Points Database

: Chengfu : Hold and Support

Bl-36 : Foot Taiyang Bladder 36

Trigger point (Travell & Simons, 1998, Trigger Point Manual)

Meeting of Bladder with Bladder Divergent and Kidney Divergent

Just below the buttock, on a line directly superior with Weizhong Bl-40, in the centre of the transverse gluteal crease in a depression between the hamstring muscles.

Perpendicular insertion 1 - 2 cun

TCM Actions:
Activates the channel, relaxes the sinews and alleviates pain
Regulates the lower jiao and alleviates pain
Treats haemorrhoids

TCM Indications:
  • Lumbar pain, pain of the sacrum and coccyx, pain of the buttock, sciatica, painful obstruction and atrophy disorder of the lower limb.
  • Difficult defecation, difficult urination, pain of the genitals, seminal emission, cold in the uterus, swelling of the axilla.
  • Chronic haemorrhoids, bleeding haemorrhoids.

    Superficial Innervation: Posterior cutaneous nerve of the thigh (S1 - S3)
    Dermatome Segment: S3
    Deeper Structures: Sciatic nerve (L4 - S3)

    Trigger Point Associations:
    Muscle: Adductor magnus
    Myotome Innervation: Posterior branch of obdurator nerve (L2 - L4) and sciatic nerve (L4 - S3)
    Pain Referral Pattern: Intrapelvic
    Indications: Diseases of the hip and knee

    In ayurvedic medicine:
    Katika tarunam marma point
    Size: 1/2 angula (cun)
    Structure: Bone
    Effect of Injury: Premature death (kalantarpranahar marma)
    (Harish Johari, 1996, Ayurvedic Massage, Sanatan Society; Anupama Bhattacharya, Marma Shastra)

    Lad and Durve (2008) in Marma Points of Ayurveda call this point Sphij and associate it with Vyana Vayu and Apana Vayu.

    They give the following functions:
    - Enhances circulation
    - Relieves pain
    - Benefits the colon

    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 this point and up the back to the neck and head.
    Indicated for back pain/injury/arthritis.
    (Salguero & Roylance, 2011, Encyclopedia of Thai Massage)

    Reference Notes: (click to display)