Study Notes - Exam 2

Course:
Point Location 2
Study Notes Exam 2
Date:
This test covers the PC, BL, and Kidney

Bladder Channel
How many layers are there on the scalp and into what layer do you needle for scalp acupuncture
5 layers. The top 3 are tightly bound and can be considered as one layer. You needle into the 4th
layer, the subaponeurotic space.
At what angle do you insert for scalp acupuncture?
15-30 degrees
You use Du 20 as the reference point for many Bladder points on the scalp. Where is Du 20 located?
5 cun posterior to the anterior hairline on the midline of the body at the junction of the midline of
the head and the long axis line from ear to ear. The long axis line of the ear is the line from the
bottom of the lobe to the apex of the ear.
How many points are there on the Bladder channel?
67
Where does the Bladder channel originate?
Inner canthus of the eyes
There are 3 main branches on the primary Bladder channel. What are these main branchings?
1. From Bladder 3 transverse to Du 20
2. From Du 20 oblique to the temple and around the ear
3. From Bladder 10 (at the occipital bone) into 2 branches one to Du 14 to meet with all other
yangs then down the back 1.5 cun lateral to the midline of the spine and the other down the
back 3 cun from the spine.
Where do the 2 parallel branches of the Bladder channel rejoin?
Bladder 40 in the popliteal area.
What Zangfu organs does the Bladder channel connect to?
Kidney and Bladder
What non-Zangfu organ does the Bladder channel enter?
Page 1 of 13
Brain
What is the Luo connecting point on the Bladder channel?
Bladder 58, which connects to the Kidney channel
What are the key points for acupuncture around the eyes (i.e., BL 1 and 2)?
Patient keeps eyes closed

Good communication between practitioner and patient
Communicate expectation of possible bruising, etc.
Short, thin needles
Strict CNT
Push eyeball away from insertion with clean, dry cotton ball
Insert angled slightly away from eyeball, then perpendicular
No more than 0.3-0.5 insertion depth
No needle manipulation
No needle retention
Immediately apply pressure upon withdrawl for a minimum of 3 minutes.
The Bladder channel is abbreviated as BL in the Deadman book, but you might also see it as UB.
Page 2 of 13
Point
BL 1
Categories
Mtg of Bl, SI, ST, GB, SJ
with Du, Yin Motility
and Yang Motility
BL 2
NOTE:
Location of anterior
hairline:
Location
0.1 cun medio-superior to the inner canthus
of the eye. There is a depression slightly
above the inner canthus here.
Needling
Use acu around the eye
guidelines.
Caution/Contra
Contra to Moxa
Directly above the inner canthus at the

supraorbital notch which is on the orbital
ridge superior to the eye, usually level with
the medial edge of the eyebrow.
1. Pinch and insert transv Contra to moxa

toward laterally or
toward the Yuyao (extra
point) medially.
0.3 1 cun
2. Prick to bleed for a bad
headache in this area.
The hairline is considered to be 3 cun

superior to the Yintang extra point (the 3rd
eye in some philosophies) which is between
the eyebrows.
BL 3
Directly superior to BL 2/inner canthus, 0.5

cun within anterior hairline.
(3.5 cun superior to Yintang point)
Transverse downward twd

the eye or upward twd
vertex/Du 20.
All points in the hair

are contraindicated to
moxa.
BL 4
On same level as BL 3 (0.5 into anterior

hariline), 1.5 cun lateral from midline/Du
24.
Transverse 0.3-0.5 into the

subaponeurotic space/4th
layer of skin of the scalp
Deadman does not

specifically state that
this point is contra to
moxa.
Transverse 0.3-0.5 cun into

the subaponeurotica space.
Contra to moxa
according to classical
sources.
Can also be measured as 1/3 of the distance

between Du 24 and ST 8.
BL 5
0.5 cun directly posterior to BL 4

Also measured as 1 cun into anterior
hairline, 1.5 cun lateral to Du 24.
Page 3 of 13
Point
BL 6
Categories
Location
Also measured as 2.5 cun within anterior
hairline and 1.5 cun lateral to midline
Needling
BL 7
4 cun within the anterior hairline, 1.5 cun

lateral to the midline.

BL 8
5.5 cun within the anterior hairline and 1.5

cun lateral to the midline.

