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BL-10 Tianzhu (天柱) — Celestial Pillar
BL-10
Tianzhu
天柱
Celestial Pillar
Ponto Janela do CéuPonto importante para eliminar VentoPonto local do occipital e coluna cervicalCautionCabeça
Depth
00.5–0.8 cun3.0
Oblique insertion
Precautions
Deep or upward perpendicular insertion may enter the foramen magnum. Caution: do not needle in a superior direction.
Location (classical)
1.3 cun lateral to the posterior midline, above the first palpable spinous process of the cervical spine (C2, the axis), in the trapezius muscle where its belly begins to descend, near the exit of the greater occipital nerve (0.5 cun cranial to the dorsal hairline).
How to find it (practical)
Seated with the neck slightly flexed, first locate Ya Men (GV-15). Locate Tian Zhu (BL-10) 1.3 cun lateral to it, at the lateral margin of the trapezius muscle.
Anatomy
Trapezius and splenius capitis muscles. Innervated by the greater occipital nerve. Occipital artery and vein.
Needling
Perpendicular or slightly oblique insertion toward the spine, 0.5–0.8 cun.
Etymology
Tian (天), heaven; Zhu (注), pillar. In ancient times, the vertex was considered heaven and the cervical spine, Zhu Gu, the pillar of bone. The point lies lateral to the cervical spine.
CLASSICAL SOURCELing Shu
Clinical Relations
Adjacent Points on the Meridian