BL27

Bladder Channel

Small Intestine Shu

小肠俞Xiǎocháng Shū

Use caution during pregnancy

Lumbosacral band over the sacrum; avoid.

Anatomical location

1.5 cun from the posterior midline, at the level of the first posterior sacral foramen (S1).

Main function

Regulates the Small Intestine, separates the pure from the impure, regulates Qi and Blood, benefits the bladder, regulates urination, eliminates Damp-Heat.

  • Small Intestine Back-Shu point

Therapeutic indications

  • Abdominal pain and distension
  • diarrhea
  • dysentery
  • blood in the stool
  • low back pain
  • dysuria
  • urinary retention
  • enuresis
  • hematuria
  • leukorrhea
  • sciatica
  • hemorrhoids
  • Sacral low back pain
  • Ulcerative colitis and Crohn's disease

Name and classical tradition

Xiaochangshu, 小肠俞, is the Back-Shu point of the Small Intestine. 小肠 (小腸) is the small intestine; 俞 is the transport point. The Zhenjiu Jiayi Jing (Systematic Classic of Acupuncture and Moxibustion) places it «在第十八椎下兩傍各一寸五分», one and a half cun to each side below the eighteenth vertebra, at the level of the first posterior sacral foramen. With it, the series of Shu points passes from the lumbar region to the sacrum.

The secondary source that records the quotation attributes it to a work with a different name, probably through a transcription error. The origin in the Jiayi Jing is the one that matches the rest of the series. On the abdomen, its counterpart is CV4, Guanyuan, the Front-Mu point of the Small Intestine.

Location of point BL27, Small Intestine Shu
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View point on the 3D modelBL27 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 for intestinal disorders.
Depth0.8-1.2 cun
MoxibustionApplicable (3-7 cones or 5-15 minutes)
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 BL27 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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