4.7 The Bladder Channel System – Foot taiyang(zu tai yang jing luo)
At the level of L2, it entersthe abdomen and reaches its
paired zang-Organ, the Kidney (shen) and its pertaining fu-
Organ, the Bladder (pangguang). The externalbranch runs
through the gluteal region and the thigh to the popliteal fossa
(BL-40), where it re-unites with the lateral external branch.
➡the lateral branchruns from BL-10(tianzhu) to BL-41
(fufen) at the level of T2, from where it descends down the
back, 3 cun lateral to the midline to the level of the fourth
sacral foramen. From there it traverses the gluteal region to
➞G.B.-30(huantiao), continues along the posterolateral
aspect of the thigh and meets the medial external branch at
the popliteal fossa.
From the popliteal fossa (BL-40) the channel descends along the
posterolateral aspect of the foreleg to the foot
➡passes the lateral malleolus
➡travels along the lateral border of the foot to the lateral corner
of the little toenail to BL-67(zhiyin). From here, a branch
travels to ➞KID-1(yongquan) located on the Interiorly–
Exteriorly paired Kidney primary channel (foot Yin–Yang
pairing of the second great circuit).
Clinical importance (➞1.2)
Exterior (biao) signs and symptoms: Chills and fever,
headaches, occipital stiffness, pain in the lumbar region, obstruc-
tion of the nasal passages, eye pain with tearing, pain along the
posterior aspect of the hip, knee and foreleg, foot pain
Interior (li) or zangfu-Organ signs and symptoms:Pain and
tension in the lower abdomen, retention of urine, enuresis,
psycho-emotional disorders, opisthotonus
Connections and meeting points of the
Bladder primary channel (➞1.2)
Connections with other channels
Kidney primary channel (zu shao yin jing)
Connection:Foot Yin–Yang pairing of the second great circuit
Location: BL-67 ➞KID-1(on the foot).
Circulation:Circadian (according to the Organ clock)
Importance:Exterior–Interior relationship
Small Intestine primary channel (shou tai yang jing)
Connection:Paired according to the six channel theory (hand–foot
pairing): tai yang(Yang axes of the second great circuit)
Location: S.I.-18 ➞BL-1(on the head).
Circulation: Circadian (according to the Organ clock)
Importance:Above–below relationship
Connections with other zangfu-Organ systems
Kidney (shen), Bladder (pangguang)
4.7.2 The Bladder Divergent Channel
(zu tai yang jing bie)
BL-40
BL-36
BL-10
1st confluence
Pathway
The Bladder divergent channel separates from the Bladder pri-
mary channel in the popliteal fossa at BL-40(weizhong)
➡ascends to the centre of the gluteal crease at BL-36(chengfu)
➡ascends further and penetrates the anus, continues to the Bladder
(pangguang), its pertaining fu-Organ, and the Kidney (shen),
its paired zang-Organ
➡rises along the spine and spreads in the Heart (xin)
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