BL60

Kunlun

Star

崑崙 (Kūnlún) — Kunlun Mountains

Bladder channel · point 60

Not yet clinically reviewed

Jing-River pointFire pointFire point of the Bladder channel

Traditionally used for

  • Headaches
  • Dizziness
  • Nose & throat
  • Urinary & fluids
  • Nerves & recovery
  • Pain & joints

Cautions & contraindications

  • Pregnancy

Location

On the posterolateral aspect of the ankle, in the depression between the prominence of the lateral malleolus and the Achilles tendon.

How to locate: With the patient seated with the foot flat or lying prone, the point is in the hollow midway between the most prominent point of the lateral malleolus and the Achilles tendon, level with that prominence.

Regional anatomy: Skin and subcutaneous fat in the hollow between the Achilles tendon and the peroneal tendons behind the lateral malleolus; the sural nerve and small saphenous vein pass close by.

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

Body map, back: BL60 · Ankle
Fig. — BL60 · Ankle After Albinus, 1747
Body map, back: BL60 · Ankle

BL60 · Ankle · Albinus, Tabulae sceleti et musculorum, 1747

Bones of the foot, dorsal — Gray's Anatomy plate
Bones of the foot, dorsal Gray's Anatomy, 1918
Bones of the foot, dorsal — Gray's Anatomy plate

Bones of the foot, dorsal · Gray's Anatomy, 1918

Needling

Cited needling

  • Pregnancy: contraindicated

Techniques — the source gives these as alternatives:

  1. Perpendicular insertion
    Depth 0.5–1 cun
    skindeeper
  2. Through-needling — directed superiorly to join with Taixi KI3
    Depth 1.5–2 cun
    skindeeper

Traditionally forbidden in pregnancy (at least before 37 weeks). Carr (2015) reviewed the trials and found no objective evidence of harm from needling these points; the prohibition is traditional, not evidence-based.

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 (2)
  1. Carr DJ. The safety of obstetric acupuncture: forbidden points revisited. Acupunct Med. 2015;33(5):413-419 — Identifying sources of concern and relevant outcomes Supports: pregnancy (names this point)
  2. Deadman P, Al-Khafaji M, Baker K. A Manual of Acupuncture. Hove: Journal of Chinese Medicine Publications; 1998 — p. 318 Supports: techniques (names this point)

Site notes · not cited

  • Pregnancy
Depth: 0.5–0.8 cun
Angle: Perpendicular
⚠ Cautions: Contraindicated in pregnancy — classically used to promote delivery.

Functions

  • Activates the whole Bladder channel and relieves pain
  • Clears heat, subdues yang and extinguishes wind in the head
  • Relaxes the sinews, benefits the ankle and strengthens the lower back
  • Promotes labour

Indications

Occipital headache and stiff necklow back pain and sciaticaankle pain and swellingheel paindifficult labour and retained placentaepilepsynosebleeddizziness

Balance Method partners

Under Dr. Tan's six systems, BL60 at the ankle balances these channels at the regions its segment images.

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

Classical calendar method · 子午流注

When the tables open BL60

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

  • 壬寅 03:00–05:00 Na Jia Fa, 丙-day sequence · Jing-River (經)

    「壬寅經火崑崙上」

    Next: Tue 20 Oct, 03:00

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

Called the 'aspirin point' by some practitioners for its breadth in pain along the Bladder channel, from the occiput to the heel.

Combinations Using This Point

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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