Verscienta
BL59

Fuyang

Star

跗陽 (Fùyáng) — Instep Yang

Bladder channel · point 59

Not yet clinically reviewed

Xi-Cleft point of the Yang Qiao Mai

Traditionally used for

  • Nerves & recovery
  • Pain & joints

Location

On the posterolateral aspect of the lower leg, between the fibula and the Achilles tendon, level with a point 3 cun above BL60.

How to locate: Find BL60 in the hollow between the prominence of the lateral malleolus and the Achilles tendon, then measure 3 cun (one handbreadth) straight up. The point is in the depression between the fibula and the Achilles tendon.

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

Body map, back: BL59 · Lower leg
Fig. — BL59 · Lower leg After Albinus, 1747
Body map, back: BL59 · Lower leg

BL59 · Lower leg · Albinus, Tabulae sceleti et musculorum, 1747

Bones of the leg — Gray's Anatomy plate
Bones of the leg Gray's Anatomy, 1918 Marker hidden while its position on this plate is re-checked.
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. 317
  2. Oblique (45° to the skin), 1–1.5 cun, directed proximally or distally. Deadman P, Al-Khafaji M, Baker K, p. 317

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. Oblique insertion — directed proximally or distally
    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. 317 Supports: techniques (names this point)

Site notes · not cited

Depth: 0.8–1.2 cun
Angle: Perpendicular

Functions

  • Activates the channel and luo vessels and relieves acute pain
  • Benefits the lower back
  • Clears the head and regulates the Yang Qiao Mai

Indications

Acute low back painheaviness and pain of the headswelling and pain of the ankleparalysis of the lower limb

Balance Method partners

Under Dr. Tan's six systems, BL59 at the lower leg 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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