BL40

Weizhong

Star

委中 (Wěizhōng) — Bend Middle

Bladder channel · point 40

Not yet clinically reviewed

He-Sea pointEarth pointEarth point of the Bladder channelCommand point of the back

Traditionally used for

  • Nose & throat
  • Digestion
  • Bowel health
  • Urinary & fluids
  • Pain & joints
  • Skin

Cautions & contraindications

  • No deep needling
  • Avoid blood vessels

Location

At the midpoint of the popliteal crease, between the tendons of biceps femoris and semitendinosus.

How to locate: With the patient prone and the knee slightly flexed to raise the hamstring tendons, the point is at the midpoint of the popliteal crease, midway between the biceps femoris and semitendinosus tendons.

Regional anatomy: Skin and subcutaneous tissue, then the popliteal fascia and fat of the fossa; the tibial nerve, popliteal vein and popliteal artery lie deep in the fossa, so the needle is not thrust vigorously.

Distances are in cun, a proportional unit — how to measure.

Body map, back: BL40 · Back of knee
Fig. — BL40 · Back of knee After Albinus, 1747
Body map, back: BL40 · Back of knee

BL40 · Back of knee · Albinus, Tabulae sceleti et musculorum, 1747

The knee joint — Gray's Anatomy plate
The knee joint Gray's Anatomy, 1918
The knee joint — Gray's Anatomy plate

The knee joint · Gray's Anatomy, 1918

3D view

Approximate placement, carried over from our 2D body map onto a single adult male model (BodyParts3D) and checked against the point's location text. Shown on one side of the body. Locate the point on your patient by the location text and palpation, not by this model.

Needle angle and depth
  1. Perpendicular — not drawn: WHO gives no proportional measurement for this part of the body.
  2. Prick to bleed, superficial veins — not drawn: no cited depth in cun.

3D anatomy: BodyParts3D, © The Database Center for Life Science licensed under CC Attribution 4.0 International (licence). Subset, simplified and recoloured by Verscienta — changes and licence details.

Needling

Cited needling

Techniques — the source gives these as alternatives:

  1. Perpendicular insertion
    Depth 1–1.5 cun
    skindeeper
  2. Prick to bleed — superficial veins

Depths describe average adult habitus in the cited population, never a single safe number for the patient in front of you. Palpate and adjust.

Sources (1)
  1. Deadman P, Al-Khafaji M, Baker K. A Manual of Acupuncture. Hove: Journal of Chinese Medicine Publications; 1998 — p. 300 Supports: techniques (names this point)

Site notes · not cited

  • No deep needling
  • Avoid blood vessels
Depth: 0.5–1.0 cun
Angle: Perpendicular; the visible veins in the fossa may be pricked to bleed
Bleeding technique: Pricking the small veins of the popliteal fossa to bleed is the classical treatment for acute lumbar sprain, heatstroke, and hot skin eruptions.
⚠ Cautions: Avoid the popliteal artery and the tibial nerve; do not needle deeply.

Functions

  • Relieves lumbar pain and activates the whole Bladder channel
  • Clears summer-heat and cools the blood
  • Resolves damp-heat and benefits the skin
  • Relaxes the sinews of the knee

Indications

Acute and chronic low back painsciaticaknee pain and stiffnessheatstroke and summer-heat with vomiting and diarrhoeaerysipelas, boils and skin eruptionsabdominal painnosebleed

Balance Method partners

Under Dr. Tan's six systems, BL40 at the back of knee balances these channels at the regions its segment images.

  • 1. Same Chinese name
    Small Intestine channel
    Elbow · Mirror (arm ↔ leg)
    Elbow · Reversed mirror
    Upper abdomen, Lower back · Image, head at the hand/foot
    Chest, Upper back · Image, head toward the elbow/knee
    Solve for the Small Intestine channel →
  • 2. Branching (Bie Jing / Zang Fu Bie Tong)
    Lung channel
    Elbow · Mirror (arm ↔ leg)
    Elbow · Reversed mirror
    Upper abdomen, Lower back · Image, head at the hand/foot
    Chest, Upper back · Image, head toward the elbow/knee
    Solve for the Lung channel →
  • 3. Interior–exterior pair
    Kidney channel
    Knee, Back of knee · Same segment, opposite side
    Upper abdomen, Lower back · Image, head at the hand/foot
    Chest, Upper back · Image, head toward the elbow/knee
    Solve for the Kidney channel →
  • 4. Chinese clock opposite
    Lung channel
    Elbow · Mirror (arm ↔ leg)
    Elbow · Reversed mirror
    Upper abdomen, Lower back · Image, head at the hand/foot
    Chest, Upper back · Image, head toward the elbow/knee
    Solve for the Lung channel →
  • 5. Chinese clock neighbour
    Small Intestine channel
    Elbow · Mirror (arm ↔ leg)
    Elbow · Reversed mirror
    Upper abdomen, Lower back · Image, head at the hand/foot
    Chest, Upper back · Image, head toward the elbow/knee
    Solve for the Small Intestine channel →
  • 6. Same channel
    Bladder channel
    Knee, Back of knee · Same segment, opposite side
    Upper abdomen, Lower back · Image, head at the hand/foot
    Chest, Upper back · Image, head toward the elbow/knee
    Solve for the Bladder channel →

Classical calendar method · 子午流注

When the tables open BL40

The hours Zi Wu Liu Zhu names this point at, by method. Times are the double-hour's start in UTC.

  • 壬午 11:00–13:00 Na Jia Fa, 甲-day sequence · He-Sea (合)

    「壬午膀胱委中尋」

    Next: Sun 18 Oct, 11:00

A classical reference, not a recommendation: the tables say when the method opens this point, not that it is the point to needle. Open points by the hour →

Clinical Notes

One of the four Command points: "for the back, seek Weizhong." The single most important distal point for the lower back.

Combinations Using This Point

Similar Points

Ranked by shared patterns and conditions

Sources

  • World Health Organization. WHO Standard Acupuncture Point Locations in the Western Pacific Region. Manila: WHO Regional Office for the Western Pacific, 2008. (Location.)

📝 Notes

Public notes from the community and your own private notes on BL40 Weizhong.

No notes yet.

Log in or register to add your own notes.

Back to Points