BL21

Bladder Channel

Stomach Shu

胃俞Wèi Shū

Anatomical location

1.5 cun lateral to the lower border of the spinous process of the twelfth thoracic vertebra (T12), in the space between the twelfth thoracic vertebra and the first lumbar vertebra (L1).

Main function

Regulates the Stomach, harmonizes the Middle (Spleen-Stomach), descends rebellious Qi, relieves epigastric pain, strengthens digestive function, resolves Dampness and Heat, stops vomiting.

  • Back-Shu point of the Stomach

Therapeutic indications

  • Epigastric pain
  • abdominal distension
  • nausea
  • vomiting
  • belching
  • hiccups
  • poor appetite
  • excessive thirst
  • gastric ulcer
  • gastritis
  • pain in the chest and flanks
  • hepatitis
  • jaundice
  • back pain
  • general weakness
  • diarrhea
  • dysentery
  • vomiting of blood
  • gastrointestinal bleeding
  • mental disorders
  • insomnia
  • anxiety
  • Stomach pain
  • Loss of appetite
  • Indigestion
  • Borborygmi
  • Weight loss
  • Diabetes mellitus (Xiao Ke)
  • Obesity and overweight
  • Hyperlipidemia (high cholesterol and triglycerides)
  • Irritable bowel syndrome
  • Gastroesophageal reflux
  • Anemia

Name and classical tradition

Weishu, 胃俞, is the Back-Shu point of the Stomach. 胃 is the stomach; 俞 means to transport or to communicate. The name needs no gloss: it is the place on the back where the Qi of that Fu organ is poured. The Zhenjiu Jiayi Jing (Systematic Classic of Acupuncture and Moxibustion) places it «在第十二椎下兩傍各一寸五分», one and a half cun to each side below the twelfth vertebra, just below BL20, the Back-Shu point of the Spleen.

Sources also refer it to the Zhenjiu Dacheng (Great Compendium of Acupuncture and Moxibustion), though no citation was captured. Beside it, on the outer line, is BL50, Weicang, the «granary of the Stomach», with which it forms a pair of names devoted to the same Fu organ.

Location of point BL21, Stomach Shu
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View point on the 3D modelBL21 on the anatomy
Needling techniqueOblique insertion 0.5-0.8 cun toward the spine. It can also be needled horizontally toward [[BL22]] (Sanjiaoshu). Avoid deep inward needling so as not to damage the kidneys.
Depth0.5-0.8 cun
MoxibustionApplicable (3-7 cones or 5-15 minutes)

Classical combinations · 1

  • Back-Shu points of the Middle JiaoBack-Shu points of the Spleen and Stomach with the Front-Mu point of the Fu organs: strengthens digestion from the front and the back.

Basic formulas from the vademecum · 2

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 Middle EnergizerThe two Mu points (CV12 for the Stomach, LR13 for the Spleen) with their two Back-Shu points (BL21 and BL20): the Shu-Mu technique applied to the entire Spleen-Stomach axis.
  • WarmingMoxibustion on the Center and the sea of Qi: it warms the Yang of the Middle Jiao and roots it in the lower abdomen.
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 BL21 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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