Dushu BL-16

Chinese: 督俞

Pinyin: Dū Shū

Location

1.5 cun lateral to the lower border of the spinous process of the 6th thoracic vertebra (T6). 

How to locate

First locate the spinous process of the 7th cervical vertebra (C7), which is still palpable when the neck is being flexed and extended, while the 6th cervical vertebra (C6) starts to slide anteriorly and gradually disappears. The spinous process of the 6th thoracic vertebra (T6) is six spinous process below C7.

Or locate the spinous process of T7 first, which is level with the inferior angle of the scapula, when the patient is seated with their arms hanging down. T6 is one thoracic vertebra above. 

Dushu BL-16 is 1.5 cun lateral to the lower border of T6. Yixi BL-45 is at the same level but 3 cun lateral to T6. 

Points located between Fufen BL-41 and Zhibian BL-54 are in the lateral branch of the Bladder Channel, while these between Fengmen BL-12 and Baihuanshu BL-30 are in the medial branch.

 

Main actions

Invigorate Heart Blood and Heart Qi

Needling

0.5–1 cun obliquely towards the spine.

Or 1 to 1.5 cun transversely towards the spine. This method applied more often as it allows the patients to lie in a supine position easily during needling retention. 

Caution: Pneumothorax.

Commentary for Dushu BL-16

Dushu BL-16 is mostly applied to move Qi and invigorate Blood in the Heart. It resolves Stagnation so as to ease pain as well as distension around the chest, epigastrium and abdomen area.