BL52

Bladder Channel

Abode of the Will

志室Zhì Shì

Anatomical location

On the lower back, 3 cun lateral to the midline, at the level of the space between the spinous processes of L2 and L3.

Main function

Strengthens the Kidney, nourishes the Essence (Jing), strengthens the willpower (Zhi), benefits the lumbar region, regulates urination.

  • Point of the Zhi (will)

Therapeutic indications

  • Low back pain
  • weak knees
  • dysuria
  • enuresis
  • impotence
  • spermatorrhea
  • fatigue
  • edema
  • nocturnal emission
  • lumbago
  • lumbar stiffness
  • kidney stones and renal colic
  • prostatitis and benign prostatic hyperplasia
  • lumbar disc herniation
  • ankylosing spondylitis
  • osteoporosis

Name and classical tradition

Zhishi, 志室, is the “room of the zhi.” 志, the zhi, is willpower, the determination that Chinese medicine links to the Kidney; 室 is the room. The Lingshu (Spiritual Pivot), in the Ben Shen (本神) chapter, states that the Kidney stores the Essence, and the Essence houses the zhi.

The point lies on the outer line of the back, next to BL23, the Back-Shu point of the Kidney, and it closes the series of five spirit points of the back: BL42, the po of the Lung; BL44, the shen of the Heart; BL47, the hun of the Liver; BL49, the yi of the Spleen; and Zhishi, the zhi of the Kidney. With it, the full scheme of the Ben Shen faculties is completed on the second line of the back.

The Yixue Rumen (Introduction to Medicine), from the Ming period, gives it the alternate name 精宮, “palace of the Essence,” consistent with the role of the Kidney. The same name is sometimes attributed to its neighbor Shenshu, and it is unclear which of the two received it first.

Location of point BL52, Abode of the Will
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View point on the 3D modelBL52 on the anatomy
Needling techniquePerpendicular insertion 0.8-1.2 cun. Avoid deep needling so as not to damage the kidneys.
Depth0.8-1.2 cun
MoxibustionHighly recommended (3-9 cones or 10-30 minutes)

Basic formulas from the vademecum · 1

View the vademecum

Named functional sets from the school: here the point does not act on its own, but through the role it plays within the maneuver.

  • Tonify the BloodPregnancyCovers the three sources of Blood: it is produced in the Center (LR13, Influential point of the organs), gathered at BL17 (Influential point of Blood) and SP10, rooted in the Kidney (BL52, home of the Zhi, and CV4), and driven from LU9, the Influential point of the vessels. SP6 stitches the whole together.
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 BL52 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.

See the Clinic