Caution/Contra
Contra to moxa
sources.
Contra to moxa
sources.
Contra to moxa
sources.
Note: DU 20 is 5 cun within the anterior

hairline at the midline of the body the
vertex of the head. Use for reference if
necessary.
BL 9
1. Slide your fingers upward between the

Transverse subcutaneously
groove of the trapezius muscles at the
0.3-0.5 cun or a bit deeper
center line of the back of the neck.
2. Find the shelf edge at the back of the
skull. Continue up just over the edge of
this ridge.
3. Move fingers lateral 1.3 cun and find the
depression. Needle here.
NOTE:
Location of posterior
hairline:
Posteior hairline is 3 cun above the lower

border of the spinous process of C7 (Du 14)
BL 10
Window of Sky point
Depression on lateral aspect of the trapezius

muscle at the insertion point.
Also measured as cun above the posterior
hairline and 2 cun superior to BL 9 on the
trapezius muscle.
Page 4 of 13
Perpendicular 0.5-0.8 cun
Deadman does not

specifically say this is
contra to moxa.
Point
Categories
Location
Needling
Caution/Contra
NOTE:
There are 2 BL lines
The first BL line, 1.5 cun from the posterior

midline of the body encompasses the Back
Shu points.
Insert these trans/oblique

toward the spine.
BL 11
T1
1. Mtg of BL, SI, SJ,

GB and Du channel
Level with lower border of T1 spinous

process, 1.5 cun lateral to midline.
Oblique toward spine

0.5 1 cun.
Perpendicular insertion
carries substantial risk
of pneumothorax.
of pneumothorax.
of pneumothorax.
2. Hui Meeting of
Bones
BL 12
T2
Meeting of BL w/ Du

process, 1.5 cun lateral to midline

0.5 1 cun.
BL 13
T3
Back Shu of Lung


0.5 1 cun.
BL 14
T4
Back Shu of Pericardium


0.5 1 cun.
of pneumothorax.
BL 15
T5
Back Shu of Heart


0.5 1 cun.


0.5 1 cun.


0.5 1 cun.
of pneumothorax.
of pneumothorax.
of pneumothorax.
BL 16
T6
BL 17
T7
Hui Meeting point of

Blood
Informally known as the
Bk Shu of Diaphragm
Page 5 of 13
Point
BL 18
T9
Categories
Back Shu of Liver
Location
Needling
0.5 1 cun.
Caution/Contra
of pneumothorax.
BL 19
T10
Back Shu of Gallbladder


0.5 1 cun.
of pneumothorax.
BL 20
T11
Back Shu of Spleen


0.5 1 cun.
of pneumothorax.
BL 21
T12
Back Shu of Stomach


0.5 1 cun.
of pneumothorax.
BL 22
L1
Back Shu of Sanjiao
Level with lower border of L1 spinous

Oblique toward spine or

perpendicular
1 1.5 cun.
of kidney puncture of
perhaps pneumothorax.
BL 23
L2
Back Shu of Kidneys

Oblique toward spine or

perpendicular
1 1.5 cun.
carries risk of injuring
kidney.

Perpendicular 1 1.5 cun.


BL 24
L3
BL 25
L4
BL 26
L5
Back Shu of Lg Intestine
Page 6 of 13
Point
BL 27
S1
Categories
Back Shu of Sm Intestine
Location
Needling
st
Level with 1 sacral foramen, 1.5 cun lateral Perpendicular 0.5 1 cun
to midline
BL 28
S2
Back Shu of Bladder
Level with 2nd sacral foramen, 1.5 cun

lateral to midline
Perpendicular 0.5 1 cun
BL 29
S3
Level with 3rd sacral foramen, 1.5 cun

lateral to midline
BL 30
S4
Level with 4th sacral foramen, 1.5 cun

lateral to midline
In the 1st sacral foramen
Perpendicular 0.5 1.5 cun
In the 2nd sacral foramen
Needle slightly oblique

medial and inferior to get
the needle in.
BL 31
S1
BL 32
S2
Mtg of BL and GB
channels
Mtg of BL and GB
channels
Caution/Contra
1. Contra to moxa per

some classical texts.
2. Not too deep
nerves
Needle slightly oblique

medial and inferior to get
the needle in.
BL 33
S3
Mtg of BL and GB
channels
In the 3rd sacral foramen
BL 34
S4
BL 35
Mtg of BL and GB
channels
In the 4th sacral foramen

