Acupuncture Points Notebook

: Chengfu : Hold and Support

Bl-36 : Foot Taiyang Bladder 36

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

Meetings:
Meeting of Bladder with Bladder Divergent and Kidney Divergent

Location:
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.

Needling:
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.

    Neuroanatomy:
    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

    Notes:
    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, n.d. Marma Shastra)

    Lad and Durve (2008) in Marma Points of Ayurveda call this point Sphij and associate it with the doshas: 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)