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Not on a fresh sprain or a swollen ankle.

Leaf 40 of 44 · Foot Shaoyang
丘墟

丘墟 Qiuxu

“Mound and Open Ground” · GB40

Foot Shaoyang · 40 of 44 · yuan-source

Where. In the dip in front of and below the outer anklebone, on the outer side of the toe tendon.

For. Swollen, sore outer ankle; tight chest and ribs.

Press. Gentle fingertip pressure, about a minute each foot.

Caution. Not on a fresh sprain or a swollen ankle.

A Self-Palpation Walkthrough

Sit upright on a firm chair and cross the right ankle over the left knee, or rest the foot on a low stool; warm your hands first, because chilled tissue guards itself. Find the tip of the outer ankle bone and rest a fingertip on it. Slide forward — toward the toes — and slightly down, into the shallow dip you meet within a thumb-width of the bony tip. To confirm the tendon, lift and spread the toes and watch the cord rise on the top of the foot. Then settle the soft pad of your finger — not the stiff tip — into the hollow just to the outer side of that cord.

Read the whole section ↓
丘墟,在足外廉踝下如前陷者中,去臨泣一寸
“Qiuxu lies in the hollow below and a little in front of the outer anklebone, one cun from Linqi.”《針灸甲乙經·卷三》 Zhenjiu Jiayi Jing, book 3
Next leaf足臨泣 · GB41 →
0 / 6breaths

按 · Press with me

Six slow breaths

About a minute. Press as you breathe out, ease as you breathe in.

鄰 · Neighbouring leaves

Where Qiuxu Sits Below the Outer Ankle

The dataset locates Qiuxu anterior and inferior to the lateral malleolus of the foot, in the depression lateral to the tendon of extensor digitorum longus. Translated into everyday geography: look at the outside of the ankle and feel the rounded bony knuckle there — the lateral malleolus, the widened lower end of the fibula, the slender outer bone of the lower leg. Anterior means toward the toes; inferior means a shade lower, a step closer to the sole. Notice what the record contains no trace of: cun measurements. Like its neighbours along this stretch of the channel, the acupoint is fixed purely by landmarks — bone, hollow, tendon — and landmarks travel intact from body to body, needing no ruler and no conversion table.

The tendon named in the record announces itself readily. Run your fingers along the top of the foot and lift the toes: a strong cord rises, running down the instep and fanning out toward the four smaller toes — that is the extensor digitorum longus tendon. Qiuxu waits in the hollow immediately to its outer side, in the shallow ground kept open between that lifting tendon in front and the taut cords that run down behind the malleolus. Beneath the skin the padding is thin here, and the hollow overlays the ligamentous neighbourhood that binds the ankle joint together. Nothing exotic — ordinary, busy anatomy — but it sets the tone for the whole page: terrain this close to the joint asks for patient, feather-light fingers rather than force.

Orientation rounds the picture out. The mound is the ankle bone itself; the quiet open ground lies forward of it and a little below, exactly where the name, read below, will point. The gallbladder channel, having zigzagged down the side of the head and the flank of the body, crosses this outer ankle corridor on its long descent, then continues across the top of the foot toward the fourth toe. The two feet are mirror images, and setting them side by side is the fastest way to learn the landscape — whatever one hollow teaches, its twin confirms.

A Self-Palpation Walkthrough

Sit upright on a firm chair and cross the right ankle over the left knee, or rest the foot on a low stool; warm your hands first, because chilled tissue guards itself. Find the tip of the outer ankle bone and rest a fingertip on it. Slide forward — toward the toes — and slightly down, into the shallow dip you meet within a thumb-width of the bony tip. To confirm the tendon, lift and spread the toes and watch the cord rise on the top of the foot. Then settle the soft pad of your finger — not the stiff tip — into the hollow just to the outer side of that cord.

A few confirmations help before any pressing begins. Touch feather-light and compare sides: many people notice a faint, dull awareness at the true point and little sensation half a finger-width away. Rest the fingertip without pressure and wiggle the toes slowly — the tendon stirs against the side of your finger, confirming you lie beside it rather than on it. Then let the whole foot go slack: the hollow opens a little deeper under a relaxed foot than a working one. If what you feel instead is the bare tendon ridge, slide a touch further outward; if bone everywhere, return to the malleolar tip and begin again.

The classic slips are predictable. Pressing directly on the tendon ridge instead of alongside it feels wiry and unpleasant; searching behind the malleolus finds the wrong cords entirely; drifting up toward the middle of the instep leaves the point behind; and hunting with a stiff, poking fingertip reads nothing but its own force. When lost, reset rather than improvise: return to the ankle-bone tip, measure forward and down one slow time, and let the tendon-rise test tell you where the hollow begins.

Reading the Name: Mound and Open Ground

The characters sketch the place in miniature. Qiu 丘 means hill or mound — the character pictures ground rising above a plain. Xu 墟 carries the sense of a place emptied of its bustle: ruined ground, a market that has dispersed, walls gone and only open space remaining. Read together, the name draws a mound with quiet open land at its foot, and classical commentators have long matched the picture to the body: the malleolar knob is the hill, and the hollow forward of it is the still clearing below.

