GB39 Xuanzhong (Suspended Bell)

Location

3 thumb widths above the tip of the external malleolus on the anterior border of the fibula.

Categories

• Hui-Meeting point of Marrow

The classical groups this point belongs to, from Deadman, Al-Khafaji & Baker, A Manual of Acupuncture.

Indications

Conditions for which GB39 is listed as indicated. An indication list is a reference index, not a prescription – see the protocols below for sourced treatments.

TCM actions

What classical sources say GB39 does in the terms of Chinese medicine theory. These describe the point, not a condition.

Protocols using GB39

The 50 best-sourced of 246, ranked by strength of evidence. The count above is the full figure.

• Dysmenorrhea Primary – ST25, ST36, SP06, SP08, SP10, BL23, BL32, KD03, GB34, GB39, LV03, CV03, CV04, CV06, GV04 (doi:10.1016/s0254-6272(09)60035-2 ↗)
• Buttocks Pain, Lower Limb Pain, Muscle Spasm, Lameness – ST36, BL40, BL60, GB30, GB31, GB34, GB39 (doi:10.1016/s0254-6272(09)60023-6 ↗)
• Dementia, Memory Loss, Cognitive Decline, Dementia Senile – KD03, PC06, TB05, GB20, GB39, GV14, GV20 (doi:10.1016/s0254-6272(09)60071-6 ↗)
• Dementia, Memory Loss, Cognitive Decline, Dementia Senile – SP06, HT07, BL10, KD04, PC06, GB39, GV14, GV20, GV26 (doi:10.1016/s0254-6272(09)60071-6 ↗)
• Paralysis, Cerebrovascular Disease Acute Ischemic, Neurological Dysfunction – LI04, LI10, LI11, LI15, ST32, ST36, SP06, SI03, BL60, TB05, GB30, GB34, GB39 (doi:10.1016/s0254-6272(08)60045-x ↗)
• Arthritis Rheumatoid, Joint Pain, Stiffness Morning, Joint Swelling – LI04, LI11, ST36, TB05, GB34, GB39 (doi:10.1186/1472-6882-7-35 ↗)
• Ischemic Stroke, Paralysis Hemiplegia, Motor Impairment – LU05, LI04, LI11, LI15, ST36, ST40, SP06, PC06, TB14, GB34, GB39, LV03 (doi:10.1155/2013/431986 ↗)
• Knee Pain, Osteoarthritis Knee – ST35, ST36, SP06, SP09, BL60, KD03, GB34, GB39 (doi:10.1097/RHU.0b013e3182a21848 ↗)
• Anxiety, Depression, Leukopenia, Cancer Colorectal, Chemotherapy Side Effects, Neutropenia – LU07, LI04, ST32, ST36, SP03, SI06, PC05, TB05, GB39, LV03, CV06 (doi:10.1155/2014/217397 ↗)
• Knee Pain, Osteoarthritis Knee – ST35, SP06, SP09, GB34, GB39 (doi:10.1038/srep06482 ↗)
• Leg Pain, Low-back Pain, Spinal-stenosis Lumbar, Claudication Neurological – SP06, SP09, BL23, BL25, BL56, BL57, GB30, GB34, GB39, GV03, GV04 (doi:10.1155/2015/263898 ↗)
• Ischemic Stroke, Paralysis Hemiplegia, Paralysis Spastic, Motor Problems – LI04, LI11, ST36, SP06, GB20, GB39, GV20 (doi:10.1155/2015/164792 ↗)
• Memory Loss, Attention Deficit, Cognitive Impairment Chemotherapy-related, Cognitive Decline Cancer – ST36, KD03, KD04, GB39, GV20, GV24 (doi:10.12659/MSM.909712 ↗)
• Hemiplegia, Cognitive Impairment, Ischemic Stroke, Disability Functional – LI04, LI11, ST36, SP06, GB20, GB34, GB39, GV20 (doi:10.1155/2018/5179689 ↗)
• Ankle Pain, Sprain Ankle, Ankle Swelling, Sprain Ankle Lateral – ST36, ST41, BL60, BL62, KD03, KD06, GB39, GB40 (doi:10.1186/s13063-020-4111-z ↗)
• Inflammation Postoperative, Fever Postoperative, Surgery Craniotomy – LI04, LI11, ST36, PC06, GB39, LV03, GV20 (doi:10.1097/MD.0000000000019071 ↗)
