Points Database

: Jueyinshu : Jueyin Shu

Bl-14 : Foot Taiyang Bladder 14

Classifications:
Back-Shu point of the pericardium
Master Tung's Double Phoenixes
Master Tung's Nine Monkeys
Master Tung's Behind the Heart points
Trigger point (Travell & Simons, 1998, Trigger Point Manual)

Location:
1.5 cun lateral to the lower border of the spinous process of the fourth thoracic vertebra (T4).

Needling:
Oblique insertion towards the spine 0.5 - 1 cun, or transverse-oblique insertion 1 - 1.5 cun

Warning:
Perpendicular needling or oblique needling away from the spine carries a substantial risk of causing a pneumothorax.


TCM Actions:
Spreads liver qi and unbinds the chest
Regulates the heart
Regulates and descends qi

TCM Indications:
  • Heart pain, oppression of the chest, pain of the chest and diaphragm due to accumulation of qi, palpitations, agitation and restlessness, agitation and oppression, restless zang disorder.
  • Cough, shortness of breath, rebellious qi vomiting, toothache.

    Neuroanatomy:
    Superficial Innervation: Posterior cutaneous thoracic nerves from T4
    Dermatome Segment: T4

    Trigger Point Associations:
    Muscle: Multifidus
    Myotome Innervation: Posterior branches of dorsal rami from T4
    Pain Referral Pattern: Local to point and around midline
    Indications: Back pain

    Notes:
    One of the Aggressive Energy Drain points in five element acupuncture, along with Feishu Bl-13, Xinshu Bl-15, Ganshu Bl-18, Pishu Bl-20 and Shenshu Bl-23, indicated where psychological or emotional issues are blocking treatment. They are needled from left to right, top to bottom, with the exception of Xinshu Bl-15 that is needled last, along with controls outside the Bladder channel at the same levels. If aggressive energy is present the points should become redder than the test points and are left until the redness disappears. If not then needles can be removed and treatment continued.

    In Master Tung's system a line of points corresponding to the inner back Shu points from T2 to T8, known as the double phoenix points (Shuang Feng), can be pricked to release a drop of blood in cases of pain or numbness in the extremities or arteriosclerosis.
    They all relate to the Fire element and the Heart and so have the function of quickening the Blood in the Heart and the extremities (McCann, 2014, Pricking the Vessels).

    This point is also one of the Nine Monkeys (Jiu Hou) in Tung Lineage acupuncture. They are located at 1.5 cun and 3 cun lateral from the midline level with T2, T3 and T4 and 6 cun from the midline, level with T1, T2 and T3. They are pricked to bleed in cases of scarlet fever phlegm and stuck in the bronchia that cannot be expelled (ibid.).

    Tung's Behind the Heart (Hou Xin or Bei Xin) points are located under spinous processes from T4 to T9, 1.5 cun laterally to T4 to T7 and 3 cun laterally from T4 to T6. They are indicated for "wool like furuncles", clove sores, weakness and debility of the Heart zang, Stomach diseases, acute heart disease leading to numbness and paralysis, wind-cold entering the interior, severe wind-cold, stroke, externally contracted diseases that manifest with papules. They clear heat from the Heart and Lung and release the exterior so are useful in dermatological disorders (ibid.).

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

    In Thai massage:
    Acupressure point along the Itha (left) and Pingala (right) sen lines running from the navel Shenque Ren-8 to the knee and up the back to the neck and head.
    Indicated for asthma, back pain/injury/arthritis, breathing difficulties, cough, gastrointestinal ailments, indigestion, lung disorders, menstruation problems, PMS, Reproductive system ailments and stomach ache.
    (Salguero & Roylance, 2011, Encyclopedia of Thai Massage)


    Reference Notes: (click to display)