BL25

Bladder Channel

Large Intestine Shu

大肠俞Dàcháng Shū

Use caution during pregnancy

Lumbosacral band; avoid strong stimulation.

Anatomical location

1.5 cun lateral to the lower border of the spinous process of the fourth lumbar vertebra (L4), in the space between the fourth and fifth lumbar vertebrae.

Main function

Regulates the Large Intestine, promotes bowel movement, relieves constipation, regulates Qi, relieves pain, strengthens the lumbar region, eliminates Damp-Heat.

  • Back-Shu point of the Large Intestine

Therapeutic indications

  • Constipation
  • diarrhea
  • dysentery
  • abdominal pain
  • abdominal distension
  • hemorrhoids
  • low back pain
  • sciatica
  • pain in the sacral region
  • colitis
  • enteritis
  • rectal prolapse
  • Low back pain
  • Borborygmi
  • Paralysis of the lower limb
  • Irritable bowel syndrome
  • Ulcerative colitis and Crohn's disease
  • Kidney stones and renal colic
  • Lumbar disc herniation

Name and classical tradition

Dachangshu, 大肠俞, is the Back-Shu point of the Large Intestine. 大肠 (大腸) is the large intestine; 俞 is the transport point. The Zhenjiu Jiayi Jing (Systematic Classic of Acupuncture and Moxibustion) places it «在第十六椎下兩傍各一寸五分», one and a half cun to each side below the sixteenth vertebra, which corresponds to the fourth lumbar.

It belongs to the core of the Back-Shu points of the Fu organs documented in the Jiayi Jing. On the abdomen, its counterpart is ST25, Tianshu, the Front-Mu point of the same Fu organ. No ancient alternative names or classical commentaries are known for it.

Location of point BL25, Large Intestine Shu
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View point on the 3D modelBL25 on the anatomy
Needling techniquePerpendicular insertion 0.8-1.2 cun. It can also be needled obliquely toward the spine. Moxibustion is applicable, combined with indirect moxa on garlic or ginger for chronic low back pain.
Depth0.8-1.2 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 BL25 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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