GB43 Xiaxi (Narrow Stream)

Location

On the dorsum of the foot between 4th and 5th toe proximal to the margin of the web at the junction of the red and white skin.

Categories

• Ying-Spring point of the Gallbladder meridian

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

Indications

Conditions for which GB43 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 GB43 does in the terms of Chinese medicine theory. These describe the point, not a condition.

Protocols using GB43

• Sciatica, Lumbar Pain, Prolapse Intervertebral Disc – BL40, GB36, GB43 (doi:10.1016/s0254-6272(08)60041-2 ↗)
• Fatigue Cancer-related, Fatigue Post-treatment, Breast Cancer, Myofascial Pain, Musculoskeletal Pain – LI04, ST36, SP06, SI03, BL62, KD03, TB05, GB20, GB29, GB30, GB40, GB43 (doi:10.1186/1472-6882-11-49 ↗)
• Anxiety, Immune Nk Cell Deficiency – LI04, LI11, ST36, SP06, HT03, HT05, SI03, BL60, KD06, PC06, TB05, GB34, GB43, LV02, CV03, CV04, CV06, CV15, GV20 (doi:10.1093/ecam/nep236 ↗)
• Fatigue, Dizziness, Tinnitus, Headache, Constipation, Depression, Insomnia, Itchiness, Edema, Palpitation, Knee Pain, Back Pain, Vision Blurred, Cervical Pain, Stiffness Shoulder, Cramp Leg, Lower-limb Pain, Upper-limb Numbness, Lower-limb Numbness, Hemodialysis Complication – LU05, LU09, LI02, LI11, ST41, ST45, SP02, SP05, HT07, HT09, SI03, SI08, BL65, BL67, KD01, KD07, PC07, PC09, TB03, TB10, GB38, GB43, LV02, LV08 (doi:10.1155/2015/802846 ↗)
• Dizziness, Headache, Syncope, Menstrual Pain, Uterine Bleeding Dysfunctional, Dysmenorrhea Severe, Menstruation Irregular, Clots Menstrual – LU07, LI04, LI11, ST29, ST36, ST40, ST44, SP04, SP06, SP08, SP09, SP10, SI03, BL23, BL32, BL62, KD03, KD06, KD07, KD14, GB41, GB43, LV03, CV03, CV04, CV06, GV04, GV20, GV24 (doi:10.1136/bcr-2018-224725 ↗)
• Fatigue, Anxiety, Dizziness, Tinnitus, Depression, Insomnia, Photophobia, Neck Stiffness, Phonophobia, Headache Medication-overuse, Chronic Migraine, Chronic Daily Headache, Head Throbbing Pain – LI04, ST25, ST28, ST36, ST40, SP09, SI03, BL10, TB05, TB17, GB04, GB08, GB15, GB18, GB20, GB34, GB41, GB43, LV03, CV04, CV06, CV12, GV20, GV24 (doi:10.1016/j.heliyon.2024.e30417 ↗)
• Neuropathic Pain, Paresthesia, Neuropathy Peripheral Chemotherapy-induced, Extremities Numbness, Tingling Extremities – LI04, ST40, SI03, PC06, GB43, LV03 (doi:10.1186/s12906-024-04603-1 ↗)
• Dyspepsia Functional – LU08, LI01, SP05, SP09, BL66, KD10, GB43, GB44, LV04, LV08 (doi:10.3389/fmed.2025.1545687 ↗)
• Anxiety, Depression, Toes Pain, Neuropathic Pain, Hyperalgesia, Allodynia, Complex Regional Pain Syndrome, Paresthesia Toes – GB43 (doi:10.3831/KPI.2014.17.039 ↗)
