Points Database

: Zhibian : Order's Limit

Bl-54 : Foot Taiyang Bladder 54

Classifications:
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)

Location:
On the buttock, in the depression 3 cun lateral to the sacro-coccygeal hiatus.

Needling:
Perpendicular insertion 1.5 - 2.5 cun, or slanted towards the anus or genitalia 2 - 3 cun

TCM Actions:
Benefits the lumbar region, activates the channel and alleviates pain
Regulates urination and treats haemorrhoids

TCM Indications:
  • Pain and coldness of the lumbar region and sacrum, Kidney deficiency lumbar pain, pain of the buttock, sciatica, painful obstruction and atrophy disorder of the lower limb.
  • Difficult urination, retention of urine, dark urine, difficult defecation, seminal emission, haemorrhoids, turbid leucorrhoea, pain of the genitals.

    Neuroanatomy:
    Superficial Innervation: Dorsal rami of S1 - S3
    Dermatome Segment: S3

    Trigger Point Associations:
    Muscle: Gluteus minimus and piriformis
    Myotome Innervation: Gluteus minimus: Superior gluteal nerve (L4 - S1); Piriformis: Nerve to the piriformis (L5 - S2)
    Location Notes: There are several other possible trigger points for gluteus minimus anterior to this point between here and juliao GB-29
    Pain Referral Pattern: To the buttock and lateral aspect of the hip, and down the posterior aspect of the thigh and calf
    Indications: Diseases of the hip joint ; Degenerative conditions of lumbar ; spine ; Sciatica

    Notes:
    Important point for pain in the lumbar, sacral region and buttocks as well as for sciatica.


    Reference Notes: (click to display)