BL11

Bladder Channel

Great Shuttle

大杼Dà Zhù

Anatomical location

1.5 cun lateral to the lower border of the spinous process of the first thoracic vertebra (T1), in the space between the first and second thoracic vertebrae.

Main function

Strengthens Wei Qi (Defensive Qi), regulates Lung Qi, benefits the bones and joints, relieves cough and asthma, calms back pain.

  • Hui point of the Bones
  • Sea of Blood Point
  • Crossing point with the Small Intestine channel

Therapeutic indications

  • Cough
  • asthma
  • sore throat
  • fever
  • back pain
  • spinal stiffness
  • shoulder pain
  • neck pain
  • headache
  • stiff neck
  • general fatigue
  • weakness of the limbs
  • arthralgia
  • osteoporosis
  • Shoulder and back pain
  • Headache
  • Joint disorders
  • Bone weakness
  • Ankylosing spondylitis
  • Rheumatoid arthritis
  • Chemotherapy-induced leukopenia
  • Anemia

Name and classical tradition

Dazhu, 大杼, is named after a weaving tool. 杼 is the shuttle of the loom, and 杼骨, “shuttle bone,” was the term for the prominent vertebra at the base of the neck and the processes that stand out on either side of the spine. 大, great, indicates that it is the first and most marked of the series. The point lies at the level of the first thoracic vertebra.

The Lingshu (Spiritual Pivot), in the chapter Bei Shu (背腧), devoted to the back transport points, begins right here: “大腧在杼骨之端”, the great transport point is at the end of the shuttle bone. Hence the alternative name 大腧, probably the original, of which 大杼 would be the later fixed form. It is the soundest citation for a back point, and it makes Dazhu the forerunner of the whole series of back Shu points that begins with BL13.

Tradition also gave it a role of its own: the Nanjing (Classic of Difficulties), in Difficulty 45, includes it among the eight Influential (Hui) points as the meeting point of the bones (骨會).

Location of point BL11, Great Shuttle
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View point on the 3D modelBL11 on the anatomy
Needling techniqueOblique insertion 0.5-0.8 cun downward or toward the spine. It can also be needled horizontally toward BL12 (Fengmen). Avoid deep needling inward so as not to damage the lungs.
Depth0.5-0.8 cun
MoxibustionApplicable (3-7 cones or 5-15 minutes)

Classical combinations · 2

  • The Eight Influential Points八会穴Bā Huì XuéInfluential (Hui) point of each substance or tissue: Zang LR13, Fu CV12, Qi CV17, Blood BL17, tendons GB34, vessels LU9, bones BL11, marrow GB39.
  • Sinews and bonesThe three Influential (Hui) points of the musculoskeletal system: tendons, bones, and marrow.
Cover of the guide “Protocols for the 20 most common patterns”

Free guide · PDF

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 BL11 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.

See the Clinic