BL19

Bladder Channel

Gallbladder Shu

胆俞Dǎn Shū

Anatomical location

1.5 cun lateral to the lower border of the spinous process of the tenth thoracic vertebra (T10), in the space between the tenth and eleventh thoracic vertebrae.

Main function

Regulates the Gallbladder, drains Damp-Heat, benefits the Liver and Gallbladder, relieves hypochondriac pain, treats jaundice, regulates the Stomach and Spleen.

  • Back-Shu point of the Gallbladder

Therapeutic indications

  • Hypochondriac pain
  • back pain
  • jaundice
  • bitter vomit
  • bitter taste in the mouth
  • headache
  • migraine
  • dizziness
  • fever
  • chills
  • hepatitis
  • cholecystitis
  • gallstones
  • flank pain
  • epigastric pain
  • loss of appetite
  • nausea
  • vomiting
  • stomach pain
  • gastric ulcer
  • shoulder pain
  • stiff neck
  • mid-back pain
  • bitter mouth
  • costal pain
  • fatty liver
  • gallstones and biliary colic

Name and classical tradition

Danshu, 胆俞, is the Back-Shu point of the Gallbladder. 胆 (膽) is the gallbladder; 俞 is the transport point. The Zhenjiu Jiayi Jing (Systematic Classic of Acupuncture and Moxibustion) places it «在第十椎下兩傍各一寸五分», one and a half cun to each side below the tenth vertebra, just below BL18, the Back-Shu point of the Liver, its paired organ.

It belongs to the core group of Back-Shu points of the Fu organs already recorded in the Jiayi Jing, unlike later Shu points such as BL16. The name 膽囊背俞穴, which sometimes appears, is a modern description and not an ancient name. No specific classical commentaries are known. Beside it, on the outer line, is BL48, Yanggang.

Location of point BL19, Gallbladder Shu
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View point on the 3D modelBL19 on the anatomy
Needling techniqueOblique insertion 0.5-0.8 cun toward the spine. It can also be needled horizontally toward BL20 (Pishu). Avoid deep needling inward so as not to damage the internal organs.
Depth0.5-0.8 cun
MoxibustionApplicable (3-7 cones or 5-15 minutes)
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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 BL19 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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