BL15

Bladder Channel

Heart Shu

心俞Xīn Shū

Anatomical location

1.5 cun lateral to the lower border of the spinous process of the fifth thoracic vertebra (T5), in the space between the fifth and sixth thoracic vertebrae.

Main function

Regulates the Heart, calms the Shen (Spirit), nourishes Heart Blood, promotes the circulation of Qi and Blood, relieves chest tightness.

  • Back-Shu point of the Heart

Therapeutic indications

  • Palpitations
  • chest pain
  • angina pectoris
  • chest tightness
  • insomnia
  • excessive sleep
  • poor memory
  • anxiety
  • depression
  • mania
  • hysteria
  • epilepsy
  • hemoptysis
  • night sweats
  • fever of unknown origin
  • back pain
  • memory impairment
  • chest pain
  • schizophrenia (Dian Kuang)
  • bipolar disorder (alternating Dian-Kuang)
  • panic attacks (Ben Tun Qi)
  • post-traumatic stress
  • cognitive decline and dementia
  • fibromyalgia
  • low blood pressure

Name and classical tradition

Xinshu, 心俞, is the back transport point of the Heart: 心, the heart, and 俞, the place where the Qi of the organ pours toward the back. The Lingshu (Spiritual Pivot), in the chapter Bei Shu (背腧), places it in its list of the Shu points of the organs: “心腧在五焦之間”, the Shu of the Heart is in the space of the fifth vertebra.

It is one of the points of the oldest core of the system, along with BL13, BL18, BL20, and BL23, the Shu points of the organs that the Bei Shu lists. Later sources place it between the fifth and sixth thoracic vertebrae depending on the method of measurement, a small variation that recurs in the history of these points. Next to it, on the outer line, BL44, Shentang, the “hall of the spirit,” captures the spiritual aspect of the Heart.

Location of point BL15, Heart Shu
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View point on the 3D modelBL15 on the anatomy
Needling techniqueOblique insertion 0.5-0.8 cun toward the spine. It can also be needled horizontally toward BL16 (Dushu). Avoid deep needling inward so as not to damage the lungs.
Depth0.5-0.8 cun
MoxibustionApplicable with caution (3-5 cones or 5-10 minutes)

Patterns that use it · 18

Basic formulas from the vademecum · 1

View the vademecum

Named functional sets from the school: here the point does not act on its own, but through the role it plays within the maneuver.

  • Tonify the Upper JiaoShu-Mu technique for the chest: CV17 as the Front-Mu point of the Pericardium and Influential point of Qi, with the Back-Shu points of the Lung (BL13), Pericardium (BL14), and Heart (BL15).
Cover of the guide “Protocols for the 20 most common patterns”

Free guide · PDF

Protocols for the 20 patterns you see most in practice

Each pattern with its tongue, its pulse, the treatment principle and the points to tonify and disperse. Made for the treatment table, not the bookshelf.

Do you use BL15 with your patients?

In the Clinic you record it in the patient's file, next to the tongue, the pulse and the measurements, so at the next session you know exactly what you used. The Atlas is built in.

See the Clinic