GB33 Xiyangguan

Reviewed by · Licensed Acupuncturist & TCM Physician · Last reviewed June 2026

GB33 (Xiyangguan, “Xiyangguan”) is an acupuncture point on the Gallbladder Channel Meridian. It is located on the lateral aspect of the thigh, 3 cun superior to the lateral epicondyle of the femur, between the biceps femoris tendon and the iliotibial tract. It modern research indicates GB33 is used in protocols aimed at addressing pain and motor symptoms, particularly in the context of knee osteoarthritis and Parkinson's disease. It has also been identified as a frequently sensitized acupoint in knee osteoarthritis.

Location

On the lateral aspect of the thigh, 3 cun superior to the lateral epicondyle of the femur, between the biceps femoris tendon and the iliotibial tract.

Needling

Needling techniques observed in modern research include the use of acupuncture needles typically 0.25 mm gauge and 25-40 mm in length. For electroacupuncture, needles of 0.22 x 25 mm or 0.30 x 25/40 mm have been used, with stimulation frequencies around 2 Hz or 100 Hz, increased until local muscle contraction is apparent or with a current of 0.1-1.0 mA. The 'De qi' sensation (soreness, numbness, distension, or pain) is often sought. In some protocols, auxiliary needles are punctured 2 mm lateral to the point and 2 mm deep for electroacupuncture.

TCM functions

Modern research indicates GB33 is used in protocols aimed at addressing pain and motor symptoms, particularly in the context of knee osteoarthritis and Parkinson's disease. It has also been identified as a frequently sensitized acupoint in knee osteoarthritis..

Indications

Based on modern research, GB33 is indicated for conditions such as knee osteoarthritis (KOA), Parkinson's disease, and migraine. It has also been used in studies investigating analgesia in canine osteoarthritis..

Clinical notes

Due to the absence of classical excerpts, the specific clinical applications and needling instructions for GB33 are not supported by the provided historical texts.

On the Gallbladder Channel channel

GB33 is one of 44 points on the Gallbladder Channel Meridian. Nearby points:

Frequently asked questions

Where is GB33 located?

GB33 (Xiyangguan) is located on the lateral aspect of the thigh, 3 cun superior to the lateral epicondyle of the femur, between the biceps femoris tendon and the iliotibial tract.

What is GB33 used for?

GB33 modern research indicates GB33 is used in protocols aimed at addressing pain and motor symptoms, particularly in the context of knee osteoarthritis and Parkinson's disease. It has also been identified as a frequently sensitized acupoint in knee osteoarthritis. Common clinical indications include based on modern research, GB33 is indicated for conditions such as knee osteoarthritis (KOA), Parkinson's disease, and migraine. It has also been used in studies investigating analgesia in canine osteoarthritis.

How is GB33 needled?

Needling techniques observed in modern research include the use of acupuncture needles typically 0.25 mm gauge and 25-40 mm in length. For electroacupuncture, needles of 0.22 x 25 mm or 0.30 x 25/40 mm have been used, with stimulation frequencies around 2 Hz or 100 Hz, increased until local muscle contraction is apparent or with a current of 0.1-1.0 mA. The 'De qi' sensation (soreness, numbness, distension, or pain) is often sought. In some protocols, auxiliary needles are punctured 2 mm lateral to the point and 2 mm deep for electroacupuncture.

Which meridian is GB33 on?

GB33 is a point on the Gallbladder Channel Meridian (Zú Shàoyáng Dǎnjīng).

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⚠️ This page is for general education and is not medical advice. Acupuncture is a traditional practice; evidence varies by condition and study quality, and individual results differ. It does not replace diagnosis or treatment by a licensed professional. Always consult a qualified acupuncturist or physician.