BL29

Bladder Channel

Mid-Back Shu

中膂俞Zhōnglǚ Shū

Anatomical location

1.5 cun from the posterior midline, at the level of the third posterior sacral foramen (S3).

Main function

Strengthens the Kidney, benefits the lumbar and sacral region, regulates Qi and Blood, strengthens the muscles and tendons, benefits the bladder, regulates urination, regulates the Large Intestine.

Therapeutic indications

  • Low back pain
  • sciatica
  • dysuria
  • enuresis
  • urinary retention
  • diarrhea
  • dysentery
  • constipation
  • leukorrhea
  • dysmenorrhea
  • impotence
  • sterility
  • Low back pain
  • Hernia
  • Lumbar stiffness

Name and classical tradition

Zhonglüshu, 中膂俞, is one of the few points in the sacral region with a direct citation from the Lingshu (Spiritual Pivot), and its name shows a documented evolution. 膂 refers to the thick musculature that runs alongside the spine, the erector muscles; 中 means center. The point sits within that muscle mass, in the sacral area.

The Lingshu, in the chapter Ci Jie Zhen Xie (刺節真邪), calls it simply 中膂. The Zhenjiu Jiayi Jing (Systematic Classic of Acupuncture and Moxibustion) names it 中膂內俞, adding the “inner transport point.” The current name, 中膂俞, falls between the two. Reference works also record 脊內俞, “inner transport point of the spine.” Between the Lingshu and the Jiayi Jing, the name was expanded and then fixed, a verifiable example of how terminology evolved.

Location of point BL29, Mid-Back Shu
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View point on the 3D modelBL29 on the anatomy
Needling techniquePerpendicular insertion 0.8-1.2 cun. It can also be needled obliquely toward the spine. Moxibustion is highly beneficial, direct or indirect depending on the patient's condition.
Depth0.8-1.2 cun
MoxibustionHighly recommended (3-9 cones or 10-30 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 BL29 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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