BL 58
BL 58
BL 58
General Index Indications Index Point Names Index Glossary Points Index General General General Index Index Index Indications Indications Indications Index Index Index Point Point Point Names Names Names Index Index Index Glossary Glossary Glossary Points Points Points Index Index Index Index Index Names Index Points Index General Index Indications Indications Index Point Point Names Index Glossary Glossary Points Index General Previous Point Next Point Combinations Index Previous Previous Previous Point Point Point Next Next Next Point Point Point Combinations Combinations Combinations Index Index Index 1 See Notes Previous Point Point Combinations Index Previous Point Next Next Point Combinations Index
Bladder Soaring Upwards Kidney Luo-Connecting point of the Bladder channel Pericardium Sanjiao
LOCATION
Gall Bladder On the lower leg, 7 cun directly superior to Kunlun BL-60, Liver lateral to and approximately 1 cun inferior to Chengshan Conception BL-57. Governing Extra Points
Chills and fever, fever with absence of sweating, malaria, malaria with absence of thirst. Lumbar pain, heaviness of the body with inability to sit or stand, shivering with inability to sit or stand for long, atrophy disorder of the lower limb, coldness of the lower part of the body, weakness of the legs, difficulty in walking, swelling and pain of the lower limb, sciatica, wind painful obstruction of the joints, inability to flex or extend the toes. Haemorrhoids, swollen and painful haemorrhoids, bleeding haemorrhoids.
COMMENTARY
Weizhong BL-40
Kunlun BL-60
NEEDLING
Harmonises the upper and lower Expels wind from taiyang channel Treats haemorrhoids Activates the channel and alleviates pain
INDICATIONS
Heat in the head, dizziness, visual dizziness, headache and dizziness, pain of the neck and occiput, pain of the head and back, rhinitis, rhinitis with obstruction and pain of the head and back, nosebleed, nasal congestion, mania, epilepsy.
Feiyang BL-58 is the luo-connecting point of the Bladder channel. An examination of its modern application compared with its traditional indications reveals a significant disparity. Clinically it is most commonly used nowadays for disorders of the lower limb and lumbar pain, particularly for sciatic pain which is located either along the course of both the Bladder and Gall Bladder channels, or between these two channels. This reflects the location of Feiyang BL-58 at the place where the Bladder channel, which runs down the back of the leg from Chengfu BL-36, passes laterally towards the Gall Bladder channel on the lower leg. Its traditional indications however, show a much wider application, characterised by excess in the upper region, sometimes with accompanying deficiency below (a pattern which may explain the name of this point, Soaring Upwards as well as its alternative name Flying Yang). From Feiyang BL-58 the luo-connecting channel meets with the Kidney channel, strengthening the relationship between these coupled channels. According to the Guide to the Classics of Acupuncture the luo-connecting points are located between two channels ... if they are punctured, symptoms of the interiorly-exteriorly related channels can be treated69. When the Kidneys are depleted there may be deficiency below manifesting as lumbar pain, coldness of the lower part of the body, inability to stand and weakness of the legs. At the same time there may be excessive yang rising up the coupled Bladder channel to the head and manifesting as dizziness, headache, pain of the neck and occiput, heat in the head and nosebleed. As the Bladder channel descends towards the foot, its points are increasingly indicated for disorders of the spirit such as mania, and Feiyang BL-58 is the first of these. The Bladder primary channel connects with the Governing vessel at points Taodao DU-13, Dazhui DU-14, Naohu DU-17 and Baihui DU-20, where it enters the brain, whilst the Bladder divergent channel enters the Heart. Since both the brain and the Heart have been cited as the residence of the spirit in different traditions of Chinese
L. Intestine CONTENTS CONTENTS CONTENTS CONTENTS CONTENTS CONTENTS CONTENTS Stomach 2 Spleen Heart
Index Indications Index Point Names Index Glossary Points Index General General General Index Index Index Indications Indications Indications Index Index Index Point Point Point Names Names Names Index Index Index Glossary Glossary Glossary Points Points Points Index Index IndexGeneral General Index Indications Index Point Names Index Glossary General Index Indications Index Point Names Index Glossary Points Index Points Index General Index Indications Index Point Names Index Glossary Points Index Previous Point Next Point Combinations Index Previous Previous Previous Point Point Point Next Next Next Point Point Point Channel Combinations Combinations Combinations Index Index Index Previous Point Next Point Previous Point Next Point Combinations Index Combinations Index Previous Point Next Point Combinations Index Bladder See Notes
S. Intestine medicine, these two channel pathways help explain the Bladder ability of points such as Feiyang BL-58 to calm the spirit Kidney and treat disorders of the brain such as mania and epilepsy. When pathogenic factors, principally exterior wind, Pericardium attack the taiyang channel they may give rise to chills and Sanjiao fever or fever with absence of sweating, as well as various Gall Bladder symptoms affecting the head such as pain of the neck and Liver heat in the head, nasal congestion and rhinitis, occiput, Conception nosebleed and dizziness. Feiyang BL-58, a distal point of the Governing foot taiyang channel, is able to expel pathogens from the Extra channel, release the exterior and clear the upper Points portion of the channel. The Bladder divergent channel encircles the anal region, and like Chengjin BL-56 and Chengshan BL-57, Feiyang BL-58 is classically indicated for the treatment of haemorrhoids, swollen and painful haemorrhoids and bleeding haemorrhoids. Finally, the Great Compendium of Acupuncture and Moxibustion gives specific indications for excess and deficiency of the luo-connecting points. In the case of Feiyang BL-58, these are rhinitis with obstruction and pain of the head and back (excess); rhinitis with nosebleed (deficiency).
COMBINATIONS
Dizziness and eye pain: Feiyang BL-58 and Yanggu SI-5 (Supplementing Life). Headache and dizziness: Feiyang BL-58, Kunlun BL-60, Ququan LIV-8, Qiangu SI-2, Shaoze SI-1 and Tongli HE-5 (Thousand Ducat Formulas). Heat in the head and rhinitis with nosebleed: Feiyang BL-58, Chengshan BL-57, Kunlun BL-60, Jinggu BL-64 and Yinbai SP-1 (Thousand Ducat Formulas). Neck pain, joint pain and sweating: Feiyang BL-58, Yongquan KID-1 and Hanyan GB-4 (Thousand Ducat Formulas). Madness and mania disorder with tongue thrusting: Feiyang BL-58, Taiyi ST-23 and Huaroumen ST-24 (Thousand Ducat Formulas).