The point’s office deepens the story. Classical theory assigns every channel one place where that channel’s own source qi gathers closest to the surface — the yuan-source point. Qiuxu holds that post for the gallbladder channel, and the role made it a natural subject whenever older discussions traced the channel’s wider business. Classical teaching linked the gallbladder with decision and daring — the capacity to choose a course and commit to it — so its source point was treated as the deepest listening post of that whole system, the place where its qi could be heard pooling.

Pinyin renders the name Qiūxū, a flat, high first tone on each character — qiu, then xu. The hanzi pair 丘墟 is short enough to memorise at a glance. As with the gates, valleys, courtyards and storehouses scattered along the channels, the metaphor does real work: it marks this spot as somewhere the meridian lingers and gathers, not a way-station it merely passes through. The name is itself a small set of instructions.

Traditional Indications, Explained

The recorded indications read: distending chest and hypochondriac pain, paralysis of the lower limbs, beriberi, swelling and pain of the external ankle, malaria, hernia, hemiplegia after stroke, and cloudy vision. Framed as tradition rather than promise, several fall into place at once. The hypochondrium — the flank between armpit and lower ribs — is classic gallbladder-channel territory, and distending describes a fullness, a stuck heaviness rather than sharp pain. Cloudy vision connects through the classical pairing of liver and gallbladder, with the teaching that the liver opens into the eyes: eye complaints were therefore often approached along the paired channel, and this source point belonged to those discussions.

A second cluster concerns the foot and leg itself. Swelling and pain of the external ankle is local work — the point lives beside the very district it served. Paralysis of the lower limbs and hemiplegia after stroke gather, in the old records, the profound weaknesses and one-sided paralyses that follow grave illness; channel-based care formed part of broader convalescent regimens in that world, and today stroke recovery belongs with medical rehabilitation teams without qualification. Beriberi, finally, is an inherited category word: pre-modern texts used it for heavy, numb, or swollen suffering of the feet and lower legs, a historical label quite distinct from the modern nutritional diagnosis that happens to share its name.

Two further names carry their own history. Malaria — the recurring cycles of fever and chill that old texts describe reaching for this point amid — is now unambiguously a matter for clinical medicine and proper diagnosis. Hernia, in the traditional record, grouped dragging groin discomforts and swellings under one heading; whatever the modern finding turns out to be, that too belongs with clinicians first. The names survive as historical vocabulary, useful for reading the tradition, not as home-care instructions.

It bears repeating plainly: these are the traditional uses recorded in a licensed dataset and classical literature, offered for cultural and historical understanding. They are not claims that pressing this point treats disease. Where modern research touches self-applied pressure at all, reviews suggest effects are modest and context-dependent, and evidence specific to any single point remains thin. Hold the tradition lightly, and hold the safety rules firmly.

Self-Care Acupressure at Home

With the point found by the walkthrough above, settle in: seated, the foot supported and slack, hands warmed, sock off if it binds. Place the pad of your thumb — or the joined pads of index and middle fingers — on the hollow. Begin with contact alone for a few breaths, then add small, slow circles, letting the skin glide over the tissue beneath. Pressure should register as pleasant dullness or mild warmth, never sharpness. A common home rhythm is one to three minutes per side, once or twice daily, matched where possible to slow exhales. Swap sides and keep the two sessions symmetrical.

Quality matters more than duration. Light, patient, regularly repeated contact is what this page practises; hard jabbing teaches the body nothing and may complain loudly through a joint as articulate as the ankle. Warm cold hands first. Prefer a quiet corner to a screen, and let the practice double as a breathing pause: inhale through the nose, feel the foot under still fingers, press gently on the long exhale. People who keep a routine often anchor it to an existing habit — morning washing, an evening wind-down — because consistency, not intensity, is what self-care traditions actually ask for.

Treat the exercise as a small ceremony of attention rather than a treatment session. Across weeks, notice what changes: perhaps the area feels less guarded, perhaps shifting your weight while standing feels easier, perhaps nothing moves except that you spend a few unhurried minutes attending to your own footing. Every one of those outcomes fits the honest scope of self-acupressure. What does not fit is escalation — pressing harder, longer, or deeper to force a result. One rule sits above the rest: the practice belongs only to a calm, settled ankle, never to one freshly twisted. When curiosity pulls toward force, return to gentleness or simply stop for the day.

Cautions and Safe Practice

This module carries an unusual feature worth naming: the licensed dataset records no cautions for Qiuxu at all — the caution field is empty. No dataset-level warning travels with the point. An empty record is not an all-clear; it simply hands the entire safety load to the universal rules every page of this site carries. Ordinary anatomy adds its own quiet counsel: the hollow sits over thin padding, close to the ligaments that bind the ankle, so gentleness suits the terrain however the paperwork reads.

