BL22

Bladder Channel

Triple Energizer Back-Shu point

三焦俞Sānjiāo Shū

Anatomical location

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

Main function

Regulates the Triple Energizer, promotes the transformation and transportation of fluids, regulates the passage of water, strengthens the Spleen and Kidneys, benefits the bladder, relieves urinary retention, strengthens the lumbar region.

  • Back-Shu point of the Triple Energizer

Therapeutic indications

  • Edema
  • urinary retention
  • dysuria
  • enuresis
  • low back pain
  • weak knees
  • abdominal distension and pain
  • vomiting
  • diarrhea
  • dysentery
  • excessive thirst
  • abdominal swelling
  • ascites
  • hypochondriac pain
  • back pain
  • general weakness
  • fatigue
  • Abdominal distension
  • Borborygmi
  • Low back pain
  • Diabetes mellitus (Xiao Ke)

Name and classical tradition

Sanjiaoshu, 三焦俞, is the Back-Shu point of the Triple Energizer. 三焦, the three burners or three fires, is the formless Fu organ that Chinese medicine entrusts with the circulation of fluids and Qi through the three regions of the trunk; 俞 is the transport point. The Zhenjiu Jiayi Jing (Systematic Classic of Acupuncture and Moxibustion) places it one and a half cun to each side of the thirteenth vertebra, that is, the first lumbar.

No further historical data or ancient alternative names are known; the name 三焦背俞穴 that is sometimes found is descriptive and modern. Beside it, on the outer line, is BL51, Huangmen.

Location of point BL22, Triple Energizer Back-Shu point
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View point on the 3D modelBL22 on the anatomy
Needling techniquePerpendicular insertion 0.8-1.2 cun. It can also be needled obliquely toward the spine. Avoid deep inward needling so as not to damage the kidneys.
Depth0.8-1.2 cun
MoxibustionApplicable (3-7 cones or 5-15 minutes)

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 Triple EnergizerTreats the TE both as an organ and as a pathway: BL22 is its Back-Shu point and BL39 its lower He-Sea point; ST36, ST37, and ST39 are the lower He-Sea points of the three abdominal organs; TE3 and TE6 open the channel itself.
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 BL22 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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