Acupuncture Points Notebook

: Pucan : Servant's Respect

Bl-61 : Foot Taiyang Bladder 61

Meeting of Bladder with Yang Qiao Mai

On the lateral side of the foot, 1.5 cun inferior to Kunlun Bl-60, in a tender depression on the calceneum.

Perpendicular insertion 0.3 - 0.5 cun, or transverse superior insertion in "Yang Penetrative Needling".

TCM Actions:
Relaxes the sinews, activates the channel and alleviates pain

TCM Indications:
  • Headache, heavy head, heaviness of the head like a stone.
  • Mania, manic raving, seeing ghosts, loss of consciousness, childhood epilepsy, vomiting, turbid painful urinary dysfunction.
  • Lumbar pain, atrophy disorder of the leg, leg qi, sudden turmoil disorder with cramps, swelling of the knee, heel pain.

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

    One of the points in the External Dragons protocol in five element acupuncture, along with Baihui Du-20, Dazhu Bl-11 and Shenshu Bl-23, for eliminating a blockage between the therapist and patient, or a disconnection from themselves, with the additional presence of external symptoms or trauma.


    In "Yang penetrative needling", to promote flow of qi through the foot taiyang Bladder meridian, needle transversely through Kunlun Bl-60, Fuyang Bl-59 as far as Feiyang Bl-58 (Liu Yan, 2008, Diagrams of Acupuncture Manipulations, p.138).


    Avicenna describes cupping at this point in his treatise On Cupping:

    "Cupping on the heels is good in cases of amenorrhoea, sciatica, and gout." (Aspects of Treatment According to General Diseases, 22nd section in Abu-Asab, Amri & Micozzi, 2013, Avicenna's Medicine)


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


    In ayurvedic medicine:
    Gulpha marma point
    Size: 2 angula (cun)
    Structure: Joint
    Effect of Injury: Pain (rujakar marma)
    (Harish Johari, 1996, Ayurvedic Massage, Sanatan Society; Anupama Bhattacharya, n.d. Marma Shastra)


    Lad and Durve (2008) in Marma Points of Ayurveda locate a point called Parshni on the heel, one agula inferior to the tubercle. The closest acupoint would be this although there are no points on the heel, presumably due to the toughness of the skin making piercing with a needle too painful. I have seen tuina techniques performed here though.

    They associate it with the doshas: Apana Vayu, Vyana Vayu and Shleshaka Kapha with the following functions:
    - Benefits the heels
    - Promotes circulation in the feet
    - Relieves pain locally
    - Balances prana and apana in the pelvic cavity


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

    Reference Notes: (click to display)