• Knee Pain, Osteoarthritis Knee, Stiffness Knee, Inflammation Joint – ST34, ST35, ST36, ST40, ST41, SP06, SP09, SP10, BL60, KD03, GB31, GB33, GB34, GB36, GB39, GB41, LV03, LV07, LV08 (doi:10.2147/JPR.S256950 ↗)
• Hemiplegia, Ischemic Stroke, Gait Abnormal – ST36, ST40, GB29, GB39, LV03, LV08, LV09 (doi:10.12998/wjcc.v8.i24.6282 ↗)
• Ankle Pain, Ankle Swelling, Sprain Ankle Lateral, Instability Ankle – ST36, ST41, BL60, BL62, KD03, KD06, GB39, GB40 (doi:10.1186/s13063-021-05135-6 ↗)
• Loss of Consciousness, Traumatic Brain Injury, Brain Edema Traumatic, Increased Intracranial Pressure – LI04, ST36, ST40, SP06, KD07, PC06, GB20, GB39, LV03, CV09, GV20, GV26 (doi:10.1097/MD.0000000000028959 ↗)
• Dysuria, Spasticity, Paralysis Hemiplegia Right, Myelopathy Cervical, Gait Disturbance, Arm Right Pain, Right Leg Pain, Extremities Weakness – LI04, LI11, ST36, SI03, BL62, GB39, LV03, CV03, CV04, GV20 (doi:10.3831/KPI.2022.25.2.138 ↗)
• Sleep Disturbance, Restless Legs Syndrome, Lower Limb Abnormal Sensation – ST34, ST36, SP05, SP06, SP10, BL18, BL23, BL56, BL57, BL64, KD03, GB34, GB39 (doi:10.1016/j.bj.2021.05.005 ↗)
• Sleep Disturbance, Restless Legs Syndrome, Lower Limb Abnormal Sensation, Urge Movement Legs – ST36, SP06, BL57, GB34, GB39, LV03 (doi:10.1016/j.bj.2021.05.005 ↗)
• Dizziness, Nausea, Vertigo, Balance Impaired, Vertigo Positional, Tinnitus Ear Stuffiness, Cold Sweats, Vertigo Positional Paroxysmal – BL61, GB08, GB20, GB39, GB42, GV20, GV23 (doi:10.1097/MD.0000000000036032 ↗)
• Dysmenorrhea Primary, Abdominal Pain – SP06, GB39 (doi:10.1016/s0254-6272(17)30004-3 ↗)
• Dementia, Alzheimer's Disease, Cognitive Decline Memory Loss – ST36, ST40, SP06, HT07, BL23, KD03, PC06, GB20, GB39, LV03, GV14, GV20, GV24, GV26 (pubmed.ncbi.nlm.nih.gov ↗)
• Knee Pain, Osteoarthritis Knee, Inflammation Joint – ST36, GB39 (doi:10.10372/j.1000-0607.20210079 ↗)
• Fatigue, Anxiety, Constipation, Drooling, Parkinson's Disease, Tremor Hand, Stiffness Neck, Dry Mouth, Bradykinesia, Dysphagia, Rigidity, Tremor Limb, Stiffness Back, Cramp Foot – LI04, LI10, LI11, ST25, ST37, SP06, SP09, BL40, BL57, GB19, GB34, GB39, LV03, CV04, GV04, GV08, GV14, GV17, GV19, GV20, GV21, GV24 (doi:10.3389/fneur.2023.1330054 ↗)
• Ankle Pain, Sprain Ankle, Ankle Swelling, Sprain Ankle Acute, Bruising Ankle, Functional Impairment Ankle – ST41, BL40, BL60, KD06, KD09, GB39 (doi:10.12659/MSM.944157 ↗)
• Stroke Hemiplegia, Paralysis Limb, Gait Disturbance, Balance Dysfunction – ST36, ST44, SP06, GB30, GB31, GB37, GB39, GB40 (doi:10.1097/MD.0000000000037784 ↗)
• Paresthesia, Neuropathy Peripheral Chemotherapy-induced, Extremities Numbness, Tingling Extremities – LI04, LI11, ST36, SP06, SP09, SI03, KD06, TB03, TB05, GB34, GB39 (doi:10.1186/s12906-024-04603-1 ↗)
• Stroke, Hemiplegia, Spasticity, Paralysis Limb, Motor Deficit Upper Limb, Motor Deficit Lower Limb – LI04, LI11, LI15, ST36, SP06, BL10, TB05, GB30, GB39, LV03, CV23, GV20 (doi:10.1007/s10072-025-08072-3 ↗)
• Hemiplegia, Shoulder Pain, Post-stroke Pain – LI11, LI15, ST36, GB21, GB31, GB39 (doi:10.1186/s12906-025-04891-1 ↗)
