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Neil/student
Posted on Friday, January 16, 2004 - 19:11:   

How is it that the bladder mridian is the longest of all the meridians, considering the fact that the bladder, as an organ, holds such a small significance among the rest of the organs in T.C.M.
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Shmuel Halevi
Posted on Sunday, January 18, 2004 - 16:45:   

Hello again, Neil. There is no linkage or relation between the length of a meridian to the orgain it is related to. The heart, for example, is the most important organ but its meridian is one of the shortest...
However, the bladder meridian belongs to the segment of Tai Yang, which is the biggest Yang. Its function is to cover,nourish and protect the most Yang area of the body - the back. This is the reason why this meridian runs a parallel line on the back so as to apply an energetic cover for this large area. This fact makes it the longest meridian.
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Dr. Mehdi Hashemi
Username: Mehdi

Registered: 02-2009
Posted on Monday, March 16, 2009 - 10:37:   

As the back shu points are among very important acupoints, but their precise localization is sometimes difficult. Are there any suggestions to precisely and practically locate BL back-shu points ?
(For example, using iliac crest to locate BL23)
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Shmuel Halevi
Posted on Monday, March 16, 2009 - 19:26:   

There is a very good article on that issue exactly in the latest issue of "the Chinese medicine times Journal", at this address:
http://www.chinesemedicinetimes.com/section/321/1/the_fundamentals_of_acupunctur e_point_location
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Eric Waltemate D.C.
Username: Eric

Registered: 04-2006
Posted on Saturday, April 11, 2009 - 08:53:   

Since you are talking about UB 23 I would tell you to have the patient sit on your
exam table (even better would be to get a massage chair) and then try to locate the
L5-S1 junction. The sacrum will not move and L5 will be the last lumbar bone to
move (unless you have a case of sacralization of L5 or lumbarization of S1.) Mark
the L5-S1 junction with a line drawn between the spinous processes. Then count up
the next junction between the processes between L4-L5, L3-L4, L2-L3, etc...

You should count down for the Thoracic points to about T8 and count up the
Thoraco-lumbar points up to about T8. Be careful as T6 and T7 are much longer than
the rest of the spinous processes.

As far as the horizontal spacing is concerned. Have the patient squeeze his
shoulder blades together as hard as he can and then spread them out as far as he can
like giving himself a hug. Then have him drop his arms down by his sides. At
around T3 the superior angle of the scapula makes a dull point. This is the
location of the outer UB line. The measure the distance here to the middle point of
the spinous process of T3. Half the distance between the points is the inner UB
line.

This sounds like it takes longer than it really does. I would practice on a couple
of family members or friends before going live with a patient. Also make sure that
when you mark the points on the back that you really feel for the men or the xue
(depending on which Chinese term you use for a point.) Feel for the depression.

Sincerely,

Eric Waltemate DC

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