BL16

Bladder Channel

Governor Shu

督俞Dū Shū

Anatomical location

1.5 cun lateral to the lower border of the spinous process of the sixth thoracic vertebra (T6), in the space between the sixth and seventh thoracic vertebrae.

Main function

Regulates Liver Qi, relieves pain, harmonizes the Stomach, benefits the diaphragm, soothes back pain.

  • Crossing point with the Du Mai

Therapeutic indications

  • Chest pain
  • hypochondriac pain
  • stomach pain
  • vomiting
  • hiccups
  • dysphagia
  • back pain
  • shoulder pain
  • cough
  • asthma
  • fever without sweating
  • jaundice
  • hepatitis
  • cholecystitis
  • gastritis
  • chest pain
  • palpitations
  • abdominal pain
  • borborygmi

Name and classical tradition

Dushu, 督俞, is the transport point of the Du Mai, the Governing Vessel that runs along the spine. 督 is the Du, the one that governs; 俞, the transport point. It is a special case among the back Shu points, because it corresponds not to an organ or a Fu organ but to an Extraordinary Vessel. Ancient sources sometimes call it by its full name, 督脈俞.

Its historical interest is considerable. Dushu does not appear in the Zhenjiu Jiayi Jing (Systematic Classic of Acupuncture and Moxibustion), an absence that can be verified. Its formal incorporation into the Bladder channel came with Wang Zhizhong's Zhenjiu Zisheng Jing, in the Song period, in the 12th century, which drew on records of the Mingtang, a corpus of point locations lost as an independent work. The exact passage has not been checked. Together with BL14, BL24, and BL26, Dushu shows how the system of back Shu points was completed in layers, century after century.

Location of point BL16, Governor Shu
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View point on the 3D modelBL16 on the anatomy
Needling techniqueOblique insertion 0.5-0.8 cun toward the spine. It can also be needled horizontally toward BL17 (Geshu). Avoid deep needling inward so as not to damage the lungs.
Depth0.5-0.8 cun
MoxibustionApplicable (3-7 cones or 5-15 minutes)
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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 BL16 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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