L. Intestine CONTENTS CONTENTS CONTENTS CONTENTS CONTENTS CONTENTS Stomach Bladder Channel Spleen Heart S.

Intestine CHENGSHAN BL-57

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

INDICATIONS

Bladder Support the Mountain Kidney Ma Dan-yang Heavenly Star point Pericardium Sanjiao
LOCATION

Gall Bladder On the lower leg, in the depression formed below the Liver bellies of the gastrocnemius muscle when the muscle is Conception flexed, approximately 8 cun distal to Weizhong BL-40, i.e. midway between Weizhong BL-40 and Kunlun BL-60. Governing Extra Points

Haemorrhoids, bleeding haemorrhoids, swollen and painful haemorrhoids, constipation, prolapse of the rectum. Pain and stiffness of the lumbar region, sciatica, difficulty sitting and standing, inability to stand for long, cramps, pain and contraction of the sinews, leg qi with swollen knee, heavy legs, flaccidity and weakness of the leg, pain of the heel, heat sensation in the soles with inability to stand for long. Shivering, malaria, sudden turmoil disorder, nosebleed, sore throat, heat in the head.
COMMENTARY

Weizhong BL-40

Chengshan BL-57

Kunlun BL-60

LOCATION NOTE

Run your finger upwards from the Achilles tendon along the midline until it falls into the depression formed between the two origins of the gastrocnemius muscle bellies; this depression may be easier to palpate if you ask the patient to press the ball of their foot against the resistance of your hand.
NEEDLING

Perpendicular or oblique insertion directed proximally or distally, 1 to 1.5 cun.

Relaxes the sinews, activates the channel and alleviates pain Benefits the calf and heel Treats haemorrhoids

Chengshan BL-57 was included by Ma Dan-yang, the great physician of the Jin dynasty, among the eleven heavenly star points67, his grouping of the most vital acupuncture points. Clinically, Chengshan BL-57 is used in three principal situations: i. haemorrhoids, ii. contraction and pain of the calf, and iii. heel pain. The Bladder divergent channel winds around the anal region. Classically, Chengshan BL-57 has been regarded as the primary distal point in the treatment of all kinds of haemorrhoids. For example, the Song to Keep Up Your Sleeve says for the five types of haemorrhoids due to hot blood, select Chengshan BL-57 and await disappearance of the disease without a trace, whilst Ma Dan-yang recommends it for ... haemorrhoids and difficulty in defecation ... . Pain and contraction of the calf may be due to traumatic injury, painful obstruction, or the sequela of sudden turmoil disorder, but is most commonly encountered in the context of deficiency of Liver blood. The Essential Questions68 says When a person sleeps the blood returns to the Liver. Pain and contraction of the calf therefore tends to occur at night when the body is at rest, the blood returns to the Liver, and the relative insufficiency of circulating blood is unable to nourish and soften the sinews and muscles of the extremities. This symptom is more commonly encountered in those who tend to suffer from blood deficiency, particularly women because of the loss of blood entailed in menstruation, and the elderly because of the inevitable decline of essence and blood inherent in ageing. Although having no action on the Liver blood itself, Chengshan BL-57 is an important local point in the treatment of this disorder. Heel pain may be due to traumatic injury, painful obstruction or Kidney deficiency. Chengshan BL-57 is an important proximal point for this disorder and may be combined with other suitable points in the treatment of heel pain of whatever aetiology.

8 cun

8 cun

L. Intestine CONTENTS CONTENTS CONTENTS CONTENTS CONTENTS CONTENTS CONTENTS Stomach 2 Spleen Heart

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 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 Combinations Combinations Combinations Index Index Index Previous Point Next Point Previous Point Point Combinations Index Combinations Index Bladder See Notes Previous Point Next Next PointChannel Combinations Index

S. Intestine lumbar pain. Clinically it is now more commonly used Bladder for sciatic pain radiating to the calf region. Kidney
COMBINATIONS Pericardium

The nine types of haemorrhoids (with bleeding)59: Sanjiao Chengshan BL-57 and Changqiang DU-1 (Song of the Gall Bladder Jade Dragon). Liver The five types of haemorrhoids: Chengshan BL-57, Conception Weizhong BL-40, Feiyang BL-58, Yangfu GB-38, Fuliu KID-7, Taichong LIV-3, Xiaxi GB-43, Qihai Governing REN-6, Huiyin REN-1 and Changqiang DU-1 (Great Extra Points Compendium). Chronic haemorrhoids: Chengshan BL-57, Erbai (M-UE-29) and Changqiang DU-1 (Great Compendium). Blood in the stool: Chengshan BL-57, Fuliu KID-7, Taichong LIV-3 and Taibai SP-3 (Great Compendium). Intestinal wind (blood in the stools): Chengshan BL-57 and Changqiang DU-1 (One Hundred Symptoms). Difficult defecation: Chengshan BL-57 and Taixi KID-3 (Supplementing Life). Difficult defecation: Chengshan BL-57, Dazhong KID-4, Zhongliao BL-33, Guanyuan REN-4, Chengjin BL-56, Taichong LIV-3, Taixi KID-3 and Zhongwan REN-12 (Supplementing Life). Feebleness of the legs: Chengshan BL-57, Weizhong BL-40 and Zusanli ST-36 (Great Compendium). Pain of the legs and lumbar region: Chengshan BL-57, Yinshi ST-33, Huantiao GB-30, Fengshi GB-31, Weizhong BL-40, Kunlun BL-60 and Shenmai BL-62 (Great Compendium). Contraction of the legs: Chengshan BL-57, Shangqiu SP-5, Chengjin BL-56 and Jinggu BL-64 (Thousand Ducat Formulas). Heat in the sole of the foot with inability to stand for long: Chengshan BL-57, Chengjin BL-56, Tiaokou ST-38 and Zusanli ST-36 (Thousand Ducat Formulas).