19/3/2022

Diploma in Clinical Acupuncture Meridian and Acupoint 7 –Bladder Meridian

足太陽膀胱經
Zheng Yu, Francis
29 April 2022 (Friday)
鄭禹 博士，注冊中醫師
Ph. D.
Registered Chinese medicine practitioner (HK & Mainland China)
Mobile/WhatsApp: +852 5226-7327
Email: [email protected]

Copyright by Zheng Yu, all rights reserved. All materials may not be reproduced without prior written permission. Copyright by Zheng Yu, all rights reserved. All materials may not be reproduced without prior written permission.

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The pathway of the Bladder Meridian

Teaching content 1. Starts from the inner side of the eye and goes across
the forehead to reach the top of the head.
 The pathway of the Bladder Meridian 2. The main channel divides into two branches.
3. One crosses the center of the base of the neck and
 The symptoms and main indications extends downwards parallel to the spine.
4. The other one crosses the back of the shoulder and
 The locations of BL 2, BL 10, BL 12, BL 13, BL 14, BL 15, BL 18, BL 19,
runs downward on the outside, and parallel to the
BL 20, BL 21, BL 23, BL 40, BL 57. inner branch.
5. These two branches run across the back of the thigh
and join at the back of the knee.
6. Then continues along the lower leg, circles behind
the outer ankle, runs along the outside of the foot.
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Symptoms
Main indications

Related to TCM bladder dysfunction

For diseases in the head, neck, eyes, back, groin and lower limbs as well
 Symptoms caused by external pernicious influences
 Difficult urination, incontinence, painful eyes, runny nose, nose as certain and mental illnesses and disorders along the meridian’s
bleeding and nasal congestion pathway.
Disharmony along the meridian position

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BL 2 (Cuanzhu, 攢竹)
BL 2 (Cuanzhu, 攢竹) BL 19 (Danshu, 膽俞)
BL 10 (Tianzhu, 天柱 ) BL 20 (Pishu, 脾俞) Location
In the depression at the medial ends of
BL 12 (Fengmen, 風門) BL 21 (Weishu, 胃俞 ) both eyebrows.
BL 13 (Feishu, 肺俞) BL 23 (Shenshu, 腎俞)
Indications
BL 14 (Jueyinshu, 厥陰俞) BL 40 (Weizhong, 委中) Dimness of vision, tearing when exposed
BL 15 (Xinshu, 心俞) BL 57 (Chengshan, 承山) to wind, redness, swelling and pain in the
eyes.
BL 18 (Ganshu, 肝俞)

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Locating the acupoint

Method
 Find the eyebrows
Puncture horizontally 0.3-0.5 cun, or prick
with three-edged needle for bleeding.

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BL 10 (Tianzhu, 天柱 )

Method
Location
1.3 cun lateral to Yamen (GV 15), within Puncture perpendicularly 0.5 cun.
the posterior hairline, on the lateral side
of m. trapezius.

Indications
Headache, neck rigidity, nasal obstruction,
pain in the shoulder and back.

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BL 12 (Fengmen, 風門)

Locating the acupoint

Location
 Bowed head 1.5 cun lateral to the lower border of
the spinous process of the 2nd thoracic
 Find the posterior hairline
vertebra.
 Find the trapezius bulge
Indications
Cough, fever, headache, aching of the
scapular region, stiffness and rigidity of
the neck.

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Method Locating the acupoint

Puncture obliquely 0.5 cun. Moxibustion
 Bowed head
is applicable.
 Find the spinous process of the 7th

Caution cervical vertebra

Deep perpendicular or oblique insertion  Find the spinous process of the 2nd
may cause a pneumothorax. thoracic vertebra
 Find the medial border of scapula for
3 cun
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BL 13 (Feishu, 肺俞)
Method
Location
Puncture obliquely 0.5 cun. Moxibustion
1.5 cun lateral to the lower border of
the spinous process of the 3rd thoracic is applicable.
vertebra.
Caution
Indications
Deep perpendicular or oblique insertion
Cough, asthma, hemoptysis, afternoon
fever, night sweating. may cause a pneumothorax.

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BL 14 (Jueyinshu, 厥陰俞)

Locating the acupoint

Location
 Bowed head 1.5 cun lateral to the lower border of
the spinous process of the 4th thoracic
 Find the spinous process of the 7th
vertebra.
cervical vertebra
Indications
 Find the spinous process of the 3rd
Cough, cardiac pain, palpitations, stuffy
thoracic vertebra chest, vomiting.
 Find the medial border of scapula for
3 cun
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Method Locating the acupoint

Puncture obliquely 0.5 cun. Moxibustion
 Bowed head
is applicable.
 Find the spinous process of the 7th

Caution cervical vertebra

Deep perpendicular or oblique insertion  Find the spinous process of the 4th
may cause a pneumothorax. thoracic vertebra
 Find the medial border of scapula for
3 cun
Copyright by Zheng Yu, all rights reserved. All materials may not be reproduced without prior written permission. Copyright by Zheng Yu, all rights reserved. All materials may not be reproduced without prior written permission.

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BL 15 (Xinshu, 心俞)
Method
Location Puncture obliquely 0.5 cun. Moxibustion
1.5 cun lateral to the lower border of the
spinous process of the 5th thoracic is applicable.
vertebra.
Caution
Indications
Deep perpendicular or oblique insertion
Epilepsy, panic, palpitation, forgetfulness,
irritability, cough, hemoptysis. may cause a pneumothorax.

