Acupuncture Points Notebook

Location Guides:

: Kunlun : Kunlun Mountains

Bl-60 : Foot Taiyang Bladder 60

Classifications:
Jing-River and Fire point

Ma Dan-yang Heavenly Star point

Location:
Behind the ankle joint, in the depression between the prominence of the lateral malleolus and teh Achilles tendon.

Needling:
Perpendicular insertion 0.5 - 1 cun, or directed superiorly to join with Taixi Kid-3, 1.5 - 2 cun.

Warning:
Contraindicated in pregnancy


TCM Actions:
Clears heat and lowers yang
Pacifies wind and leads down excess
Activates the entire bladder channel and alleviates pain
Relaxes the sinews and strengthens the lumbar spine
Promotes labour

TCM Indications:
  • Childhood epilepsy, epilepsy, madness, lockjaw, headache, heat in the head, visual dizziness, redness pain and swelling of the eyes, bursting eye pain, pain of the upper teeth, rhinitis with nosebleed.
  • Stiff neck, contraction of the shoulder and back, Heart pain that radiates to the back, lumbar pain, sacral pain, pain of the coccyx, sciatica, pain behind the knee, ankle pain, hemiplegia.
  • Fullness of the chest, dyspnoea, cough, malaria, malaria with copious sweating.
  • Difficult labour, retention of placenta, difficulty in conceiving, swelling of the genitals, abdominal pain, difficult defecation.

    Neuroanatomy:
    Superficial Innervation: Sural nerve (L5 - S2)
    Dermatome Segment: S1
    Deeper Structures: Sural nerve (L5 - S2)

    Notes:
    The name of this point references the Kunlun mountain range, a metaphor for the ridges of the spine. This indicated the ability of this point to affect the entire length of bladder channel.

    Ling Shu Ch. 20, On the Five Evils, advises piercing this point and Yongquan Kid-1, removing any stagnant blood from visible vessels for pathogens in the Kidneys causing aching bones and Yin-type Bi syndrome with numbness, swollen abdomen, difficult defecation, dizziness and aching of the lower back, neck, nape and shoulders. A near identical passage in the Su Wen Ch. 74, gives the same advice but only refers to this point which might save a lot of unnecessary pain.

    Ling Shu Ch. 24, On Counterflow Diseases, employs this point for the treatment of Heart pain. It advises piercing this point and Jinggu Bl-64 when treating a Heart pain that feels like being struck with a bent and painful back, associated with the Kidneys.

    In Mayan medicine:
    Used to treat pain in the lower limbs (Garcia, Sierra, Balam, 1999: Wind in the Blood)

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


    Reference Notes: (click to display)