BL5

Bladder Channel

The Five Places

五处Wǔ Chù

Anatomical location

1 cun above the anterior hairline, 1.5 cun from the midline, level with GV23 (Shangxing) and 0.5 cun posterior to BL4.

Main function

Expels Wind, clears the head and eyes, calms Internal Wind, relieves headache, descends Liver Yang.

Therapeutic indications

  • Headache
  • vertigo
  • dizziness
  • blurred vision
  • epilepsy
  • convulsions
  • stiff neck
  • pain in the upper body
  • insomnia
  • agitation
  • mania
  • Nasal obstruction

Name and classical tradition

Wuchu, 五处, means "the fifth place" or "five places." 處 is a place, a dwelling. The reading the sources give is positional: from this point to BL9, Yuzhen, there are five points in all in the row of the channel over the head.

The context of that reading does have an ancient text behind it. The Suwen (Basic Questions), in the chapter Qi Xue Lun (氣穴論), speaks of the "five rows of the head, five in each row," "頭上五行,行五": a scheme of twenty-five points distributed along five longitudinal lines over the skull, one of which is that of the Bladder channel. The quotation refers to the scheme in general, not to this point in particular, but it explains the numerical logic that seems to lie behind its name. The Zhenjiu Jiayi Jing (Systematic Classic of Acupuncture and Moxibustion) places it "在督脈傍,去上星一寸五分," beside the Du Mai, one and a half cun from Shangxing, GV23.

The same Jiayi Jing adds a warning: "不可灸," no moxibustion at Wuchu.

Location of point BL5, The Five Places
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View point on the 3D modelBL5 on the anatomy
Needling techniqueSubcutaneous insertion 0.3-0.5 cun posteriorly or downward along the line of the channel. It can also be needled horizontally toward BL6 (Chengguang).
Depth0.3-0.5 cun
MoxibustionApplicable with caution (3-5 cones or 5-10 minutes)
Cover of the guide “Protocols for the 20 most common patterns”

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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 BL5 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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