BL33

Bladder Channel

Middle Crevice

中髎Zhōngliáo

Contraindicated during pregnancy

Third sacral Liao; direct action on the uterus.

Anatomical location

In the third posterior sacral foramen, medial and inferior to BL32.

Main function

Regulates Qi and Blood, strengthens the Kidney, benefits the lumbar and sacral region, regulates urination, treats gynecological disorders, strengthens the pelvic region, regulates the Chong Mai and the Ren Mai, benefits the uterus.

  • One of the Eight Liao (middle)

Therapeutic indications

  • Low back pain
  • sciatica
  • dysuria
  • enuresis
  • urinary incontinence
  • leukorrhea
  • dysmenorrhea
  • amenorrhea
  • infertility
  • impotence
  • uterine prolapse
  • hemorrhoids
  • ovarian cysts
  • uterine fibroids
  • endometriosis
  • menopausal symptoms
  • Irregular menstruation
  • Constipation
  • Sacral low back pain
  • Prostatitis and benign prostatic hyperplasia

Name and classical tradition

Zhongliao, 中髎, is the “middle foramen,” the third of the four sacral foramina. 中 means middle, and in a series of four it designates here the third place, below BL32 and above BL34. The graphic variant 中窌 alternates 髎 with 窌, as throughout the series.

The Zhenjiu Jiayi Jing (Systematic Classic of Acupuncture and Moxibustion) locates it «在第三空,俠脊陷者中», in the third foramen, beside the spine. The Zhenjiu Jicheng (Compendium of Acupuncture and Moxibustion) adds a cross-reference: «在次髎下,直中膂俞», below Ciliao, in line with Zhonglüshu, BL29. This correspondence between the foramina and the neighboring Shu points of the inner line is a good example of how the texts relied on some points to locate others.

Location of point BL33, Middle Crevice
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View point on the 3D modelBL33 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 BL33 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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