BL10

Bladder Channel

Celestial Pillar

天柱Tiān Zhù

Anatomical location

1.3 cun from the posterior midline, 0.5 cun inside the posterior hairline, on the lateral border of the trapezius, level with GV15 (Yamen).

Main function

Expels Wind, clears the head, benefits the nose, relieves neck and back pain, calms the Shen (Spirit).

  • Window of Heaven point

Therapeutic indications

  • Occipital headache
  • neck pain
  • stiff neck
  • back pain
  • vertigo
  • dizziness
  • blurred vision
  • nasal congestion
  • rhinitis
  • loss of smell
  • fever
  • sore throat
  • insomnia
  • mental agitation
  • epilepsy
  • convulsions
  • Torticollis
  • Shoulder and back pain
  • Nasal obstruction
  • Mental fatigue
  • Tension headache

Name and classical tradition

Tianzhu, 天柱, is the "pillar of Heaven." 天 is Heaven, which in the body is the head; 柱, a pillar, a column. The muscles of the nape, on both sides of the cervical spine, are compared to the pillars that hold up the sky. It is a direct, convincing anatomical image that needs no energetic glosses.

The Zhenjiu Jiayi Jing (Systematic Classic of Acupuncture and Moxibustion) places it "在俠項後髮際,大筋外廉陷者中," at the hairline of the nape, in the depression lateral to the large muscle. The Zhenjiu Jicheng (Compendium of Acupuncture and Moxibustion) mentions it in relation to GV16, Fengfu, and TE16, Tianyou, its neighbors on the nape. The image of the pillar is completed by that of the next point, BL11, whose name also refers to a supporting element.

Location of point BL10, Celestial Pillar
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View point on the 3D modelBL10 on the anatomy
Needling techniqueOblique insertion 0.5-0.8 cun downward or toward the painful area. It can also be needled horizontally toward BL11 (Dazhu). Avoid deep inward insertion so as not to damage the vertebral artery.
Depth0.5-0.8 cun
MoxibustionApplicable (3-5 cones or 5-10 minutes)

Patterns that use it · 4

Classical combinations · 1

  • Occipital and neck headacheLocal points of the nape with the distal points of the Taiyang and the Du Mai.
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Protocols for the 20 patterns you see most in practice

Each pattern with its tongue, its pulse, the treatment principle and the points to tonify and disperse. Made for the treatment table, not the bookshelf.

Do you use BL10 with your patients?

In the Clinic you record it in the patient's file, next to the tongue, the pulse and the measurements, so at the next session you know exactly what you used. The Atlas is built in.

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