For fingertip self-care the practical lines follow. Never practise on a fresh sprain: swelling, bruising, warmth, or a joint that guards itself after a twist is asking for rest and assessment, not pressure. Skip the point over broken or irritated skin, and use no tools, elbows, or devices — finger pads only. Stop at once on sharp, electric, or radiating sensation, and do not try again that day. Readers with reduced sensation or circulation in the feet, including diabetic neuropathy, and pregnant readers, should consult a qualified practitioner before adding any new point practice.

And the wider rule stands over everything: this page is educational, and acupressure is self-care, not diagnosis or therapy. Seek prompt medical care — not a pressure routine — for inability to bear weight after an injury, visible deformity, rapidly worsening swelling, a hot swollen joint with fever, or numbness that will not fade. Persistent ankle pain, instability, or altered walking deserves a licensed practitioner, medical or East Asian medical as suits the complaint. The safest gift Qiuxu offers most people is a better acquaintance with their own ankle, treated kindly.

In short

Qiuxu, the Mound of Ruins, waits in a small hollow just forward of and below the outer ankle bone, beside the strong tendon that lifts the toes. As the gallbladder channel’s source point, classical practice gathered its qi here — reaching for it in rib-side tightness, weak legs, and sore outer ankles. This guide walks through finding it by touch and pressing it gently within clear limits.

Self-care limits

Self-care here means gentle fingertip contact on healthy skin around a calm, settled ankle: nothing on fresh sprains, swollen joints, or broken skin, no tools or devices, and stop at once on sharp or spreading sensation. Persistent pain, swelling, or trouble walking calls for a licensed clinician — this page is educational only. Self-acupressure is educational self-care, not medical care. Stop if a sensation becomes sharp, and seek professional help for persistent symptoms.

Frequently asked

Can I find Qiuxu without knowing any anatomy?
Three everyday cues are the whole map: the bony knuckle at the outside of the ankle, the dip just forward of and slightly below it, and the strong cord that rises along the top of the foot whenever you lift your toes. Settle a fingertip into the hollow beside that cord and you stand where the dataset places the point — no ruler, no Latin required.
Is pressing Qiuxu myself actually safe?
Gentle fingertip contact held on the surface of a calm, uninjured ankle is generally reasonable self-care for healthy adults. The main exclusions are situational rather than built-in: fresh sprains, swollen or painful joints, and broken skin all disqualify the day. Respect the stop signals — sharp pain, electric tingling, or sensation spreading away from the point means finish immediately.
What did classical practice use Qiuxu for?
The traditional record lists distending chest and rib-side pain, weak or paralysed lower limbs, the old beriberi category, swelling and pain of the external ankle, malaria, hernia-type complaints, hemiplegia after stroke, and cloudy vision. Its office as the gallbladder channel’s source point explains the breadth of that portfolio. These are historical frameworks documented for context — not evidence-backed treatment claims.
What makes Qiuxu special among the forty-four gallbladder points?
Classical theory assigns each channel exactly one yuan-source point — the place where that channel’s own qi is said to gather nearest the surface. Qiuxu holds the post for the gallbladder channel, which is why older writing returns to it whenever the channel’s larger story is told, from rib-side tension to the classical association between the gallbladder and decisive resolve.
My ankle still aches weeks after a twist — should I start pressing Qiuxu?
Not yet. Pain lingering weeks past an injury deserves assessment before any pressure routine begins; persistent pain, swelling, or instability can involve things self-care cannot sort out. Once a clinician has cleared ordinary activity again, gentle contact on a settled ankle can join the day quietly. Until then, evaluation leads and pressure waits.

Sources

  1. 01WHO Standard Acupuncture Point Locations in the Western Pacific Region (2008), World Health Organization — nomenclature conventions.
  2. 02A Manual of Acupuncture, Peter Deadman, Mazin Al-Khafaji and Kevin Baker — point-name tradition, yuan-source theory, and channel context.
  3. 03aijiu-mpvue (MIT License) licensed dataset, entry for GB40 Qiuxu — location, point class, actions, and the empty caution record.

Last reviewed

牌記This leaf, for machines

Old books ended with a colophon saying who printed them. Every leaf here carries the same facts as structured data for agents and search, with no layout in the way.

{
  "id": "GB40",
  "name": {
    "en": "Qiuxu",
    "gloss": "Mound and Open Ground",
    "zh-Hant": "丘墟",
    "zh-Hans": "丘墟"
  },
  "channel": {
    "id": "GB",
    "order": 40,
    "of": 44
  },
  "location": {
    "text": "In the dip in front of and below the outer anklebone, on the outer side of the toe tendon."
  },
  "for": [
    "swollen",
    "sore outer ankle",
    "tight chest and ribs"
  ],
  "press": {
    "text": "Gentle fingertip pressure, about a minute each foot.",
    "seconds": 60,
    "sides": "both"
  },
  "cautions": [
    "Not on a fresh sprain or a swollen ankle."
  ],
  "source": "Zhenjiu Jiayi Jing, book 3",
  "url": "https://acupoints.com/en/points/gb40",
  "lastReviewed": "2026-08-24"
}