BL54

Bladder Channel

Orderly Edge

秩边Zhì Biān

Anatomical location

In the sacral region, 3 cun lateral to the midline, at the level of the fourth posterior sacral foramen (S4).

Main function

Strengthens the lumbar and sacral region, regulates urination, relieves pain, benefits the urogenital system.

Therapeutic indications

  • Low back pain
  • sciatica
  • dysuria
  • hemorrhoids
  • genital pain
  • impotence
  • leukorrhea
  • Sacral low back pain
  • Lower-limb paralysis
  • Urinary retention
  • Constipation

Name and classical tradition

Zhibian, 秩边, is the “edge of order.” 秩 means order, sequence, rank; 边 (邊) is the edge, the margin. The usual reading is positional: the point marks the lower end of the outer line of the channel on the back, the orderly end of the series before passing to the buttock and thigh. The reading is reasonable and straightforward.

The Zhenjiu Jiayi Jing (Systematic Classic of Acupuncture and Moxibustion) locates it below the twenty-first vertebra, three cun to each side, in a depression, at the level of BL30, the last Shu point of the inner line. An entry in the Zhenjiu Dacheng (Great Compendium of Acupuncture and Moxibustion) is also mentioned, but its text has not been recovered. In modern practice it is a widely used point for sciatica.

Location of point BL54, Orderly Edge
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View point on the 3D modelBL54 on the anatomy
Needling techniquePerpendicular insertion 1-1.5 cun. Moxibustion is highly beneficial.
Depth1-1.5 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 BL54 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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