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2. 1.12 Bladder meridian of foot-taiyang

2.1.12.1 Cyclical flowing and distribution
The bladder meridian starts from the inner canthus, ascends to the forehead and joins the governor vessel at the vertex. From there it enters the brain, reemerges and runs superficially from the vertex to the medial side of the scapular region. Then it runs to the loins along the spinal column and enters the abdominal cavity from the deep layer of muscles to link with the kidney and joins the bladder to which it pertains.
The first branch stems from the vertex and runs to areas above the ears.
The second branch stems from the waist, descends through the gluteal region and ends in the popliteal fossa.
The third branch stems from the posterior aspect of the neck, runs straight downward along the medial border of the scapula. Then it passes through the gluteal region downward along the lateral aspect of the thigh and meets with the preceding branch descending from the lumbar re-gion in the popliteal fossa. From there it descends to the leg and further to the posterior aspect of the external mal-leolus. Finally it runs along the tuberosity of the fifth met-atarsal bone and reaches the lateral side of the tip of the little toe to link with the kidney meridian. (see Fig. 75)



Fig .75 Flowing route of the bladder meridian of foot-taiyang



Fig .76 Head and face acupoints on the bladder meridian of foot-taiyang

Assted viscera. Bladder, kidney, and brain.
Associated organs. Eyes, nose, and ears.

2.1.12.2 Indications

Diseases of the head, neck, eyes, back, waist and lower limbs as well as mental problems. The indications of the Back-Shu acupoints on the first lateral line of the back and the acupoints on the second line parallel to the first lateral line include the disorders of the related viscera, tissues and organs.

2.1.12.3 Commonly used acupoints
2.1,12.3.1 Jingming (BL 1)
Location£º This acupoint is located in the depression slightly superior to the inner canthus (see Fig. 76).
Indications£º Redness, swelling and pain of eyes, epi-phora, blurred vision, dizziness, nearsightedness, night blindness and color blindness.
2.1.12,3.2 Cuanzhu (BL2)
Location: This acupoint is located in the depression of the eyebrow or on the supraorbial notch (see Fig. 76).
Indications. Facial distortion, blurred vision, epipho-ra, redness, swelling and pain of the eyes, twitching of eyelids, prolapse of eyelids, pain in the supraorbital re-gion and headache.
2.1.12.3.3 Tianzhu (BL 10)
Location: This acupoint is located in the depression on the lateral aspect of m. trapezius and 1.3 cun lateral to the midpoint of the posterior hairline, about two finger-breadth to Yamen (GV 15). (see Fig. 77)

Fig.77 Head and face acupoints on the bladder meridian of foot-taiyang

dications, Headache, stiff neck, pain in the shoul-der and back, nasal obstruction, depressive psychosis and manic psychosis, epilepsy and febrile disease.
2.1.12.3.4 Dazhu (BL11)
Location, This acupoint is located below and 1.5 cun lateral to the spinous process of the first thoracic vertebra (see Fig. 77).
Indications, Stiff neck, pain in the shoulder and back, headache, nasal obstruction, sore throat, cough and fever.
Note. One of the eight confluent acupoints associa-ting with bones.
2.1.12.3.5 Fengmen (BL 12)
Location: This acupoint is located below and 1.5 cun lateral to the spinous process of the second thoracic verte-bra (see Fig. 78).

