Acupuncture Points Notebook

Location Guides:

: Fuyang : Instep Yang

Bl-59 : Foot Taiyang Bladder 59

Xi-Cleft point of the Yang Qiao Mai
Trigger point (Travell & Simons, 1998, Trigger Point Manual)

Meeting of Bladder with Yang Qiao Mai

On the lower leg, 3 cun directly superior to Kunlun Bl-60.

Perpendicular or oblique insertion directed proximally or distally, 1 - 1.5 cun

TCM Actions:
Benefits the lumbar region and legs
Activates the channel and alleviates pain

TCM Indications:
  • Lumbar pain with inability to stand for long, inability to stand after sitting, thigh pain, wind painful obstruction with numbness, atrophy disorder of the lower limb, inability to raise the four limbs, heaviness and soreness of the leg and knee, sciatica, cold damp leg qi, ulceration of the leg, redness and swelling of the lateral malleolus.
  • Heavy head, chills and fever, pain of the brow, sudden turmoil disorder with cramps, clonic spasm.

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

    Trigger Point Associations:
    Muscle: Flexor digitorum longus
    Myotome Innervation: Tibial nerve (L5 - S2)
    Location Notes: Slightly medial and deep to the gastrocnemus muscle
    Pain Referral Pattern: To lateral sole of foot and spillover across medial calf and ankle
    Indications: Strain of toe flexors

    Ling Shu Ch. 52, On the Wei Qi, considers this to be the root of the foot Taiyang meridian with the tip being at Jingming Bl-1.

    In Tung acupuncture a group of three points called Qi Hu, Seven Tigers (77.26), are located around this point. The lowest in 1 cun below, the second 1 cun above and the third 3 cun above this point (or 2, 4 and 6 cun above Kunlun Bl-60). They are indicated for neck and shoulder pain (Chu, 2015).

    Reference Notes: (click to display)