ACUPUNCTURE
Du Bi: TCM Acupoint Guide
Name
Du Bi (ST-35)
Location
With the knee flexed, in the depression below the patella, on either side of the patellar ligament, medial or lateral to it.
With the knee flexed to 90 degrees, in the depression formed by the lateral foramen of the patella; at the lower border of the patella, in the depression lateral to the patellar ligament.
Needling
- Puncture perpendicularly 0.7 to 1 cun.
- Straight insertion, pointed medially or laterally, 1.5 to 2 cun. Sensation: local distention, possibly extending downward.
- Perpendicular insertion, directed toward UB-40 Weizhong, 1 to 2 cun.
- Oblique insertion in a medial superior direction behind the patella, 1 to 2 cun.
- Slanted insertion through the patellar tendon, joining the first eye to the second, 2 to 2.5 cun. Sensation: local distention and soreness.
- Behind the patellar ligament, joining with MN-LE-16 Xi Yan.
Moxibustion is applicable.
Actions
- Removes obstruction from the channels and invigorates the channel
- Relieves swelling and stops pain
- Disperses Wind-Damp
Indications
Knee
- Pain, swelling and numbness of the knee
- Painful obstruction and stiffness of the knee
- Difficulty flexing and extending the knee
- Difficulty rising from a kneeling position
- Knee joint arthritis, rheumatoid arthritis and gout
- Rheumatic pains of the knee joint
- Inflammation of the knee and surrounding tissue
- Diseases of the knee and surrounding soft tissue
- Weakness of the knee joint
- Numbness and motor impairment of the knee
- Bi syndrome of the knee
Lower limb
- Atrophy disorder (wei syndrome) of the lower limb
- Paralysis of the lower limb
- Numbness of the lower limb
- Weakness of the knee joint
Dampness and fluid disorders
- Beriberi
- Foot qi and leg qi
- Swelling of the leg due to Dampness
- Hydrothorax
Combinations
| ST-34 Liangqiu, GB-34 Yanglingquan | Arthritis of the knee |
| LIV-7 Xiguan, ST-36 Zusanli, GB-34 Yanglingquan | For disorders of the knee and below the knee; moxa |
| ST-31 Biguan, GB-34 Yanglingquan | Numbness of the knee |
Notes
This point is also listed as MN-LE-16. It is essential in treating all knee disorders, whether they are due to Excess or Deficiency, Heat or Cold, and is an important point for treating Bi syndrome of the knee. It is most effective when moxa is applied to the needle to expel Dampness and Cold.
Sources and further reading
We cite classical materia medica and modern reference works. This article is health education, not medical advice.
- Shennong Bencao Jing (The Divine Farmer's Materia Medica), Han dynasty.
- Bencao Gangmu (Compendium of Materia Medica), Li Shizhen, 1578.
- Chinese Pharmacopoeia, current edition — identity, quality and safety monographs.
- NCCIH and WHO reference material on traditional medicine safety.
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