Fig.78 Back acupoints on the bladder meridian of foot-taiyang

Indications. Common cold, cough, nasal obstruction, running nose, fever, headache, stiff neck and pain in the chest and back.
2.1.12.3.6 Felshu (BL 13)
Location: This acupoint is located below and I. 5 cun lateral to the spinous process of the third thoracic vertebra (see Fig. 78).
Indications: Cough, asthma, hematemesis, hemop-tysis, bone-steaming fever, tidal fever, night sweating and nasal obstruction.
2.1.12.3.7 Jueylnahu (BL 14)
Location: This acupoint is located below and I. 5 cun lateral to the spinous process of the fourth thoracic verte-bra (see Fig. 78).
Indications: Angina pectoris, palpitation, vomiting, cough and chest oppression.
2.1.12.3.8 Xlnshu (BL15)
Location: This acupoint is located below and I. 5 cun lateral to the spinous process of the fifth thoracic vertebra (see Fig. 78).
Indications: Angina pectoris, palpitation, hemateme-sis, insomnia, amnesia, dreaminess, epilepsy, cough and night sweating.
2.1.12.3.9 Dushu (BL 16)
Location: This acupoint is located below and 1.5 cun lateral to the spinous process of the sixth thoracic vertebra (see Fig. 78).
Indications: Angina pectoris, chest oppression, asth-ma, abdominal pain and alternate chills and fever.
2.1.12.3.10 Geshu (BL17)
Location£º This acupoint is located below and 1.5 cun lateral to the spinous process of the seventh thoracic ver-tebra. It is on the level with both interior angles of scapu-las. (see Fig. 78)
Indications: Vomiting, hiccup, hematemesis, asth-ma, cough, tidal fever and night sweating.
Note: One of the eight confluent acupoints associa-ting with blood.
2.1.12.3.11 Ganshu (BL 18)
Location: This acupoint is located below and 1.5 cun lateral to the spinous process of the ninth thoracic verte-bra (see Fig. 78).
Indications: Jaundice, hypochondriac pain, he-matemesis, redness of eyes, dizziness, night blindness, depressive psychosis, manic psychosis, epilepsy and pain in the back and spine.
2.1.12.3.12 Danshu (BL19)
Location: This acupoint is located below and 1.5 cun lateral to the spinous process of the tenth thoracic verte-bra (see Fig. 78).
Indications: Jaundice, bitter taste in the mouth, hy-pochondriac pain, lung tuberculosis and tidal fever.
2.1.12.3.13 Pishu (BL20)
Location: This acupoint is located below and 1.5 cun lateral to the spinous process of the eleventh thoracic ver-tebra (see Fig. 78).
Indications: Abdominal distension, jaundice, vomi-ting, diarrhea, dysentery, hematochezia, edema and backache.
2.1.12.3.14 Weishu (BL21)
Location: This acupoint is located below and 1.5 curl lateral to the spinous process of the twelfth thoracic verte-bra (see Fig. 78).
Indications: Stomachache, vomiting, hiccup, abdominal distension, borborygmus and pain in the chest and back.
2.1.12.3.15 Sanjiaoshu (BL22)
Location: This acupoint is located below and 1.5 cun lateral to the spinous process of the first lumbar vertebra (see Fig. 78).
Indications: Borborygmus, abdominal distension, vomiting, diarrhea, dysentery, edema and stiffness and pain in the loins and back.
2.1.12.3.16 Shenshu (BL23)
Location. This acupoint is located below and 1.5 cun lateral to the spinous process of the second lumbar verte-bra (see Fig. 78).
Indications. Enuresis, seminal emission, impotence, irregular menstruation, leukorrhea, edema, tinnitus, deafness and lumbago.
2.1.12.3.17 Qlhalshu (BL24)
Location: This acupoint is located below and 1.5 cun lateral to the spinous process of the third lumbar vertebra (see Fig. 78).
Indications: Borborygmus, abdominal distension, hemorrhoids, dysmenorrhea and lumbago.
2.1.12.3.18 Dachangshu (BL25)
Location. This acupoint is located below and 1.5 cun lateral to the spinous process of the fourth lumbar verte-bra. It is on the level with both iliac crest. (see Fig. 78)
Indications: Abdominal distension, borborygmus, di-arrhea, constipation, dysentery and lumbago.
2.1.12.3.19 Guanyuanshu (BL 26)
Location: This acupoint is located below and 1.5 cun lateral to the spinous process of the fifth lumbar vertebra (see Fig. 78).
Indications: Abdominal distension, diarrhea, fre-quent or unsmooth urination, enuresis and lumbago.
2.1.12.3.20 Xiaochangshu (BL27)
Location: This acupoint is located 1.5 cun lateral to median sacral crest and at the level of the first posterior sacral foramen (see Fig. 78).
Indications: Abdominal distension, diarrhea, dysen-tery, enuresis, hematuria, seminal emission, irregular menstruation, leukorrhea and lumbago.
2.1.12.3.21 Pangguangshu (BL 28)
Location: This acupoint is located 1.5 cun lateral to median sacral crest and on the level with the second pos-terior sacral foramen (see Fig. 78).
Indications. Dysuria, enuresis, retention of urine, diarrhea, constipation and stiffness and pain in the loins and spine.
2.1.12.3.22 Zhongl0shu (BL29)
Location: This acupoint is located I. 5 cun lateral to median sacral crest and on the level with the third posteri-or sacral foramen (see Fig. 78).
Indications: Diarrhea, hernia and stiffness and pain in the loins and spine.
2.1.12.3.23 Balhuanshu (BL30)
Location, This acupoint is located 1.5 lateral to me-dian sacral crest and on the level with the fourth posterior sacral foramen (see Fig. 78).
Indications: Enuresis, hernia, seminal emission, ir-regular menstruation, leukorrhea and pain in lumbosacral region.
2.1.12.3.24 Shangllao (BL31)
Location: This acupoint is located between posterior superior iliac and the posterior midline and in the first posterior sacral foramen (see Fig. 78).
Indications: Dysuria, seminal emission, impotence, irregular menstruation, leukorrhea, prolapse of uterus and lumbago.
2.1.12.3.25 Ciliao (BL32)
Location: This acupoint is located medial and inferior to the posterior superior iliac and the posterior midline, in the second posterior sacral foramen and approximately the midpoint of Pangguangshu (BL 28) and the midline on the back (see Fig. 78).
Indications, Irregular menstruation, dysmenorrhea, leukorrhea, hernia, dysuria, seminal emission, impo-tence, lumbago and flaccidity and obstruction syndromes of lower limbs.
2.1.12.3.26 Zhongllao (BL33)
Location: This acupoint is located medial and inferior to Ciliao (BL 32) and in the third posterior sacral foramen (see Fig. 78).
Indications. Constipation, diarrhea, unsmooth urina-tion, irregular menstruation, leukorrhea and lumbago.
2.1.12.3.27 Xlallao (BL34)
Location, This acupoint is located inferior to Zhongli-ao (BL 33) and in the fourth posterior sacral foramen (see Fig. 78).
Indications.. Abdominal pain, constipation, unsmooth urination, leukorrhea, irregular menstruation and lumba-go.
2.1.12.3.28 Hulyang (BL35)
Location, This acupoint is located 0.5 cun lateral to the coccyx (see Fig. 78).
Indications, Diarrhea, hematochezia, hemorrhoids, impotence and leukorrhea.
2.1.12.3.29 Chengfu (BL36)
Location, This acupoint is located posterior to the thigh and in the midpoint of the transverse gluteal crease (see Fig. 79)

