UB-58 Bladder 58, Feiyang, Taking Flight, must have been an interesting acupuncture point to discover. It’s tucked away in such an unobtrusive place, yet does so many useful things.
The usual position of UB-58 Bladder 58 is 7 cun proximal to the external malleolus between the lateral gastrocnemius and the soleus muscles.
However, there are several other important points nearby, including the preceding point on the Bladder channel, Bladder 57, and one of the ‘extra’ points, about 1 cun inferior to Bladder 57.
Usually Bladder 57 lies 1 cun inferior and 1 cun lateral to Bladder 57.
Either perpendicularly or obliquely, between 1 and 1.5 cun.
Typically, an electric sensation downwards towards the outer malleolus. As you lift the needle, the sensation may travel upwards to wherever there is pain. (It helps if you know about needling and needle sensation!)
However, in the case of acute back pain, the point can produce strong deqi sensation and be quite sore.
In my experience, the stronger the deqi, the faster and more effectively the point works.
Moxa: up to 6 small cones.
There are two main situations this point is good for, though once you understand them you’ll appreciate how useful it can be in a huge range of conditions.
The first is its ability to harmonise top and bottom, or yang and yin, or upper and lower parts of the body, especially the back of the body.
The second is its ability to open the channel and enable obstruction or external pathogenic factors to escape. To work best, these would have to lie along this channel or its sister channel, the Small Intestine.
For example I’ve used it –
Authorities often list Feiyang as being great for sciatica, especially when the pain lies on or between the Bladder and Gallbladder channels.
However, if there is sciatica, I find I get even faster improvement if I add huato-jiaji points beside the spine where on palpation I find acute tenderness, pain or tension.
Like Stomach 38, which is used for shoulder pain, especially along the front of the shoulder or Large Intestine channel, Bladder 58 is particularly good for pain on the back of the shoulder.
These two points are quite close to one another in the leg and theoretically one could use one needle to reach both points at the same time.
Personally, I find this a great point for low back pain when there is an acute – excess – syndrome existing with a deficient syndrome underlying it. However, it took me a lot of experimentation, then some lectures, to work out how to use it for this properly.
For more about using this point, see Bladder Luo.
For example, invasion of Wind with an underlying Kidney deficiency. Here you might combine it with Kidney 4, as well as local points in the area of pain.
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