Points Database

Location Guides:

: Tianzhu : Celestial Pillar

Bl-10 : Foot Taiyang Bladder 10

Classifications:
Window of Heaven
Confluent point of the Bladder and Kidney Divergent channels (Cecil-Sterman, 2012, Advanced Acupuncture)
One of the "59 piercings" for clearing Heat in Ling Shu Ch. 23

Trigger point (Travell & Simons, 1998, Trigger Point Manual; Melzack, Stillwell & Fox, 1977, Trigger Points and Acupuncture Points for Pain: Correlations and Implications, Pain 3, p3-23)

Meetings:
Meeting of Bladder with Bladder Divergent and Kidney Divergent

Location:
On the lateral aspect of the trapezius muscle, 1.3 cun lateral to Yamen Du-15.

Needling:
Perpendicular insertion 0.5 - 0.8 cun

TCM Actions:
Regulates qi and pacifies wind
Benefits the head and sesory orifices
Calms the spirit
Activates the channel and alleviates pain

TCM Indications:
  • Dizziness, inability of the legs to support the body, sudden muscular contractions, pain of the body.
  • Pain and heaviness of the head, headache, head wind, stiffness of the neck with inability to turn the head, pain of the shoulder and back, bursting eye pain, redness of the eyes, blurred vision, lacrimation, swelling of the throat with difficulty in speaking, nasal congestion, loss of sense of smell, febrile disease with absence of sweating.
  • Mania, incessant talking, seeing ghosts, epilepsy, childhood epilepsy, upward staring eyes.

    Neuroanatomy:
    Superficial Innervation: Dorsal rami of C3 - C5
    Dermatome Segment: C4
    Deeper Structures: Branches from C1 - T1 supplying posterior cervical muscles

    Trigger Point Associations:
    Muscle: Posterior cervical: upper semispinalis capitis
    Myotome Innervation: Greater occipital nerve (C2)
    Pain Referral Pattern: Across temporal area and forehead, mainly to temple above and lateral to the eye (Travell & Simons, 1998)
    \nDirectly superior into the occiput and along the midline of the neck (Melzack et al, 1977)
    Indications: Degenerative diseases of cervical spine

    Notes:
    Ling Shu Ch. 21, On Cold and Heat Diseases, recommends this point in cases of sudden cramps, epileptic fits, impaired vision and when the feet can no longer support the body.

    Ling Shu Ch. 23, On Heat Diseases, gives a different list of points for the "59 Piercings" to Su Wen Ch. 61 which includes this point.

    Ling Shu Ch. 24, On Counterflow Diseases, advises this point treating headache starting from the nape and then hurting in the lower back and spine. It advises using this point and then the rest of the foot Taiyang meridian.

    Ling Shu Ch. 34, On the Five Disturbances, advises this point and Dazhu Bl-11 to remove disturbing Qi in the head causing counterflow leading to headaches, a heavy head and dizziness with falling down. If this does not work then pierce Shugu Bl-65 and Zutonggu Bl-66.

    In the Jade Purity Tradition this would be a suitable addition to the third trinity of Ghost Points (Yuen, 2005, 3 Spirits & 7 Souls).

    One of the 18 tender spots used in the diagnosis of fibromyalgia (Wang, Acupuncture and Traditional Chinese Medical Approaches for Fibromyalgia, Acupuncture Today, vol.6 no.3, 2005).

    In Tibetan medicine:
    Moxa point (AMNH, Tibetan Medical Paintings)

    In Thai massage:
    Acupressure points along the Itha (left) and Pingala (right) sen lines of head where they split from two lines running up the back to three lines running across the centre and sides of the head.
    Indicated for headache, hypertension, neck and shoulder pain/injury/arthritis and stress.
    (Salguero & Roylance, 2011, Encyclopedia of Thai Massage)


    Reference Notes: (click to display)