BL65 Binding Bone

Reviewed by · Licensed Acupuncturist & TCM Physician · Last reviewed June 2026

BL65 (Shugu, “Binding Bone”) is the Shu-Stream point of the Bladder Meridian. It is located on the lateral aspect of the foot, in the depression posterior and inferior to the head of the fifth metatarsal bone, at the junction of the red and white skin. It clears the head and eyes, dispels pathogenic wind, calms the spirit, relaxes the sinews, and activates the channel.

Location

On the lateral aspect of the foot, in the depression posterior and inferior to the head of the fifth metatarsal bone, at the junction of the red and white skin.

Needling

Perpendicular insertion 0.3-0.5 cun.

TCM functions

Clears the head and eyes, dispels pathogenic wind, calms the spirit, relaxes the sinews, and activates the channel.

Indications

Headache, body heat, body pain, dizziness, deafness, aversion to wind and cold, neck stiffness, inability to turn the head, redness and ulceration of the inner eye, epilepsy, mania, fright epilepsy, tendency to be startled, bleating like a sheep, malaria that starts from the feet, lumbar pain as if broken or knotted, hemorrhoids, intestinal gurgling with diarrhea, muscular twitching, back boils and carbuncles, back sores.

Shu-StreamWood Point

Clinical notes

As the Shu-Stream and Wood point of the Bladder channel, Shugu is effective for conditions involving heaviness and pain of the body, particularly headache, neck rigidity, and severe lumbar pain. Its ability to clear wind and calm the spirit makes it a key point for epilepsy and mania, especially when presenting with fright and agitation. It is also used for acute intestinal disorders like diarrhea and for various eye problems associated with the Taiyang channel.

In the classical sources

Classical text; the translation was prepared with AI and is not clinical advice.

《普濟方·針灸門》 Pǔjì Fāng · Zhēnjiǔ Mén — Formulas for Universal Relief: Acupuncture & Moxibustion Section, Zhu Su, 1406 · 卷四百十三 · 針灸門 · 膀胱 · Source: jicheng.tw ↗

束骨(在足小指外側本節後陷者中。 灸三壯。 主身痛狂善行

According to this text, BL65 lies in the hollow behind the base joint on the outer side of the little toe, receives 3 moxa cones, and was used for body pain and mania with restless wandering.

《針灸大成》 Zhēnjiǔ Dàchéng — Great Compendium of Acupuncture & Moxibustion, 1601 · 卷十 · Source: Wikisource ↗

束骨 在足小指外側本節後,肉際陷中,針三分,灸三壯

According to this text, BL65 lies behind the base joint on the outer side of the little toe, in the hollow at the flesh border; needling is 0.3 cun with 3 moxa cones.

《針方六集》 Zhēnfāng Liùjí — Six Collections on Needling, Wu Kun, 1618 · 卷之二·開蒙集 · 《難經》五門主治七 · Source: jicheng.tw ↗

體重節痛刺束骨(俞)

The text records that for heaviness of the body and joint pain, BL65, the shu-stream point, was needled.

On the Bladder channel

BL65 is one of 67 points on the Bladder Meridian. Nearby points:

Frequently asked questions

Where is BL65 located?

BL65 (Shugu) is located on the lateral aspect of the foot, in the depression posterior and inferior to the head of the fifth metatarsal bone, at the junction of the red and white skin.

What is BL65 used for?

BL65 clears the head and eyes, dispels pathogenic wind, calms the spirit, relaxes the sinews, and activates the channel. Common clinical indications include headache, body heat, body pain, dizziness, deafness, aversion to wind and cold, neck stiffness, inability to turn the head, redness and ulceration of the inner eye, epilepsy, mania, fright epilepsy, tendency to be startled, bleating like a sheep, malaria that starts from the feet, lumbar pain as if broken or knotted, hemorrhoids, intestinal gurgling with diarrhea, muscular twitching, back boils and carbuncles, back sores.

How is BL65 needled?

Perpendicular insertion 0.3-0.5 cun.

Which meridian is BL65 on?

BL65 is a point on the Bladder Meridian (Zú Tài Yáng Páng Guāng Jīng).

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⚠️ This page is for general education and is not medical advice. Acupuncture is a traditional practice; evidence varies by condition and study quality, and individual results differ. It does not replace diagnosis or treatment by a licensed professional. Always consult a qualified acupuncturist or physician.