BL56

Chengjin

Star

承筋 (Chéngjīn) — Sinew Support

Bladder channel · point 56

Not yet clinically reviewed

Traditionally used for

  • Bowel health

Location

On the back of the lower leg, 5 cun below the popliteal crease, between the two muscle bellies of gastrocnemius, midway between BL55 and BL57.

How to locate: With the patient prone, the point is 5 cun below the popliteal crease, midway between BL55 and BL57, in the groove between the two bellies of gastrocnemius; pointing the toes against resistance makes the groove easier to feel.

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

Body map, back: BL56 · Calf
Fig. — BL56 · Calf After Albinus, 1747
Body map, back: BL56 · Calf

BL56 · Calf · Albinus, Tabulae sceleti et musculorum, 1747

Bones of the leg — Gray's Anatomy plate
Bones of the leg Gray's Anatomy, 1918
Bones of the leg — Gray's Anatomy plate

Bones of the leg · 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.

Cun on this part of the body
From the popliteal crease to the prominence of the lateral malleolus: 16 B-cun (WHO 2008, General Guidelines, Proportional Bone (Skeletal) Measurements, p. 13). On the model, the popliteal crease = knee joint line (femoral condyles / tibial plateau).
Needle angle and depth
  1. Perpendicular (90° to the skin), 1–1.5 cun. Deadman P, Al-Khafaji M, Baker K, p. 313

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

  1. Perpendicular insertion
    Depth 1–1.5 cun
    skindeeper

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. 313 Supports: techniques (names this point)

Site notes · not cited

Depth: 1.0–1.5 cun
Angle: Perpendicular

Functions

  • Relaxes the sinews and relieves cramp
  • Activates the channel
  • Benefits the anus

Indications

Cramping of the calflow back and leg painhaemorrhoidsconstipation

Balance Method partners

Under Dr. Tan's six systems, BL56 at the calf balances these channels at the regions its segment images.

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

Sources

  • World Health Organization. WHO Standard Acupuncture Point Locations in the Western Pacific Region. Manila: WHO Regional Office for the Western Pacific, 2008. (Location.)
  • Focks C, ed. Atlas of Acupuncture. Edinburgh: Churchill Livingstone Elsevier, 2008. (Locating method and actions.)

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