Bladder Meridian

Question 1

Trace the Bladder Meridian, number of points, yin or yang and sympathetic or parasympathetic

Answer 1

67 points, yang, sympathetic

Question 2

BL 2 location, insertion and needle depth, use?

Answer 2

Median end of the eyebrow at the medial superior corner of the orbital fossa near the supratrochlear notch

Oblique either medial to lateral or superior to inferior at a depth of 0.3 to 0.5 cun

Bell’s palsy, Trigeminal V1 neuralgia, headache

Question 3

BL 10 location, insertion and needle depth, use?

Answer 3

On the level of the C2 spinous process (same as GV 15) 1.3 cun lateral to the midline in the depression on the lateral aspect of the traps

Perpendicular post to ant at a depth of 0.5 to 1 cun

Pain on posterior aspect of head and neck, occipital headaches, torticollis, pain and spasm of traps and SCM, whip lash, greater occipital nerve neuralgia, RA at C1-C2 and ligamentous strain at C1-C2

Question 4

BL 23 location, insertion and needle depth, use?

Answer 4

1.5 cun lateral to the midline at the level of the lower border of the spinous process of L2

Oblique at a 30-45 degree angle to the skin lateral to medial

Sympathetic switch: sympathetic vascular conditions of the lower extremity, sympathetic hypersensitivity, inflammation of the spine, pain/inflammation/spasm of paraspinals, RA, ankylosing spondylitis, LBP

Question 5

BL 25 location, insertion and needle depth, use?

Answer 5

1.5 cun lateral to the midline at the level of the lower border of the spinous process of L4

Perpendicular to the skin, post to ant at a depth of 1-1.5 cun

DDD, OA, ligamentous sprain/strain, lumbago, sprain of QL

Question 6

BL 31 location, insertion and needle depth, use?

Answer 6

Approximately 1 cun lateral to the midline in the first sacral foramen

Perpendicular ot the skin into the first sacral foramen at a depth of 1-1.5 cun

Parasympathetic switch, SI sprain, piriformis syndrome, pain in hip girdle muscles, sciatica in the S1

Question 7

BL 32 location, insertion and needle depth, use?

Answer 7

Approximately 1 cun lateral to the midline in the second sacral foramen at the level of the lower border of the SI

Perpendicular ot the skin into the second sacral foramen at a depth of 1-1.5 cun

Parasympathetic switch, SI sprain, piriformis syndrome, pain in hip girdle muscles

Question 8

BL 53 location, insertion and needle depth, use?

Answer 8

3 cun lateral to the midline at the level of the S2 foramen or the lower edge of the SI joint, just lateral to the sacrum

Perpendicular to the skin at a depth of 1 - 1.5 cun

Myofascial strain of TFL, glute med and min, LBP

Question 9

BL 54 location, insertion and needle depth, use?

Answer 9

3 cun lateral to the midline at the level of the S4 foramen about 1 cun above the sacral hiatus

Perpendicular to the skin at a depth of 1.5 - 2 cun

Glute max myofascial strain, ischial bursitis

Question 10

BL 36 location, insertion and needle depth, use?

Answer 10

Midpoint of gluteal fold

Posterior to anterior at a depth of 1.5 - 2 cun

Ischial tuberosity pain and inflammation

Question 11

BL 37 location, insertion and needle depth, use?

Answer 11

6 cun below BL 36 on the midline of the posterior aspect of the thigh or 8 cun above the middle of the popliteal crease

Perpendicular at a depth of 1-1.5 cun

Scaitica, myofascial strain/sprain of hamstrings

Question 12

BL 40 location, insertion and needle depth, use?

Answer 12

Mid poitn of popliteal crease btw the tendons of biceps fem and semitendinosus

Post to ant perpendicular to skin, flex the knee slightly to take the tension of the posterior neural and vascular structure at a depth of 1-1.5 cun

Parasympathetic switch, increases ROM of knee, hamstring tendonitis, Baker’s cyst, LBP, achilles tendinitis

Question 13

BL 57 location, insertion and needle depth, use?

Answer 13

On the post of the leg, at the apex of the inverted V of the musculotendinous junction of the gastrocs, 8 cun below the popliteal crease and 8 cun above the level the most prominent point of the lateral malleolus

Perpendicular to the skin and post to ant, 0.5-1 cun

Sciatic pain, low back pain, spasticity of posterior leg, myofascial pain in hamstrings, gastrocs and soleus, achilles tendinitis, plantar fasciitis

Question 14

BL 60 location, insertion and needle depth of use?

Answer 14

In the centre of the depression located on the horizontal lien running parallel with the plantar aspect of the foot midway btw the most prominent aspect of the lateral malleolus

Lateral to medial at a depth of 0.5 to 1 cun

Sympathetic switch, special for MSK disorders, radicular sciatic pain due to lumbar disc problem, pain and inflammation of sciatic nerve, lateral ankle sprain, achilles tendinitis, pain and inflammation of peroneus longus and brevis