Fig .79 Lower limb acupoints on the bladder meridian of foot-taiyang

.
Indications. Hemorrhoids, pare in the waist, sa-crum, buttocks and thigh.
2.1.12.3.30 Yinrnen (BL37)
Location: This acupoint is located posterior to the thigh, on the line joining Chengfu (BL 36) and Weizhong (BL 40) and 6 cun below Chengfu (BL 36).
Indications: Lumbago and flaccidity and obstruction syndromes of lower limbs.
2.1.12.3.31 Weiyang (BL 39)
Location. This acupoint is located on the lateral side of the popliteal transverse crease and on the medial border of the tendon of m. biceps femoris (see Fig. 79).
Indications. Abdominal fullness, dysuria, stiffness and pain in the waist and spine as well as spasmodic pain in the legs and foot.
Note.. Lower He-Sea acupoint of the triple energizer meridian of hand-shaoyang.
2.1.12.3.32 Weizhong (BL40)
Location: This acupoint is located on the midpoint of the popliteal transverse crease and between the tendons of m. biceps femoris and m. semitendinosus (see Fig. 79 and 81).
Indications: Lumbago, flaccidity and obstruction syn-dromes of lower limbs, dysuria, enuresis, abdominal pain, vomiting, diarrhea and erysipelas.
Note: He-Sea acupoint of the bladder meridian of foot-taiyang.
2.1.12.3.33 Gaohuang (BL43)
Location: This acupoint is located 3 cun lateral and inferior to the spinous process of the fourth thoracic ver-tebra (see Fig. 80).

Fig .80 Back acupoints on the bladder meridian of foot-taiyang

Indications: Pulmonary tuberculosis, cough, asthma, hemoptysis, night sweating, insomnia, amnesia, dreami-ness, seminal emission and dyspepsia.
2.1.12.3.34 Geguan (BL46)
Location: This acupoint is located 3 cun lateral and inferior to the spinous process of the seventh thoracic ver-tebra (see Fig. 80).
Indications: Vomiting, belching, hiccup, chest op-pression and stiffness and pain in the spine and back.
2.1.12.3.35 Yanggang (BL48)
Location. This acupoint is located 3 cun lateral and inferior to the spinous process of the tenth thoracic verte-bra (see Fig. 80).
Indications. Borborygmus, abdominal pain, diarrhea, jaundice, hypochondriac pain and diabetes.
2.1.12.3.36 Zhishi (BL52)
Location: This acupoint is located on the waist and 3 cun lateral and inferior to the spinous process of the second lumbar vertebra (see Fig. 80).
Indications, Seminal emission, dysuria and stiffness and pain in the loins and spine.
2.1.12.3.37 Zhiblan (BL54)
Location, This acupoint is located at the level of the fourth posterior sacral foramen and 3 cun lateral to the median sacral crest (see Fig. 80).
Indications, Dysuria, constipation, hemorrhoids, lumbosacral pain, and flaccidity and obstruction syn-dromes of lower limbs.
2.1.12.3.38 Chengshan (BL57)
Location, This acupoint is located directly below the belly of m. gastrocnemius, between Weizhong (BL 40) and Kunlun (BL 60) and in the depression below the belly of m. gastrocnemius when the shank stretches out or when the heel lifts up, approximately at the midpoint between Weizhong (BL 40) and tendo calcaneus (see Fig. 81).