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BL 18 (Ganshu, 肝俞)

Locating the acupoint

Location
 Find the subscapular angle 1.5 cun lateral to the lower border of the
spinous process of the 9th thoracic vertebra.
 Find the spinous process of the 7th
thoracic vertebra Indications
Jaundice, pain in the hypochondriac region,
 Find the spinous process of the 5th
hematemesis, epistaxis, redness of the eye,
thoracic vertebra blurring of vision, night blindness, pain in the
back, mental confusion, epilepsy
 Find the medial border of scapula for
3 cun
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Method Locating the acupoint

Puncture obliquely 0.5 cun. Moxibustion
 Find the subscapular angle
is applicable.
 Find the spinous process of the 7th

Caution thoracic vertebra

Deep perpendicular or oblique insertion  Find the spinous process of the 9th
may cause a pneumothorax. thoracic vertebra
 Find the medial border of scapula for
3 cun
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BL 19 (Danshu, 膽俞)
Method
Location
Puncture obliquely 0.5 cun. Moxibustion
1.5 cun lateral to the lower border of
the spinous process of the 10th thoracic is applicable.
vertebra.

Indications
Jaundice, bitter taste in mouth, pain in
the chest and hypochondriac region,
pulmonary tuberculosis, afternoon fever.

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BL 20 (Pishu, 脾俞)

Locating the acupoint

Location
 Find the subscapular angle 1.5 cun lateral to the lower border of the
spinous process of the 11th thoracic
 Find the spinous process of the 7th
vertebra.
thoracic vertebra
Indications
 Find the spinous process of the 10th
Abdominal distension, jaundice, vomiting,
thoracic vertebra diarrhea, dysentery, indigestion, edema,
pain in the back.
 Find the medial border of scapula for
3 cun
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Method Locating the acupoint

Puncture obliquely 0.5 cun. Moxibustion
 Find the iliac crest
is applicable.
 Find the spinous process of the 4th
lumbar vertebra
 Find the spinous process of the 11th
thoracic vertebra
 Find the medial border of scapula for
3 cun
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BL 21 (Weishu, 胃俞 )
Method
Location
Puncture obliquely 0.5 cun. Moxibustion
1.5 cun lateral to the lower border of the
spinous process of the 12th thoracic is applicable.
vertebra.

Indications
Pain in the chest, hypochondriac and
epigastric region, abdominal distension,
nausea, vomiting, borborygmus, indigestion.

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BL 23 (Shenshu, 腎俞)

Locating the acupoint

Location
 Find the iliac crest 1.5 cun lateral to the lower border of the
spinous process of the 2nd lumbar vertebra.
 Find the spinous process of the 4th
lumbar vertebra Indications
Seminal emission, impotence, enuresis,
 Find the spinous process of the 12th
irregular menstruation, leukorrhea, backache,
thoracic vertebra weakness of the knee, blurring of vision,
tinnitus, deafness, edema.
 Find the medial border of scapula for
3 cun
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Method Locating the acupoint

Puncture perpendicularly 1.0-1.5 cun.  Find the iliac crest
Moxibustion is applicable.  Find the spinous process of the 4th
lumbar vertebra
 Find the spinous process of the 2nd
lumbar vertebra
 Find the medial border of scapula for
3 cun
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BL 40 (Weizhong, 委中)
Method
Location Puncture perpendicularly 1-1.5 cun.
Midpoint of the transverse crease of the Moxibustion or prick to bleeding is
popliteal fossa. applicable.

Indications
Lumbar pain, muscular atrophy, pain,
numbness and impaired motion of the
lower extremities, abdominal pain,
vomiting diarrhea, dysuria, erysipelas.

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BL 57 (Chengshan, 承山)

Locating the acupoint

Location
 Lying in a prone position fully extended Directly below the belly of m. gastrocnemius,
on the line connecting Weizhong (GB 40) and
 Find the transverse crease of the popliteal
tendo calcaneus, about 8 cun below
fossa Weizhong (GB 40).
 Find the two muscles
Indications
Low bake pain, spasm of the gastrocnemius,
hemorrhoids, constipation.

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Method Locating the acupoint

Puncture perpendicularly 0.5-1.0 cun.
 Stand with raise up of the toe
Moxibustion is applicable.
 Find the gastrocnemius
 Beneath the gastrocnemius

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Quiz
1.3 cun lateral to
Yamen (GV 15), Midpoint of the transverse
within the crease of the popliteal fossa.
posterior hairline, v
on the lateral side
of m. trapezius. In the depression at the medial
ends of both eyebrows.
v
Directly below the belly of m.
gastrocnemius, on the line
connecting Weizhong (GB 40)
and tendo calcaneus, about 8
cun below Weizhong (GB 40).
1.5 cun lateral to the lower border v
1.5 cun lateral to
of the spinous process of the ***
the lower border
thoracic vertebra.
of the spinous
process of the 1.5 cun lateral to the lower border
2nd lumbar of the spinous process of the ***
vertebra. thoracic vertebra.
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Reference:
1. Zhou Rongxing. Essentials of Zhenjiuology.
2. Jaung-Geng Lin. Atlas of acupuncturology.
3. http://www.shen-nong.com/eng/principles/twelvemeridian.html
4. A Manual of Acupuncture APP
5. Da-jia Chinese medicine APP

Copyright by Zheng Yu, all rights reserved. All materials may not be reproduced without prior written permission. Copyright by Zheng Yu, all rights reserved. All materials may not be reproduced without prior written permission.

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