRiyue
aliasShenguang
international codeGB 24
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bubble_chart Category

Front-mu point of gallbladder. Intersecting point: foot taiyang and shaoyang. Tongren Shuxue Zhenjiu Tujing states: Intersecting point of foot taiyin, shaoyang, and yang link vessel.

bubble_chart Etymology

"Ri" (日) , sun; "yue" (月), moon. The point is located near the ribs, close to liver and gallbladder, symbolizing sun and moon (the sun represents yang and refers to gallbladder, while the moon represents yin and refers to liver).

bubble_chart Location

Riyue (GB24) acupoint
(quoted from Riyue (GB24) acupoint)

In the hypochondriac region, directly below nipple, in the depression of seventh intercostal space, 4 cun lateral to the abdominal midline.

  • Zhenjiu Jiayi Jing: "1.5 cun below Qimen (LR14)";
  • Suwen-Qifu Lun Wang Bing's note: "At the end of third rib, 2.5 cun lateral to xiphoid process, directly above nipples." This places it in seventh intercostal space, 3.5 cun lateral to the midline. However, since nipple is often located at fifth rib, Riyue (GB 24) is correspondingly moved downward to the lower edge of eighth rib, at the junction of costal margin and the lateral border of rectus abdominis muscle.
  • Xunjing Kaoxue Bian: "Level with Zhongwan (CV12)." Pang Anshi's Shanghan Zongbing Lun and others locate Qimen (LR14) at the lower edge of costal margin, and Riyue (GB24) is then located 0.5 cun below Qimen (LR14) (as in Beiji Qianjin Yaofang: "0.5 cun below Qimen (LR14)").

bubble_chart Anatomy

  • Muscles: internal and external intercostal muscles, the lower edge of the ribs is aponeurosis of external oblique tendon, internal oblique muscle, and transversus abdominis (on the right side, Riyue (GB24) is deep to the fundus of gallbladder).
  • Nerve: seventh or eighth intercostal nerve.
  • Vessels: intercostal arteries and veins.

bubble_chart Manipulation

Insert obliquely 0.3~0.5 cun. Moxibustion with moxa cone 3 to 5 times, moxibustion with moxa stick for 10 to 15 minutes.

bubble_chart Efficacy

Reduces adverse effects and promotes gallbladder.

  • Classical: vomiting of stagnant fluids, acid regurgitation, bitter taste in mouth due to rising qi, frequent sighing, tendency to sadness, heat in lower abdomen, excessive saliva, slurred speech, weakness in limbs.
  • Modern: jaundice, cholecystitis, cholelithiasis, hepatitis, intercostal neuralgia, hiccup.

bubble_chart Combinations

  • Heat in lower abdomen, restlessness, and frequent sighing: Riyue (GB24), Daheng (SP15).
  • Gallbladder deficiency with rising qi causing a bitter taste in mouth: Riyue (GB24), Danshu (BL19).

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