0.5 lateral to the tip of the coccyx
Perpendicuylar 0.5 1.5

cun
Perpendicular 1 1.5 cun
Midpoint of the gluteal crease directly
Perpendicular 1-2 cun
BL 36
Page 7 of 13
This is a very personal

spot. Be sure your
patient knows what
youre doing and why.
Might wanna have a
witness pressent.
Point
Categories
BL 37
Location
superior to BL 40 in the depression between
the hamstring muscles.
Needling
Inline with BL 36 and BL 40, 6 cun inferior

to BL 36 in a depression.
Perpendicular 1 2 cun
Use a long needle to get

through the fatty tissue
here.
Distance between BL 36 and BL 40 is 14

cun.
Use a measure to find the midpoint between
these 2 (7 cun) and then move proximally
by 1 cun.
There is a depression here.
Note:
Locating BL 40
BL 40 is located on the popliteal crease at

the midpoint of the 2 tendons on the lateral
and medial side of the crease.
The lateral tendon is the biceps femoris.
The medial tendon is actually 2 tendons, the
semitendinosus and the semimembranosus.
BL 38
1 cun superior to popliteal crease on the

medial edge of the biceps femoris tendon
(the tendon on the lateral side of the
popliteal crease).
Locate with knee slightly flexed
BL 39
Lower He Sea of SJ
On the popliteal crease in a depression

Page 8 of 13
Caution/Contra
Point
Categories
Location
medial to the biceps femoris tendon.
Needling
Caution/Contra

or prick to bleed the
superficial veins.
Caution: tibial nerve

and popliteal artery and
vein are deep to here.
Transverse/oblique toward
lateral, 0.3 0.5 cun
Perp of deep oblique

medially = risk of
pneumothorax.
Transverse/oblique medial
or lateral, 0.3 0.5 cun
Deep perp or medial

oblique = risk of
pneumothorax
Deep perp or medial
Locate with knee slightly flexed.

BL 40
1. He Sea and Lower He On popliteal crease in a depression midway

Sea of BL
between tendons of biceps femoris and
2. Cmd of back/lumbar semitendinosus.
Locate with knee slightly flexed.
Notes:
BL 41
T2
Numbers for 2nd bladder

line:
1st BL line no. + 29 = 2nd BL line no.
Locating the 2nd bladder

line level:
When shoulders are relaxed the medial

border of the scapula is 3 cun from the
midline.
Relation to Bk Shu
Shen uses 2nd BL line to treat emo imbal

based on pattern i.d. Often corresponds with
the back shu points with which the points of
the 2nd BL line are level. Function can be
similar and complementary to the back
shus.
Mtg of BL and SI
Level with BL 12/ T2, 3 cun lateral to

midline
Note: on same vertical level as SI 14
BL 42
T3

midline
Level with Bk Shu of LU
Bl 43

Page 9 of 13
Point
T4
Categories
Location
midline
Needling
Caution/Contra
oblique = risk of
pneumothorax
Deep perp or medial

oblique = risk of
pneumothorax
Deep perp or medial
oblique = risk of
pneumothorax
Deep perp or medial
oblique = risk of
pneumothorax
Level with Bk Shu of PC

BL 44
T5
Level with BL 15/T5, 3 cun lateral to

midline
Level with Bk Shu of Heart
BL 45
T6

midline
Transverse/oblique lateral,
0.3 0.5
BL 46
T7

midline
0.3 0.5
Level with Bk Shu of Diaphragm

BL 47
T9

midline
0.3 0.5
Deep perp or medial

oblique = risk of
pneumothorax
0.3 0.5
Deep perp or medial

oblique = risk of
pneumothorax
0.3 0.5
Deep perp or medial

oblique = risk of
pneumothorax
Deep perp or medial
Level with Bk Shu of Liver

BL 48
T10

midline
Level with Bk Shu of GB
BL 49
T11

midline
Level with Bk Shu of SP
BL 50

Page 10 of 13
Point
T12
Categories
Location
midline.
Needling
0.3 0.5
Caution/Contra
oblique = risk of
pneumothorax
Oblique 0.5 1 cun
Deep perp = risk of

injury to kidney
Oblique 0.5 1 cun
Deep perp = risk of

injury to kidney
Level with Bk Shu of ST

BL 51
L1
Level with BL 22/L1, 3 cun lateral to

midline
Level with Bk Shu of SJ
BL 52
L2
Level with BL 23/L2, 3 cun lateral to

midline
Level with Bk Shu of KD
Level with 2nd sacral foramen, 3 cun lateral
to midline.
BL 53
S2
Level with Bk Shu of BL

BL 54
S4
Level with 4th sacral foramen, 3 cun lateral
Perpendicular 2 3 cun or
angled toward genitals
BL 55
Lower leg, 2 cun inferior to BL 40, inline

with BL 40 + BL 57, in a depression on the
upper border of the junction of the 2 heads
of the gastrocnemius
BL 56
5 cun distal from BL 40 or 3 cun distal from

