BL49

Bladder Channel

Abode of Thought

意舍Yì Shè

Anatomical location

On the back, 3 cun lateral to the midline, at the level of the space between the spinous processes of T11 and T12.

Main function

Regulates the Spleen, harmonizes the Stomach, strengthens the Yi (mind), relieves abdominal distension, strengthens the back.

  • Yi (mind) point

Therapeutic indications

  • Abdominal distension
  • back pain
  • poor appetite
  • diarrhea
  • jaundice
  • fatigue
  • excessive worry
  • borborygmi
  • lack of appetite
  • vomiting
  • obsessive disorder (ruminative thinking)

Name and classical tradition

Yishe, 意舍, is the “dwelling of the Yi.” 意, the Yi, is the faculty of thought and intention; 舍 is the dwelling. The Lingshu (Spiritual Pivot), in the Ben Shen (本神) chapter, devotes two sentences to it: “心有所憶謂之意”, when the heart holds a memory it is called the Yi; and “脾藏營,營舍意”, the Spleen stores the Ying, and the Ying houses the Yi. Hence the 舍 in the name, the same verb as in the classical text.

The point is on the outer line of the back, next to BL20, Pishu, the Back-Shu point of the Spleen. It is the fourth piece of the series of soul points on the back, after BL42, BL44, and BL47, and before BL52. Here the name of the point reproduces almost literally the text that grounds it.

Location of point BL49, Abode of Thought
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View point on the 3D modelBL49 on the anatomy
Needling techniqueOblique insertion toward the spine 0.5-1 cun. Avoid deep needling so as not to damage the internal organs.
Depth0.5-1 cun
MoxibustionApplicable (3-5 cones or 5-10 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 BL49 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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