• Headache Tension, Headache Liver Yang Hyperactivity – KD03, TB05, GB08, GB20, GB43, LV02 (doi:10.26973/d.cnki.gbjzu.2024.000180 ↗)
• Tinnitus, Hearing Loss, Tinnitus Idiopathic – ST36, SI19, KD03, TB03, TB05, TB17, TB21, GB02, GB12, GB20, GB43, LV03, GV20 (doi:10.1097/MD.0000000000037107 ↗)
• Hearing Loss, Hearing Loss Sensorineural, Sudden Hearing Loss – LI04, SI19, TB03, TB05, TB17, GB20, GB43 (doi:10.1016/j.imr.2024.101087 ↗)
• Obesity Simple – LI04, LI11, ST36, ST37, ST40, ST44, SP06, SP09, BL18, BL23, KD06, TB06, GB43, LV03, LV08, CV04, CV06, CV12 (doi:10.1016/s0254-6272(08)60033-3 ↗)
• Dementia Senile – ST36, ST40, SP06, BL18, BL20, BL23, KD03, GB34, GB43, LV03, GV04, XH01A, XH01B, XH01C, XH01D (doi:10.1016/s0254-6272(09)60071-6 ↗)
• Headache Migraine, Headache Medication-overuse, Chronic Migraine – LI04, ST25, ST28, ST36, ST40, SP09, SI03, BL10, TB05, TB17, GB04, GB08, GB15, GB18, GB20, GB34, GB41, GB43, LV03, CV04, CV06, CV12, GV20, GV24, XB02C3, XB02C4, XH03 (doi:10.1016/j.heliyon.2024.e30417 ↗)
• Tinnitus – SI19, TB03, TB05, TB17, GB02, GB40, GB43, LV03 (doi:10.13703/j.0255-2930.2016.12.010 ↗)
• Injury Meniscal – ST43, ST44, SP02, SP03, BL65, BL66, GB41, GB43, LV02, LV03 (doi:10.13703/j.0255-2930.2017.09.012 ↗)
• Tinnitus Subjective – TB03, TB17, GB02, GB43, GV20 (doi:10.31579/2690-4861/1164 ↗)
• Dizziness, Nasal Congestion – LI04, LI20, ST02, ST36, PC06, GB20, GB43, LV02, LV03, GV20, XH03 (doi:10.1016/j.jtcms.2016.06.003 ↗)
• Post-stroke Depression – LU04, LI04, LI06, LI07, LI10, LI11, LI12, LI13, LI15, ST02, ST32, ST33, ST34, ST36, ST37, ST39, ST40, ST44, SP06, SP10, SP11, HT05, BL15, BL20, BL23, BL61, BL64, KD02, KD03, PC02, PC03, PC06, TB03, TB06, TB07, TB09, TB12, TB14, GB20, GB31, GB33, GB43, LV02, LV03, LV05, LV14, GV20, GV23, GV26 (Acupuncture for Ischemic Post-stroke Depression. ClinicalTrials.gov NCT02472613)
• Tinnitus – ST36, ST40, ST44, SP06, SP09, SP10, SI19, KD03, KD06, TB17, TB21, GB02, GB12, GB43, LV02, LV03, CV04, CV06, GV20 (陈丽华. 针刺治疗耳鸣的临床疗效观察. , [CNKI])
• Hearing Loss Sudden, Deafness Sudden Onset – ST36, SP06, SI19, KD03, TB05, TB17, GB02, GB43, LV03 (张彭帅李佳徽黄倩黎浪邓凯文. 基于数据挖掘及复杂网络分析技术探讨针刺治疗突发性聋的用穴规律. 广西医学 ., 2024 [CNKI])
• Headache Menstrual – SP06, GB04, GB05, GB08, GB20, GB43, LV03, GV20, XH05, AT06, CYC08, CYC10, IAC03, TF10 (Sun Li-hong et al.. [Body acupuncture combined with auricular acupressure for menstrual headache: a randomized controlled clinical trial].. Zhen ci yan jiu = Acupuncture research, 2015)
• Absent Periods, Hyperprolactinemia – LU03, ST09, TB16, GB43, LV03 (吴开肖 et al.. 运用“天牖五穴”治疗内分泌疾病3则. 世界针灸杂志：英文版, 2016)
• Headache Unilateral – LI04, LI20, ST02, ST07, ST08, BL01, KD03, GB13, GB20, GB43, XH05 (Henry C. Lu. Clinical Cases of Acupuncture)