• Sciatica, Leg Pain, Sciatica Pain, Back Lower Pain, Lower-back Pain, Gluteal Pain, Leg Radiating Pain, Neurological-deficit – BL23, BL25, BL40, BL54, BL57, BL60, GB30, GB34, GB39 (doi:10.1177/2515690X251355513 ↗)
• Cognitive Impairment Mild Amnestic, Memory Impairment Episodic – LI04, ST36, ST40, HT07, KD03, GB39, LV03, CV04, CV06, GV20, GV24 (doi:10.1002/brb3.70748 ↗)
• Knee Pain, Osteoarthritis Knee, Inflammation Joint – ST35, ST36, BL11, KD01, GB39 (doi:10.13702/j.1000-0607.20221256 ↗)
• Cognitive Decline, Dementia Alzheimer, Daily Living Problems – ST36, KD03, GB20, GB39, GV20, GV24 (doi:10.13702/j.1000-0607.20230220 ↗)
• Neck Pain, Stiffness Neck, Limited Range Of Motion Neck – LI04, LI05, LI17, LI18, SI03, SI14, SI15, SI16, BL10, BL11, BL60, TB03, TB10, TB16, GB20, GB21, GB39, GV14, GV16 (doi:10.1016/j.imr.2018.01.002 ↗)
• Paralysis, Stroke Rehabilitation – LI04, LI11, ST36, GB39, GV20 (doi:10.3390/medicines6040115 ↗)
• Neuropathic Pain, Post-stroke Pain, Central Pain – LI11, LI15, ST36, GB21, GB31, GB39 (doi:10.1097/MD.0000000000022611 ↗)
• Arthritis Rheumatoid, Joint Pain, Stiffness Morning, Inflammation Joint – LI04, ST36, BL18, BL23, GB39 (doi:10.3389/fimmu.2022.829409 ↗)
• Memory Impaired, Cognitive Impairment Mild – BL23, KD13, GB20, GB39, GV20 (doi:10.3389/fneur.2022.942682 ↗)
• Memory Impaired, Cognitive Impairment Mild – HT07, BL23, KD13, GB20, GB39 (doi:10.3389/fneur.2022.942682 ↗)
• Memory Impaired, Cognitive Impairment Mild – ST36, GB39, CV04, GV20 (doi:10.3389/fneur.2022.942682 ↗)
• Memory Impaired, Cognitive Impairment Mild – ST36, KD13, KD14, GB39, GV14, GV15, GV16, GV20, GV23, GV24 (doi:10.3389/fneur.2022.942682 ↗)
• Knee Pain, Osteoarthritis Knee, Stiffness Knee – ST34, ST35, ST36, SP06, SP09, SP10, GB34, GB39, LV03 (doi:10.1016/j.heliyon.2023.e17805 ↗)
• Leg Pain, Buttock Pain, Low Back Pain, Stenosis Lumbar Spinal, Claudication Neurogenic, Gait Disturbance – SP09, BL23, BL25, BL32, BL39, BL40, BL51, BL52, BL54, BL57, BL60, GB30, GB34, GB39, GV03 (doi:10.2147/JPR.S438219 ↗)
• Leg Pain, Buttock Pain, Low Back Pain, Stenosis Lumbar Spinal, Claudication Neurogenic, Gait Disturbance – BL23, BL32, BL39, BL51, BL52, BL54, BL57, GB30, GB34, GB39, GV03 (doi:10.2147/JPR.S438219 ↗)
• Memory Loss, Cognitive Impairment Mild – ST02, ST36, SP06, HT07, BL01, KD01, KD03, PC06, GB20, GB39, GV20 (doi:10.3389/fpsyt.2025.1548878 ↗)
• Leg Pain, Buttock Pain, Low Back Pain, Mobility Reduced, Spinal Stenosis Lumbar, Neurogenic Claudication – SP09, BL23, BL25, BL32, BL39, BL40, BL51, BL52, BL54, BL57, BL60, GB30, GB34, GB39, GV03 (doi:10.1016/j.imr.2025.101204 ↗)

Most often selected alongside GB39

How many sourced protocols in the index pair each point with GB39. Corpus frequency, not a combination to use.

• ST36Leg Three Miles146 protocols
• GB34Yang Mound Spring119 protocols
• SP06Three Yin Intersection85 protocols
• LI04Junction Valley74 protocols
• GV20100 Convergences69 protocols
• LV03Great Surge64 protocols
• GB30Jumping Circle60 protocols
• LI11Pond At The Bend55 protocols
• BL23Kidney Shu Point49 protocols
• KD03Great Stream43 protocols
• BL60Kunlun (Mountains)42 protocols
• TB05Outer Gate39 protocols

Other points on the Gallbladder Meridian