BL65

Bladder Channel

Joined Bone

束骨Shù Gǔ

Anatomical location

On the lateral border of the foot, in the depression posterior and inferior to the head of the fifth metatarsal.

Main function

Shu-Stream point (Wood), expels Wind, relieves pain, clears the head, benefits the eyes.

  • Shu-Stream point (Wood)
  • Sedation Point
  • Ryodoraku point F4 (Bladder)

Therapeutic indications

  • Occipital headache
  • stiff neck
  • low back pain
  • sciatica
  • foot pain
  • epilepsy
  • Occipital headache
  • Vertigo
  • Back and low back pain
  • Red eyes
  • Mania
  • Boils
  • Pain in the fifth toe

Ryodoraku

F4VejigaMeasurement point no. 7

Shu-Stream, not the Yuan-Source (BL64). It is Nakatani's representative point.

  • Sedation of Bladder

Name and classical tradition

Shugu, 束骨, is the “bound bone.” 束 means to bind, to cinch, to bundle; 骨 is bone. The name describes the constriction felt behind the joint of the fifth toe with its metatarsal, where the point is located. It is a simple anatomical description.

The Lingshu (Spiritual Pivot), in the Ben Shu chapter (本輸), places it “本節之後陷者中也,” in the depression behind the joint, and names it the Shu point of the channel. The Zhenjiu Jiayi Jing (Systematic Classic of Acupuncture and Moxibustion) adds that it lies on the outer side of the little toe, and Wang Bing, in his commentary on the Suwen (Basic Questions), specifies the boundary between the red and white flesh. It is the Shu-Stream point (輸穴) of the Bladder, which on the yang channels corresponds to Wood. Its neighbor, two cun behind it, is BL64, Jinggu.

Location of point BL65, Joined Bone
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View point on the 3D modelBL65 on the anatomy
Needling techniquePerpendicular insertion 0.3-0.5 cun.
Depth0.3-0.5 cun
MoxibustionApplicable (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 BL65 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