• Headache Unilateral – LU07, LI20, BL01, BL12, KD03, GB13, GB20, GB38, GB43, XH05 (Henry C. Lu. Clinical Cases of Acupuncture)
• Erythromelalgia – SP05, GB40, GB43, LV03, GV16 (Zhang Dengbu. Acupuncture Cases from China: A Digest of Difficult and Complicated Case Histories. Edinburgh: Churchill Livingstone, 1994)
• Erythromelalgia – GB43, LV02, GV20 (Zhang Dengbu. Acupuncture Cases from China: A Digest of Difficult and Complicated Case Histories. Edinburgh: Churchill Livingstone, 1994)
• Deafness, Mutism – ST07, SI19, TB03, TB05, TB17, GB02, GB34, GB41, GB43, LV02, LV03 (Zhang Dengbu. Acupuncture Cases from China: A Digest of Difficult and Complicated Case Histories. Edinburgh: Churchill Livingstone, 1994)
• Sciatica, Herpes Zoster – ST40, GB30, GB31, GB34, GB39, GB40, GB43 (Zhang Dengbu. Acupuncture Cases from China: A Digest of Difficult and Complicated Case Histories. Edinburgh: Churchill Livingstone, 1994)
• Arthritis, Joint Pain – LI04, ST35, KD03, TB03, GB20, GB43, LV03, GV16, GV20, XL05A (Zhu Bing, Wang Hongcai (eds). Case Studies from the Medical Records of Leading Chinese Acupuncture Experts. London: Singing Dragon, 2011)
• Anxiety, Depression – LU10, ST36, SP06, HT07, KD03, PC06, GB37, GB43, LV02, LV03 (Zhu Bing, Wang Hongcai (eds). Case Studies from the Medical Records of Leading Chinese Acupuncture Experts. London: Singing Dragon, 2011)
• Tinnitus, Kidney Qi Deficiency, Deficiency, Deafness, Kidney Jing Deficiency, Kidney Qi Deficiency, Kidney Jing Deficiency – BL23, KD03, TB03, TB17, GB02, GB43, GV04 (sacredlotus.com ↗)
• Tinnitus, Excess, Deafness, Fire Liver, Fire Gallbladder, Fire Liver, Fire Gallbladder – TB03, TB17, GB02, GB41, GB43, LV02 (sacredlotus.com ↗)
• Tinnitus, Excess, Deafness, Fire Liver, Fire Gallbladder, Pathogensic Wind, Fire Liver, Fire Gallbladder, Pathogensic Wind – LI04, TB03, TB05, TB17, GB02, GB41, GB43, LV02 (sacredlotus.com ↗)
• Headache, Liver Yang Deficiency, Liver Yang Deficiency – GB05, GB20, GB43, LV02, GV20 (sacredlotus.com ↗)
• Fire, Melancholia, Depression Qi, Hysteria, Neurosis, Depression Qi – TB06, GB34, GB43, LV02, CV13 (sacredlotus.com ↗)

Most often selected alongside GB43

How many sourced protocols in the index pair each point with GB43. Corpus frequency, not a combination to use.

• LV03Great Surge19 protocols
• LV02Passing Between14 protocols
• GB20Wind Pool13 protocols
• GV20100 Convergences13 protocols
• KD03Great Stream13 protocols
• LI04Junction Valley13 protocols
• ST36Leg Three Miles13 protocols
• TB17Hurricane12 protocols
• TB03Central Islet11 protocols
• TB05Outer Gate11 protocols
• SP06Three Yin Intersection10 protocols
• GB02Hearing Convergence9 protocols

Other points on the Gallbladder Meridian