BL 55. Located on the highest point of the
gastrocnemius. Inline with BL 40 and 57.
BL 57
Mispoint between BL 40 and lateral tip of

the malleolus in a depression between the 2
gastrocnemius muscles.
About 45 degrees lateral and distal to BL 57
BL 58
Luo Connecting point of
Page 11 of 13
Classical texts say

contra to moxa.
Point
Categories
the Bladder channel
Location
Needling
(and abt 7 cun proximal from prominence of
lateral malleolus.
BL 59
XiCleft of the Yang

Motility vessel
3 cun directly superior to BL 60, midway

between the Achilles tendon and the
peroneal tendon or mid point between the
posterior edge of the leg and the bone when
viewed from the side.
BL 60
Jing River of Bladder ch
Posterior to the ankle joint in the depression

between the prominence of the lateral
malleolus and the Achilles tendon.
On lateral side of foot in a depression on the

calcaneus bone formed by the junction of
the Achilles tendon with the bone. Must be
at the junction of the red/white skin.
BL 61
Mtg of BL and Yang

Motility vessel
Confluent pt of Yang
Motility vessel
Lateral foot in a depression directly inferior

to the lateral malleolus (usually abt 0.5 cun)
and posterior to 2 tendons found here.
Oblique inferiorly, 0.3

0.5 cun
Must satisfy both conditions.

BL 63
Xi Cleft of BL
Mtg of BL and Yang
Linking
Lateral foot in depression posterior to

tuberosity of MT 5 on the line where
red/white skin meet.
To find:
1. Below anterior brdr of malleolus
2. Lower border of cubiod bone
3. Posterior to tuberosity ot MT 5
Page 12 of 13
Contra for preggs.

Used to induce labor
Usually abt 1.5 cun inferior to BL 60, but

not always.
BL 62
Caution/Contra
Point
Categories
Location
where skin chgs color/txture.
Needling
BL 64
Yuan Source of BL
Lateral foot, depression anterior + inferior

to MT 5 tuberosity on the border where
red/white skin meet.
Perpendicular 0.3 0.5

cun.
BL 65
Shu Stream of BL
Lateral foot, proximal to knuckle of MT 5

and phalanges on border where red/white
skin meets.
Caution/Contra
Curl toes to see better.

BL 66
Ying Spring of BL
Lateral foot, distal to knuckle of MT 5 and

phalanges on border where red/white skin
meets.
Perpendicular/obl 0.2 0.3

cun.
Curl toes to see better.

BL 67
Jing Well of BL
Lateral corner of little toe nail.
Page 13 of 13
Perpendicular 0.1 0.2 or

prick to bleed.
Contra to pregs,
But most imp point to
turn the baby with fetal
malposition.

Study Notes - Exam 2

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Study Notes - Exam 2

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Course:

This test covers the PC, BL, and Kidney

Patient keeps eyes closed

Directly above the inner canthus at the

1. Pinch and insert transv Contra to moxa

The hairline is considered to be 3 cun

Directly superior to BL 2/inner canthus, 0.5

Transverse downward twd

All points in the hair

On same level as BL 3 (0.5 into anterior

Transverse 0.3-0.5 into the

Deadman does not

Transverse 0.3-0.5 cun into

Can also be measured as 1/3 of the distance

0.5 cun directly posterior to BL 4

4 cun within the anterior hairline, 1.5 cun

Transverse 0.3-0.5 cun into

5.5 cun within the anterior hairline and 1.5

Transverse 0.3-0.5 cun into

Note: DU 20 is 5 cun within the anterior

1. Slide your fingers upward between the

Posteior hairline is 3 cun above the lower

Window of Sky point

Depression on lateral aspect of the trapezius

Perpendicular 0.5-0.8 cun

Deadman does not

There are 2 BL lines

The first BL line, 1.5 cun from the posterior

Insert these trans/oblique

1. Mtg of BL, SI, SJ,

Level with lower border of T1 spinous

Oblique toward spine

Level with lower border of T2 spinous

Oblique toward spine

Back Shu of Lung

Level with lower border of T3 spinous

Oblique toward spine

Back Shu of Pericardium

Level with lower border of T4 spinous

Oblique toward spine

Back Shu of Heart

Level with lower border of T5 spinous

Oblique toward spine

Level with lower border of T6 spinous

Oblique toward spine

Level with lower border of T7 spinous

Oblique toward spine

Hui Meeting point of

Back Shu of Gallbladder

Level with lower border of T10 spinous

Oblique toward spine

Back Shu of Spleen

Level with lower border of T11 spinous

Oblique toward spine

Back Shu of Stomach

Level with lower border of T12 spinous

Oblique toward spine

Back Shu of Sanjiao

Level with lower border of L1 spinous

Oblique toward spine or

Back Shu of Kidneys

Level with lower border of L2 spinous

Oblique toward spine or

Level with lower border of L3 spinous