Fig .81 Lower limb acupoints on the bladder meridian of foot-taiyang

ndications: Spasmodic pain in the loins and legs, spasm of gastrocnemius, hemorrhoids, constipation, he-matochezia and prolapse of rectum.
2.1.12.3.39 Feiyang (BL 58)
Location: This acupoint is located on the posterior side of the shank, posterior to the external malleolus, 7 cun directly above Kunlun (BL 60) and 1 cun lateral and inferior to Chengshan (BL 57) (see Fig. 81).
Indications: Headache, dizziness, epistaxis, pain in the waist and leg and hemorrhoids.
Note. Luo-Connecting acupoint of the bladder meridian of foot-taiyang.
2.1.12.3.40 guyang (BL59)
Location: This acupoint is located on the back of the shank posterior to the external malleolus and 3 curl direct-ly above Kunlun (BL 60).

Fig .82 Foot acupoints on the bladder meridian of foot-taiyang

Indications: Headache, lumbosacral pain, flaccidity and obstruction syndromes of lower limbs and swelling and pain of external malleolus.
Note: Xi-Cleft acupoint of the yang heel vessel.
2.1.12.3.41 Kunlun (BL60)
Location: This acupoint is located posterior to the external malleolus and in the depression between the ex-ternal malleolus and tendo calcaneus (see Fig. 82).
Indications: Headache, stiffness of neck, dizziness, epistaxis, epilepsy, dystocia, lumbosacral pain and swell-ing and pain in heel.
Note: Jing-River acupoint of the bladder meridian of foot-taiyang.
2.1.12.3.42 Pucan (BL61)
Location: This acupoint is located on the lateral side of the foot, posterior to the external malleolus, directly below Kunlun (BL 60), lateral to calcaneus and at the junction of the red and white skin (see Fig. 82).
Indications. Flaccidity and obstruction syndromes of lower limbs, pain in the heel and epilepsy.
2.1.12.3.43 Shenmai (BL62)
Location: This acupoint is located lateral to the foot and in the depression directly below the external malleolus (see Fig. 82).
Indications. Headache, dizziness, redness and pain of eyes, twitching of eyelids, depressive psychosis, manic psychosis, epilepsy, insomnia, somnolence and aching pain in the loins and legs.
Note. One of the eight convergent acupoints associ-ating with yang heel vessel.
2.1.12.3.44 Jinmen (BL63)
Location: This acupoint is located lateral to the foot, directly below the anterior border of the external malleo-lus and below the border of femur (see Fig. 82).
Indications. Headache, epilepsy, infantile convul-sion, lumbago, flaccidity and obstruction syndromes of lower limbs and pain in the external malleolus.
Note: Xi-Cleft acupoint of the bladder meridian of foot-taiyang.
2.1.12.3.45 Jinggu (BL64)
Location: This acupoint is located lateral to the foot, below the tuberosit of the fifth metatarsal bone and at the junction of the red and white skin (see Fig. 82).
Indications.. Headache. stiffness of neck, cataract, epilepsy and lumbago.
Note: Yuan-Sourcc acupoint of the bladder meridian of foot-taiyang.
2.1.12.3.46 Shugu (BL65)
Location: This acupoint is located lateral to the foot, posterior to the head of the fifth metatarsal bone and at the junction of the red and white skin (see Fig. 82).
Indications. Headache, stiffness of neck, dizziness, depressive psychosis, manic psychosis, and pain in the loins and legs.
Note.. Shu-Stream acupoint of the bladder meridian of foot-taiyang.
2.1.12.3.47 Zutonggu (BL66)
Location. This acupoint is located lateral to the foot, anterior to the head of the fifth metatarsal bone and at the junction of the red and white skin (see Fig. 82).
Indications. Headache, stiffness of neck, dizziness, epistaxis, depressive psychosis, and manic psychosis.
Note.. Ying-Spring acupoint of the bladder meridian of foot-taiyang.
2.1.12.3.48 Zhiyin (BL67)
Location. This acupoint is located on the lateral side of the small toe, about 0.1 cun posterior to the comer of the nail (see Fig. 82).
Indications. Headache, pain of eyes, nasal obstruc-tion, epistaxis, malposition of fetus and dystocia.
Note: Jing-Well acupoint of the bladder meridian of foot-taiyang.


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