BL18

Bladder Channel

Liver Shu

肝俞Gān Shū

Anatomical location

1.5 cun lateral to the lower border of the spinous process of the ninth thoracic vertebra (T9), in the space between the ninth and tenth thoracic vertebrae.

Main function

Regulates the Liver, drains Liver Fire, calms Internal Wind, nourishes Liver Blood, benefits the eyes, relaxes the sinews, regulates Liver Qi, relieves pain.

  • Back-Shu point of the Liver

Therapeutic indications

  • Hypochondriac pain
  • back pain
  • jaundice
  • vomiting
  • nausea
  • stomach pain
  • abdominal distension
  • belching
  • eye disorders
  • blurred vision
  • night blindness
  • headache
  • vertigo
  • dizziness
  • convulsions
  • epilepsy
  • insomnia
  • irritability
  • depression
  • anger
  • hysteria
  • flank pain
  • chest pain
  • epigastric pain
  • hepatitis
  • cholecystitis
  • gastritis
  • gastric ulcer
  • costal pain
  • red eyes
  • hemorrhages
  • hyperlipidemia (high cholesterol and triglycerides)
  • irritable bowel syndrome
  • fatty liver
  • gallstones and biliary colic
  • premenstrual syndrome
  • alopecia areata

Name and classical tradition

Ganshu, 肝俞, is the back transport point of the Liver. 肝 is the liver; 俞, the transport point. It is one of the best-documented Shu points. The Lingshu (Spiritual Pivot), in the chapter Bei Shu (背腧), places it “在九焦之間”, in the space of the ninth vertebra. In the chapter Wei Qi (衛氣), the same Lingshu says of the foot Jueyin, the Liver channel, that its visible branch, its “標”, is at the Shu point of the back: “標在背俞也”. The Zhenjiu Jiayi Jing (Systematic Classic of Acupuncture and Moxibustion) gives the measurement precisely: “在第九椎下兩傍各一寸五分”, one and a half cun on each side below the ninth vertebra.

Three ancient sources agree, which places Ganshu in the earliest core of the system, as opposed to the Shu points added later, such as BL16 or BL14. Next to it, on the outer line, is BL47, Hunmen, the “gate of the hun,” the soul that the Lingshu links with the Liver.

Location of point BL18, Liver Shu
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View point on the 3D modelBL18 on the anatomy
Needling techniqueOblique insertion 0.5-0.8 cun toward the spine. It can also be needled horizontally toward BL19 (Danshu). Avoid deep needling inward so as not to damage the lungs.
Depth0.5-0.8 cun
MoxibustionApplicable (3-7 cones or 5-15 minutes)

Patterns that use it · 40

Cover of the guide “Protocols for the 20 most common patterns”

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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 BL18 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.

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